Assessment of Local Health Worker Attitudes toward International Medical Volunteers in Low- and Middle-income Countries: A Global Survey

Background International Medical Volunteers (IMVs) positively and negatively impact host countries, and the goals of their trips may not always align with the interests of the hosts in Low- and Middle-Income Countries (LMICs). We sought to better understand local physicians’ interest of hosting IMVs...

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Published in:	Journal of Epidemiology and Global Health Vol. 10; no. 3; pp. 230 - 235
Main Authors:	Bae, Crystal, Naik, Nehal, Misak, Monika, Barnes, Sean L., Verceles, Avelino C., Papali, Alfred, McCurdy, Michael T., Losonczy, Lia I.
Format:	Journal Article
Language:	English
Published:	Dordrecht Springer Netherlands 01.09.2020 Springer Nature B.V Atlantis Press Springer
Subjects:	Attitude of Health Personnel Capacity development Community Health Workers - psychology Cultural competence Developing Countries Education Emergency medical care Global health Gynecology Health policy Humans international medical volunteers international medicine Low income groups Medical Missions - organization & administration Medical personnel Obstetrics Polls & surveys Public health Research Article Surveys and Questionnaires Training Volunteers international medicine Global health international medical volunteers
ISSN:	2210-6006, 2210-6014, 2210-6014
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Abstract	Background International Medical Volunteers (IMVs) positively and negatively impact host countries, and the goals of their trips may not always align with the interests of the hosts in Low- and Middle-Income Countries (LMICs). We sought to better understand local physicians’ interest of hosting IMVs and what type of support they desired. Methods This study was a convenience sample survey-based needs assessment. The surveys were distributed to local physicians by 28 professional society groups in LMICs. Findings A total of 102 physicians from 51 countries completed the survey. Despite 61.8% participants having no experience with IMVs, 75% were interested in hosting them. Host physicians most desired clinical education (39%), research collaboration (18%), and Systems Development (11%). The most requested specialties were obstetrics and gynecology (25%) and emergency medicine (11%). Respondents considered public hospitals (62%) to be the most helpful clinical setting in which IMVs could work, and 3 months (47%) as the ideal length of stay. Respondents expressed interest in advertising the specific needs of the host country to potential IMVs (80%). Qualitative analyses suggested hosts wanted more training opportunities, inclusion of all stakeholders, culturally competent volunteers, and aid focused on subspecialty education, health policy, public health, and research. Conclusion Hosts desire more bidirectional clinical education and research capacity building than just direct clinical care. Importantly, cultural competence is key to a successful host partnership, potentially improved through IMV preparation. Finally, respondents want IMVs to ensure that they stay within their scope of practice and training.
AbstractList	International Medical Volunteers (IMVs) positively and negatively impact host countries, and the goals of their trips may not always align with the interests of the hosts in Low- and Middle-Income Countries (LMICs). We sought to better understand local physicians' interest of hosting IMVs and what type of support they desired. This study was a convenience sample survey-based needs assessment. The surveys were distributed to local physicians by 28 professional society groups in LMICs. A total of 102 physicians from 51 countries completed the survey. Despite 61.8% participants having no experience with IMVs, 75% were interested in hosting them. Host physicians most desired clinical education (39%), research collaboration (18%), and Systems Development (11%). The most requested specialties were obstetrics and gynecology (25%) and emergency medicine (11%). Respondents considered public hospitals (62%) to be the most helpful clinical setting in which IMVs could work, and 3 months (47%) as the ideal length of stay. Respondents expressed interest in advertising the specific needs of the host country to potential IMVs (80%). Qualitative analyses suggested hosts wanted more training opportunities, inclusion of all stakeholders, culturally competent volunteers, and aid focused on subspecialty education, health policy, public health, and research. Hosts desire more bidirectional clinical education and research capacity building than just direct clinical care. Importantly, cultural competence is key to a successful host partnership, potentially improved through IMV preparation. Finally, respondents want IMVs to ensure that they stay within their scope of practice and training. Background: International Medical Volunteers (IMVs) positively and negatively impact host countries, and the goals of their trips may not always align with the interests of the hosts in Low- and Middle-Income Countries (LMICs). We sought to better understand local physicians’ interest of hosting IMVs and what type of support they desired. Methods: This study was a convenience sample survey-based needs assessment. The surveys were distributed to local physicians by 28 professional society groups in LMICs. Findings: A total of 102 physicians from 51 countries completed the survey. Despite 61.8% participants having no experience with IMVs, 75% were interested in hosting them. Host physicians most desired clinical education (39%), research collaboration (18%), and Systems Development (11%). The most requested specialties were obstetrics and gynecology (25%) and emergency medicine (11%). Respondents considered public hospitals (62%) to be the most helpful clinical setting in which IMVs could work, and 3 months (47%) as the ideal length of stay. Respondents expressed interest in advertising the specific needs of the host country to potential IMVs (80%). Qualitative analyses suggested hosts wanted more training opportunities, inclusion of all stakeholders, culturally competent volunteers, and aid focused on subspecialty education, health policy, public health, and research. Conclusion: Hosts desire more bidirectional clinical education and research capacity building than just direct clinical care. Importantly, cultural competence is key to a successful host partnership, potentially improved through IMV preparation. Finally, respondents want IMVs to ensure that they stay within their scope of practice and training. International Medical Volunteers (IMVs) positively and negatively impact host countries, and the goals of their trips may not always align with the interests of the hosts in Low- and Middle-Income Countries (LMICs). We sought to better understand local physicians' interest of hosting IMVs and what type of support they desired.BACKGROUNDInternational Medical Volunteers (IMVs) positively and negatively impact host countries, and the goals of their trips may not always align with the interests of the hosts in Low- and Middle-Income Countries (LMICs). We sought to better understand local physicians' interest of hosting IMVs and what type of support they desired.This study was a convenience sample survey-based needs assessment. The surveys were distributed to local physicians by 28 professional society groups in LMICs.METHODSThis study was a convenience sample survey-based needs assessment. The surveys were distributed to local physicians by 28 professional society groups in LMICs.A total of 102 physicians from 51 countries completed the survey. Despite 61.8% participants having no experience with IMVs, 75% were interested in hosting them. Host physicians most desired clinical education (39%), research collaboration (18%), and Systems Development (11%). The most requested specialties were obstetrics and gynecology (25%) and emergency medicine (11%). Respondents considered public hospitals (62%) to be the most helpful clinical setting in which IMVs could work, and 3 months (47%) as the ideal length of stay.FINDINGSA total of 102 physicians from 51 countries completed the survey. Despite 61.8% participants having no experience with IMVs, 75% were interested in hosting them. Host physicians most desired clinical education (39%), research collaboration (18%), and Systems Development (11%). The most requested specialties were obstetrics and gynecology (25%) and emergency medicine (11%). Respondents considered public hospitals (62%) to be the most helpful clinical setting in which IMVs could work, and 3 months (47%) as the ideal length of stay.Respondents expressed interest in advertising the specific needs of the host country to potential IMVs (80%). Qualitative analyses suggested hosts wanted more training opportunities, inclusion of all stakeholders, culturally competent volunteers, and aid focused on subspecialty education, health policy, public health, and research.Respondents expressed interest in advertising the specific needs of the host country to potential IMVs (80%). Qualitative analyses suggested hosts wanted more training opportunities, inclusion of all stakeholders, culturally competent volunteers, and aid focused on subspecialty education, health policy, public health, and research.Hosts desire more bidirectional clinical education and research capacity building than just direct clinical care. Importantly, cultural competence is key to a successful host partnership, potentially improved through IMV preparation. Finally, respondents want IMVs to ensure that they stay within their scope of practice and training.CONCLUSIONHosts desire more bidirectional clinical education and research capacity building than just direct clinical care. Importantly, cultural competence is key to a successful host partnership, potentially improved through IMV preparation. Finally, respondents want IMVs to ensure that they stay within their scope of practice and training. Background International Medical Volunteers (IMVs) positively and negatively impact host countries, and the goals of their trips may not always align with the interests of the hosts in Low- and Middle-Income Countries (LMICs). We sought to better understand local physicians’ interest of hosting IMVs and what type of support they desired. Methods This study was a convenience sample survey-based needs assessment. The surveys were distributed to local physicians by 28 professional society groups in LMICs. Findings A total of 102 physicians from 51 countries completed the survey. Despite 61.8% participants having no experience with IMVs, 75% were interested in hosting them. Host physicians most desired clinical education (39%), research collaboration (18%), and Systems Development (11%). The most requested specialties were obstetrics and gynecology (25%) and emergency medicine (11%). Respondents considered public hospitals (62%) to be the most helpful clinical setting in which IMVs could work, and 3 months (47%) as the ideal length of stay. Respondents expressed interest in advertising the specific needs of the host country to potential IMVs (80%). Qualitative analyses suggested hosts wanted more training opportunities, inclusion of all stakeholders, culturally competent volunteers, and aid focused on subspecialty education, health policy, public health, and research. Conclusion Hosts desire more bidirectional clinical education and research capacity building than just direct clinical care. Importantly, cultural competence is key to a successful host partnership, potentially improved through IMV preparation. Finally, respondents want IMVs to ensure that they stay within their scope of practice and training.
Author	Papali, Alfred Bae, Crystal Barnes, Sean L. Misak, Monika Losonczy, Lia I. Naik, Nehal Verceles, Avelino C. McCurdy, Michael T.
Author_xml	– sequence: 1 givenname: Crystal surname: Bae fullname: Bae, Crystal email: baecrystal@gmail.com organization: Department of Emergency Medicine, Temple University – sequence: 2 givenname: Nehal surname: Naik fullname: Naik, Nehal organization: Department of Emergency Medicine, George Washington University Hospital – sequence: 3 givenname: Monika surname: Misak fullname: Misak, Monika organization: Department of Emergency Medicine, George Washington University Hospital – sequence: 4 givenname: Sean L. orcidid: 0000-0001-5497-6277 surname: Barnes fullname: Barnes, Sean L. organization: Department of Decision, Operations & Information Technologies, Robert H. Smith School of Business, University of Maryland – sequence: 5 givenname: Avelino C. surname: Verceles fullname: Verceles, Avelino C. organization: Division of Pulmonary and Critical Care Medicine, University of Maryland School of Medicine – sequence: 6 givenname: Alfred surname: Papali fullname: Papali, Alfred organization: Division of Pulmonary & Critical Care Medicine, Atrium Health, Division of Pulmonary & Critical Care Medicine, University of North Carolina School of Medicine – sequence: 7 givenname: Michael T. surname: McCurdy fullname: McCurdy, Michael T. organization: Division of Pulmonary and Critical Care Medicine, University of Maryland School of Medicine – sequence: 8 givenname: Lia I. surname: Losonczy fullname: Losonczy, Lia I. organization: Department of Emergency Medicine, George Washington University Hospital, Department of Anesthesia & Critical Care Medicine, George Washington University School of Medicine
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Copyright	The Authors. Published by Atlantis Press International B.V. 2020 2020 The Authors. Published by Atlantis Press International B.V. 2020. This work is licensed under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. 2020 The Authors. Published by Atlantis Press International B.V. 2020
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Snippet	Background International Medical Volunteers (IMVs) positively and negatively impact host countries, and the goals of their trips may not always align with the... International Medical Volunteers (IMVs) positively and negatively impact host countries, and the goals of their trips may not always align with the interests... Background: International Medical Volunteers (IMVs) positively and negatively impact host countries, and the goals of their trips may not always align with the...
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SubjectTerms	Attitude of Health Personnel Capacity development Community Health Workers - psychology Cultural competence Developing Countries Education Emergency medical care Global health Gynecology Health policy Humans international medical volunteers international medicine Low income groups Medical Missions - organization & administration Medical personnel Obstetrics Polls & surveys Public health Research Article Surveys and Questionnaires Training Volunteers
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Title	Assessment of Local Health Worker Attitudes toward International Medical Volunteers in Low- and Middle-income Countries: A Global Survey
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