De Visser Adriena, Hatfield Jennifer, Ellaway Rachel, Buchner Denise, Seni Jeremiah, Arubaku Wilfred, Najjuma Josephine Nambi, Hollaar Gwendolyn
Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary, Canada.
Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Canada.
Med Teach. 2020 Jun;42(6):628-635. doi: 10.1080/0142159X.2020.1724920. Epub 2020 Feb 21.
Little is known about the impact medical trainees undertaking global health electives (GHEs) have on host institutions and their communities in low-and middle-income countries. The goal of this study was to explore the relationship dynamics associated with GHEs as perceived by host stakeholders at three sites in sub-Saharan Africa. This case-based interpretive phenomenological study examined stakeholder perspectives in Mwanza, Tanzania, and Mbarara and Rugazi, Uganda, where the University of Calgary, Alberta, Canada has long-standing institutional collaborations. Between September and November 2017, 33 host stakeholders participated in semi-structured interviews and 28 host stakeholders participated in focus group discussions. Participant experiences were analyzed using interpretive phenomenological techniques. The findings revealed that, although GHEs are well-established and a common experience for host stakeholders, their perceptions about who visiting medical trainees (VMTs) are remains indistinct. Participants acknowledged that there are a variety of benefits to GHEs, but overall VMTs appear to benefit the most from this unique learning opportunity. Host stakeholders described significant challenges and burdens of GHEs and recommended ways in which GHEs could be improved. GHEs need to be designed to better embrace ethical engagement and reciprocity with host stakeholders to ensure equity in benefits and responsibilities.
对于参加全球健康选修课程（GHEs）的医学实习生对低收入和中等收入国家的东道机构及其社区的影响，人们知之甚少。本研究的目的是探讨撒哈拉以南非洲三个地点的东道利益相关者所感知的与GHEs相关的关系动态。这项基于案例的解释性现象学研究考察了坦桑尼亚姆万扎、乌干达姆巴拉拉和鲁加齐的利益相关者的观点，加拿大艾伯塔省卡尔加里大学在这些地方有着长期的机构合作关系。2017年9月至11月期间，33名东道利益相关者参与了半结构化访谈，28名东道利益相关者参与了焦点小组讨论。使用解释性现象学技术分析了参与者的经历。研究结果显示，尽管GHEs已确立且是东道利益相关者的常见经历，但他们对来访医学实习生（VMTs）的身份认知仍不明确。参与者承认GHEs有多种益处，但总体而言，VMTs似乎从这个独特的学习机会中受益最多。东道利益相关者描述了GHEs面临的重大挑战和负担，并提出了改进GHEs的方法。GHEs的设计需要更好地接受与东道利益相关者的道德参与和互惠，以确保利益和责任的公平性。
