Assessing reverse culture shock following an international pharmacy practice experience

Background: Reverse culture shock is described as the negative effects experienced while readapting to the environment of one's own culture after having spent time abroad. It is a serious condition that if left unaddressed can lead to anxiety, trouble in school, and relationship difficulties. Study abroad programs address the culture shock when traveling overseas, but many do not address the reverse culture shock. Methods: This study assessed the presence of reverse culture shock symptoms and interest in re-entry programming of 17 student pharmacists returning from an eight-week clinical rotation in Kenya. Students were provided a survey regarding topics such as preparedness for reverse culture shock, symptoms of reverse culture shock, support networks available upon returning home, and desire or suggestions for reverse culture shock programming content. Results and Conclusion: Of those responding, 53% reported they were at least somewhat prepared to re-enter the country. Symptoms commonly reported included experiencing feelings of loss when thinking about Kenya, believing that those who have not been overseas fail to understand them, and becoming upset with American wealth and spending. These symptoms can impact students, potentially making it harder for them in their transition to the next rotation. Nearly all the students reported having a support structure upon returning home; however, nearly all also expressed interest in some type of formal programming. © 2013 Elsevier Inc.