Cummings C L, Geis G M, Kesselheim J C, Sayeed S
Division of Newborn Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Division of Neonatal-Perinatal Medicine, Tufts Medical Center, Tufts University School of Medicine, Boston, MA, USA.
J Perinatol. 2015 Oct;35(10):875-9. doi: 10.1038/jp.2015.70. Epub 2015 Jun 25.
The objectives of this study were to determine the perceived adequacy of ethics and professionalism education for neonatal-perinatal fellows in the United States, and to measure confidence of fellows and recent graduates when navigating ethical issues.
Neonatal-Perinatal Fellowship Directors, fellows and recent graduates were surveyed regarding the quality and type of such education during training, and perceived confidence of fellows/graduates in confronting ethical dilemmas.
Forty-six of 97 Directors (47%) and 82 of 444 fellows/graduates (18%) completed the surveys. Over 97% of respondents agreed that ethics training is 'important/very important'. Only 63% of Directors and 37% of fellows/graduates rated ethics education as 'excellent/very good' (P=0.004). While 96% of Directors reported teaching of ethics, only 70% of fellows/graduates reported such teaching (P<0.001). Teaching methods and their perceived effectiveness varied widely.
Training in ethics and professionalism for fellows is important, yet currently insufficient; a more standardized curriculum may be beneficial to ensure that trainees achieve competency.
本研究的目的是确定美国新生儿 - 围产期研究员对伦理与职业素养教育的感知充分性，并衡量研究员和近期毕业生在处理伦理问题时的信心。
对新生儿 - 围产期研究员项目主任、研究员和近期毕业生进行了调查，内容涉及培训期间此类教育的质量和类型，以及研究员/毕业生在面对伦理困境时的感知信心。
97名主任中有46名（47%）以及444名研究员/毕业生中有82名（18%）完成了调查。超过97%的受访者认为伦理培训“重要/非常重要”。只有63%的主任和37%的研究员/毕业生将伦理教育评为“优秀/非常好”（P = 0.004）。虽然96%的主任报告进行了伦理教学，但只有70%的研究员/毕业生报告接受过此类教学（P < 0.001）。教学方法及其感知效果差异很大。
研究员的伦理与职业素养培训很重要，但目前并不充分；更标准化的课程可能有助于确保学员达到能力要求。
