Cultural Sensitivity and Ethical Considerations.

Global surgery is a burgeoning area of global health. Surgeons can engage in one-or many-of the facets of global healthcare delivery: clinical care, capacity building, education, research, etc. Working in an increasingly global community, surgeons must be aware of the richness of cultural diversity at home and around the world such that they can provide culturally sensitive care. This chapter focuses on the most common way in which surgeons engage in global surgery: surgical short-term experiences in global health (STEGHs). Surgical STEGHs pose an intricate set of ethical dilemmas. As team leaders, surgeons must understand the community they intend to serve on these trips. Further, they should confirm that everyone who joins them is prepared to deliver care in a culturally sensitive and competent manner. Finally, surgeons must consider potential ethical dilemmas that may arise before, during, and after surgical STEGHs and have strategies to navigate them.

[1]  J. Blohmer,et al.  Influence of migrant background on patient preference and expectations in breast and gynecological malignancies (NOGGO-expression V study): results of a prospective multicentre study in 606 patients in Germany , 2021, BMC cancer.

[2]  M. Leis,et al.  Whose voices should shape global health education? Curriculum codesign and codelivery by people with direct expertise and lived experience , 2021, BMJ Global Health.

[3]  Valerie Montgomery Rice,et al.  Impact of the Lack of Diversity Within Surgery Career Pathways and Mitigating Factors , 2021, The American surgeon.

[4]  Kristin L. Long,et al.  Academic Global Surgery Curricula: Current Status and a Call for a More Equitable Approach. , 2021, The Journal of surgical research.

[5]  O. Ogbuoji,et al.  Development of an Interactive Global Surgery Course for Interdisciplinary Learners , 2021, Annals of global health.

[6]  R. Martins,et al.  Harassment and mental health in surgical training: a pilot survey of surgical trainees in Pakistan. , 2021, JPMA. The Journal of the Pakistan Medical Association.

[7]  L. De Donder,et al.  Culturally Sensitive Care: Definitions, Perceptions, and Practices of Health Care Professionals , 2020, Journal of transcultural nursing : official journal of the Transcultural Nursing Society.

[8]  Hannah R Sullivan Voluntourism. , 2019, AMA journal of ethics.

[9]  J. Lasker,et al.  Not Above the Law: A Legal and Ethical Analysis of Short-Term Experiences in Global Health , 2019, Annals of global health.

[10]  E. Steyn,et al.  Ethical considerations in global surgery , 2019, The British journal of surgery.

[11]  Irmgard L. Bauer More harm than good? The questionable ethics of medical volunteering and international student placements , 2017, Tropical Diseases, Travel Medicine and Vaccines.

[12]  John P. Lawrence,et al.  Are American Surgical Residents Prepared for Humanitarian Deployment?: A Comparative Analysis of Resident and Humanitarian Case Logs , 2017, World Journal of Surgery.

[13]  D. Watters,et al.  Prevalence of bullying, discrimination and sexual harassment in surgery in Australasia , 2015, ANZ journal of surgery.

[14]  Maria B. J. Chun,et al.  Welcome to cultural competency: surgery's efforts to acknowledge diversity in residency training. , 2013, Journal of surgical education.

[15]  Charles Mock,et al.  Developing Priorities for Addressing Surgical Conditions Globally: Furthering the Link Between Surgery and Public Health Policy , 2010, World Journal of Surgery.

[16]  R. Lent,et al.  Development and initial validation of the Multicultural Counseling Self-Efficacy Scale--Racial Diversity Form. , 2007, Psychotherapy.

[17]  J. Murray-García,et al.  Cultural Humility Versus Cultural Competence: A Critical Distinction in Defining Physician Training Outcomes in Multicultural Education , 1998, Journal of health care for the poor and underserved.