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Conclusions The most common challenges faced by trainees during STEGH related to leadership, bias, ethics and interprofessional collaboration. Redirecting trainee energies from a focus on 'doing' and deliverables to attitudes (e.g., humility, professionalism) that cultivate personal and professional growth will help create lifelong global health learners and leaders. Copyright © 2020 The Author(s).Background In rural sub-Saharan Africa, access to care for severe non-communicable diseases (NCDs) is limited due to myriad deli