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Debriefing Trainees After Global Health Experiences: An Expert Consensus Delphi Study.

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  • 1Department of Pediatrics, Baylor College of Medicine, Houston, Tex.

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Summary

Pediatric residents returning from global health rotations need standardized debriefing. Experts developed essential guidelines covering well-being, coping, and mental health support for trainees after global health experiences.

Keywords:
debriefingeducationglobal healthpediatrics

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Area of Science:

  • Medical Education
  • Global Health
  • Pediatrics

Background:

  • Global health opportunities are common in pediatric residencies.
  • Debriefing after global health experiences aids educational processing and stress management.
  • No standardized debriefing recommendations currently exist for this context.

Purpose of the Study:

  • To establish structure and content guidelines for standardized debriefing of residents after short-term clinical global health rotations abroad.

Main Methods:

  • Modified Delphi methodology involving 11 pediatric global health education experts.
  • Four survey rounds with qualitative data analysis to refine recommendations.
  • Final round involved rating consensus recommendations using a 4-point Likert scale.

Main Results:

  • Consensus reached that all residents should undergo post-return debriefing.
  • 32 consensus recommendations developed, focusing on timing, preparation, reflection, feedback, well-being, coping, ethics, and mental health support.
  • 12 recommendations identified as 'essential' for effective debriefing.

Conclusions:

  • Global health experts strongly advocate for post-return debriefing for all residents participating in global health experiences.
  • Comprehensive guidelines for content, timing, structure, and actions for post-return debriefing have been formulated.