The increase in global health opportunities in medical education has been accompanied by calls for ethical and reciprocal institutional partnerships. The Working Group on Ethics Guidelines in Global Health Training (WEIGHT) guidelines were developed in 2010 and are widely accepted by the global health community. We reviewed 43 articles on international partnerships from 1970 to 2010 for eight principles of reciprocity derived from the WEIGHT guidelines. The results showed that, while few articles reflected all principles, there was a trend to increasing consideration of the international partner’s local needs, pre-departure cultural training, and collaborative authorship. However, learner supervision and consideration of local cost/benefit ratios decreased over the same time period. Partnerships with only one international partner or with institutional partners in Africa had lower reciprocity scores than those with two or more partners and institutional partners in Asia and South America. We recommend that a new focus on ethics in global health partnerships leads to the inclusion of the principles of reciprocity in model program descriptions in order to enable and encourage ethical, sustainable, and mutually beneficial institutional partnerships.

A Little Learning is a Dangerous Thing. ? The smart young lady who wrote a note to the doctor asking him to visit her brother, and bring his urethra with him, has been discounted by a well-informed medical student of Indianapolis, who was recently asked by his sweetheart to examine her throat for some slight ailment. Being anxious to exhibit his embryonic medical talents to his fair inamorata, he called for a spoon, dexterously depressed her tongue, gazed knowingly into the yawning chasm thus brought into view, and then, with a look of profound wisdom, informed her that her vulva was greatly elongated.?Journal of Cutaneous and Venereal Diseases, March 1886.