Global health learning outcomes by country location and duration for international experiences

Authors

David R. Steeb, University of North Carolina at Chapel Hill
Monica L. Miller, Purdue University College of Pharmacy
Ellen M. Schellhase, Purdue University College of Pharmacy
Jodie V. Malhotra, University of Colorado Anschutz Medical Campus
Jacqueline E. McLaughlin, University of North Carolina at Chapel Hill
Sarah A. Dascanio, University of North Carolina at Chapel Hill
Stuart T. Haines, University of Mississippi School of Pharmacy

Document Type

Article

Publication Date

1-1-2020

Abstract

© 2020 American Association of Colleges of Pharmacy. Objective. To determine the impact of country income classification and experience duration on learning outcomes for student pharmacists participating in international advanced pharmacy practice experiences (APPEs). Methods. A mixed-methods, longitudinal study evaluated 81 fourth-year student pharmacists participating in an international APPE through one of three US universities. A pre-post survey was administered to evaluate students’ self-perceived growth across 13 competencies established by the Consortium of Universities for Global Health (CUGH). The survey included four additional open-ended questions. Student pharmacists were also invited to participate in a focus group. Paired and independent t tests and multiple linear regression were conducted. Qualitative survey and focus group data underwent a two-cycle, open-coding process using conventional content analysis. Results. Students who completed their APPE in a low-to middle-income country had greater growth in all CUGH competency statements compared to those who completed their APPE in a high-income country. Completing the APPE in a low-to middle-income country and prior travel for non-vacation purposes were significant predictors of student growth. Students who went to a low-to middle-income country demonstrated increased cultural sensitivity, more patient-centered care, and skill development, while students who went to a high-income country displayed increased knowledge regarding differ-ences in health care system components, pharmacy practice, pharmacy education, and an appreciation for alternative patient care approaches. Conclusion. Learning outcomes differed between students who completed an APPE in a high-income rather than a low-to middle-income country, with both types of locations providing valuable educational opportunities and professional and personal development.

Relational Format

journal article

Recommended Citation

Steeb, D. R., Miller, M. L., Schellhase, E. M., Malhotra, J. V., McLaughlin, J. E., Dascanio, S. A., & Haines, S. T. (2020). Global Health Learning Outcomes by Country Location and Duration for International Experiences. American Journal of Pharmaceutical Education, 84(5), 7682. https://doi.org/10.5688/ajpe7682

DOI

10.5688/ajpe7682