Peppin John, Leeper Kristine, Garloff David
Iowa Pain Management Clinic, P.C., Center for Bioethics, Pain Management, and Medicine, Des Moines, Iowa 50265, USA.
Acad Med. 2002 May;77(5):427-31. doi: 10.1097/00001888-200205000-00018.
Medical students must have some exposure to bioethics, whether it be at the undergraduate or the postgraduate level. The authors sought to determine the range and ranking of topics taught in bioethics courses at U.S. osteopathic medical schools.
A qualitative study using a repeated-measures design was used to determine curricular offerings at all 19 U.S. osteopathic medical schools. Nominal groups were held to identify an initial topics list. A modified reactive Delphi technique was constructed and three survey iterations were administered.
Bioethics is taught in all osteopathic medical schools, although the numbers of hours dedicated to the subject in the course of a four-year curriculum vary greatly (range 0-40). To further differentiate a curriculum in bioethics, the respondents were asked to rank bioethics topics as essential, foundational, or peripheral to the undergraduate medical curriculum. A total of 16 topics, including confidentiality, informed consent, truth-telling, death and dying, palliative care, and refusal of care, were identified as "essential" for a bioethics curriculum.
Bioethics is taught at osteopathic medical schools, but further studies are needed to recommend guidelines to standardize the curriculum.
医学生无论在本科阶段还是研究生阶段都必须接触一些生物伦理学知识。作者试图确定美国整骨医学院生物伦理学课程所教授主题的范围和排名。
采用重复测量设计的定性研究来确定美国所有19所整骨医学院的课程设置。通过名义小组法确定初始主题列表。构建了改良的反应性德尔菲技术并进行了三轮调查。
所有整骨医学院都开设了生物伦理学课程，尽管在四年制课程中用于该学科的课时数差异很大（范围为0 - 40小时）。为了进一步区分生物伦理学课程，要求受访者将生物伦理学主题按本科医学课程的核心、基础或边缘进行排名。总共16个主题，包括保密、知情同意、讲真话、死亡与临终、姑息治疗和拒绝治疗，被确定为生物伦理学课程的“核心”主题。
整骨医学院开设了生物伦理学课程，但需要进一步研究以推荐规范课程的指南。
