• City St George's logo
  • King's College London logo

Preparing for an International Health Elective: Exploring Global Health, Ethics and Safety

Prepare for undertaking an International Health Elective, in this course developed in collaboration with King's College London

12,676 enrolled on this course

A crystal ball with image of the Earth superimposed on it with a stethescope next to it
  • Duration

    3 weeks
  • Weekly study

    2 hours
  • Accreditation

    AvailableMore info
The CPD Certification Service

This course has been certified by the CPD Certification Service as conforming to continuing professional development principles. Find out more.

Why join the course?

International health electives (IHEs) are highly variable, student-organised placements that offer important opportunities for student-directed learning about health and healthcare in unfamiliar contexts. They enable medical and healthcare students to take responsibility for their own learning and to explore areas of interest relevant to future careers.

However, there is evidence to suggest that international health electives do not always deliver the learning outcomes anticipated and that pre-elective learning can help to ensure a valuable and productive experience. This free online course, developed as a collaboration between King’s College London and St George’s, University of London, is aimed at learners currently studying in medical or healthcare disciplines and considering taking an IHE. On the course you will learn how you might avoid negative experiences and ensure that doing an IHE would be both valuable and productive, should you decide to undertake an elective yourself.

Understand the issues surrounding IHEs

On this course you’ll explore some of the problems that may be experienced during IHEs, including: working beyond competence, consumption of scarce host resources, suboptimal supervision, and risks to the health of students and the patients they see. We will present examples of student experiences with opportunities to discuss the choices and courses of action available, and guidelines to support decision-making when faced with challenging circumstances.

Learn how to get the most out of an IHE

In an already crowded medical school curriculum this free online course offers flexible learning to prepare you for undertaking your own IHE. Touching upon complex issues of ethics and professionalism, global health and clinical practice, the course aims to provide you with the information that you need to maximise the positive aspects and mitigate the negative elements of international health electives.

Download video: standard or HD

Skip to 0 minutes and 12 seconds Health professionals are increasingly working and studying and training around the world. And health care students are increasingly doing so as well. Electives are student-organized placements. And because student interest are so diverse, electives are equally diverse. For some people, electives really are transformative and can define their career choices. However, there are a number of pitfalls and challenges associated with electives. Some of them are clinical. Some of them are ethical. Some of them are legal. The course includes a significant amount of global health, which is really important to help students understand how different health systems work and how the social determinants of health contribute to the types of health care need that present at health systems.

Skip to 1 minute and 0 seconds We will also give them the tools to stay safe on clinical placement abroad. And fundamentally, we hope that students who are going to go on an elective will feel more prepared and will enjoy the experience more as a consequence.

Syllabus

  • Week 1

    Ethics & Professionalism - King's College London and St George's, University of London

    • Introduction to the course

      In this first part, you will be introduced to the course and the educators from King’s College London and St George’s, University of London, and obtain an overview of the learning objectives and content to be covered in Week 1.

    • Understanding digital professionalism

      Many people stay in touch with friends, family and colleagues online when travelling. These steps introduce the some of the key issues of digital professionalism and how to avoid common pitfalls.

    • Working beyond competence

      In some situations, shortage of trained health professionals may mean that you are asked to do procedures that you would not be asked to undertake at home. These steps help you prepare for such circumstances.

    • Bringing gifts and dealing with scarcity

      Many students will travel with supplies for themselves or their hosts. This section considers how you might share these.

    • The impact of language barriers

      Many healthcare students undertake an elective in a country where they are not fluent in the local language(s). These steps offer guidances on how to prepare and overcome difficult language barriers.

    • What have I learnt this week?

      In these last few steps, you will review the week's activities.

  • Week 2

    Staying Safe & The Social Determinants of Global Health - King's College London and St George's, University of London

    • Global Health and the Social Determinants of Health

      The social determinants of health are the conditions in which people are born, grow, live, work and age. In these steps, we will look at the many factors which shape and influence these circumstances.

    • Staying safe: Managing risk inside the clinical environment

      Safe venepuncture and managing needlestick injuries

    • Staying safe: Managing risk outside the clinical environment

      Managing Risk outside the clinic

    • What have I learnt this week?

      In these last few steps, you will review the week's activities.

  • Week 3

    Health Systems, Voluntourism & Cultural Differences - King's College London and St George's, University of London

    • Health Systems

      Health infrastructures vary from country to country and not all have access the same financing and resources. These steps explore the essential components of a functioning health system using the WHO framework.

    • Voluntourism

      Voluntourism, the practice of mixing volunteer development work with tourism and travel, has become increasingly popular in the last few years. In these steps, we examine its relationship with international health electives.

    • Experiencing different professional cultures

      Many return from electives reporting practices that they are not familiar with or that they do not necessarily agree with. In these steps, we look at the challenges which arise from working different professional cultures.

    • What have I learnt this week?

      In these last few steps, you will review the week's activities.

Who is this accredited by?

The CPD Certification Service
The CPD Certification Service:

The CPD Certification Service was established in 1996 and is the leading independent CPD accreditation institution operating across industry sectors to complement the CPD policies of professional and academic bodies.

Learning on this course

On every step of the course you can meet other learners, share your ideas and join in with active discussions in the comments.

What will you achieve?

By the end of the course, you‘ll be able to...

  • Demonstrate awareness of professional guidance on digital professionalism and be able to apply this to communications on electives.
  • Identify clinical procedures that it will be appropriate for you to undertake on your elective and those that are not.
  • Identify ethical issues that you are likely to encounter on your electives and adopt a structured approach to developing a response.
  • Recognise the importance of linguistic barriers on elective experiences and take steps to mitigate these.
  • Discuss from the global perspective the determinants of health and disease and variations in healthcare delivery and medical practice.
  • Identify the occupational health risks associated with planned electives, including the risk of body fluid exposure, and identify strategies to mitigate these risks.
  • Recognise that health systems are structured and function differently across the globe.
  • Discuss the essential components of a health system using the World Health Organisation (WHO) model.
  • Discuss the role of voluntourism in relation to international health electives.
  • Understand the challenges of working across professional cultures.

Who is the course for?

This course is primarily aimed at those currently studying in medical or healthcare disciplines and who are considering undertaking an International Health Elective as part of their training.

This course is part of a partnership between City St George’s, University of London and FutureLearn that is coming to an end. As a result, this course will retire on 24 August 2026.

Please note that the course content, data and materials are no longer being actively updated and may not reflect the most recent developments in this subject area.

We encourage you to enrol on course before the retirement date if you wish to take part.

Who will you learn with?

I am a senior lecturer at the Kings Centre for Global Health where I lead the MSc and iBSc in global health. I am the elective's lead for GKT School of Medicine.

I am a Senior Lecturer in Medical Ethics and Law at St George's, University of London. I have studied medicine, philosophy and medical education. I have also completed a PhD in Law.

Fawzia is a Teaching Fellow at the King’s Centre for Global Health

Who developed the course?

City St George's, University of London (formerly St George's)

City St George’s, University of London (formerly St George’s) School of Health and Medical Sciences is a leading provider of education in the fields of healthcare, medicine and psychology.

King's College London

King’s College London, established in 1829 and a founding college of the University of London, is one of the world’s leading research and teaching universities, based in the very heart of London.

Learning on FutureLearn

Your learning, your rules

  • Courses are split into weeks, activities, and steps to help you keep track of your learning
  • Learn through a mix of bite-sized videos, long- and short-form articles, audio, and practical activities
  • Stay motivated by using the Progress page to keep track of your step completion and assessment scores

Join a global classroom

  • Experience the power of social learning, and get inspired by an international network of learners
  • Share ideas with your peers and course educators on every step of the course
  • Join the conversation by reading, @ing, liking, bookmarking, and replying to comments from others

Map your progress

  • As you work through the course, use notifications and the Progress page to guide your learning
  • Whenever you’re ready, mark each step as complete, you’re in control
  • Complete 90% of course steps and all of the assessments to earn your certificate

Want to know more about learning on FutureLearn? Using FutureLearn

Learner reviews

Learner reviews cannot be loaded due to your cookie settings. Please and refresh the page to view this content.

Join the conversation on social media

You can use the hashtag #FLhealthelectives to talk about this course on social media.