Shah S, Wu T
Pennsylvania State University College of Medicine, Hershey, Pennsylvania, USA.
J Med Ethics. 2008 May;34(5):375-8. doi: 10.1136/jme.2006.019265.
Medical student and resident participation in global health experiences (GHEs) has significantly increased over the last decade. In response to growing student interest and the proven impact of such experiences on the education and career decisions of resident physicians, many medical schools have begun to establish programmes dedicated to global health education. For the innumerable benefits of GHEs, it is important to note that medical students have the potential to do more harm than good in these settings when they exceed their actual capabilities as physicians-in-training. While medical training programmes are beginning to provide students with the knowledge to put their GHEs in context, they must remember that they also bear the responsibility of training their students in a framework to approach these experiences in a principled and professional way. It is necessary that these institutions provide adequate and formalised preparation for both clinical and ethical challenges of working in resource-poor settings. This paper outlines potential benefits and risks of GHEs and delineates recommendations to some of the current issues.
在过去十年中，医学生和住院医师参与全球健康体验（GHEs）的情况显著增加。鉴于学生兴趣日益浓厚，以及此类体验对住院医师教育和职业决策已证实的影响，许多医学院校已开始设立专门的全球健康教育项目。尽管GHEs有诸多益处，但必须注意的是，医学生在这些环境中若超出其作为实习医生的实际能力，就有可能弊大于利。虽然医学培训项目开始为学生提供将其GHEs置于背景中的知识，但必须记住，它们也有责任在一个框架内培训学生，使其以有原则和专业的方式对待这些体验。这些机构有必要为在资源匮乏环境中工作的临床和伦理挑战提供充分且正规的准备。本文概述了GHEs的潜在益处和风险，并针对一些当前问题提出了建议。
