IPSL’s Medical Volunteering Ethics Policy:

 

In the international education, service-learning and volunteering fields there is much discussion around

whether or not medical service and volunteering can be ethical. Students and volunteers will find that

many reputable western international education organizations will promote standards that severely

limit activities when it comes to medical service and volunteering. IPSL respects these standards and

encourages their students to take note of the current ethical standards and guidelines put forth by the

FORUM on Education Abroad and the Working Group on Ethics Guidelines for Global Health Training

(WEIGHT).

 

The first and foremost concern of IPSL when placing students in medical service settings is to respect the

needs, desires, and wishes of the local community and the local organizations and individuals the

students are serving with. IPSL works to promote equity and mutually beneficial partnerships with all

local and international partnerships. Therefore students are encouraged to engage in this ethical

conversation around what is ethical in medical service and volunteering with IPSL staff, faculty, other

students and their service site.

 

Students are responsible for keeping the following in mind when engaging in medical service and

volunteering:

 

• Students must always keep the welfare of the patient foremost in their mind. This is

not the opportunity for proving yourself. Recognizing patient autonomy is one of the

core values of medical ethics; it is particularly important to honor in communities

with limited resources, where all patients must be given the choice whether or not

to have trainees/volunteers involved in their care.

 

• Every act of service involves the building of a cultural bridge. Students should bring

knowledge of the history and culture of the community they will serve, respect for

cultural differences, a listening and learning attitude, and behaviors that will enable

ethical and effective service. Health care professionals in the country being served

will likely have a deep understanding of local health care issues, resources and

challenges. Be sensitive to the concerns of the local health care team and seek to

understand the perspective of the patients you are serving. Recognize and respect

divergent diagnostic and treatment paradigms. Students are not there to instruct or

to change systems.

 

• It is appropriate for students to provide preventive health education and to support

the health care team by assisting in the provision of health treatment after receiving

adequate instruction. However, students should never engage in any unsupervised

activity that is considered the practice of medicine.

 

 

IPSL is responsible for adequately addressing the following in order to provide ethical medical service

placements for their students. IPSL will ensure that:

 

• The local communities needs, desires, wishes, and voice are heard, respected and

adhered to by all IPSL staff, students and volunteers.

 

• The burden to the host community and organization is minimized as much as

possible and that there are no instances of global health training that benefits the

trainee at the cost of the host.

 

• The local community, local organization, and individuals the students are

interacting with are aware of the level of training and experience of each student so

that appropriate activities are assigned and patient care and community well-being

is not compromised.

 

• All IPSL staff, students and partners are aware and respectful of the differences in

norms of professionalism (local and sending), standards of practice (local and

sending) and diagnostic and treatment paradigms.

 

• As an organization IPSL and IPSL students are engaging with existing healthcare and

public health organizations and are not ignoring, displacing, disregarding or

circumventing those organizations and professionals by providing experiences

outside of those systems.

 

• That IPSL Students are educated to understand the local culture that influences the

healthcare and public health of the community and that students are prepared to

function professionally and interact appropriately with local practitioners and

community members.

 

• That IPSL volunteers are given the tools to know how to say “no” to a request they

determine is beyond their skill level, knowledge, or that could create a dangerous

situation for themselves and/or others.