Crump JA, Sugarman J, 2008. Ethical considerations for short-term experiences by trainees in global health. JAMA 300: 1456–1458.
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: 320–325.
Shah S, Wu T, 2008. The medical student global health experience: professionalism and ethical implications. J Med Ethics 34: 375–378.
Kanter SL, 2008. Global health is more important in a smaller world. Acad Med 83: 115–116.
McAlister CC, Orr K, 2006. A student's plea for global health studies in the medical school curriculum. Clin Invest Med 29: 185–186.
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: 226–230.
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: 1–13.
Edwards R, Piachaud J, Rowson M, Miranda J, 2004. Understanding global health issues: are international medical electives the answer? Med Educ 38: 688–690.
Godkin M, Savageau J, 2003. The effect of medical student's international experiences on attitudes toward serving underserved multicultural populations. Fam Med 35: 273–278.
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: 1019–1023.
Miller WC, Corey GR, Lallinger GJ, Durack DT, 1995. International health and internal medicine residency training: the Duke University experience. Am J Med 99: 291–297.
Ramsey AH, Haq C, Gjerde C, Rothenberg D, 2004. Career influence of an international health experience during medical school. Fam Med 36: 412–416.
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: 342–347.
Smith JK, Weaver DB, 2006. Capturing medical students' idealism. Ann Fam Med 4 (Suppl 1): S32–S37.
Varmus HE, 1998. National Institutes of Health in the tropics. Am J Trop Med Hyg 59: 24–28.
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: 1993–1995.
Wilkinson D, Symon B, 1999. Medical students, their electives, and HIV: unprepared, ill advised, and at risk. BMJ 318: 139–140.
DeCamp M, 2007. Scrutinizing global short-term medical outreach. Hastings Cent Rep 37: 21–23.
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: 211–214.
Hardcastle TC, 2008. Ethics of surgical training in developing countries. World J Surg 32: 1562.
Kingham TP, Muyco A, Kushner A, 2009. Surgical elective in a developing country: ethics and utility. J Surg Educ 66: 59–62.
Ramsey KM, Weijer C, 2007. Ethics of surgical training in developing countries. World J Surg 31: 2067–2069.
Bhat SB, 2008. Ethical coherency when medical students work abroad. Lancet 372: 1133–1134.
Dowell J, Merrylees N, 2009. Electives: isn't it time for a change? Med Educ 43: 121–126.
Pinto AD, Upshur REG, 2009. Global health ethics for students. Developing World Bioeth 9: 1–10.
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: 17–22.
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: 317–320.
Singer PA, Benatar SR, 2001. Beyond Helsinki: a vision for global health ethics. BMJ 322: 747–748.
World Health Organization, 2000. Guidelines for Health Care Equipment Donations. World Health Organization, ed. Geneva: World Health Organization, 26.
World Health Organization, 1999. Guidelines for Drug Donations. World Health Organization, ed. Geneva: World Health Organization, 20.
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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.
Financial support: The development of these guidelines was supported by grant no. WT089272MF from the Wellcome Trust (http://www.wellcome.ac.uk/).
Disclosure: Silvia M. Montano is an employee of the U.S. Government. This work was prepared as part of her official duties. Title 17 U.S.C. § 105 provides that “Copyright protection under this title is not available for any work of the United States Government.” Title 17 U.S.C. § 101 defines a U.S. Government work as a work prepared by a military service member or employee of the U.S. Government as part of that person's official duties.
Authors' addresses: John A. Crump, Division of Infectious Diseases and International Health, Duke University Medical Center, Durham, NC, E-mail: email@example.com. Jeremy Sugarman, Berman Institute of Bioethics and Department of Medicine, Johns Hopkins University, Baltimore, MD, E-mail: firstname.lastname@example.org.