Aguilera María Lorena, Martínez Siekavizza Sergio, Barchi Francis
School of Medicine, Universidad Francisco Marroquín, Guatemala City, Guatemala.
Edward J. Bloustein School of Planning and Public Policy, Rutgers, The State University of New Jersey, New Brunswick, NJ, USA.
J Med Educ Curric Dev. 2019 Aug 12;6:2382120519869207. doi: 10.1177/2382120519869207. eCollection 2019 Jan-Dec.
This case study describes a faculty initiative to create a curriculum in applied medical ethics for undergraduate medical students at the Universidad Francisco Marroquin (UFM) in Guatemala City, Guatemala.
The new ethics curriculum (PRACTICE) incorporates ethics short-courses into the university's system of nontraditional, credit-bearing electives offered to students as part of their 6-year undergraduate medical education and complements existing didactic courses in normative ethics. Structured case-based activities allow for flexibility in design and scheduling, do not compete with core requirements of the existing curriculum, and enable students to develop critical reasoning approaches to ethical situations they will encounter in medical practice. Two preliminary workshops provided teaching opportunities for the faculty, stimulated student interest in future ethics courses, and provided an evidence base to guide the development of a formal curriculum.
The elective currently includes six 2-hour modules, each of which is a stand-alone unit with learning goals and objectives, brief didactic lecture, assigned readings, discussion case, and assessment. To date, more than 110 students have participated in the workshops and courses. Student feedback and evaluations are being used to refine pedagogical approaches and drive future course content.
The PRACTICE course format offers a transformative model for ethics education in Guatemala that can be used in medical education throughout the country and region.
本案例研究描述了危地马拉城弗朗西斯科·马罗昆大学（UFM）的一项教师倡议，旨在为该校本科医学生创建一门应用医学伦理学课程。
新的伦理学课程（PRACTICE）将伦理学短期课程纳入大学的非传统学分制选修课程体系，作为学生6年制本科医学教育的一部分提供给学生，并补充了现有的规范伦理学讲授课程。基于案例的结构化活动在设计和安排上具有灵活性，不与现有课程的核心要求相竞争，并使学生能够培养对医疗实践中将会遇到的伦理情况进行批判性推理的方法。两次初步研讨会为教师提供了教学机会，激发了学生对未来伦理学课程的兴趣，并为指导正式课程的开发提供了证据基础。
该选修课程目前包括六个2小时的模块，每个模块都是一个独立单元，有学习目标、简短的讲授讲座、指定阅读材料、讨论案例和评估。到目前为止，已有110多名学生参加了研讨会和课程。学生反馈和评估正被用于完善教学方法并推动未来课程内容。
PRACTICE课程模式为危地马拉的伦理学教育提供了一种变革性模式，可在该国及该地区的医学教育中使用。
