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为内科住院医师培训项目制定伦理课程:需求评估的应用

Developing an ethics curriculum for an internal medicine residency program: use of a needs assessment.

作者信息

Wayne Diane B, Muir J Cameron, DaRosa Debra A

机构信息

Department of Medicine, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, USA.

出版信息

Teach Learn Med. 2004 Spring;16(2):197-201. doi: 10.1207/s15328015tlm1602_13.

Abstract

BACKGROUND

Residency programs are required to teach and evaluate trainees in the area of professionalism and medical ethics. Prior to developing a curriculum in this area, residents and fellows were surveyed to assess learning needs.

DESCRIPTION

A case-based survey was developed based on published curricula. Residents and fellows were asked to describe their comfort level in 11 clinical scenarios on a Likert-type scale ranging from 1 (not at all comfortable) to 10 (extremely comfortable).

EVALUATION

151 surveys were returned for an overall response rate of 73%. Comfort levels ranged from a low of 3.1 to a high of 8.5 on the 10-point scale. Despite additional years of clinical training, fellows only reported an increased comfort level in 1 case.

CONCLUSION

Learning needs exist in residents and fellows in the area of medical ethics. Use of a needs assessment was instrumental in planning and designing an ethics curriculum.

摘要

背景

住院医师培训项目需要在职业素养和医学伦理领域对学员进行教学和评估。在制定该领域的课程之前,对住院医师和研究员进行了调查,以评估学习需求。

描述

基于已发表的课程开发了一项基于案例的调查。要求住院医师和研究员在从1(一点也不舒服)到10(极其舒服)的李克特量表上描述他们在11个临床场景中的舒适程度。

评估

共收回151份调查问卷,总体回复率为73%。在10分制量表上,舒适程度从低至3.1到高至8.5不等。尽管有多年的临床培训,但研究员仅报告在1个案例中的舒适程度有所提高。

结论

住院医师和研究员在医学伦理领域存在学习需求。需求评估有助于规划和设计伦理课程。

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