Ethical Challenges in Short-Term Global Health Training
CASE 3: Exceeding Level of Training

This case provides several important lessons regarding the ethical issues arising when trainees in short-term work abroad might exceed their level of training.

  1. Jasmine’s case emphasizes the need for advance collaboration and preparation with the host site. Ensuring that expectations and limitations are clear from the outset not only helps patients, but also helps trainees, sending and host institutions, and sponsors ensure a mutually beneficial partnership.

  2. Jasmine also learned that it is not ethically appropriate to misrepresent her level of training. This does not mean that she can’t attempt tasks for which she has already been trained while feeling understandably nervous. She realized, though, that she should not perform tasks clearly outside her level of training.

  3. Lastly, unanticipated circumstances will undoubtedly arise. Jasmine might have questions about tasks that do not clearly fall within (or without) her level of training. When in doubt, she should ask her local supervisor, advisors, and sending institution about the proper course of action.

Additional Resources

For further reading, we suggest:



© Stanford University Center for Global Health and the Johns Hopkins University Berman Institute of Bioethics.

Project funding provided by Doris Duke Charitable Foundation (DDCF)