Canadian Residents Teaching and Learning Psychiatry in Ethiopia: A Grounded Theory Analysis Focusing On Their Experiences

Brook, Shelley; Robertson, David W.; Makuwaza, Tutsirai; Hodges, Brian

doi:10.1176/appi.ap.34.6.433

Cited by 19 publications

(22 citation statements)

References 12 publications

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“…The reported benefits of IMEs to students are many and include improved clinical skills, increased tropical medicine knowledge, increased cross‐cultural competency, and improved confidence, resourcefulness and independence . Students participating in IMEs have reported changes in attitudes regarding resource use and public health, increased awareness of the social determinants of health, and improved competency as global health advocates . Health care providers receiving international students also feel that their local environment provides a valuable learning experience for international trainees…”

Section: Introductionmentioning

confidence: 99%

Toward reciprocity: host supervisor perspectives on international medical electives

et al. 2014

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Section: Introductionmentioning

confidence: 99%

Toward reciprocity: host supervisor perspectives on international medical electives

et al. 2014

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“…Poverty is widely recognized as a major determinant of poor health [1-3]. The powerful link between income and health has been well documented -- people living on low income consistently have higher rates of morbidity and mortality due to chronic and acute illnesses [4-7].…”

Section: Introductionmentioning

confidence: 99%

Barriers to primary care responsiveness to poverty as a risk factor for health

Bloch

Rozmovits²,

Giambrone

2011

BMC Fam Pract

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BackgroundPoverty is widely recognized as a major determinant of poor health, and this link has been extensively studied and verified. Despite the strong evidentiary link, little work has been done to determine what primary care health providers can do to address their patients' income as a risk to their health. This qualitative study explores the barriers to primary care responsiveness to poverty as a health issue in a well-resourced jurisdiction with near-universal health care insurance coverage.MethodsOne to one interviews were conducted with twelve experts on poverty and health in primary care in Ontario, Canada. Participants included family physicians, specialist physicians, nurse practitioners, community workers, advocates, policy experts and researchers. The interviews were analysed for anticipated and emergent themes.ResultsThis study reveals provider- and patient-centred structural, attitudinal, and knowledge-based barriers to addressing poverty as a risk to health. While many of its findings reinforce previous work in this area, this study's findings point to a number of areas front line primary care providers could target to address their patients' poverty. These include a lack of provider understanding of the lived reality of poverty, leading to a failure to collect adequate data about patients' social circumstances, and to the development of inappropriate care plans. Participants also pointed to prejudicial attitudes among providers, a failure of primary care disciplines to incorporate approaches to poverty as a standard of care, and a lack of knowledge of concrete steps providers can take to address patients' poverty.ConclusionsWhile this study reinforces, in a well-resourced jurisdiction such as Ontario, the previously reported existence of significant barriers to addressing income as a health issue within primary care, the findings point to the possibility of front line primary care providers taking direct steps to address the health risks posed by poverty. The consistent direction and replicability of these findings point to a refocusing of the research agenda toward an examination of interventions to decrease the health impacts of poverty.

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“…A number of adult residency programs offer international experiences in the provision of clinical care, teaching, and research [8, 10–12]. In response to the growing popularity of global health opportunities, a discussion about the ethics of sending residents for short-term clinical rotations and research particularly in differently resourced settings has raised concerns about continuity of care, the need for quality supervision, and institutional reciprocity [10, 13, 14].…”

Section: Introductionmentioning

confidence: 99%

Expanding the Pipeline: The New York University School of Medicine–University of Ghana School of Medicine and Dentistry Psychiatric Education Initiative

Vaughn

Smith

Bernstein

et al. 2016

International Journal of Mental Health

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As many low-and middle-income countries (LAMICs), Ghana is affected by a severe shortage of mental health specialists: there are 11 practicing psychiatrists for a population of 25 million. The pipeline for Ghanaian psychiatrists remains restricted for the foreseeable future given the low expressed interest in the field by junior medical trainees. The few senior psychiatric specialists are overextended with clinical and professional duties leaving them with minimal time to teach and mentor trainees. This limits opportunities for mentorship, modeling, teaching, and curricular development, leaving trainees with little exposure to psychiatric practice, and therefore, little motivation to enter a highly stigmatized and underresourced field. To support the training of Ghanaian medical students in psychiatry, the New York University School of Medicine-University of Ghana School of Medicine and Dentistry (NYUSOM-UGSMD) Psychiatric Education Initiative, and the NYU Global Mental Health Elective were formed (1) to provide educational support to medical students and residents at UGSMD and (2) to provide a sustainable international experience for NYUSOM residents with a strong interest in leadership in global mental health and underserved populations.

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Canadian Residents Teaching and Learning Psychiatry in Ethiopia: A Grounded Theory Analysis Focusing On Their Experiences

Abstract: The elective provided unique opportunities for acquiring clinical, teaching, collaborative, leadership and advocacy skills. It prompted participants to consider ethical and cross-cultural issues and allowed them to be mentored intensively by Ethiopian and Canadian teachers and peers.

Cited by 19 publications

References 12 publications

Toward reciprocity: host supervisor perspectives on international medical electives

Toward reciprocity: host supervisor perspectives on international medical electives

Barriers to primary care responsiveness to poverty as a risk factor for health

Expanding the Pipeline: The New York University School of Medicine–University of Ghana School of Medicine and Dentistry Psychiatric Education Initiative

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