How Should Academic Medical Centers Administer Students' "Domestic Global Health" Experiences?

Academic medical centers (AMCs) promote educational benefits to students of immersive global health experiences (GHE), both abroad and locally in low-resource settings. Within the United States, these opportunities are called domestic GHEs and tend to take place in student-run indigent care clinics (SRCs) that serve vulnerable populations. Domestic GHEs offer perspectives on the health care system that are similar to those of GHEs. In both, AMCs must balance benefits to students and patients against potential harms of student caregiving. This article reviews the roles of AMCs in preparing students for domestic GHEs with a focus on SRCs.