Aims. i) To identify the key learning outcomes for medical
student elective experiences in a Low‐Middle Income
Country (LMIC) compared to a High Income Country (HIC)
and ii) To provide students and medical curriculum
planners with insights to guide future preparation for
overseas electives and to promote learning in global health
Methods. A sample of 20 LMIC and 20 HIC elective reports
were randomly selected from a total sample of 271. A
general inductive approach was used to analyse the data and
to identify emerging themes consistent with the study aims.
Results Both groups gained from their experiences in terms
of exposure to alternative practice, culture and language.
Students who visited LMIC were witness to the realities of
practicing medicine in resource constrained environments;
80% of students reported on the impact of scarce resources
on medical practice and the importance of wider social and
cultural determinants on health. Alternatively, students
who visited HIC reported exposure to technologically
advanced clinical practice, which was both a motivator and
an outcome of their experience.
Conclusion. Both LMIC and HIC elective students gained
substantial experience from this episode in their medical
training. The motivations and expectations that underpinned
the decision of what country to visit was seldom
disappointing and reflect a significant cross‐roads in the
future of medicine; the need to be prudent with resources
and focus on global health equity, and the reality of a
burgeoning advanced biotechnology era within medicine.
Both of these experiences are necessary to gain an
understanding of global health.
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