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马来西亚医学院校医学课程中的生物伦理学教育:我们现在处于什么状况?

Bioethics Education in the Medical Programme among Malaysian Medical Schools: Where Are We Now?

作者信息

Sim Joong Hiong, Ngan Olivia Miu Yung, Ng Ho Keung

机构信息

Medical Education & Research Development Unit, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

Office of Medical Education, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.

出版信息

J Med Educ Curric Dev. 2019 Dec 2;6:2382120519883887. doi: 10.1177/2382120519883887. eCollection 2019 Jan-Dec.

Abstract

INTRODUCTION

A global trend in medical education is the inclusion of bioethics teaching in medical programme. The objective of this article is to describe the current state of bioethics education in the medical programme among Malaysian medical schools.

METHOD

A national survey was conducted among Malaysian medical schools between January and March 2019. One representative from each medical school was invited to respond to the survey. Respondents were faculty members involved in teaching and assessment of bioethics in their medical schools, or/and in developing and coordinating bioethics curriculum. Descriptive statistics were reported.

FINDINGS

Out of 30 medical schools, 11 completed and returned the survey (overall response rate = 36.7%). Of these 11 schools, 6/10 (60%) were from public institutions while 5/20 (25%) were from private institutions. All except 1 school implemented a formal bioethics curriculum. A wide range of bioethics topics are currently taught in the medical programme. The majority involved in teaching bioethics were health care professionals (mainly clinicians), followed by lawyers. Lecture and attendance, respectively, are the most common teaching and assessment method. Major barriers to the implementation of bioethics education included limited qualified teaching staff (6/11 = 54.5%), no established curriculum to follow (5/11 = 45.5%), limited financial resources to hire qualified staff (4/11 = 36.4%), and no consensus among faculty members (4/11 = 36.4%).

CONCLUSION

Bioethics education in Malaysia is relatively new and mostly limited by a shortage of scholars in bioethics. National support and institutional collaboration in providing bioethics training is the key to enhance the quality of bioethics education.

摘要

引言

医学教育的一个全球趋势是在医学课程中纳入生物伦理学教学。本文的目的是描述马来西亚医学院校医学课程中生物伦理学教育的现状。

方法

2019年1月至3月期间在马来西亚医学院校开展了一项全国性调查。邀请每所医学院校的一名代表回答调查问卷。受访者是参与本校生物伦理学教学与评估或/且参与制定和协调生物伦理学课程的教职员工。报告了描述性统计数据。

结果

在30所医学院校中,11所完成并返回了调查问卷(总体回复率 = 36.7%)。在这11所学校中,10所里的6所(60%)来自公立机构,20所里的5所(25%)来自私立机构。除1所学校外,其他所有学校都实施了正式的生物伦理学课程。目前医学课程中讲授的生物伦理学主题广泛。参与生物伦理学教学的大多数是医疗保健专业人员(主要是临床医生),其次是律师。讲座和出勤分别是最常见的教学和评估方法。生物伦理学教育实施的主要障碍包括合格师资有限(6/11 = 54.5%)、没有既定课程可遵循(5/11 = 45.5%)、聘请合格人员的财政资源有限(4/11 = 36.4%)以及教职员工之间没有达成共识(4/11 = 36.4%)。

结论

马来西亚的生物伦理学教育相对较新,且大多受到生物伦理学学者短缺的限制。国家在提供生物伦理学培训方面的支持和机构间合作是提高生物伦理学教育质量的关键。

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