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Learning Modern Laryngeal Surgery in a Dissection Laboratory
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Ethics skills laboratory experience for surgery interns.

Margaret R Moon1, Mark T Hughes2, Jiin-Yu Chen3

  • 1Berman Institute of Bioethics, Johns Hopkins University, Baltimore, Maryland; Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, Maryland.

Journal of Surgical Education
|July 12, 2014
PubMed
Summary

This study shows that a clinical ethics curriculum improved surgical interns' confidence and knowledge in breaking bad news and obtaining informed consent. The training successfully enhanced ethical practice skills for residents.

Keywords:
Interpersonal and Communication SkillsPatient CareProfessionalismbreaking bad newsclinical ethicsgraduate medical educationinformed consent

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Area of Science:

  • Medical Education
  • Bioethics
  • Surgical Training

Background:

  • Ethics curricula are common in residency but lack detailed descriptions and impact evaluations.
  • There is a recognized need for enhanced ethics training, particularly within surgical postgraduate education.

Purpose of the Study:

  • To develop and implement a clinical ethics curriculum for surgery interns.
  • To assess the impact of this curriculum on interns' knowledge and confidence in core ethical skills.

Main Methods:

  • Curriculum development focused on breaking bad news and obtaining informed consent using simulated patient cases.
  • Educational sessions involved framework development and practice with peer and faculty feedback.
  • Knowledge and confidence were assessed pre- and post-session.

Main Results:

  • 98 surgical interns participated over four years.
  • Significant improvements were observed in confidence and knowledge for informed consent and breaking bad news.
  • Knowledge gains varied across specific components of these skills.

Conclusions:

  • Faculty-facilitated discussions enabled surgery interns to develop ethical practice frameworks aligned with established principles.
  • Skills-based clinical ethics training effectively increased knowledge and self-reported confidence among interns.
  • The intervention demonstrated success with identified areas for future refinement.