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Related Experiment Videos

Residents' access to ethics consultations: knowledge, use, and perceptions.

Jessica Gacki-Smith1, Elisa J Gordon

  • 1Health Policy and Administration, School of Public Health, University of Illinois at Chicago, USA.

Academic Medicine : Journal of the Association of American Medical Colleges
|January 27, 2005
PubMed
Summary

Many residents know about ethics consultation services but don't know how to use them or face barriers. Improving awareness and access is key for healthcare institutions to support residents.

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Area of Science:

  • Medical Ethics
  • Healthcare Administration
  • Medical Education

Background:

  • Ethics consultation services are crucial in academic medical centers.
  • Understanding resident utilization is vital for service improvement.
  • Barriers to access can impede ethical decision-making support.

Purpose of the Study:

  • To assess resident awareness, usage, and perceptions of the ethics consultation service.
  • To identify factors influencing the utilization of ethics consultations among residents.
  • To inform strategies for enhancing the effectiveness of ethics consultation services.

Main Methods:

  • Cross-sectional survey and semistructured interviews conducted in 2001-2002.
  • Involved 229 residents from various departments at a Midwestern academic teaching hospital.
Keywords:
Bioethics and Professional EthicsEmpirical Approach

Related Experiment Videos

  • Statistical analyses (chi-square, t tests) used to compare variables.

    • Main Results:

    • 76% of responding residents were aware of the service, but only 21% knew how to request one.
    • 89% had never requested a consultation; 10% wanted to but did not.
    • Key barriers included attending physician opposition (46%), lack of awareness (15%), and negative perceptions (15%).

    Conclusions:

    • Significant barriers hinder resident utilization of ethics consultation services.
    • Healthcare institutions must proactively educate staff on service availability and use.
    • Mechanisms are needed to ensure safe and accessible use for healthcare professionals in subordinate roles.