title: Reducing risk and enhancing education: U.S. medical students on global health electives.
abstract: This study assessed the impact of several interventions, including predeparture simulation training and procedure logs, on incidence needlestick injuries (NSIs) among U.S. medical students on global health (GH) elective in Botswana. Review of NSI incident reports before and after introduction of these interventions demonstrated a reduction in the number of splash and body fluid exposures (n = 5 [6%] vs n = 21 [23%]; P < .001), respectively. Simple predeparture training is highly effective in reducing NSIs among students participating in GH electives.
authors.affiliation: Botswana-UPenn Partnership, Gaborone, Botswana; Division of Infectious Diseases, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA; School of Medicine, University of Botswana, Gaborone, Botswana. Electronic address: michael.j.a.reid@gmail.com.
authors.forename: Michael J A
authors.initials: MJ
authors.lastname: Reid
authors.affiliation: School of Nursing, University of Pennsylvania, Philadelphia, PA.
authors.forename: Nancy
authors.initials: N
authors.lastname: Biller
authors.affiliation: Division of Pulmonary and Critical Care Medicine, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
authors.forename: Sarah M
authors.initials: SM
authors.lastname: Lyon
authors.affiliation: Division of Pulmonary and Critical Care Medicine, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
authors.forename: John P
authors.initials: JP
authors.lastname: Reilly
authors.affiliation: Division of Infectious Diseases, Division of Gerontology, Geriatrics, and Palliative Care, University of Alabama at Birmingham, Birmingham, AL.
authors.forename: Jessica
authors.initials: J
authors.lastname: Merlin
authors.affiliation: Division of General Internal Medicine, Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX.
authors.forename: Matthew
authors.initials: M
authors.lastname: Dacso
authors.affiliation: Botswana-UPenn Partnership, Gaborone, Botswana; Division of Infectious Diseases, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
authors.forename: Harvey M
authors.initials: HM
authors.lastname: Friedman
mesh_terms: D001902:Botswana / Q000453:epidemiology; D004501:Education, Medical; D014943:Global Health; D006801:Humans; D015994:Incidence; D016602:Needlestick Injuries / Q000453:epidemiology / Q000517:prevention & control*; D009784:Occupational Diseases / Q000453:epidemiology / Q000517:prevention & control*; D016273:Occupational Exposure / Q000517:prevention & control*; D011322:Primary Prevention / Q000193:education*; D040242:Risk Reduction Behavior; D013337:Students, Medical / Q000706:statistics & numerical data*; D014481:United States
keywords: Global health; Medical student; Needlestick injury; Occupational health