Ethics of Short-term Experiences Abroad and Sustainable Solutions: Judy Wasserheit

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Ethics of Short-term Experiences Abroad and Sustainable Solutions

Judith Wasserheit, University of Washington, Department of Global Health

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Ethics of Short-term Experiences Abroad and Sustainable Solutions: Judy Wasserheit

  1. 1. Ethics of Short-term Experiences & Sustainable Solutions <ul><li>Fundamental Challenge </li></ul><ul><li>Overarching Goal : Development of long term, sustainable, local capacity to improve the health of populations in low & middle income countries </li></ul><ul><li>But… </li></ul><ul><li>Many international experiences </li></ul><ul><li>are short term </li></ul><ul><li>involving students/trainees from US & other high income countries </li></ul><ul><li>with limited support for host institution infrastructure </li></ul>
  2. 2. Ethics of Short-term Experiences & Sustainable Solutions <ul><li>Guiding Principles </li></ul><ul><li>Mutual benefit </li></ul><ul><ul><li>Students/trainees & patients </li></ul></ul><ul><ul><li>Partner institutions & local community </li></ul></ul><ul><li>Minimal risk of harm </li></ul><ul><li>High quality </li></ul><ul><ul><li>Education, training & mentoring </li></ul></ul><ul><ul><li>Research </li></ul></ul><ul><ul><li>Service </li></ul></ul><ul><li>Sustainability </li></ul><ul><li>Evaluation & iterative improvement </li></ul>
  3. 3. Ethics of Short-term Experiences & Sustainable Solutions <ul><li>Thorny Questions </li></ul><ul><li>Mutual benefit </li></ul><ul><ul><li>To whom & what extent? (eg: must local community benefit?) </li></ul></ul><ul><ul><li>Metrics? </li></ul></ul><ul><li>Minimal risk of harm </li></ul><ul><ul><li>Student/trainee selection preparation & on site support to assure safety? </li></ul></ul><ul><ul><li>Trainee & preceptor responsibilities to protect patients? </li></ul></ul><ul><ul><li>Program structure to limit burden & brain drain? </li></ul></ul>
  4. 4. Ethics of Short-term Experiences & Sustainable Solutions <ul><li>Thorny Questions </li></ul><ul><li>High quality </li></ul><ul><ul><li>Faculty & administrative infrastructure needs at host & home institutions? </li></ul></ul><ul><ul><li>Selection of on-site preceptors/mentors? </li></ul></ul><ul><li>Sustainability </li></ul><ul><ul><li>Hard to guarantee…what does this really mean? </li></ul></ul><ul><li>Evaluation & iterative improvement </li></ul><ul><ul><li>What & how often? </li></ul></ul>
  5. 5. Ethics of Short-term Experiences & Sustainable Solutions <ul><li>Parmi Suchdev, MD, MPH </li></ul><ul><li>Assistant Professor, Pediatrics, Emory University </li></ul><ul><li>Medical Epidemiologist, Nutrition Branch, CDC </li></ul><ul><li>Silvia Montano, MD, MPH </li></ul><ul><li>US Naval Medical Research Center, Lima, Peru </li></ul><ul><li>Universidad Nacional Mayor de San Marcos </li></ul><ul><li>Affiliate Clinical Associate Professor, Neurology, UW </li></ul><ul><li>Steven Schmidbauer, MDiv </li></ul><ul><li>Executive Director </li></ul><ul><li>Child Family Health International </li></ul>

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