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将伦理推理的分析方法纳入住院医师伦理病例讨论会议。

Incorporating an Analytical Approach to Ethical Reasoning into an Ethics Case Conference for Residents.

作者信息

Kaplan Holland, Kahl Alyssa, Lim Jonathan

机构信息

Department of Medicine, Center for Medical Ethics and Health Policy, Baylor College of Medicine, One Baylor Plaza, Suite 310DH, Houston, TX 77030-3411 USA.

Section of General Internal Medicine, Baylor College of Medicine, Houston, TX USA.

出版信息

Med Sci Educ. 2024 Jul 4;34(6):1283-1288. doi: 10.1007/s40670-024-02109-6. eCollection 2024 Dec.

DOI:10.1007/s40670-024-02109-6
PMID:39758499
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11699188/
Abstract

UNLABELLED

Educating residents to apply ethical principles in clinical practice is critical in achieving standards in professionalism. We implemented biweekly ethics morning report case conferences incorporating a validated analytical tool in medical ethics, the Four-Box Method, from July 2022 to June 2023 in our internal medicine residency program. In 24 ethics morning reports, over 73% of participants reported that the intervention helped them achieve each of three learning objectives in ethics education. Ninety-two percent of cases addressed > 1 ethical issue. Our intervention may be easily integrated into the morning report conference structure as an educational tool in medical ethics across internal medicine residency programs.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s40670-024-02109-6.

摘要

未标注

教育住院医师在临床实践中应用伦理原则对于达到专业标准至关重要。2022年7月至2023年6月,我们在我们的内科住院医师培训项目中实施了双周伦理早报病例讨论会,其中纳入了医学伦理中一种经过验证的分析工具——四象限法。在24次伦理早报中,超过73%的参与者报告称,该干预措施帮助他们实现了伦理教育的三个学习目标中的每一个。92%的病例涉及不止一个伦理问题。我们的干预措施可轻松融入早报会议结构,作为内科住院医师培训项目中医学伦理的一种教育工具。

补充信息

在线版本包含可在10.1007/s40670-024-02109-6获取的补充材料。

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本文引用的文献

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Meeting the challenge of teaching bioethics: a successful residency curricula utilizing Team-Based Learning.迎接生物伦理学教学的挑战:成功利用团队为基础的学习的住院医师课程
Ann Med. 2022 Dec;54(1):359-368. doi: 10.1080/07853890.2021.2013523.
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The State of Morning Report in the Current Healthcare Landscape: a National Survey of Internal Medicine Program Directors.当前医疗保健领域的晨间报告现状:内科住院医师培训项目主任的全国性调查。
J Gen Intern Med. 2022 May;37(7):1665-1672. doi: 10.1007/s11606-021-07010-1. Epub 2021 Sep 28.
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Team-Based Learning in Bioethics Education: Creating a Successful Curriculum for Residents in an Era of "Curricular Squeeze".生物伦理学教育中的基于团队的学习:在“课程压缩”时代为住院医师创建成功的课程
Med Sci Educ. 2019 Nov 7;30(1):649-658. doi: 10.1007/s40670-019-00836-9. eCollection 2020 Mar.
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Jonsen's Four Topics Approach as a Framework for Clinical Ethics Consultation.以琼森的四主题法作为临床伦理咨询的框架。
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How to Integrate a Medical Ethics Curriculum into Gastroenterology Fellowships.如何将医学伦理学课程融入胃肠病学 fellowship 培训项目
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Internal Medicine Residents' Perceptions of Morning Report: a Multicenter Survey.内科住院医师对晨交班的看法:一项多中心调查。
J Gen Intern Med. 2021 Mar;36(3):647-653. doi: 10.1007/s11606-020-06351-7. Epub 2021 Jan 14.
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A Multicenter VA Study of the Format and Content of Internal Medicine Morning Report.一项关于内科早交班形式与内容的多中心退伍军人事务部研究。
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9
Broadening Our Scope: A Pilot Curriculum in Bioethics for Pathology Graduate Medical Trainees, the Emory University Experience.拓展我们的视野:埃默里大学针对病理学住院医师培训学员开展的生物伦理学试点课程
Acad Pathol. 2019 Jul 3;6:2374289519857243. doi: 10.1177/2374289519857243. eCollection 2019 Jan-Dec.
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