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  11. Long-term Trends In International Medical Electives Fees: A Database Mining Study

Long-term trends in international medical electives fees: a database mining study

Kai Beckschulte1, Ann-Kathrin Lederer1,2, Maximilian Andreas Storz3

  • 1Department of Internal Medicine II, Centre for Complementary Medicine, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany.

BMC Medical Education
|February 19, 2024

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View abstract on PubMed

Summary
This summary is machine-generated.

International medical electives are crucial for global health training but face barriers from rising fees. This study analyzed elective costs in popular destinations, finding significant increases, especially in the United States, impacting accessibility for students.

Area of Science:

  • Global Health Education
  • Medical Training
  • International Electives

Background:

  • International medical electives are vital for global health training but have been disrupted by the COVID-19 pandemic.
  • High elective and application fees, potentially reaching $5000/month, pose a significant barrier for financially disadvantaged students.
  • Systematic analysis of medical elective fees and their trends is lacking in scientific literature.

Purpose of the Study:

  • To analyze trends in abroad medical elective fees over the past 15 years.
  • To investigate fee variations across popular Anglo-American elective destinations for German medical students.
  • To identify factors influencing the cost of international medical electives.

Main Methods:

  • Utilized data from two large elective reports databases.
Keywords:
Abroad electiveFeesGlobal healthInternational health care

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  • Analyzed 438 overseas elective reports submitted between 2006 and 2020.
  • Focused on popular destinations: USA, Australia, New Zealand, South Africa, Ireland, and the UK.

    • Main Results:

    • The United Kingdom and Australia were the most popular destinations, followed by South Africa and the USA.
    • Median elective fees varied significantly by destination and time, with the USA having the highest fees (€1875 for 4 weeks, 2018-2020).
    • A notable increasing trend in elective fees was observed, particularly in the United States.

    Conclusions:

    • The rising costs of international medical electives necessitate a discussion on financial accessibility.
    • Consideration of reciprocity and bidirectional student exchange programs is warranted.
    • Addressing fee barriers is crucial to ensure equitable opportunities in global health training.
    International medical elective
    Internationalization
    Medical education
    Medical ethics
    Undergraduate education