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医学伦理学课程改革:基于现有资源的循序渐进方法。

Reform in medical ethics curriculum: a step by step approach based on available resources.

作者信息

Asghari Fariba, Mirzazadeh Azim, Samadi Aniseh, Safa Aliakbar Nejati, Jafarian Ali, Farahani Ali Vasheghani, Razavi Seyed Hasan Emami

机构信息

Assistant Professor, Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences.

出版信息

J Med Ethics Hist Med. 2011 Aug 14;4:8. Print 2011.

PMID:23908750
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3713913/
Abstract

In this project, we aimed to revise the medical ethics curriculum at the School of Medicine, Tehran University of Medical Sciences, in order to promote the level of students' ethical awareness and enable them to make ethical decisions. Ideal and long term educational objectives were set to determine directions for future reforms and to provide a baseline for future evaluation of the project. However, based on limited available recourses, the first stage of the reform was planned and implemented with a 3 years scope. In revising the curriculum, which was done according to the Harden's ten questions, we focused on moral attitude and ethical reasoning skill in addition to academic knowledge base by using methods such as case discussions, portfolio, and clinical ethics rounds. The revised curriculum was implemented during the first semester of the 2006-2007 academic year for the first time. The student feedback indicated that the new curriculum was successful in increasing the students' awareness of ethical issues and enabled them to understand and accept their professional obligations. Revising the curriculum and its evaluation should be considered as an ongoing process. The present project was a successful experience that motivated faculty members to pursue the next steps of improving the curriculum on medical ethics and proved to be convincing for the authorities and policy makers to support it.

摘要

在本项目中,我们旨在修订德黑兰医科大学医学院的医学伦理学课程,以提高学生的道德意识水平,并使他们能够做出符合伦理的决策。设定了理想的长期教育目标,以确定未来改革的方向,并为该项目未来的评估提供基线。然而,基于有限的可用资源,改革的第一阶段计划并实施为期3年。在根据哈登的十个问题修订课程时,除了学术知识基础外,我们还通过案例讨论、学习档案袋和临床伦理查房等方法,关注道德态度和伦理推理技能。修订后的课程于2006 - 2007学年第一学期首次实施。学生反馈表明,新课程成功提高了学生对伦理问题的认识,并使他们能够理解和接受自己的职业义务。修订课程及其评估应被视为一个持续的过程。本项目是一次成功的经验,激励教师们推进医学伦理学课程改进的后续步骤,并被证明能使当局和政策制定者信服并支持该项目。

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本文引用的文献

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Effectiveness of the course of medical ethics for undergraduate medical students.医学伦理学课程对本科医学生的有效性。
J Med Ethics Hist Med. 2009 May 31;2:7. Print 2009.
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Professionalism in medical education, an American perspective: from evidence to accountability.美国视角下的医学教育专业化:从证据到问责制
Med Educ. 2006 Jul;40(7):607-17. doi: 10.1111/j.1365-2929.2006.02512.x.
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Bringing ethics education to the clinical years: ward ethics sessions at the University of Washington.将伦理教育引入临床阶段:华盛顿大学的病房伦理讨论会
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Teaching and assessing medical ethics: where are we now?医学伦理学的教学与评估:我们目前处于什么状况?
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Teaching and learning of professionalism in medical schools.医学院校中职业素养的教学与学习。
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Acad Med. 2004 Jul;79(7):682-9. doi: 10.1097/00001888-200407000-00015.
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Global minimum essential requirements in medical education.医学教育全球最低基本要求
Med Teach. 2002 Mar;24(2):130-5. doi: 10.1080/01421590220120731.
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Professional development in undergraduate medical curricula--the key to the door of a new culture?本科医学课程中的专业发展——开启新文化之门的钥匙?
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