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HEC Forum

, Volume 23, Issue 2, pp 71–78 | Cite as

Global Health Needs and the Short-Term Medical Volunteer: Ethical Considerations

  • Michele K. Langowski
  • Ana S. Iltis
Article

Never underestimate the ability of a small group of committed individuals to change the world. Indeed, they are the only ones who ever have—Margaret Mead.

Through many conversations with health professionals throughout the United States on such matters, I have come to a clear realization. Those who write and talk about the dream of global health equity can make people think, but can not make them care. It is only through direct involvement with the poor in the developing world (or here at home) that medical students and others in the medical profession at large will find reasons to care and, ultimately, find ways to change the health of the world’s most vulnerable—Edward O’Neil, Jr., MD (2006a, p. 848).

Many licensed health care professionals from the United States and other developed nations travel each year to resource poor regions as medical volunteers. These trips, sometimes referred to as “medical missions” or “short-term medical missions” (STMMs), vary in scope, goal,...

Keywords

Health Care Professional Resource Poor Setting Obstetric Fistula Medical Mission Health Profession Student 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Anderson, F. W. J., & Wansom, T. (2009). Beyond medical tourism: authentic engagement in global health. Virtual Mentor, American Medical Association Journal of Ethics, 11(7), 506–510.Google Scholar
  2. Ansbacher, R. (2006). Medical missions enlighten. Michigan Medicine: The Journal of the Michigan State Medical Society, 105(1), 5.Google Scholar
  3. Battat, R., Seidman, G., Chadi, N., Chanda, M., Nehme, J., Hulme, J., et al. (2010). Global health competencies and approaches in medical education: A literature review. BMC Medical Education, 10, 94.CrossRefGoogle Scholar
  4. Chu, K., Stokes, C., Trelles, M., & Ford, N. (2011). Improving effective surgical delivery in humanitarian disasters: Lessons from Haiti. PLoS Medicine, 8(4), e1001025.CrossRefGoogle Scholar
  5. Crump, J. A., & Sugarman, J. (2008). Ethical considerations for short-term experiences by trainees in global health. Journal of the American Health Association, 300(12), 1456–1458.CrossRefGoogle Scholar
  6. Decamp, M. (2007). Scrutinizing short-term global medical outreach. Hastings Center Report, 37, 21–23.CrossRefGoogle Scholar
  7. DeCamp, M. (2011). Ethical review of global short-term medical volunteerism. HEC Forum. doi: 10.1007/s10730-011-9152-y.
  8. Farmer, P., & Kim, J. Y. (2008). Surgery and global health: A view from beyond the OR. World Journal of Surgery, 32, 533–536.CrossRefGoogle Scholar
  9. Federico, S. G., Zachar, P. A., Oravec, C. M., et al. (2006). A successful international child health elective: The University of Colorado Department of Pediatrics’ experience. Archives of Pediatrics and Adolescent Medicine, 160, 191–196.CrossRefGoogle Scholar
  10. Green, T., Green, H., Scandlyn, J., & Kestler, A. (2009). Perceptions of short-term medical volunteer work: A qualitative study in Guatemala. Global Health, 5, 4.CrossRefGoogle Scholar
  11. National Library of Medicine. Accessed June 23, 2011, from http://www.nlm.nih.gov.
  12. O’Neil, E., Jr. (2006a). The ‘ethical imperative’ of global health service. Virtual Mentor, American Medical Association Journal of Ethics, 8(12), 846–850.Google Scholar
  13. O’Neil, E., Jr. (2006b). Awakening hippocrates: A primer on health, poverty, and global service. Chicago: American Medical Association.Google Scholar
  14. O’Neil, E., Jr. (2006c). A practical guide to global health service. Chicago: American Medical Association.Google Scholar
  15. Organization for economic co-operation and development (OECD). (2004). The Development Assistance Committee Journal of Development Co-operation 2003 Report, 5(1). Development assistance committee of the organization for econimic co-operation and development. Paris, France: OECD Publications.Google Scholar
  16. Ott, B. B., & Olson, R. M. (2011). Ethical issues of medical missions: The clinicians’ view. HEC Forum 22(2). doi: 10.1007/s10730-011-9154-9
  17. Roberts, M. (2006). A piece of my mind: Duffle bag medicine. Journal of the American Medical Association, 295, 1491–1492.CrossRefGoogle Scholar
  18. Shah, S., & Wu, T. (2008). The medical student global health experience: Professionalism and ethical implications. Journal of Medical Ethics, 34, 375–378.CrossRefGoogle Scholar
  19. Suchdev, P., Ahrens, Y., Click, E., Macklin, L., Evangelista, D., & Graham, E. (2007). A model for sustainable short-term international medical trips. Ambulatory Pediatrics, 7(4), 317–320.CrossRefGoogle Scholar
  20. Wall, A. (2011). The context of ethical problems in medical volunteer work. HEC Forum 22(2). doi: 10.1007/s10730-011-9155-8
  21. Wall, L. L. (2011). Ethical concerns regarding operations by volunteer surgeons on vulnerable patient groups: the case of women with obstetric fistulas. HEC Forum, 22(2). doi: 10.1007/s10730-011-9153-x
  22. Wall, A. E. (in press) Ethics in international medicine: a practical guide for medical aid workers in developing countries. Lebanon, NH: University Press of New England.Google Scholar
  23. White, M., & Cauley, K. (2006). Op-ed. A caution against medical student tourism. Virtual Mentor, American Medical Association Journal of Ethics, 8(12), 851–854.Google Scholar
  24. Wolfberg, A. J. (2006). Volunteering overseas—lessons from surgical brigades. New England Journal of Medicine, 354, 443–445.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media B.V. 2011

Authors and Affiliations

  1. 1.Albert Gnaegi Center for Health Care Ethics, Salus Center, Saint Louis UniversitySt. LouisUSA
  2. 2.Department of Philosophy and Center for Bioethics, Health and SocietyWake Forest UniversityWinston-SalemUSA

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