President's Dream Colloquium on Traveling for Health, Fall 2015
Grad Student application form
Undergraduate student application form
Draft Course Description: Traveling for Health
Instructor: Jeremy Snyder, Faculty of Health Sciences
Guest Speakers: Monika Dutt, Rupa Chanda, Glenn Cohen, John Crump, Ron Labonté, Anant Bhan
Format: The class will meet weekly for three hours, alternating between a pre-seminar and a seminar by a guest speaker. During the weeks with a guest speaker, a dinner will follow. Students are expected to participate in the pre-seminars, seminars, and some of the dinners. During pre-seminar weeks, a group of students will be assigned the responsibility of presenting the week’s readings. All students will be expected to write a critical response to the readings from the pre-seminar weeks. At the conclusion of the term, students will present a capstone project.
Presentation of the Week’s Readings: 30%
Bi-Weekly Critical Response (700 words): 20%
September 10: Week One (Pre-Seminar):
Medical Volunteering Abroad
Snyder, J., Dharamsi, S., & Crooks, V. A. (2011). Fly-By medical care: Conceptualizing the global and local social responsibilities of medical tourists and physician voluntourists. Globalization and health, 7(6).
Asgary, R., & Junck, E. (2013). New trends of short-term humanitarian medical volunteerism: professional and ethical considerations. Journal of medical ethics, 39(10), 625-631.
Dharamsi, S., Osei‐Twum, J. A., & Whiteman, M. (2011). Socially responsible approaches to international electives and global health outreach. Medical education, 45(5), 530-531.
Allen, M. B., Dyott, C., & Jesus, J. (2012). Short‐Term International Medical Initiatives. Ethical Problems in Emergency Medicine: A Discussion-Based Review, 207-220.
September 17: Week Two (Seminar):
Crump, J. A., Sugarman, J., & Working Group on Ethics Guidelines for Global Health Training (WEIGHT. (2010). Ethics and best practice guidelines for training experiences in global health. The American journal of tropical medicine and hygiene, 83(6), 1178-1182.
Crump, J. A., & Sugarman, J. (2008). Ethical considerations for short-term experiences by trainees in global health. JAMA, 300(12), 1456-1458.
Provenzano, A. M., Graber, L. K., Elansary, M., Khoshnood, K., Rastegar, A., & Barry, M. (2010). Short-term global health research projects by US medical students: ethical challenges for partnerships. The American journal of tropical medicine and hygiene, 83(2), 211-214.
Suchdev, P., Ahrens, K., Click, E., Macklin, L., Evangelista, D., & Graham, E. (2007). A model for sustainable short-term international medical trips.Ambulatory Pediatrics, 7(4), 317-320.
September 24: Week Three (Pre-Seminar):
International Human Subject Research
Wolf, S. M., Lawrenz, F. P., Nelson, C. A., Kahn, J. P., Cho, M. K., Clayton, E. W., ... & Wilfond, B. S. (2008). Managing incidental findings in human subjects research: analysis and recommendations. The Journal of Law, Medicine & Ethics, 36(2), 219-248.
Garrafa, V., Solbakk, J. H., Vidal, S., & Lorenzo, C. (2010). Between the needy and the greedy: the quest for a just and fair ethics of clinical research. Journal of Medical Ethics, 36(8), 500-504.
Emanuel, E. J., Wendler, D., & Grady, C. (2008). An ethical framework for biomedical research. The Oxford textbook of clinical research ethics, 123-135.
Benatar, S. R., & Singer, P. A. (2010). Responsibilities in international research: a new look revisited. Journal of Medical Ethics, 36(4), 194-197.
October 1: Week Four (Seminar):
Bhan, A., Singh, J. A., Upshur, R. E., Singer, P. A., & Daar, A. S. (2007). Grand challenges in global health: engaging civil society organizations in biomedical research in developing countries. PLoS medicine, 4(9).
Bhan, A. (2012). Clinical trial ethics in India: One step forward, two steps back. Journal of pharmacology & pharmacotherapeutics, 3(2), 95-97.
Sugarman, J., Bhan, A., Bollinger, R., & Gupta, A. (2013). India’s new policy to protect research participants. BMJ: British Medical Journal, 347.
Rid, A., Saxena, A., Baqui, A. H., Bhan, A., Bines, J., Bouesseau, M. C., ... & Smith, P. G. (2014). Placebo use in vaccine trials: Recommendations of a WHO expert panel. Vaccine.
October 8: Week Five (Pre-Seminar):
Health Worker Migration
Mackey, T. K., & Liang, B. A. (2012). Rebalancing brain drain: exploring resource reallocation to address health worker migration and promote global health. Health policy, 107(1), 66-73.
Dimaya, R. M., McEwen, M. K., Curry, L. A., & Bradley, E. H. (2012). Managing health worker migration: a qualitative study of the Philippine response to nurse brain drain. Hum Resour Health, 10, 47.
Pylypa, J. (2013). Portrayals of Global Health Worker Migration in Canadian Print News Media: Domestic Concerns vs. Global Awareness. Journal of International Migration and Integration, 14(1), 81-97.
Asongu, S. A. (2012). The impact of health worker migration on development dynamics: evidence of wealth effects from Africa. The European Journal of Health Economics, 1-15.
October 15: Week Six (Seminar):
Runnels, V., Labonté, R., & Packer, C. (2011). Reflections on the ethics of recruiting foreign-trained human resources for health. Human resources for health, 9(2), e1-e11.
Packer, C., Labonté, R., & Runnels, V. (2009). Globalization and the cross-border flow of health workers. Globalization and health: pathways, evidence and policy, 213-234.
Labonté, R., Packer, C., & Klassen, N. (2006). Managing health professional migration from sub-Saharan Africa to Canada: a stakeholder inquiry into policy options. Human Resources for Health, 4(1), 22.
Labonte, R., Packer, C., Klassen, N., Kazanjian, A., Apland, L., Adalikwu, J., ... & Zakus, D. (2007). The brain drain of health professionals from sub-Saharan Africa to Canada: Some findings and policy options. African migration and development 1-75.
October 22: Week Seven (Pre-Seminar)
Medical Tourism to Low and Middle Income Countries
Hall, C. M. (2011). Health and medical tourism: a kill or cure for global public health?. Tourism Review, 66(1/2), 4-15.
Pocock, N. S., & Phua, K. H. (2011). Medical tourism and policy implications for health systems: a conceptual framework from a comparative study of Thailand, Singapore and Malaysia. Globalization and Health, 7(1), 12.
Ormond M. 2011. Shifting subjects of health-care: Placing ‘medical tourism’ in the context of Malaysian domestic health-care reform. Asia Pacific Viewpoint, 52(3): 247-259.
Chen, Y. Y., & Flood, C. M. (2013). Medical Tourism's Impact on Health Care Equity and Access in Low‐and Middle‐Income Countries: Making the Case for Regulation. The Journal of Law, Medicine & Ethics, 41(1), 286-300.
October 29: Week Eight (Seminar)
Reddy, S., & Qadeer, I. (2010). Medical tourism in India: Progress or predicament. Economic and Political Weekly, 45(20), 69-75.
Sengupta, A. (2011). Medical tourism: reverse subsidy for the elite. Signs, 36(2), 312–319;
Smith, R. D., Chanda, R., & Tangcharoensathien, V. (2009). Trade in health-related services. The Lancet, 373(9663), 593-601.
Smith, R., Martínez Álvarez, M., & Chanda, R. (2011). Medical tourism: a review of the literature and analysis of a role for bi-lateral trade. Health Policy,103(2), 276-282.
November 5: Week Nine (Pre-Seminar):
Medical Tourism to Canada
Snyder, J., Crooks, V. A., Johnston, R., & Kingsbury, P. (2011). What do we know about Canadian involvement in medical tourism? A scoping review. Open Medicine, 5(3), 139-148.
Turner, L. (2007). Medical tourism Family medicine and international health-related travel. Canadian Family Physician, 53(10), 1639-1641.
Turner, L. (2012). Canada’s turbulent medical tourism industry. Canadian Family Physician, 58(4), 371-373.
Birch, D. W., Vu, L., Karmali, S., Stoklossa, C. J., & Sharma, A. M. (2010). Medical tourism in bariatric surgery. The American Journal of Surgery, 199(5), 604-608.
November 12: Week Ten (Seminar):
Eggertson, L. (2006). Wait-list weary Canadians seek treatment abroad. CMAJ: Canadian Medical Association Journal, 174(9), 1247.
Turner, L. (2007). Canadian medicare and the global health care bazaar. Policy Options, 28(8), 73-77.
Escaff, M. and N. Mahomed. (2014). Caring for international patients improves care for Canadians. Healthy Debate, April 23. http://healthydebate.ca/opinions/medical-tourism-improves-care-for-canadians
Dutt, M. (2014). Medical tourism is bad business for Canadian hospitals. Health Debate, April 23. http://healthydebate.ca/opinions/medical-tourism-is-risky-business-for-canadian-hospitals
November 19: Week Eleven (Pre-Seminar):
Zarzeczny, A., & Caulfield, T. (2010). Stem cell tourism and doctors' duties to minors—a view from Canada. The American Journal of Bioethics, 10(5), 3-15.
Deonandan, R., Green, S., & van Beinum, A. (2012). Ethical concerns for maternal surrogacy and reproductive tourism. Journal of medical ethics, 38(12), 742-745.
Bagheri, A., & Delmonico, F. L. (2013). Global initiatives to tackle organ trafficking and transplant tourism. Medicine, Health Care and Philosophy, 16(4), 887-895.
Pullman, D., Zarzeczny, A., & Picard, A. (2013). Media, politics and science policy: MS and evidence from the CCSVI Trenches. BMC medical ethics, 14(1), 6.
November 26: Week Twelve (Seminar):
Cohen, I. G. (2011). Circumvention tourism. Cornell L. Rev., 97, 1309-1398.
Cohen, I. G. (2012). How to regulate medical tourism (and why it matters for bioethics). Developing world bioethics, 12(1), 9-20.
Cohen, I. G. (2012). Medical Outlaws or Medical Refugees?: An Examination of Circumvention Tourism. Risks and Challenges in Medical Tourism: Understanding the Global Market for Health Services, 207-229.
Glenn Cohen, I. (2012). SH and Others v. Austria and circumvention tourism.Reproductive biomedicine online, 25(7), 660-662.
December 3: Week Thirteen: Capstone Presentations
Applications for the Colloquium course will be accepted until all class spots are taken. Application forms will be available shortly.