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Table 4 Selected Examples of Health Professionals’ Emotional Reactions and Sentiments Related to POST during STEGH

From: Extent, nature and consequences of performing outside scope of training in global health

Emotion Illustrative Quote Respondent
Anxiety “I was anxious. There seemed to be no easy answer of what was the best thing to do.” MD Fellow, Internal Medicine and Pediatrics
Frustration “I felt overwhelmed by the responsibility, terrified I was going to give suboptimal care that could result in death, and angry/frustrated that I was in the position of providing care beyond my scope or not providing care to these infants.” Licensed advanced practice provider, Obstetrics/Gynecology
Discomfort “It is uncomfortable. You have years of training and are often looked to as the expert, but in reality, you have not been training in such activities and do not have the skills to complete such tasks. You don’t want to stand by and do nothing, but at the same time you don’t want to do more harm than good. I am often left feeling incredibly inadequate and inept.” MD Fellow, Pediatrics
Remorse “If I didn’t do something, the patient would have a worse outcome. Something was better than nothing… I don’t regret it, but I wish it ended differently, since the patient died.” MD student
Excitement “Excited… Everybody should be exposed to such challenges especially in LMICs.” Licensed MD, Plastic Surgery
Conflicted “Torn. On one hand, not appropriate. On the other hand, if I didn’t do it, who would?... [I felt] bad. It was unfair to the patients.” MD Fellow, Obstetrics/Gynecology