Harvard Medical School, US.
Northwestern Feinberg School of Medicine, US.
Ann Glob Health. 2020 Mar 26;86(1):34. doi: 10.5334/aogh.2721.
Clinical trainees face challenges throughout short-term experiences in global health (STEGH) that are not routinely addressed.
Describe common professional and ethical dilemmas faced by clinical trainees and identify gaps and solutions for pre, during, and post-STEGH training and mentoring.
We conducted a mixed-methods study among trainees and mentors involved in global health. The study utilized focus groups with trainees (November-December 2015) and online surveys of trainees, in-country and stateside faculty mentors (October 2016-April 2017).
85% (17/20) of students reported feeling prepared for their STEGH; however, 59% (23/39) of faculty felt students were unprepared. A majority of both students (90%) and faculty (77%) stated students would likely experience an ethical dilemma during STEGH. Major themes relating to meaningful global health work were elucidated: personal and inter-professional skills; interpersonal networks and collaboration; and awareness of power dynamics and bias.
The most common challenges faced by trainees during STEGH related to leadership, bias, ethics and interprofessional collaboration. Redirecting trainee energies from a focus on 'doing' and deliverables to attitudes (e.g., humility, professionalism) that cultivate personal and professional growth will help create lifelong global health learners and leaders.
临床受训者在全球健康短期体验（STEGH）中面临各种挑战，而这些挑战通常未得到解决。
描述临床受训者所面临的常见专业和道德困境，并确定在 STEGH 培训和指导之前、期间和之后的差距和解决方案。
我们在参与全球健康的受训者和指导者中进行了一项混合方法研究。该研究利用了受训者的焦点小组（2015 年 11 月至 12 月）和受训者、国内和州外教师指导者的在线调查（2016 年 10 月至 2017 年 4 月）。
85%（17/20）的学生表示对他们的 STEGH 有准备；然而，59%（23/39）的教师认为学生没有准备好。大多数学生（90%）和教师（77%）表示，学生在 STEGH 期间可能会遇到道德困境。阐明了与有意义的全球健康工作相关的主要主题：个人和专业技能；人际关系网络和协作；以及对权力动态和偏见的认识。
受训者在 STEGH 期间面临的最常见挑战与领导力、偏见、伦理和跨专业合作有关。将受训者的精力从关注“做事”和可交付成果转移到培养个人和职业成长的态度（例如，谦逊、专业精神）上，将有助于培养终身的全球健康学习者和领导者。
