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Letters |16 October 2018

Ethical Obligations Regarding Short-Term Global Health Clinical Experiences

Matthew DeCamp, MD, PhD; Lisa Soleymani Lehmann, MD, PhD; Pooja Jaeel, MD; Carrie Horwitch, MD, MPH

Article, Author, and Disclosure Information
Author, Article, and Disclosure Information
  • Johns Hopkins University, Baltimore, Maryland (M.D.)
    Veterans Health Administration, Washington, DC (L.S.L.)
    University of California, San Diego, La Jolla, California (P.J.)
    Virginia Mason Medical Center, Seattle, Washington (C.H.)

    Note: Dr. DeCamp received an honorarium from ACP during the conduct of the study.

    Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M17-3361.

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IN RESPONSE:
We applaud Dr. Brinks and associates for their work in Myanmar and appreciate its relationship to ACP's positions. We agree that organizations have an ethical obligation of transparency to share sufficient information with physicians to help them decide about participation in a STEGH. We currently lack rigorous, objective metrics to assess such programs but hope that this changes over time. For example, a tool to evaluate short-term global health programs was developed—with input from the local community—to assess such variables as costs, the effect on health, and sustainability (1). Such evaluative efforts should be supported and expanded to include measures relevant to all 5 ACP positions.
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DeCamp M, Lehmann LS, Jaeel P, Horwitch C. Ethical Obligations Regarding Short-Term Global Health Clinical Experiences. Ann Intern Med. ;169:589–590. doi: 10.7326/L18-0385

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© 2019

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Published: Ann Intern Med. 2018;169(8):589-590.

DOI: 10.7326/L18-0385

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2018 American College of Physicians
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