Ethical Obligations Regarding Short-Term Global Health Clinical Experiences
Authors: Chester B. Good, N. Randall Kolb, Lindsay Nakaishi, Mark Meyer
Journal: Annals of Internal Medicine (2018)

Letters16 October 2018Ethical Obligations Regarding Short-Term Global Health Clinical ExperiencesChester B. Good, MD, N. Randall Kolb, MD, Lindsay Nakaishi, MD, MPH, and Mark Meyer, MDChester B. Good, MDUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania (C.B.G., N.R.K., L.N., M.M.)Search for more papers by this author, N. Randall Kolb, MDUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania (C.B.G., N.R.K., L.N., M.M.)Search for more papers by this author, Lindsay Nakaishi, MD, MPHUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania (C.B.G., N.R.K., L.N., M.M.)Search for more papers by this author, and Mark Meyer, MDUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania (C.B.G., N.R.K., L.N., M.M.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L18-0384 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:The ACP position paper (1) and Farquhar and colleagues' editorial (2) on ethical obligations regarding STEGHs are timely and appropriate. However, as physicians deeply involved in a clinic in Honduras that serves as a STEGH site for medical trainees and practicing physicians through Shoulder to Shoulder Pittsburgh–San Jose (www.shouldertoshoulderpgh.org), we are concerned that these guidelines might overly discourage participation in STEGHs.The 5 core positions from ACP are explicated and embedded in a well-established, evidence-based development strategy between medical professionals and the community known as community-oriented primary care (COPC) (3). The COPC model revolves around the community's ...References1. DeCamp M, Lehmann LS, Jaeel P, Horwitch C; ACP Ethics, Professionalism and Human Rights Committee. Ethical obligations regarding short-term global health clinical experiences: an American College of Physicians position paper. Ann Intern Med. 2018;168:651-7. [PMID: 29582076]. doi:10.7326/M17-3361 LinkGoogle Scholar2. Farquhar C, Nduati RW, Wasserheit JN. Ethical obligations in short-term global health clinical experiences: the devil is in the details. Ann Intern Med. 2018;168:672-3. [PMID: 29582073]. doi:10.7326/M18-0566 LinkGoogle Scholar3. Gofin J, Gofin R, Stimpson JP. Community-oriented primary care (COPC) and the Affordable Care Act: an opportunity to meet the demands of an evolving health care system. J Prim Care Community Health. 2015;6:128-33. [PMID: 25351764] doi:10.1177/2150131914555908 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania (C.B.G., N.R.K., L.N., M.M.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L18-0384. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoEthical Obligations Regarding Short-Term Global Health Clinical Experiences: An American College of Physicians Position Paper Matthew DeCamp , Lisa Soleymani Lehmann , Pooja Jaeel , Carrie Horwitch , and Ethical Obligations Regarding Short-Term Global Health Clinical Experiences Matthew DeCamp , Lisa Soleymani Lehmann , Pooja Jaeel , and Carrie Horwitch Ethical Obligations Regarding Short-Term Global Health Clinical Experiences Riley G. Jones Ethical Obligations Regarding Short-Term Global Health Clinical Experiences Mitch Brinks , Justin Denny , and Sara Schwanke Khilji Metrics 16 October 2018Volume 169, Issue 8Page: 588-589KeywordsConflicts of interestDisclosureGlobal healthHealth careMedical servicesPerceptionPrevention, policy, and public healthPsychiatry and mental healthShouldersTreatment guidelines ePublished: 16 October 2018 Issue Published: 16 October 2018 Copyright & PermissionsCopyright © 2018 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...