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Teaching clinical medical ethics: a model programme for primary care residency
R M Arnold1, L Forrow, S A Wartman
1Division of General Internal Medicine, Brown University Program in Medicine.
Journal of Medical Ethics
|June 1, 1988
Summary
Residency training programs need better medical ethics education. A new integrated curriculum helps residents identify, analyze, and communicate ethical issues, fostering humane qualities in physicians.
Area of Science:
- Medical Education
- Bioethics
- Internal Medicine
Background:
- Few residency programs offer formal medical ethics training.
- Undergraduate ethics courses focus on theory, not clinical application.
- Residency is crucial for linking ethics to clinical practice.
Purpose of the Study:
- To develop and implement an integrated medical ethics curriculum for internal medicine residents.
- To enhance residents' ability to perceive ethical issues in clinical practice.
- To improve residents' skills in applying ethical principles and communicating with patients.
Main Methods:
- An integrated, three-year curriculum was developed and implemented.
- The curriculum focused on ethical issue identification, philosophical analysis, and communication skills.
- Resident feedback and hospital-wide impact were assessed.
Main Results:
- The curriculum was well-received by residents.
- The program demonstrated a positive hospital-wide impact.
- Residents showed improved ability to handle ethical dilemmas.
Conclusions:
- Integrated medical ethics and communication skills training is effective for residents.
- This approach helps develop essential humane qualities in physicians.
- Residency training is vital for practical application of medical ethics.