MacPherson Peter, Emberley Julie
Department of Pediatrics, School of Medicine, Queen's University, Kingston General Hospital, Ontario, Canada.
Faculty of Medicine, Memorial University of Newfoundland, Newfoundland, Canada.
Can Med Educ J. 2017 Dec 15;8(4):e86-e91. eCollection 2017 Dec.
Ethics education is a required component of pediatric residency training. Limited instructional time requires educators to identify and prioritize learning needs. This is the first study to identify pediatric residents' ethics learning needs using a multisource (360 degree) assessment. We hypothesized that pediatricians or allied health care professionals would identify unperceived ethics learning needs.
Pediatric residents, pediatricians, respiratory therapists (RTs), and registered nurses (RNs) working at a university children's hospital rated the importance of twelve ethics themes as learning needs for trainees using a Likert-type scale. One-way ANOVA was used to determine differences between the groups, followed by post-hoc testing.
Response rates were 65%, 70%, 57%, and 47% for residents, pediatricians, RTs, and RNs, respectively. Themes were categorized into three priority groupings based on mean importance ratings. Where significant differences existed between residents and other respondent groups, pediatric residents rated the theme as being more important.
This study provides an interprofessional assessment of pediatric residents' perceived ethics learning needs. High priority ethics topics were identified, allowing for targeted teaching. Pediatricians and allied HCPs did not rate any ethics themes higher than residents. Medical educators may consider using methods inspired by multisource feedback for program evaluation.
伦理教育是儿科住院医师培训的必要组成部分。有限的教学时间要求教育工作者识别学习需求并确定其优先级。这是第一项使用多源(360度)评估来识别儿科住院医师伦理学习需求的研究。我们假设儿科医生或专职医疗保健专业人员会识别出未被察觉的伦理学习需求。
在一家大学儿童医院工作的儿科住院医师、儿科医生、呼吸治疗师(RTs)和注册护士(RNs)使用李克特量表对十二个伦理主题作为学员学习需求的重要性进行评分。使用单因素方差分析来确定组间差异,随后进行事后检验。
住院医师、儿科医生、RTs和RNs的回复率分别为65%、70%、57%和47%。根据平均重要性评分,主题被分为三个优先级分组。在住院医师与其他应答组之间存在显著差异的情况下,儿科住院医师将该主题评为更重要。
本研究提供了对儿科住院医师感知到的伦理学习需求的跨专业评估。确定了高优先级的伦理主题,以便进行有针对性的教学。儿科医生和专职医疗保健专业人员对任何伦理主题的评分都没有高于住院医师。医学教育工作者可能会考虑使用受多源反馈启发的方法进行项目评估。