Volume 83, Issue 6
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



Academic global health programs are growing rapidly in scale and number. Students of many disciplines increasingly desire global health content in their curricula. Global health curricula often include field experiences that involve crossing international and socio-cultural borders. Although global health training experiences offer potential benefits to trainees and to sending institutions, these experiences are sometimes problematic and raise ethical challenges. The Working Group on Ethics Guidelines for Global Health Training (WEIGHT) developed a set of guidelines for institutions, trainees, and sponsors of field-based global health training on ethics and best practices in this setting. Because only limited data have been collected within the context of existing global health training, the guidelines were informed by the published literature and the experience of WEIGHT members. The Working Group on Ethics Guidelines for Global Health Training encourages efforts to develop and implement a means of assessing the potential benefits and harms of global health training programs.


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  1. Crump JA, Sugarman J, , 2008. Ethical considerations for short-term experiences by trainees in global health. JAMA 300: 14561458.[Crossref] [Google Scholar]
  2. Drain PK, Holmes KK, Skeff KM, Hall TL, Gardner P, , 2009. Global health training and international clinical rotations during residency: current status, needs, and opportunities. Acad Med 84: 320325.[Crossref] [Google Scholar]
  3. Shah S, Wu T, , 2008. The medical student global health experience: professionalism and ethical implications. J Med Ethics 34: 375378.[Crossref] [Google Scholar]
  4. Kanter SL, , 2008. Global health is more important in a smaller world. Acad Med 83: 115116.[Crossref] [Google Scholar]
  5. McAlister CC, Orr K, , 2006. A student's plea for global health studies in the medical school curriculum. Clin Invest Med 29: 185186. [Google Scholar]
  6. Drain PK, Primack A, Hunt D, Fawzi WW, Holmes KK, Gardner P, , 2007. Global health in medical education: a call for more training and opportunities. Acad Med 82: 226230.[Crossref] [Google Scholar]
  7. Shah SK, Nodell B, Montano SM, Behrens C, Zunt JR, , 2010. Clinical research and global health: mentoring the next generation of health care students. Glob Public Health 14: 113. [Google Scholar]
  8. Edwards R, Piachaud J, Rowson M, Miranda J, , 2004. Understanding global health issues: are international medical electives the answer? Med Educ 38: 688690.[Crossref] [Google Scholar]
  9. Godkin M, Savageau J, , 2003. The effect of medical student's international experiences on attitudes toward serving underserved multicultural populations. Fam Med 35: 273278. [Google Scholar]
  10. Gupta AR, Wells CK, Horwitz RI, Bia FJ, Barry M, , 1999. The international health program: the fifteen-year experience with Yale University's internal medicine residency program. Am J Trop Med Hyg 61: 10191023. [Google Scholar]
  11. Miller WC, Corey GR, Lallinger GJ, Durack DT, , 1995. International health and internal medicine residency training: the Duke University experience. Am J Med 99: 291297.[Crossref] [Google Scholar]
  12. Ramsey AH, Haq C, Gjerde C, Rothenberg D, , 2004. Career influence of an international health experience during medical school. Fam Med 36: 412416. [Google Scholar]
  13. Thompson MJ, Huntington MK, Hunt DD, Pinksy LE, Brodie JJ, , 2003. Educational effects of international health electives on U.S. and Canadian medical students and residents: a literature review. Acad Med 78: 342347.[Crossref] [Google Scholar]
  14. Smith JK, Weaver DB, , 2006. Capturing medical students' idealism. Ann Fam Med 4 (Suppl 1): S32S37.[Crossref] [Google Scholar]
  15. Varmus HE, , 1998. National Institutes of Health in the tropics. Am J Trop Med Hyg 59: 2428. [Google Scholar]
  16. Koplan JP, Bond TC, Merson MH, Reddy KS, Rodriguez MH, Sewankambo NK, Wasserheit JN, , for the Consortium of Universities for Global Health Executive Board, 2009. Towards a common definition of global health. Lancet 373: 19931995.[Crossref] [Google Scholar]
  17. Wilkinson D, Symon B, , 1999. Medical students, their electives, and HIV: unprepared, ill advised, and at risk. BMJ 318: 139140.[Crossref] [Google Scholar]
  18. DeCamp M, , 2007. Scrutinizing global short-term medical outreach. Hastings Cent Rep 37: 2123.[Crossref] [Google Scholar]
  19. Provenzano AM, Graber LK, Elansary M, Khoshnood K, Rastegar A, Barry M, , 2010. Perspective: short-term global health research projects by US medical students: ethical challenges for partnership. Am J Trop Med Hyg 83: 211214.[Crossref] [Google Scholar]
  20. Hardcastle TC, , 2008. Ethics of surgical training in developing countries. World J Surg 32: 1562.[Crossref] [Google Scholar]
  21. Kingham TP, Muyco A, Kushner A, , 2009. Surgical elective in a developing country: ethics and utility. J Surg Educ 66: 5962.[Crossref] [Google Scholar]
  22. Ramsey KM, Weijer C, , 2007. Ethics of surgical training in developing countries. World J Surg 31: 20672069.[Crossref] [Google Scholar]
  23. Bhat SB, , 2008. Ethical coherency when medical students work abroad. Lancet 372: 11331134.[Crossref] [Google Scholar]
  24. Dowell J, Merrylees N, , 2009. Electives: isn't it time for a change? Med Educ 43: 121126.[Crossref] [Google Scholar]
  25. Pinto AD, Upshur REG, , 2009. Global health ethics for students. Developing World Bioeth 9: 110.[Crossref] [Google Scholar]
  26. Jesus JE, , 2010. Ethical challenges and considerations of short-term international medical initiatives: an excursion to Ghana as a case study. Ann Emerg Med 55: 1722.[Crossref] [Google Scholar]
  27. Suchdev P, Ahrens K, Click E, Macklin L, Evangelista D, Graham E, , 2007. A model for sustainable short-term international medical trips. Ambul Pediatr 7: 317320.[Crossref] [Google Scholar]
  28. Singer PA, Benatar SR, , 2001. Beyond Helsinki: a vision for global health ethics. BMJ 322: 747748.[Crossref] [Google Scholar]
  29. World Health Organization, 2000. Guidelines for Health Care Equipment Donations. World Health Organization, ed. Geneva: World Health Organization, 26. [Google Scholar]
  30. World Health Organization, 1999. Guidelines for Drug Donations. World Health Organization, ed. Geneva: World Health Organization, 20. [Google Scholar]
  • Received : 21 Sep 2010
  • Accepted : 30 Sep 2010
  • Published online : 06 Dec 2010

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