Volume 93, Issue 6
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



This study aims to describe global health training (GHT) programs through the ethical lens suggested by the Working Group on Ethics Guidelines for Global Health Training (WEIGHT). A total of 35 GHT programs were identified, and general information was obtained online. Semi-structured telephone interviews of key members of 19 programs were then conducted and transcribed. The interview guide was constructed using WEIGHT recommendations. Transcript data were grouped according to domains: reciprocity, trainee selection and preparedness, needs assessments, and ethical questions. Many programs expressed difficulty in building reciprocal relationships due to imbalanced power structures. Eleven programs reported no formal application process for selecting trainees. Twelve (63%) programs reported only a single day of preparation. Nine (47%) programs did not conduct a formalized needs assessment of partner sites. Ethical considerations varied from concerns for safety to inadequate training for residents. This study reveals the limited preparedness curricula and lack of formalized needs assessments among several programs. Although many programs make an effort to build reciprocal exchanges with host partners, experiences for foreign trainees within the United States are limited, and U.S. residents are often tasked with duties above their training level abroad. This study demonstrates the need to restructure how GHT programs are formed and operated.


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  1. Hung KJ, Tsai AC, Johnson TR, Walensky RP, Bangsberg DR, Kerry VB, , 2013. Scope of global health training in U.S. obstetrics and gynecology residency programs. Obstet Gynecol 122: 11011109.[Crossref] [Google Scholar]
  2. Pinto AD, Upshur RE, , 2009. Global health ethics for students. Developing World Bioeth 9: 110.[Crossref] [Google Scholar]
  3. Farmer P, Kim JY, Kleinman A, Basilico M, , 2013. Reimagining global health: an introduction. Vol. 1, pp. 1574.
  4. DeCamp M, Rodriguez J, Hecht S, Barry M, Sugarman J, , 2013. An ethics curriculum for short-term global health trainees. Global Health 9: 5.[Crossref] [Google Scholar]
  5. Battat R, Seidman G, Chadi N, Chanda MY, Nehme J, Hulme J, Li A, Faridi N, Brewer TF, , 2010. Global health competencies and approaches in medical education: a literature review. BMC Med Educ 10: 94.[Crossref] [Google Scholar]
  6. Crump JA, Sugarman J, Working Group on Ethics Guidelines for Global Health Training (WEIGHT), , 2010. Ethics and best practice guidelines for training experiences in global health. Am J Trop Med Hyg 83: 11781823.[Crossref] [Google Scholar]
  7. Merson MH, , 2014. University engagement in global health. N Engl J Med 370: 16761678.[Crossref] [Google Scholar]
  8. Sawatsky AP, Rosenman DJ, Merry SP, McDonald FS, , 2010. Eight years of the Mayo International Health Program: what an international elective adds to resident education. Mayo Clin Proc 85: 734741.[Crossref] [Google Scholar]
  9. Mosepele M, Lyon S, Dine CJ, , 2010. Mutually beneficial global health electives. Virtual Mentor 12: 159166.[Crossref] [Google Scholar]
  10. Laabes EP, Desai R, Zawedde SM, Glew RH, , 2011. How much longer will Africa have to depend on western nations for support of its capacity-building efforts for biomedical research? Trop Med Int Health 16: 258262.[Crossref] [Google Scholar]
  11. Elobu AE, Kintu A, Galukande M, Kaggwa S, Mijjumbi C, Tindimwebwa J, Roche A, Dubowitz G, Ozgediz D, Lipnick M, , 2014. Evaluating international global health collaborations: perspectives from surgery and anesthesia trainees in Uganda. Surgery 155: 585592.[Crossref] [Google Scholar]
  12. Smith E, Hunt M, Master Z, , 2014. Authorship ethics in global health research partnerships between researchers from low or middle income countries and high income countries. BMC Med Ethics 15: 42.[Crossref] [Google Scholar]
  13. Howie SR, Hill SE, Peel D, Sanneh M, Njie M, Hill PC, Mulholland K, Adegbola RA, , 2008. Beyond good intentions: lessons on equipment donation from an African hospital. Bull World Health Organ 86: 5256.[Crossref] [Google Scholar]
  14. Lee PD, , 1995. The role of appropriate medical technology procurement and user maintenance instructions in developing countries. J Clin Eng 20: 407413.[Crossref] [Google Scholar]
  15. van Dijk DP, Dinant G, Jacobs JA, , 2011. Inappropriate drug donations: what has happened since the 1999 WHO guidelines? Educ Health (Abingdon) 24: 462. [Google Scholar]
  16. World Health Organization, 2010. Guidelines for drug donations. Geneva, Switzerland: WHO 1999. Report No.: WHO/EDM/PAR/99.4. Fisher D. Regulating the helping hand: improving legal preparedness for cross-border disaster medicine. Prehosp Disaster Med 25: 208212.[Crossref] [Google Scholar]
  17. Loewenberg S, , 2009. Medical missionaries deliver faith and health care in Africa. Lancet 373: 795796.[Crossref] [Google Scholar]
  18. 2004. Tropical medicine: a brittle tool of the new imperialism. Lancet 363: 1087.[Crossref] [Google Scholar]
  19. Green T, Green H, Scandlyn J, Kestler A, , 2009. Perceptions of short-term medical volunteer work: a qualitative study in Guatemala. Global Health 5: 4.[Crossref] [Google Scholar]
  20. Bloom BLE, , 2011. Fulfilling the Promise: How National Societies Achieve Sustainable Organizational Development: A Multi-Country Study. Geneva, Switzerland: International Federation of the Red Cross, 142. [Google Scholar]
  21. Baranick E, Baird A, Vinze A, , 2014. An economic framework for transitioning to capacity building. Glob Public Health 10: 1527.[Crossref] [Google Scholar]
  22. Miranda JJ, Yudkin JS, Willott C, , 2005. International Health Electives: four years of experience. Travel Med Infect Dis 3: 133141.[Crossref] [Google Scholar]
  23. Ajayi OO, Adebamowo CA, , 1999. Surgery in Nigeria. Arch Surg 134: 206211.[Crossref] [Google Scholar]

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  • Received : 26 Mar 2015
  • Accepted : 09 Jul 2015
  • Published online : 09 Dec 2015

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