Original Publication
Open Access

Global Health Clinical Ethics

Published: September 24, 2015 | 10.15766/mep_2374-8265.10232

Included in this publication:

  • Instructor's Guide.pdf
  • Facilitator Guide.pdf
  • Student Handout.pdf
  • Student Handout with Discussion.pdf
  • Annotated Bibliography.pdf
  • Pre-Workshop Evaluation Questions.pdf
  • Post-Workshop Evaluation Questions.pdf
  • Post-Return Workshop.pdf
  • Post-Return Evaluation Questions.pdf

To view all publication components, extract (i.e., unzip) them from the downloaded .zip file.

Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications.


In recent years, increasing numbers of United States–based health professions students have traveled to low-resource settings for short-term clinical electives. The content of predeparture training can be highly variable, leaving students unprepared for the ethical challenges posed by these experiences. This is magnified by the lack of attention paid to the burdens and benefits for local staff, institutions, and patient well-being in the setting of disproportionate poverty and disease. Adequate predeparture training is necessary to help trainees recognize and navigate these ethical issues, avoid harm both to themselves and to others, and promote equitable global health partnerships. The case studies presented here, all of which are based on real student experiences, form the basis of this tool for predeparture training of health professions students preparing for international electives. The curriculum is designed to be implemented in a 90-minute session, in groups of up to 25 students. Student leaders, ideally a group of students who have had experience doing clinical rotations abroad, may serve as facilitators with faculty guidance. This module also includes evaluation tools to encourage continued curricular improvements. Analysis of the preworkshop, postworkshop, and posttrip questionnaires indicates that the students who engaged in these predeparture workshops demonstrated improved awareness of the range of ethical dilemmas that they might encounter while engaged in clinical work abroad, as well as increasing their self-rated ability to identify and negotiate these situations. Importantly, those students who participated in this workshop prior to travel felt more prepared to manage the ethical dilemmas that they encountered during their clinical rotations compared to those who did not participate.

Educational Objectives

By the end of this session, learners will be able to:

  1. Consider the potential ethical dilemmas that may arise in global health clinical electives, based on prior student experiences.
  2. Discuss means of mitigating these dilemmas and means of seeking support when participating in a global health clinical elective.
  3. Recognize that every workshop participant may approach a situation differently.

Author Information

  • Mei Elansary, MD, MPhil: Boston Children's Hospital
  • Michael Peluso, MD, MPhil: Brigham and Women's Hospital
  • Stacey Kallem, MD: Children’s Hospital of Philadelphia
  • John Thomas, MD: Yale-New Haven Hospital
  • Tracy Rabin, MD, MS: Yale School of Medicine

None to report.

None to report.


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Elansary M, Peluso M, Kallem S, Thomas J, Rabin T. Global health clinical ethics. MedEdPORTAL. 2015;11:10232. https://doi.org/10.15766/mep_2374-8265.10232