Mahajan Rajiv, Goyal Parmod Kumar, Sidhu Tanvir Kaur, Kaur Upinder, Kaur Sandeep, Gupta Vitull
Department of Pharmacology, Adesh Institute of Medical Sciences and Research, Bathinda, Punjab, India.
Department of Forensic Medicine, Adesh Institute of Medical Sciences and Research, Bathinda, Punjab, India.
Int J Appl Basic Med Res. 2017 Dec;7(Suppl 1):S52-S56. doi: 10.4103/ijabmr.IJABMR_170_17.
Media report is rife with incidences of doctor-patients' conflict, and this partly is due to communication gap and unethical practices being adopted by the doctors. Our regular curriculum fails to impart any training in ethical issues in patient care. Imparting training to students in these soft-skills is the need of the hour.
To develop a module for interns in medical ethics (MIME) in patient care, validate it and pilot run the module for standardization.
After conducting faculty development workshop in curriculum designing and three rounds of Delphi with alumni, a module in medical ethics was developed and peer validated. The questionnaire for pilot run, questionnaire for future use of module delivery and pre- and post-test were also peer validated. The module was delivered to 17 interns as pilot run in the form of 4 days' workshop. After pilot run, the module was standardized to 10 broad topics and 3 days' workshop. The questionnaire for future delivery of module in regular routine was also validated during pilot run.
Twenty-five faculty members participated in 1 day faculty development workshop and 59 alumni completed three rounds of Delphi. After peer review by five experts, a module of 11 broad areas was developed and was pilot run on 17 interns. Based on the feedback from pilot run, a standardized, validated 18 h teaching MIME in patient care was developed.
Pilot study proves that curriculum innovation in the form of medical ethics training to interns; when as undergraduate students, they actively participate in patient care under supervision will go a long way in inculcating soft skills like ethics, compassion and communication in them.
媒体上充斥着医患冲突事件，部分原因是医生存在沟通障碍和不道德行为。我们的常规课程未能提供任何有关患者护理伦理问题的培训。当下急需对学生进行这些软技能培训。
开发一个针对实习医生的患者护理医学伦理学模块（MIME），对其进行验证并进行试点运行以实现标准化。
在开展课程设计师资培训工作坊并与校友进行三轮德尔菲法调查后，开发了一个医学伦理学模块并进行同行验证。试点运行问卷、模块交付未来使用问卷以及前后测试问卷也都经过了同行验证。该模块以4天工作坊的形式交付给17名实习生进行试点运行。试点运行后，该模块被标准化为10个宽泛主题和3天工作坊。在试点运行期间，还对常规流程中模块未来交付的问卷进行了验证。
25名教员参加了为期1天的师资培训工作坊，59名校友完成了三轮德尔菲法调查。经过5位专家的同行评审，开发了一个包含11个宽泛领域的模块，并在17名实习生身上进行了试点运行。根据试点运行的反馈，开发了一个经过标准化、验证的18小时患者护理医学伦理学教学模块（MIME）。
试点研究证明，以对实习生进行医学伦理学培训的形式进行课程创新；当他们作为本科生在监督下积极参与患者护理时，将在很大程度上向他们灌输诸如伦理、同情心和沟通等软技能。
