VUSM Medical Ethics, Law, & Policy Student Group, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
Teach Learn Med. 2020 Jun-Jul;32(3):345-351. doi: 10.1080/10401334.2020.1717959. Epub 2020 Jan 31.
Although there is consensus on the importance of including ethics in the medical school curriculum, there is wide variation in how this topic is taught. Recent literature also questions the effectiveness of current ethical teaching methods in changing student attitudes and future behavior. Furthermore, from the student perspective, there is a marked disconnect between the stated importance of and lack of effort in ethics courses. Applying a student perspective of the hidden curriculum, as well as reviewing and applying insight from the available literature, we advocate for alignment of instructional design, content, and assessments. This article provides specific recommendations to increase student engagement in ethics courses and concludes by discussing whether a lack of engagement is attributable to intrinsic qualities of medical students in addition to pedagogical technique and educational setting and culture. This article has practical suggestions for medical educators to improve their ethics courses, leading to more well-rounded and thoughtful physicians.
尽管人们普遍认为在医学院校课程中纳入伦理学很重要,但在教授这一主题的方式上存在很大差异。最近的文献也质疑了当前伦理教学方法在改变学生态度和未来行为方面的有效性。此外,从学生的角度来看,他们在伦理学课程的重要性和投入程度之间存在明显脱节。通过应用学生视角的隐性课程,并回顾和应用现有文献的见解,我们主张使教学设计、内容和评估保持一致。本文提供了具体建议,以提高学生对伦理学课程的参与度,并讨论了缺乏参与是否归因于医学生的内在素质,以及教学技巧和教育环境和文化。本文为医学教育工作者提供了改进伦理学课程的实用建议,有助于培养更全面、更有思想的医生。