Journal of Bioethical Inquiry

, Volume 12, Issue 1, pp 79–84 | Cite as

Teaching Corner: Raising the Bar: Ethical Considerations of Medical Student Preparation for Short-Term Immersion Experiences

  • Nathan Kittle
  • Virginia McCarthyEmail author
Critical Perspectives


Short-term international medical outreach experiences are becoming more popular among medical students. As the popularity of these trips grows, participants, scholars, and institutions have become more aware of the potential pitfalls of such experiences. Loyola University Chicago Stritch School of Medicine (SSOM) has an approximately 20-year international service immersion (ISI) program that has sent more than 1,400 participants to more than 30 countries. Recently, ISI programming has been adjusted to provide students more formal sessions exploring the ethics of the ISI trips. Students are required to attend both pre- and post-trip educational sessions covering a wide range of relevant global health topics as well as participating in in-country reflections and post-trip debriefings. This recent adjustment has evolved further to become the foundation for the SSOM’s four-year Global Health Honors program that not only encourages an ethical foundation for the student’s ISI experience but also hopes to provide a foundation for students as they look toward a future career in global health.


Global health Medical education Education International service immersion programs 


  1. Association of American Medical Colleges. 2010. Matriculating Student Questionnaire (MSQ) all schools summary report. Accessed September 9, 2014.
  2. Benatar, S.R. 2000. Avoiding exploitation in clinical research. Cambridge Quarterly of Healthcare Ethics 9(4): 562–565.CrossRefPubMedGoogle Scholar
  3. Benatar, S.R., A.S. Daar, and P.A. Singer. 2003. Global health ethics: The rationale for mutual caring. International Affairs 79(1): 107–138.CrossRefGoogle Scholar
  4. Childress, J.F., R.R. Faden, R.D. Gaare, et al. 2002. Public health ethics: Mapping the terrain. Journal of Law, Medicine and Ethics 30(2): 170–178.CrossRefPubMedGoogle Scholar
  5. Decamp, M. 2011. Ethical review of global short-term medical volunteerism. HEC Forum. 23(2): 91–103.CrossRefPubMedGoogle Scholar
  6. Elit, L., M. Hunt, L. Redwood-Campbell, J. Ranford, N. Adelson, and L. Schwartz. 2011. Ethical issues encountered by medical students during international health electives. Medical Education 45(7): 704–711.CrossRefPubMedGoogle Scholar
  7. Gillon, R. 1995. Defending “the four principles” approach to biomedical ethics. Journal of Medical Ethics 21(6): 323–324.CrossRefPubMedCentralPubMedGoogle Scholar
  8. Kass, N.E. 2001. An ethics framework for public health. American Journal of Public Health 91(11): 1776–1782.CrossRefPubMedCentralPubMedGoogle Scholar
  9. 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.CrossRefPubMedGoogle Scholar
  10. Lee, B.X., and J.L. Young. 2012. Building a global health ethic without doing further violence. The American Journal of Bioethics 12(12): 59–60.CrossRefPubMedGoogle Scholar
  11. Mayhew, B.W., and P.R. Murphy. 2009. The impact of ethics education on reporting behavior. Journal of Business Ethics 86(3): 397–416.CrossRefGoogle Scholar
  12. Pinto, A.D., and R.E.G. Upshur. 2009. Global health ethics for students. Developing World Bioethics 9(1): 1–10.CrossRefPubMedGoogle Scholar
  13. Smith, J.K., and D.B. Weaver. 2006. Capturing medical students’ idealism. Annals of Family Medicine 4(Suppl 1): 32–37.CrossRefGoogle Scholar
  14. Suchdev, P., K. Ahrens, P. Click, L. Macklin, D. Evangelista, and E. Graham. 2007. A model for sustainable short-term international medical trips. Ambulatory Pediatrics 7(4): 317–320.CrossRefPubMedGoogle Scholar
  15. Takala, T. 2001. What is wrong with global bioethics? On the limitations of the four principles approach. Cambridge Quarterly of Healthcare Ethics 10(1): 72–77.CrossRefPubMedGoogle Scholar

Copyright information

© Journal of Bioethical Inquiry Pty Ltd. 2015

Authors and Affiliations

  1. 1.Swedish Family Medicine Residency Program Cherry HillSeattleUSA
  2. 2.Center for Community and Global HealthMaywoodUSA

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