Advance directives, substituted judgment, and the best-interest standard all have limitations that constrain their usefulness in making medical decisions for patients who cannot choose for themselves.
Advance directives do not always resolve questions about the best care for patients who no longer have decision-making capacity; physicians and patient surrogates can take alternative approaches to arrive at the best care decision.
Trainees’ expectations and cultural awareness should be managed, and their activities supervised, to create a global health elective that benefits both visiting students and the host country.
Trainees’ expectations and cultural awareness should be managed, and their activities supervised, to create a global health elective that benefits both visiting students and the host country.