Medical Ethics Department, Medical school, Quran and Hadith Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Health Professions Education Research Center, Education Development Center, Department of Medical Education, Tehran University of Medical Sciences, Tehran, Iran.
BMC Med Educ. 2023 Jun 5;23(1):409. doi: 10.1186/s12909-023-04305-1.
The present study aimed to develop core competencies and Entrustable Professional Activities (EPAs) for faculty members through participating in faculty development programs in medical ethics.
This study included five stages. First, categories and subcategories were extracted based on the literature review and interviews with 14 experts and through inductive content analysis. Second, the content validity of the core competency list was checked by 16 experts using qualitative and quantitative approaches. Third, based on the previous phase, a framework for EPAs was developed by the taskforce in two sessions through consensus. Fourth, the content validity of the list of EPAs was compiled based on a three-point Likert 11 medical ethics experts from necessity and relevance perspectives. Fifth, EPAs were mapped by ten experts to the developed core competencies.
After conducting the literature review and interviews, 295 codes were extracted, which were further classified into six categories and 18 subcategories. Finally, five core competencies and 23 EPAs were developed. The core competencies include "Teaching medical ethics", "Research and scholarship in the field of medical ethics", "Communication skills", "Moral reasoning", and "Policy-making, decision-making, and ethical leadership".
Medical teachers can be effective in the moralizing healthcare system. Findings showed that faculty members should acquire core competencies and EPAs for proficiently integrating medical ethics into curricula. Faculty development programs can be designed in medical ethics for faculty members to help them to acquire core competencies and EPAs.
本研究旨在通过参与医学伦理教师发展计划,为教师制定核心能力和可委托的专业活动(EPAs)。
本研究分为五个阶段。首先,根据文献回顾和对 14 名专家的访谈,通过归纳内容分析提取类别和子类别。其次,通过定性和定量方法,由 16 名专家检查核心能力清单的内容有效性。第三,根据前一阶段,由专家组通过两次会议达成共识,制定 EPA 的框架。第四,根据必要性和相关性的三个方面,由 11 名医学伦理专家对 EPA 清单的内容有效性进行了编译。第五,由 10 名专家对制定的核心能力进行 EPA 映射。
在进行文献回顾和访谈后,提取了 295 个代码,进一步分为六个类别和 18 个子类别。最终制定了五项核心能力和 23 项 EPA。核心能力包括“教授医学伦理学”、“医学伦理学领域的研究与学术”、“沟通技巧”、“道德推理”和“政策制定、决策和伦理领导”。
医学教师可以在使医疗体系道德化方面发挥作用。研究结果表明,教师应具备核心能力和 EPA,以便熟练地将医学伦理学融入课程中。可以在医学伦理方面为教师设计教师发展计划,帮助他们获得核心能力和 EPA。