Al-Umran Khalid Umran, Al-Shaikh Basil Abdulrahman, Al-Awary Bassam Hassan, Al-Rubaish Abdullah Mohammed, Al-Muhanna Fahd Abdulaziz
College of Medicine, King Faisal University, Dammam, Kingdom of Saudi Arabia.
Med Teach. 2006 Mar;28(2):182-4. doi: 10.1080/01421590500271365.
Medical ethics has created contentious issues and requires reforms in medical education such as renewed emphasis on formal instruction. The aim here was to review the current status of bioethics teaching in medical schools, determine Saudi students' perception of its coverage in the formal curriculum and make recommendations. Using a self-administered questionnaire in a cross-sectional study, undergraduate students' opinion about medical ethics coverage was obtained. Fourteen clinical departments and 201 students were studied. Only 46% of respondents were satisfied with the current coverage of ethical issues in the formal curriculum; 23% were unaware of the value of the subject. Students' approval rate was highest in Neurology and Psychiatry (70%). The study confirmed inadequate formal instruction on medical ethics in a developing country. Five recommendations are made. At admission, students' integrity and character should be assessed. Bioethics should be taught in clinical settings. In the Islamic world, medical curricula should include the Islamic code of medical ethics. Peers, nurses and patients should evaluate graduates' performance in ethics at the bedside. Evidence-based assessment and continuous quality improvement are required to maintain the requisite standard.
医学伦理引发了诸多有争议的问题，需要对医学教育进行改革，比如重新重视正规教学。本文旨在审视医学院校生物伦理教学的现状，了解沙特学生对其在正规课程中涵盖情况的看法，并提出建议。在一项横断面研究中，通过自填式问卷获取了本科生对医学伦理涵盖情况的看法。研究了14个临床科室和201名学生。只有46%的受访者对正规课程中伦理问题的当前涵盖情况感到满意；23%的人未意识到该学科的价值。学生认可度在神经科和精神科最高（70%）。该研究证实了一个发展中国家在医学伦理正规教学方面的不足。提出了五项建议。在招生时，应评估学生的诚信和品德。生物伦理应在临床环境中进行教学。在伊斯兰世界，医学课程应纳入伊斯兰医学伦理准则。同行、护士和患者应在床边评估毕业生在伦理方面的表现。需要基于证据的评估和持续的质量改进来维持必要的标准。
