Abstract:
CONTEXT:High-income country (HIC) trainees are undertaking global health experiences in low- and middle-income country (LMIC) host communities in increasing numbers. Although the benefits for HIC trainees are well described, the benefits and drawbacks for LMIC host communities are not well captured. OBJECTIVES:This study evaluated the perspectives of supervising physicians and local programme coordinators from LMIC host communities who engaged with HIC trainees in the context of the latter's short-term experiences in global health. METHODS:Thirty-five semi-structured interviews were conducted with LMIC host community collaborators with a US-based, non-profit global health education organisation. Interviews took place in La Paz, Bolivia and New Delhi, India. Interview transcripts were assessed for recurrent themes using thematic analysis. RESULTS:Benefits for hosts included improvements in job satisfaction, local prestige, global connectedness, local networks, leadership skills, resources and sense of efficacy within their communities. Host collaborators called for improvements in HIC trainee attitudes and behaviours, and asked that trainees not make promises they would not fulfil. Findings also provided evidence of a desire for parity between the opportunities afforded to US-based staff and those available to LMIC-based partners. CONCLUSIONS:This study provides important insights into the perspectives of LMIC host community members in the context of short-term experiences in global health for HIC trainees. We hope to inform the behaviour of HIC trainees and institutions with regard to international partnerships and global health activities.
journal_name
Med Educjournal_title
Medical educationauthors
Kung TH,Richardson ET,Mabud TS,Heaney CA,Jones E,Evert Jdoi
10.1111/medu.13106subject
Has Abstractpub_date
2016-11-01 00:00:00pages
1122-1130issue
11eissn
0308-0110issn
1365-2923journal_volume
50pub_type
杂志文章abstract:UNLABELLED:Communicating "bad news" to patients and their families can be difficult for physicians. OBJECTIVE:This qualitative study aimed to examine residents' perceptions of barriers to delivering bad news to patients and their family members. DESIGN:Two focus groups consisting of first- and second-year medical and...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2001.00766.x
更新日期:2001-03-01 00:00:00
abstract::Associations between language background, English language proficiency and medical communication skills were investigated in a group of 149 third year undergraduate medical students studying at an Australian university. Written and aural English proficiency were assessed with the Screening Test for Adolescent Language...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1997.tb02922.x
更新日期:1997-07-01 00:00:00
abstract::Undergraduate medical education in Britain has been in a state of change since before the introduction of the National Health Service. Since then the changes in the General Medical Councils's recommendations concerning the medical curriculum (1947, 1957, 1967) have accompanied attention to curricular content, and the ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1976.tb01484.x
更新日期:1976-09-01 00:00:00
abstract::Pre-registration house officers who answered enquiries in 1973 and 1974 about career preferences were written to again in 1976. This yielded 205 comparisons, in which 134 (65.5%) doctors retained their original first choice of career, thirty-five (17%) opted for their previous second or third choice and thirty-six (17...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1978.tb00499.x
更新日期:1978-09-01 00:00:00
abstract::Continuing education should be convenient, relevant, individualized, systematic and include means of assessment. Educational technology provides the link between teaching and learning; it should accommodate the essential interactions between learner, instructor, environment and material. Media in open learning systems...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1985.tb01328.x
更新日期:1985-07-01 00:00:00
abstract::Audit is an important part of clinical practice, and has been promoted as a core aspect of undergraduate and postgraduate medical education. Few examples of how audit is taught in the undergraduate curriculum exist. This article presents a model for student teaching using innovative methods, which include an extended ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1998.00240.x
更新日期:1998-11-01 00:00:00
abstract:BACKGROUND:Objective structured clinical examination (OSCE) standard-setting procedures are not well developed and are often time-consuming and complex. We report an evaluation of a simple 'contrasting groups' method, applied to an OSCE conducted simultaneously in three separate schools. SUBJECTS:Medical students unde...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2001.01041.x
更新日期:2001-11-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1981.tb02500.x
更新日期:1981-09-01 00:00:00
abstract::The diagnostic thinking process is often described as one of hypothesis generation and testing. Yet descriptions of the clinical problem solver's thinking prior to generation of the first diagnostic hypothesis are lacking. This paper reports a study of this phase in students, house officers and registrars. Theories of...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1982.tb01214.x
更新日期:1982-01-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12296
更新日期:2014-03-01 00:00:00
abstract:CONTEXT:Accreditation of medical education programmes is becoming increasingly prevalent worldwide, but beyond the face validity of these quality assurance methods, data linking accreditation to improved student outcomes are limited. Mexico and the Philippines both have voluntary systems of medical education accreditat...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2011.04212.x
更新日期:2012-06-01 00:00:00
abstract::The housemanship performance of the first two classes of the University of Gezira Medical School was assessed on 107 occasions by using a questionnaire administered to the senior doctors (consultants) in the units in which they worked and the data, which covered 32% of all housemanship rotations taken by these graduat...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1992.tb00159.x
更新日期:1992-05-01 00:00:00
abstract::Educational programmes for family practice should develop family counselling skills of students to moderate levels of competence. Few specific training programmes are part of the regular curriculum and of these few are evaluated. Twenty-three residents enrolled in a 2-year family practice programme in Toronto, Canada ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1990.tb02656.x
更新日期:1990-09-01 00:00:00
abstract:OBJECTIVES:Although peer-assisted learning (PAL) is widely employed throughout medical education, its effectiveness for training in technical procedures in skills laboratories has been subject to little systematic investigation. We conducted a prospective, randomised trial to evaluate the hypotheses that PAL is effecti...
journal_title:Medical education
pub_type: 杂志文章,随机对照试验
doi:10.1111/j.1365-2923.2008.03252.x
更新日期:2009-02-01 00:00:00
abstract:OBJECTIVE:To explore the impact of research governance on medical students' ability to gain an understanding of research methodology, as required by the General Medical Council. METHODS:We carried out a qualitative study based on semi-structured interviews, in 3 medical schools in the UK, with 12 interviewees includin...
journal_title:Medical education
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2923.2007.02776.x
更新日期:2007-08-01 00:00:00
abstract:CONTEXT:Interprofessional education (IPE) aspires to enable collaborative practice. Current IPE offerings, although rapidly proliferating, lack evidence of efficacy and theoretical grounding. OBJECTIVES:Our research aimed to explore the historical emergence of the field of IPE and to analyse the positioning of this ac...
journal_title:Medical education
pub_type: 历史文章,杂志文章
doi:10.1111/medu.12668
更新日期:2015-04-01 00:00:00
abstract::The findings of a survey of 3262 women doctors registered between 1945 and 1974 are reported. The results are based on 2433 returned questionnaires (75% response). The survey confirmed that the special forms of assistance provided to enable women doctors to continue training and to work after graduation are inadequate...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1979.tb01514.x
更新日期:1979-07-01 00:00:00
abstract::This paper describes the development and structure of an Electronic Study Guide for Oncology (LETSGO) for undergraduate medical students. LETSGO is aimed at clinical students learning about cancer. The subject of the guide is breast cancer and learning objectives cover structure and function, behavioural science, publ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1995.tb02860.x
更新日期:1995-11-01 00:00:00
abstract::This booklet is a guide to using observational research methods in medical and health-care education. Emphasis is given to the role of observation in providing concrete, detailed descriptions of how educational events unfold. It is suggested that observational methods have a valuable contribution to make to our unders...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1990.tb02521.x
更新日期:1990-03-01 00:00:00
abstract:OBJECTIVES:Advanced cardiac life support (ACLS) skills tend to degrade over time. There is mounting evidence that high-fidelity simulation (HFS) is advantageous to teaching ACLS. The aspects of HFS that enhance learning are not entirely clear, but the anxiety generated by a scenario may enhance retention through well-e...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2010.03775.x
更新日期:2010-10-01 00:00:00
abstract:CONTEXT:Simulated patients (SPs) are extensively used in the teaching of medical communication, both for students and doctors. They occupy a unique middle ground between patients and physicians: although free from the prejudices that medical training brings, they work closely with clinical tutors to promote the princip...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13547
更新日期:2018-06-01 00:00:00
abstract:CONTEXT:Reflection has been considered crucial to learning. Engaging in reflection while solving problems is expected to foster identification of knowledge gaps and interest in learning more about them, the latter being a major motivational force in learning. Although theoretically sound, this assumption still lacks em...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13491
更新日期:2018-05-01 00:00:00
abstract:CONTEXT:As a contribution to this special issue commemorating the journal's 50th volume, this paper seeks to explore directions for national licensing examinations (NLEs) in medicine. Increases in the numbers of new medical schools and the mobility of doctors across national borders mean that NLEs are becoming even mor...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12810
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:Since the introduction of problem-based learning (PBL) at McMaster University in 1969, many medical schools in the USA, Canada and Europe have included PBL in their curricula. In the past decade, many medical schools in Asia have also done so. However, so far no one has questioned whether the outcomes expect...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01489.x
更新日期:2003-05-01 00:00:00
abstract:OBJECTIVE:To determine whether improvements gained in general practitioners' (GPs') self-perceived competency, attitudes and knowledge after an intervention in adolescent health care designed with evidence-based strategies in continuing medical education, are maintained longterm, 5 years post intervention. The interven...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2005.02172.x
更新日期:2005-06-01 00:00:00
abstract:BACKGROUND:Homeless people have greater health care needs than those who are housed, yet often experience difficulty in accessing health care. Evidence suggests that the attitudes of doctors can create significant barriers to health care for homeless people. METHODS:A validated structured questionnaire, the Attitudes ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01625.x
更新日期:2003-10-01 00:00:00
abstract::The present study was conducted to provide in-depth information on the reliabilities of measures of the separate components of clinical competence (e.g. data collection, test interpretation, diagnosis, etc.) assessed by a performance-based examination consisting of standardized-patient cases administered to five class...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1991.tb00071.x
更新日期:1991-07-01 00:00:00
abstract:OBJECTIVE:To evaluate the impact of 3 years' ethics teaching (30 hours mainly small group teaching in year 1, 14 hours mainly lecture-type teaching in years 2 and 3) on students' proposed behaviour on encountering ethical dilemmas. DESIGN:Cohort design. SETTING:University of Glasgow Medical School. SUBJECTS:A cohort...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2002.01176.x
更新日期:2002-05-01 00:00:00
abstract:APPROACH:Theme-oriented discourse analysis looks at how language constructs professional practice. Recordings of naturally occurring interactions are transcribed and combined with ethnographic knowledge. Analytic themes drawn primarily from sociology and linguistics shed light on how meaning is negotiated in interactio...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2005.02171.x
更新日期:2005-06-01 00:00:00
abstract:CONTEXT:Script concordance test (SCT) scores are intended to reflect respondents' competence in interpreting clinical data under conditions of uncertainty. The validity of inferences based on SCT scores has not been rigorously established. OBJECTIVES:This study was conducted in order to develop a structured validity a...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2923.2010.03863.x
更新日期:2011-04-01 00:00:00