U.S. trainees’ experiences of ethical challenges during research in low- and middle-income countries: A mixed methods study

References

• Abedini, N. C., Gruppen, L. D., Kolars, J. C., & Kumagai, A. K. (2012). Understanding the effects of short-term international service-learning trips on medical students. Academic Medicine, 87(6), 820–828. https://doi.org/10.1097/ACM.0b013e31825396d8
   PubMed Web of Science ®Google Scholar
• Aluri, J., Moran, D., Kironji, A. G., Carroll, B., Cox, J., Chen, C. C. G., & DeCamp, M. (2018). The ethical experiences of trainees on short-term international trips: A systematic qualitative synthesis. BMC Medical Education, 18(1), 324. https://doi.org/10.1186/s12909-018-1424-7
   PubMedGoogle Scholar
• Anderson, K. C., Slatnik, M. A., Pereira, I., Cheung, E., Xu, K., & Brewer, T. F. (2012). Are we there yet? Preparing Canadian medical students for global health electives. Academic Medicine, 87(2), 206–209. https://doi.org/10.1097/ACM.0b013e31823e23d4
   PubMed Web of Science ®Google Scholar
• Bender, A., & Walker, P. (2013). The obligation of debriefing in global health education. Medical Teacher, 35(3), e1027–e1034. https://doi.org/10.3109/0142159X.2012.733449
   PubMed Web of Science ®Google Scholar
• Bowsher, G., Parry-Billings, L., Georgeson, A., & Baraitser, P. (2018). Ethical learning on international medical electives: A case-based analysis of medical student learning experiences. BMC Medical Education, 18(1), 78. https://doi.org/10.1186/s12909-018-1181-7
   PubMedGoogle Scholar
• Bozinoff, N., Dorman, K. P., Kerr, D., Roebbelen, E., Rogers, E., Hunter, A., O’Shea, T., & Kraeker, C. (2014). Toward reciprocity: Host supervisor perspectives on international medical electives. Medical Education, 48(4), 397–404. https://doi.org/10.1111/medu.12386
   PubMed Web of Science ®Google Scholar
• Bradley, E., Curry, L., & Devers, K. (2007). Qualitative data analysis for health services research: Developing taxonomy, themes, and theory. Health Services Review, 42(4), 1758–1772. https://doi.org/10.1111/j.1475-6773.2006.00684.x
   PubMed Web of Science ®Google Scholar
• Bukusi, E. A., Manabe, Y. C., & Zunt, J. R. (2019). Mentorship and ethics in global health: Fostering scientific integrity and responsible conduct of research. American Journal of Tropical Medicine and Hygiene, 100(Suppl. 1), 42–47. https://doi.org/10.4269/ajtmh.18-0562
   PubMedGoogle Scholar
• Cooper, J. A., & McNair, L. (2019). Reviewing student research: Can we consider bad science to be ethical? Journal of Empirical Research on Human Research Ethics, 14(1), 88–89. https://doi.org/10.1177/1556264618816539
   PubMed Web of Science ®Google Scholar
• Crump, J. A., & Sugarman, J. (2008). Ethical considerations for short-term experiences by trainees in global health john. JAMA : The Journal of the American Medical Association, 300(12). https://doi.org/10.1001/jama.300.12.1456
   Google Scholar
• Crump, J. A., Sugarman, J., & Working Group on Ethics Guidelines for Global Health, T. (2010). Ethics and best practice guidelines for training experiences in global health. American Journal of Tropical Medicine and Hygeine, 83(6), 1178–1182. https://doi.org/10.4269/ajtmh.2010.10-0527
   PubMed Web of Science ®Google Scholar
• DeCamp, M., Kalbarczyk, A., Manabe, Y. C., & Sewankambo, N. K. (2019). A new vision for bioethics training in global health. The Lancet Global Health, 7(8), e1002–e1003. https://doi.org/10.1016/S2214-109X(19)30273-6
   PubMed Web of Science ®Google Scholar
• DeCamp, M., Rodriguez, J., Hecht, S., Barry, M., & Sugarman, J. (2013). An ethics curriculum for short-term global health trainees. Globalization and Health, 9(1), 5. https://doi.org/10.1186/1744-8603-9-5
   PubMedGoogle Scholar
• De Camp, M., Lehmann, L. S., Jaeel, P., & Horwitch, C. (2018). Ethical obligations regarding short-term global health clinical experiences: An American college of physicians position paper. Annals of Internal Medicine, 168(9), 651–657. https://doi.org/10.7326/M17-3361
   PubMed Web of Science ®Google Scholar
• Doobay-Persaud, A., Evert, J., DeCamp, M., Evans, C. T., Jacobsen, K. H., Sheneman, N. E., Goldstein, J. L., & Nelson, B. D. (2019). Extent, nature and consequences of performing outside scope of training in global health. Globalization and Health, 15(1), 60. https://doi.org/10.1186/s12992-019-0506-6
   PubMed Web of Science ®Google Scholar
• Durham, J. (2014). Ethical challenges in cross-cultural research: A student researcher’s perspective. Australian and New Zealand Journal of Public Health, 38(6), 509–512. https://doi.org/10.1111/1753-6405.12286
   PubMed Web of Science ®Google Scholar
• Elit, L., Hunt, M., Redwood-Campbell, L., Ranford, J., Adelson, N., & Schwartz, L. (2011). Ethical issues encountered by medical students during international health electives. Medical Education, 45(7), 704–711. https://doi.org/10.1111/j.1365-2923.2011.03936.x
   PubMed Web of Science ®Google Scholar
• Emanuel, E. J., Wendler, D., Killen, J., & Grady, C. (2004). What makes clinical research in developing countries ethical? The benchmarks of ethical research. Journal of Infectious Diseases, 189(5), 930–937. https://doi.org/10.1086/381709
   PubMed Web of Science ®Google Scholar
• Gautier, L., Sieleunou, I., & Kalolo, A. (2018). Deconstructing the notion of “global health research partnerships” across Northern and African contexts. BMC Medical Ethics, 19(S1), 49. https://doi.org/10.1186/s12910-018-0280-7
   PubMedGoogle Scholar
• Glaser, B., & Strauss, A. (1967). The discovery of grounded research: Strategies for qualitative research. New Brunswick, NJ: Aldine Transaction.
   Google Scholar
• Guillemin, M., & Gillam, L. (2004). Ethics, reflexivity, and “ethically important moments” in research. Qualitative Inquiry, 10(2), 261–280. https://doi.org/10.1177/1077800403262360
   Web of Science ®Google Scholar
• Harrison, J., Logar, T., Le, P., & Glass, M. (2016). What are the ethical issues facing global-health trainees working overseas? A multi-professional qualitative study. Healthcare, 4(3), 43. https://doi.org/10.3390/healthcare4030043
   Web of Science ®Google Scholar
• Henderson, G. E., Corneli, A. L., Mahoney, D. B., Nelson, D. K., & Mwansambo, C. (2007). Applying research ethics guidelines: The view from a sub-saharan research ethics committee. Journal of Empirical Research on Human Research Ethics : JERHRE, 2(2), 41–48. https://doi.org/10.1525/jer.2007.2.2.41
   PubMed Web of Science ®Google Scholar
• Herbst de Cortina, S., Arora, G., Wells, T., & & Hoffman, R. M. (2016). Evaluation of a structured predeparture orientation at the david geffen school of medicine’s global health Education programs. American Journal of Tropical Medicine and Hygiene, 94(3), 563–567. https://doi.org/10.4269/ajtmh.15-0553
   PubMed Web of Science ®Google Scholar
• Hunt, M. R., & Godard, B. (2013). Beyond procedural ethics: Foregrounding questions of justice in global health research ethics training for students. Global Public Health, 8(6), 713–724. https://doi.org/10.1080/17441692.2013.796400
   PubMed Web of Science ®Google Scholar
• Ijsselmuiden, C. B., Kass, N. E., Sewankambo, N. K., & Lavery, J. V. (2010). Evolving values in ethics and global health research. Global Public Health, 5(2), 154–163. https://doi.org/10.1080/17441690903436599
   PubMed Web of Science ®Google Scholar
• Kalbarczyk, A., Nagourney, E., Martin, N. A., Chen, V., & Hansoti, B. (2019). Are you ready? A systematic review of pre-departure resources for global health electives. BMC Medical Education, 19(1), 1–10. https://doi.org/10.1186/s12909-019-1586-y
   PubMedGoogle Scholar
• Keating, E. M., Haq, H., Rees, C. A., Swamy, P., Turner, T. L., Marton, S., Sanders, J., Mohapi, E. Q., Kazembe, P. N., & Schutze, G. E. (2019). Reciprocity? International preceptors’ perceptions of global health elective learners at African sites. Annals of Global Health, 85(1), https://doi.org/10.5334/aogh.2342
   Google Scholar
• Khoshnood, K., Rabin, T. L., Ryan-Krause, P., & Gonzalez-Colaso, R. (2020). Yale global health ethics program. Retrieved September 9, 2020, from https://medicine.yale.edu/yigh/students/ghep/.
   Google Scholar
• Kironji, A. G., Cox, J. T., Edwardson, J., Moran, D., Aluri, J., Carroll, B., & Chen, C. C. G. (2018). Pre-departure training for healthcare students going abroad: Impact on preparedness. Annals of Global Health, 84(4), 683. https://doi.org/10.29024/aogh.2378
   PubMed Web of Science ®Google Scholar
• Kovach, M. (2010). Doing indigenous research in a good way – Ethics and reciprocity. In In indigenous methodologies: Characteristics, conversations, and contexts (pp. 141–155). Buffalo, NY: University of Toronto Press.
   Google Scholar
• Kraeker, C., & Chandler, C. (2013). “We learn from them, they learn from us”: Global health experiences and host perceptions of visiting health care professionals. Academic Medicine : Journal of the Association of American Medical Colleges, 88(4), 483–487. https://doi.org/10.1097/ACM.0b013e3182857b8a
   PubMed Web of Science ®Google Scholar
• Kumwenda, B., Dowell, J., Daniels, K., & Merrylees, N. (2015). Medical electives in sub-saharan Africa: A host perspective. Medical Education, 49(6), 623–633. https://doi.org/10.1111/medu.12727
   PubMed Web of Science ®Google Scholar
• Kung, T. H. (2018). Host physician perspectives to improve pre-departure training for global health electives. Medical Education, 52(1), 3–5. https://doi.org/10.1111/medu.13479
   PubMed Web of Science ®Google Scholar
• Kung, T. H., Richardson, E. T., Mabud, T. S., Heaney, C. A., & Jones, E. (2016). Host community perspectives on trainees participating in short-term experiences in global health. Medical Education, 50(11), 1122–1130. https://doi.org/10.1111/medu.13106
   PubMed Web of Science ®Google Scholar
• Lahey, T. (2012). Perspective: A proposed medical school curriculum to help students recognize and resolve ethical issues of global health outreach work. Academic Medicine, 87(2), 210–215. https://doi.org/10.1097/ACM.0b013e31823f3fb1
   PubMed Web of Science ®Google Scholar
• Lescano, A. G., Cohen, C. R., Raj, T., Rispel, L., Garcia, P. J., Zunt, J. R., Hamer, D. H., Heimburger, D. C., Chi, B. H., Ko, A. I., & Bukusi, E. A. (2019). Strengthening mentoring in low-and middle-income countries to advance global health research: An overview. American Journal of Tropical Medicine and Hygiene, 100(Suppl. 1), 3–8. https://doi.org/10.4269/ajtmh.18-0556
   PubMedGoogle Scholar
• Mackworth-Young, C. R. S., Schneiders, M. L., Wringe, A., Simwinga, M., & Bond, V. (2019). Navigating ‘ethics in practice’: An ethnographic case study with young women living with HIV in Zambia. Global Public Health, 14(12), 1689–1702. https://doi.org/10.1080/17441692.2019.1616799
   PubMed Web of Science ®Google Scholar
• McCarthy, A. E., Petrosoniak, A., & Varpio, L. (2013). The complex relationships involved in global health: A qualitative description. BMC Medical Education, 13(1), 136. https://doi.org/10.1186/1472-6920-13-136
   PubMedGoogle Scholar
• Munalula-Nkandu, E., Ndebele, P., Siziya, S., & Munthali, J. (2015). To what did they consent? Understanding consent among low literacy participants in a microbicide feasibility study in mazabuka, Zambia. Developing World Bioethics, 15(3), 248–256. https://doi.org/10.1111/dewb.12069
   PubMed Web of Science ®Google Scholar
• Nouvet, E., Chan, E., & Schwartz, L. J. (2018). Looking good but doing harm? Perceptions of short-term medical missions in Nicaragua. Global Public Health, 13(4), 456–472. https://doi.org/10.1080/17441692.2016.1220610
   PubMed Web of Science ®Google Scholar
• Peluso, M. J., Kallem, S., Elansary, M., & Rabin, T. L. (2018). Ethical dilemmas during international clinical rotations in global health settings: Findings from a training and debriefing program. Medical Teacher, 40(1), 53–61. https://doi.org/10.1080/0142159X.2017.1391374
   PubMed Web of Science ®Google Scholar
• Pinto, A. D., & Upshur, R. E. G. (2009). Global health ethics for students. Developing World Bioethics, 9(1), 1–10. https://doi.org/10.1111/j.1471-8847.2007.00209.x
   PubMed Web of Science ®Google Scholar
• Provenzano, A. M., Graber, L. K., Elansary, M., Khoshnood, K., Rastegar, A., & Barry, M. (2010). Short-term global health research projects by US medical students: Ethical challenges for partnerships. American Journal of Tropical Medicine and Hygiene, 83(2), 211–214. https://doi.org/10.4269/ajtmh.2010.09-0692
   PubMed Web of Science ®Google Scholar
• Rahim, A., Knights (Née Jones), F., Fyfe, M., Alagarajah, J., & Baraitser, P. (2016). Preparing students for the ethical challenges on international health electives: A systematic review of the literature on educational interventions. Medical Teache, 38, 1–10. https://doi.org/10.3109/0142159X.2015.1132832
   PubMed Web of Science ®Google Scholar
• Sanchez, A., & Lopez, V. A. (2013). Perspectives on global health from the south. In A. D. Pinto, & R. E. G. Upshur (Eds.), An Introduction to global health ethics. NY, NY: Routledge.
   Google Scholar
• Shah, S. K., Nodell, B., Montano, S. M., Behrens, C., & Zunt, J. R. (2011). Clinical research and global health: Mentoring the next generation of health care students. Global Public Health, 6(3), 234–246. https://doi.org/10.1080/17441692.2010.494248
   PubMed Web of Science ®Google Scholar
• Simon, C., & Mosavel, M. (2011). Getting personal: Ethics and identity in global health research. Developing World Bioethics, 11(2), 82–92. https://doi.org/10.1111/j.1471-8847.2011.00297.x
   PubMed Web of Science ®Google Scholar
• Tan-Torres Edejer, T. (1999). North-South research partnerships: The ethics of carrying out research in developing countries. British Medical Journal, 319(7207), 438–441. https://doi.org/10.1136/bmj.319.7207.438
   PubMedGoogle Scholar
• Umoren, R. A., James, J. E., & Litzelman, D. K. (2012). Evidence of reciprocity in reports on international partnerships. Education Research International, 2012, 1–7. https://doi.org/10.1155/2012/603270
   Google Scholar
• Wallace, L. J., & Webb, A. (2015). Pre-departure training and the social accountability of International Medical Electives. Education for Health, 27(2), 143–147. https://doi.org/10.4103/1357-6283.143745
   Google Scholar
• White, M., & Evert, J. (2012). Developing ethical awareness in global health: Four cases for medical educators. Developing World Bioethics, 8731, 226–231. https://doi.org/10.1111/dewb.12000
   Google Scholar
• Xu, J. J., Pereira, I. J., Liu, W. W., & Herbert, C. P. (2011). Assessing the effectiveness of pre-departure training for professional healthcare students working in resource-limited settings. University of Toronto Medical Journal, 88(3), 199–204.
   Google Scholar
• Zaidi, M. Y., Haddad, L., & Lathrop, E. (2015). Global health opportunities in obstetrics and gynecology training: Examining engagement through an ethical lens. American Journal of Tropical Medicine and Hygiene, 93(6), 1194–1200. https://doi.org/10.4269/ajtmh.15-0241
   PubMed Web of Science ®Google Scholar