Hsu Wei-Chin, Hung Yueh-Nu, Chen Hsin-Hu, Fuh Lih-Jyh, Liao Shih-Chieh
School of Dentistry, China Medical University, Taichung, Taiwan.
Department of English, National Taichung University of Education, Taichung, Taiwan.
BMC Med Educ. 2025 May 31;25(1):813. doi: 10.1186/s12909-025-07379-1.
The intersection of medicine and law necessitates enhanced medical-legal literacy among physicians to safeguard patient safety and uphold ethical standards. Traditional pedagogical approaches in medical-legal education often fail to engage students. Thus, innovative methods such as case-based and interdisciplinary learning must be explored. This study was conducted to investigate the benefits of integrating role-playing into the medical-legal curriculum at China Medical University, Taiwan. Specifically, we analyzed the effects of this integration on students' understanding of medical law and their learning motivation and learning outcomes.
This 16-week study included 98 fourth-year dental students who had taken the Medicine and Law Course between 2022 and 2023. A role-playing-based courtroom drama was designed to improve the students' learning outcomes through practical engagement. This study was conducted in three stages. In Stage 1, the students engaged in guided reading in medical ethics and basic legal concepts. In Stage 2, they participated in an in-depth case analysis of medical lawsuits to identify judicial oversights and understand medical negligence. In Stage 3, they acted in the courtroom drama. Dentists, lawyers, and judges facilitated these activities and provided feedback after the drama. Intervention efficacy was assessed by evaluating the students' learning motivation and comprehension levels.
The drama substantially enhanced the students' understanding of legal problems in clinical practice, as indicated by high mean scores in appreciating the significance of law, adherence to legal norms, and prevention of medical disputes. Postdrama assessments revealed considerable improvements in the students' knowledge of judicial procedures and professional responsibilities. The intervention effectively augmented student engagement and realism in learning environments.
A multifaceted learning approach can foster cognitive, emotional, and practical skills essential for managing medical disputes. Role-playing may improve students' learning motivation, understanding, and attitudes toward medical law, thereby transforming medical-legal education.
医学与法律的交叉要求提高医生的医疗法律素养,以保障患者安全并维护道德标准。医学法律教育中的传统教学方法往往无法吸引学生。因此,必须探索基于案例和跨学科学习等创新方法。本研究旨在调查在中国台湾地区中国医科大学将角色扮演融入医学法律课程的益处。具体而言,我们分析了这种融合对学生对医疗法律的理解、学习动机和学习成果的影响。
这项为期16周的研究纳入了98名在2022年至2023年间修读医学与法律课程的四年级牙科学生。设计了一场基于角色扮演的法庭戏剧,通过实际参与来提高学生的学习成果。本研究分三个阶段进行。在第一阶段,学生参与医学伦理和基本法律概念的引导阅读。在第二阶段,他们参与医疗诉讼的深入案例分析,以识别司法疏漏并理解医疗过失。在第三阶段,他们参与法庭戏剧表演。牙医、律师和法官协助开展这些活动,并在戏剧表演后提供反馈。通过评估学生的学习动机和理解水平来评估干预效果。
戏剧显著增强了学生对临床实践中法律问题的理解,这体现在对法律重要性的认识、对法律规范的遵守以及对医疗纠纷预防等方面的平均得分较高。戏剧表演后的评估显示,学生在司法程序和职业责任方面的知识有了显著提高。该干预有效地增强了学生在学习环境中的参与度和真实感。
多方面的学习方法可以培养处理医疗纠纷所需的认知、情感和实践技能。角色扮演可能会提高学生对医疗法律的学习动机、理解和态度,从而改变医学法律教育。