Meacham Katharine R, Sloan Ira, Latessa Robyn A
Mountain Area Health Education Center, UNC School of Medicine, Asheville campus, Asheville, NC, 28803, USA.
MedEdPublish (2016). 2022 Mar 23;12:23. doi: 10.12688/mep.19022.1. eCollection 2022.
This article presents the results of a decade's experiment in creating a longitudinal ethics and humanism curriculum for the core clinical year at UNC School of Medicine, North Carolina, United States. This curriculum applies published research on best practices in medical ethics education. Sample comments from course evaluations of the students who have completed this curriculum provide support for its success at achieving its desired learning outcomes. To create a similar ethics curriculum in the core clinical year at other medical schools, there are twelve practical tips: preparation: read the research on the ethical challenges for medical students; recruit an interdisciplinary teaching team; create cohorts for this aspect of the curriculum that will stay together for the year; grade only with pass/fail; have the students bring the cases from their clinical experiences; feed them if possible, and structure the time together carefully. Use a narrative ethics methodology and introduce alternative methods for student writing and group process. Connect students with literature in medical humanities and bioethics and encourage publication of their narratives. As with any good creation, the whole is more than the sum of its parts, and each campus can adapt these guidelines for their people and programs.
本文展示了在美国北卡罗来纳大学医学院为核心临床学年创建纵向伦理与人文课程十年实验的结果。该课程应用了已发表的关于医学伦理教育最佳实践的研究。来自完成该课程的学生课程评价的示例评论为其成功实现预期学习成果提供了支持。要在其他医学院的核心临床学年创建类似的伦理课程,有十二个实用技巧:准备:阅读关于医学生面临的伦理挑战的研究;招募跨学科教学团队;为课程的这一方面创建全年都在一起的小组;仅采用通过/失败评分;让学生从临床经验中引入案例;如果可能的话提供餐饮,并仔细安排在一起的时间。使用叙事伦理方法,并为学生写作和小组讨论引入其他方法。将学生与医学人文和生物伦理方面的文献联系起来,并鼓励他们发表自己的叙事文章。与任何优秀的创作一样,整体大于部分之和,每个校区都可以根据自己的人员和项目调整这些指导方针。