title: The obligation of debriefing in global health education.
abstract: BACKGROUND
  An outcome of globalization and internationalization in higher education in the health professions has been increasing global health placements. There is, however, a lack of literature on debriefing and support following these placements. The authors undertook a participatory project to develop peer support and debriefing in a global health nursing elective, during which this gap in literature was addressed.
  
  
  OBJECTIVE
  The purpose of the project was to develop a peer support component of the course and revise the debriefing component based on results of a previous course evaluation.
  
  
  METHODS
  The methods were guided by a participatory approach involving course alumni and included a scoping review and focus groups.
  
  
  RESULTS
  The project resulted in development of: (1) a peer support statement and (2) a debriefing framework.
  
  
  CONCLUSIONS
  Key lessons about the obligation of appropriate debriefing for students returning from global health placements include importance of affective learning, a pedagogy of discomfort, and global health ethics.
authors.affiliation: Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Canada. amy.bender@utoronto.ca
authors.forename: Amy
authors.initials: A
authors.lastname: Bender
authors.forename: Pamela
authors.initials: P
authors.lastname: Walker
mesh_terms: D017144:Focus Groups; D006126:Group Processes; D006266:Health Education; D006281:Health Occupations; D006801:Humans; D038622:Internationality; D007406:Interview, Psychological / Q000379:methods; D007858:Learning; D010379:Peer Group