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医学伦理学教学:巴林住院医师培训期间一门新课程的实施与评估

Teaching medical ethics: implementation and evaluation of a new course during residency training in bahrain.

作者信息

Al-Jalahma Mariam, Fakhroo Ebtisam

机构信息

Kingdom of Bahrain, Family Practice Residency Program, Ministry of Health, Bahrain.

出版信息

Educ Health (Abingdon). 2004 Mar;17(1):62-72. doi: 10.1080/13576280310001656187.

Abstract

AIM

This paper describes the development, implementation and evaluation of a new biomedical ethics course. The major educational goal was to enable the participants to critically analyse and resolve ethical dilemmas based on sound ethical and moral reasoning.

BACKGROUND

The course was developed and implemented in the Family Practice Residency Program (FPRP) in the Kingdom of Bahrain.

METHODOLOGY

Thirty-six family physician trainees participated in this course in May 2002 and January 2003. The curriculum was divided into five sessions, and each session had specific objectives, contents and teaching methods. The course was evaluated using pre- and post-tests, direct observation of participants and overall course assessment.

RESULTS

Evaluations demonstrated that the participants scored higher in the post-test than in the pre-test. There was a significant statistical difference between the mean scores of both tests. After completing the course, participants produced more justifiable decisions than those generated at the beginning and felt more confident discussing and reasoning their decisions based on sound ethical and moral concepts.

CONCLUSION

Our experience had demonstrated that the trainees benefited from a structured curriculum in biomedical ethics. We believe that the development and implementation of our course may serve as a case study for training and teaching postgraduates in the area of medical ethics.

摘要

目的

本文描述了一门新的生物医学伦理学课程的开发、实施与评估。主要教育目标是使参与者能够基于合理的伦理和道德推理对伦理困境进行批判性分析并加以解决。

背景

该课程在巴林王国的家庭医学住院医师培训项目(FPRP)中开发并实施。

方法

36名家庭医生实习生分别于2002年5月和2003年1月参加了本课程。课程分为五个单元,每个单元都有特定的目标、内容和教学方法。通过前后测试、对参与者的直接观察以及对课程的整体评估来对课程进行评价。

结果

评估表明,参与者的后测成绩高于前测成绩。两次测试的平均分数之间存在显著的统计学差异。完成课程后,参与者做出的决策比开始时更具合理性,并且在基于合理的伦理和道德观念讨论和论证其决策时更有信心。

结论

我们的经验表明,实习生从结构化的生物医学伦理学课程中受益。我们认为,我们课程的开发与实施可作为医学伦理学领域研究生培训和教学的一个案例研究。

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