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On Becoming a Global Citizen: Transformative Learning Through Global Health Experiences
Debra K Litzelman1, Adrian Gardner2, Robert M Einterz1
1Department of Medicine, Indiana University School of Medicine and Center for Global Health, Indianapolis, IN.
Annals of Global Health
|December 10, 2017
Summary
Global health experiences in Kenya profoundly impact medical trainees, fostering a broader worldview and commitment to underserved populations. These transformative experiences are crucial for developing global citizenship and should be integrated into medical curricula.
Area of Science:
- Medical Education
- Global Health
- Transformational Learning
Background:
- Globalization increases demand for international medical education experiences.
- Global health rotations can foster personal transformation and global citizenship.
- Structured international experiences are vital for medical trainees.
Purpose of the Study:
- Qualitatively assess the impact of global health experiences on trainees.
- Understand trainee-reported critical incidents from international electives.
- Investigate the transformative effects of global health rotations.
Main Methods:
- Cross-sectional survey of trainees (n=137) with 2-month electives in Kenya (1989-2013).
- Qualitative assessment of critical incident reflections using thematic analysis and crystallization immersion.
- Grounded theory principles and a constructivist research paradigm were employed.
Main Results:
- Four major themes emerged: Opening to a Broader World View, Impact of Suffering and Death, Life-Changing Experiences, and Commitment to Care for the Medically Underserved.
- Exposure to resource-scarce environments in Kenya led to frame-shifting experiences.
- Trainees demonstrated elaboration or transformation of existing viewpoints.
Conclusions:
- International health settings provide eye-opening and life-changing experiences for medical learners.
- These experiences facilitate transformational learning, fostering a global mindset.
- Medical schools should integrate global health experiences to cultivate global citizens.
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