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Ethical reflection for medical electives.

Rose Tiller1, June Jones1

  • 1University of Birmingham Medical School, Birmingham, UK.

The Clinical Teacher
|May 12, 2017
PubMed
Summary
This summary is machine-generated.

UK medical students undertaking electives abroad face ethical challenges in assessing competency and cultural norms. Enhanced pre-departure training and awareness of host institution impact are crucial for ethical medical electives.

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Area of Science:

  • Global Health
  • Medical Education
  • Ethics in Medicine

Background:

  • 40% of UK medical students complete electives in developing countries.
  • Elective placements present ethical dilemmas concerning clinical, cultural, and institutional impacts.
  • This study examines these ethical considerations during a 4-week elective in the Solomon Islands.

Purpose of the Study:

  • To reflect on the ethical challenges faced by UK medical students during an elective in the Solomon Islands.
  • To analyze the self-assessment of competency and cultural awareness in non-UK settings.
  • To evaluate the impact of student electives on host institutions.

Main Methods:

  • A 4-week medical elective was conducted by UK medical students in the Solomon Islands.
  • Daily interviews were held with a focus group of six medical students.
  • Descriptive analysis was used to identify key themes.

Main Results:

  • Students struggled to self-assess competency in unfamiliar settings, despite awareness of guidelines.
  • Significant cultural differences in societal and medical norms presented challenges.
  • The impact of the student elective on the host hospital was greater than anticipated.

Conclusions:

  • Medical students require pre-departure training in self-assessment and cultural sensitivity for electives.
  • UK medical schools must guide students to consider their elective's impact on host institutions.
  • Further research is needed on the ethical implications and impact of medical electives on host sites.