Shared themes and recommendations | |
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Preparation and supervision (GH principle 1 / ACP Positions 3 and 4) | • The responsibilities for specific components of orientation between client NGOs and SYP should be spelled out so as to be comprehensive and complementary. |
Host partner that defines the program and ensures that the burdens on local resources are minimized (GH Principle 2 /ACP Positions 2 and 3) | • Affirm host-country representation on the board. • Maintain the one-week limitation for traveling teams. |
Sustainable and continuous programs that lend themselves to professionalism and ethical conduct (GH Principle 3 / ACP Position 5) | • Consult village leadership to identify appropriate candidates for the role of village advocates. • Deconstruct the traveling team timing trap. • Increase the number of visiting surgical teams in collaborative efforts. |
Respect for local governance, standards and ethics (GH Principle 4 / ACP Position 3) | • SYP should seek written guidance from the MoH on the legality of US physicians administering care to Guatemalan citizens. • The Guatemalan medical director should collect and vet the credentials of all traveling licensed personnel prior to travel. |
Regular evaluation of programs for impact specifically focused on healthcare (GH Principle 5 /ACP Position 1) | • SYP should court medical, surgical, and dental team sources that lack a host partner that is as well-organized. • Explore technologies that expand capacity and quality economically. • Maintain review and action loop of the board and medical committee. • Seek guidance through CUGH on strategy for capacity building before taking on an educational role. |
Mutuality of learning and respect for local health professionals and their essential contributions (GH Principle 6 / ACP Position 3) | • Traveling and contracted physicians should pre-brief together on the eve of travel to review expectations and strategies in medical encounters. |