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本科伦理教学:重新审视《共识声明》

Undergraduate ethics teaching: revisiting the Consensus Statement.

作者信息

Mattick Karen, Bligh John

机构信息

Institute of Clinical Education, Peninsula Medical School, Exeter, UK.

出版信息

Med Educ. 2006 Apr;40(4):329-32. doi: 10.1111/j.1365-2929.2006.02407.x.

Abstract

OBJECTIVE

To determine whether the recommendations of the Consensus Statement published 7 years ago have been implemented.

DESIGN

Postal questionnaire survey of 28 UK medical schools.

METHODS

A survey was sent to the lead individual for teaching and learning at each medical school. This questionnaire inquired about the undergraduate ethics and law curriculum, including its design, teaching, assessment, staffing, and individuals' hopes and concerns for the future.

MAIN OUTCOME MEASURES

Information relating to undergraduate ethics teaching in UK medical schools.

RESULTS

Significant changes in the teaching and assessment of medical ethics and law that could be directly attributed to the Consensus Statement were identified. Whilst most schools covered all 12 recommended topics in their curriculum, only 3 felt all the topics were covered thoroughly and 3 schools said at least 1 topic was not covered at all. Only 16 schools identified 1 or more full-time academics who took direct responsibility for ensuring undergraduate medical students learnt about ethics; these were usually at lecturer grade.

CONCLUSIONS

The Consensus Statement has had a significant impact on the teaching of undergraduate ethics but, even 7 years on, not all its recommendations have been implemented fully.

摘要

目的

确定7年前发表的《共识声明》中的建议是否得到了落实。

设计

对28所英国医学院校进行邮政问卷调查。

方法

向每所医学院校负责教学的主要人员发送调查问卷。该问卷询问了本科阶段的伦理与法律课程,包括其设计、教学、评估、师资配备以及个人对未来的期望和担忧。

主要观察指标

与英国医学院校本科伦理教学相关的信息。

结果

确定了医学伦理与法律教学及评估方面可直接归因于《共识声明》的重大变化。虽然大多数学校在其课程中涵盖了所有12个推荐主题,但只有3所学校认为所有主题都得到了全面覆盖,3所学校表示至少有1个主题完全未涉及。只有16所学校确定了1名或多名直接负责确保本科医学生学习伦理知识的全职学者;这些学者通常为讲师级别。

结论

《共识声明》对本科伦理教学产生了重大影响,但即便在7年之后,其所有建议仍未得到充分落实。

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