Graduates of Caribbean Training Program Contribute to Strengthening Bioethics Systems, but More Support is Needed

We conducted a retrospective pre-post study to determine the changes in research ethics-related practices that occurred after participation in a training program in the Caribbean. Using online questionnaires, we collected data on bioethics activities of alumni before and following training. Participants also indicated how else they thought the program could produce greater benefits. Of 40 English-speaking alumni, 20 (50%) completed questionnaires. There was greater participation in outreach education activities after the program (55%) compared with before (25%). No significant change was observed in other activities; however, at least half of the graduates served on research ethics committees, engaged in advocacy, or carried out bioethics-related duties in their jobs. Time constraints and insufficient opportunities were cited as reasons for not participating in more activities. Alumni also felt that they would have benefited from practical interventions such as internships. Graduates could contribute more to strengthening bioethics systems in the Caribbean with greater support from key stakeholders.