While Abroad, Stay within Your Scope

When health care professionals and trainees travel abroad for short-term experiences in global health, deep ethical pitfalls await—like practicing beyond one’s scope.
Authors led by Ashti Doobay-Persaud of Northwestern University surveyed health professionals and trainees across disciplines; nearly half reported being asked to perform duties beyond their training during STEGHs—for reasons ranging from mismatched host expectations, suboptimal supervision, and a perceived absence of alternatives during emergencies. Most “expressed lasting moral distress over practicing outside scope.”
The authors offer guidelines for all involved to better manage the problem—from the organizations sending out the professionals, to the trainees, to the host institutions.

The Lancet Global Health

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