Alexis Moren1, Mackenzie Cook2, Molly McClain3, Julie Doberne4, Laszlo Kiraly5, Rosina Serene Perkins6, Karen Kwong7. 1. Department of General Surgery, Oregon Health and Science University, Portland, Oregon. Electronic address: moren@ohsu.edu. 2. Department of General Surgery, Oregon Health and Science University, Portland, Oregon. 3. Department of Family Medicine, University of New Mexico, Albuquerque, New Mexico. 4. School of Medicine, Oregon Health and Science University, Portland, Oregon. 5. Division of Trauma, Critical Care and Acute Care Surgery, Oregon Health and Science University, Portland, Oregon. 6. Legacy Institute for Surgical Education and Innovation, Legacy Research Institute, Legacy Health, Portland, Oregon. 7. Surgery and Inequalities Course, Oregon Health and Science University, Portland, Oregon.
Abstract
BACKGROUND: As medical student interest in global surgical care grows, a comprehensive curriculum is necessary to understand surgical care in resource-limited environments. METHODS: We developed a surgical elective encompassing a multiyear medical student curriculum, with the goal of improving students' understanding of global surgical care, consisting of a junior seminar and a senior clerkship. This student elective focused on the global burden of surgical disease, ethics of care in low-resource settings, and care of marginalized U.S. POPULATIONS: Students who participated in the fourth year clerkship at a tertiary center in Northern India completed a reflective essay on their experience. Qualitative analysis was conducted using constant comparison and axial coding to establish a grounded theory. RESULTS: Medical students showed a desire to serve the poor, build collaborative relationships, and integrate international health into their future career. CONCLUSIONS: This novel curriculum provides students a clinical and public health basis to understand challenges of surgical care in low-resource environments while laying the groundwork for students with a future career in global health.
BACKGROUND: As medical student interest in global surgical care grows, a comprehensive curriculum is necessary to understand surgical care in resource-limited environments. METHODS: We developed a surgical elective encompassing a multiyear medical student curriculum, with the goal of improving students' understanding of global surgical care, consisting of a junior seminar and a senior clerkship. This student elective focused on the global burden of surgical disease, ethics of care in low-resource settings, and care of marginalized U.S. POPULATIONS: Students who participated in the fourth year clerkship at a tertiary center in Northern India completed a reflective essay on their experience. Qualitative analysis was conducted using constant comparison and axial coding to establish a grounded theory. RESULTS: Medical students showed a desire to serve the poor, build collaborative relationships, and integrate international health into their future career. CONCLUSIONS: This novel curriculum provides students a clinical and public health basis to understand challenges of surgical care in low-resource environments while laying the groundwork for students with a future career in global health.
Keywords:
Medical Knowledge; Patient Care; Practice-Based Learning and Improvement; international surgery; medical students; qualitative analysis; surgical education
Authors: Cybil S Stingl; Kyle J Alexander; James M Dittman; Noah J Hillerbrand; Karishma Popli; Amira Dalmazio; Nancy Valencia-Rojas; Aline Baghdassarian; Sudha Jayaraman; Edgar B Rodas Journal: Ann Glob Health Date: 2021-12-22 Impact factor: 2.462