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How the Social Contract Can Frame International Electives
Shailendra Prasad1, Fatima Alwan, Jessica Evert2
1A professor of family medicine and community health in the Department of Family Medicine and Community Health at the University of Minnesota Medical School in Minneapolis, and the executive director and the Carlson Chair of Global Health at the Center for Global Health and Social Responsibility at the University of Minnesota and has worked in primary care and public health in various parts of the world.
Short-term experiences in global health (STEGHs) highlight ethical concerns in medical training. Addressing breakdowns in the social contract requires active roles from medical institutions and professional societies.
Area of Science:
- Global Health
- Medical Ethics
- Medical Education
Background:
- Short-term experiences in global health (STEGHs) are prevalent among trainees.
- These experiences are perceived by students as either altruistic or opportunistic.
- STEGHs raise questions about the social contract between medicine and society.
Purpose of the Study:
- To explore how STEGHs reflect the social contract in medicine.
- To identify areas where this social contract breaks down.
- To advocate for proactive engagement from stakeholders in addressing ethical challenges.
Main Methods:
- This article presents a conceptual analysis.
- It examines the ethical dimensions of STEGHs.
- It draws upon existing literature and ethical frameworks.
Main Results:
- STEGHs can exemplify or strain the social contract of medicine.
- Breakdowns occur due to power imbalances, resource disparities, and potential exploitation.
- Ethical challenges require systematic attention.
Conclusions:
- Medical schools, licensure boards, STEGH-sponsoring organizations, and professional societies must address these ethical issues.
- Active roles are needed to ensure responsible global health engagement.
- Strengthening the social contract in global health is crucial for equitable medical practice.
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