Global health training--one way street?

摘要

In the last issue of the Journal, Crump and Sugarman, on behalf of the Working Group on Ethics Guidelines for Global Health Training, propose a set of ethics and best practice guidelines for training experiences in global health. The manuscript acknowledges the issues of reciprocity and long-term partnerships between developed and developing country partners. However, global health training, as the manuscript reflects, is still focused on training students from rich countries (paying high tuition fees to their institutions), and not quite contributing to leverage the underlying disparities.We want to comment on the important issue of bi-directional-ity, introduced early on page 1179 ("Although the guidelines are predominantly focused on ethical issues for programs sending trainees from wealthier to less wealthy settings, many of the principals also apply to bi-directional trainee exchanges'") and not further elaborated in the paper.