Issue | Recommendation | Reference |
---|---|---|
Responsibilities | Determine those issues that are the responsibility of the Medical School and distinguish from those that are the responsibilities of students. Inform students of their responsibilities (Table 3). | |
Consider creating a detailed webpage for the program, to be kept up-to-date and embedded with an institutional site. | ||
Assess all elective applications on the basis of personal risk and educational merit. | ||
Develop a range of enduring elective destinations including the establishment of strong and mutually beneficial partnerships with international organizations, universities and health care providers. | ||
Site visits to host institutions to provide quality assurance in academic standards and ethics, based on context and partnership agreements | ||
General Policies | Provide students with policies on electives, including choices of destination country and clinical experiences. | |
Provide students with guidelines on health and safety on electives. | ||
Inform students of medical indemnity, public liability and personal protection insurance provisions for electives. | [27] | |
Policies should be created in collaboration with host institutions, particularly where formal partnerships are being forged | [24] | |
Policies need to be implemented and a degree of compliance achieved by both elective program coordinators and students. | [85] | |
Travel advisories | Consider elective destinations in the light of national travel advisories and be prepared to deal with unexpected changes in risk status. | |
Ensure that students travelling to higher-risk destinations have sought pre-travel health advice and have purchased travel insurance. | ||
Instruct students to register with institutional travel registries. | ||
Provide students with 24-h faculty contact for urgent issues. | ||
Occupational risk assessment | Consider providing travel doctors with information on occupational risk management in electives. | |
Establish policies on HIV PEP, including supply and funding. | [49] | |
Pre-departure training programs | Ensure that pre-departure training is provided for students, covering educational outcomes, clinical experiences, ethics and social accountability, occupational risk management, health and safety. | |
Reinforce learning from training modules with pertinent and enlightening reading material from peer-reviewed literature on international medical electives. | ||
Ensure that experienced faculty play a central role in planning and implementing training sessions to ensure quality and sustainability. | ||
Include procedural skills in pre-departure training. | ||
Funding and finances | Ensure that students are aware of the approximate costs of electives, including the need to budget for travel insurance and vaccinations. | |
Inform students of bursaries, scholarships and other funding support that may be available. | [49] | |
Sending organisations and students should consider funding host institutions to compensate for resources used during the placement and to develop the host institution | [54] | |
Post-return debriefing and screening | Ensure that students are offered post-elective debriefing sessions. Consider providing travel doctors with information on post-return health screening. | [86] |
Encourage students to reflect on their elective experience through reflective writing, discussion groups or academic debriefing. | ||
Seek feedback from host institutions on both individual students and broader programmatic issues. |