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      Views from the global south: exploring how student volunteers from the global north can achieve sustainable impact in global health

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          Abstract

          Background

          The body of research and practice regarding student volunteer abroad experiences largely focuses on ensuring the optimal learning experience for the student from the Global North, without equivalent attention to the benefits, if any, to the host institution in the Global South. In this debate article, we examine an often overlooked component of global student volunteer programs: the views of the local partner on what makes for a mutually beneficial partnership between volunteers from the Global North and institutions in the Global South.

          Discussion

          To guide our discussion, we drew upon the experiences of a Kenyan NGO with a Canadian student volunteer in the summer of 2012, organized via a formalized partnership with a Canadian university. We found that the approach of the NGO to hosting the student mirrored the organizational behaviour theories of Margaret J. Wheatley, who emphasized a disorderly or ‘chaotic’ approach to acquiring impactful change, coupled with a focus on building solid human relationships. Rather than following a set of rigid goals or tasks, the student was encouraged to critically engage and participate in all aspects of the culture of the organization and country, to naturally discover an area where his priorities aligned with the needs of the NGO. Solid networks and interpersonal connections resulted in a process useful for the organization long after the student’s short-term placement ended.

          Summary

          Our discussion reveals key features of successful academic volunteer abroad placements: equal partnership in the design phase between organizations in the Global North and Global South; the absence of rigid structures or preplanned tasks during the student’s placement; participatory observation and critical engagement of the student volunteer; and a willingness of the partners to measure impact by the resultant process instead of tangible outcomes.

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          Most cited references34

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          Towards a common definition of global health

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            When in Rome ... Learn why the Romans do what they do: how multicultural learning experiences facilitate creativity.

            Research suggests that living in and adapting to foreign cultures facilitates creativity. The current research investigated whether one aspect of the adaptation process-multicultural learning-is a critical component of increased creativity. Experiments 1-3 found that recalling a multicultural learning experience: (a) facilitates idea flexibility (e.g., the ability to solve problems in multiple ways), (b) increases awareness of underlying connections and associations, and (c) helps overcome functional fixedness. Importantly, Experiments 2 and 3 specifically demonstrated that functional learning in a multicultural context (i.e., learning about the underlying meaning or function of behaviors in that context) is particularly important for facilitating creativity. Results showed that creativity was enhanced only when participants recalled a functional multicultural learning experience and only when participants had previously lived abroad. Overall, multicultural learning appears to be an important mechanism by which foreign living experiences lead to creative enhancement.
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              Effects of international health electives on medical student learning and career choice: results of a systematic literature review.

              The present study reviewed the published literature to examine the effects of international health electives (IHEs) on medical student learning and career choice. A systematic literature review was conducted to identify key English-language articles on IHEs, using PubMed journal databases for the period 1990--2009. Article inclusion for this review was vetted by a rigorous evaluation of each article's study methods, content, and data quality. Pooled or aggregate information from 11 key articles, including information on type and duration of IHE, study and comparison group characteristics, and measured outcomes such as self-reported changes in cultural competency, clinical skills, and specialty choice, were extracted and summarized. Findings suggest that having IHE experiences contributed to a more well-rounded training for medical students; students reported being more culturally competent and were more likely to choose a primary care specialty and/or a public service career. Although IHE experiences appear to have educational benefits, the quality and availability of these electives vary by institution. Barriers to ensuring that students attain a safe and rich experience include the lack of consistent categorical funding, safety concerns when traveling, and limited faculty experience and resources to support and guide students during their rotations abroad.
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                Author and article information

                Contributors
                Journal
                Global Health
                Global Health
                Globalization and Health
                BioMed Central
                1744-8603
                2013
                26 July 2013
                : 9
                : 32
                Affiliations
                [1 ]Daisy’s Eye Cancer Fund-Kenya, Nairobi, Kenya
                [2 ]The Department of Ophthalmology and Vision Science, University of Toronto, Toronto, Ontario, Canada
                [3 ]The Division of Visual Science, Toronto Western Research Institute, Toronto, Ontario, Canada
                [4 ]The Hospital for Sick Children, 555 University Ave, Room 7260, Toronto, Ontario M5G 1X8, Canada
                [5 ]Daisy’s Eye Cancer Fund-Canada, Toronto, Ontario, Canada
                Article
                1744-8603-9-32
                10.1186/1744-8603-9-32
                3733592
                23889908
                3ce0629c-4305-4c89-b496-2f6514e1bed7
                Copyright © 2013 Ouma and Dimaras; licensee BioMed Central Ltd.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 12 February 2013
                : 3 July 2013
                Categories
                Debate

                Health & Social care
                global health,study abroad,student volunteers,volunteer tourism,critical engagement,medical education

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