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Ten Questions to Guide Learners Seeking Equitable Global Health Experiences Abroad

“Global health experiences,” clinical and research learning opportunities where learners from high-income country (HIC) institutions travel to low- and middle-income countries (LMICs), are becoming increasingly popular and prolific in the health sciences. Increased interest has been well documented...

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Autores principales: Reynolds, Christopher W., Kolars, Joseph C., Bekele, Abebe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10516162/
https://www.ncbi.nlm.nih.gov/pubmed/37094281
http://dx.doi.org/10.1097/ACM.0000000000005255
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author Reynolds, Christopher W.
Kolars, Joseph C.
Bekele, Abebe
author_facet Reynolds, Christopher W.
Kolars, Joseph C.
Bekele, Abebe
author_sort Reynolds, Christopher W.
collection PubMed
description “Global health experiences,” clinical and research learning opportunities where learners from high-income country (HIC) institutions travel to low- and middle-income countries (LMICs), are becoming increasingly popular and prolific in the health sciences. Increased interest has been well documented among medical, pharmacy, and nursing learners who are driving these agendas at their institutions. Although such opportunities have potential to mutually benefit the learner and host, in practice they can be exploitative, benefiting HIC learners without reciprocity for LMIC hosts. Given these and other pervasive ethical concerns in global health, efforts to decolonize global health and emphasize equity are being made at the institutional level. Despite progress toward global health equity from institutions, most learners lack the resources and education needed to critically evaluate the numerous global health opportunities or equitably codesign these experiences for themselves. This article offers 10 guiding questions that learners should answer before selecting or codesigning a global health opportunity through a lens of global health equity. These prompts encompass values including motivations, reciprocity, accountability, sustainability, financial implications, self-reflection, bidirectional communication, and mitigating burden and power dynamics. The authors provide tips, pitfalls to avoid, and pragmatic examples for learners working to actualize partnerships and opportunities aligned with the movement of global health equity. With these guiding questions and accompanying reflection tool, learners, faculty members, and their LMIC partners should be better equipped to engage in mutually beneficial partnership through the framework of global health equity.
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spelling pubmed-105161622023-09-23 Ten Questions to Guide Learners Seeking Equitable Global Health Experiences Abroad Reynolds, Christopher W. Kolars, Joseph C. Bekele, Abebe Acad Med Scholarly Perspectives “Global health experiences,” clinical and research learning opportunities where learners from high-income country (HIC) institutions travel to low- and middle-income countries (LMICs), are becoming increasingly popular and prolific in the health sciences. Increased interest has been well documented among medical, pharmacy, and nursing learners who are driving these agendas at their institutions. Although such opportunities have potential to mutually benefit the learner and host, in practice they can be exploitative, benefiting HIC learners without reciprocity for LMIC hosts. Given these and other pervasive ethical concerns in global health, efforts to decolonize global health and emphasize equity are being made at the institutional level. Despite progress toward global health equity from institutions, most learners lack the resources and education needed to critically evaluate the numerous global health opportunities or equitably codesign these experiences for themselves. This article offers 10 guiding questions that learners should answer before selecting or codesigning a global health opportunity through a lens of global health equity. These prompts encompass values including motivations, reciprocity, accountability, sustainability, financial implications, self-reflection, bidirectional communication, and mitigating burden and power dynamics. The authors provide tips, pitfalls to avoid, and pragmatic examples for learners working to actualize partnerships and opportunities aligned with the movement of global health equity. With these guiding questions and accompanying reflection tool, learners, faculty members, and their LMIC partners should be better equipped to engage in mutually beneficial partnership through the framework of global health equity. Lippincott Williams & Wilkins 2023-04-21 2023-10 /pmc/articles/PMC10516162/ /pubmed/37094281 http://dx.doi.org/10.1097/ACM.0000000000005255 Text en Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the Association of American Medical Colleges. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND (https://creativecommons.org/licenses/by-nc-nd/4.0/) ), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Scholarly Perspectives
Reynolds, Christopher W.
Kolars, Joseph C.
Bekele, Abebe
Ten Questions to Guide Learners Seeking Equitable Global Health Experiences Abroad
title Ten Questions to Guide Learners Seeking Equitable Global Health Experiences Abroad
title_full Ten Questions to Guide Learners Seeking Equitable Global Health Experiences Abroad
title_fullStr Ten Questions to Guide Learners Seeking Equitable Global Health Experiences Abroad
title_full_unstemmed Ten Questions to Guide Learners Seeking Equitable Global Health Experiences Abroad
title_short Ten Questions to Guide Learners Seeking Equitable Global Health Experiences Abroad
title_sort ten questions to guide learners seeking equitable global health experiences abroad
topic Scholarly Perspectives
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10516162/
https://www.ncbi.nlm.nih.gov/pubmed/37094281
http://dx.doi.org/10.1097/ACM.0000000000005255
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