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Curriculum Innovation: Teaching Neuroethics Through a Case-Based Undergraduate Medical Education Workshop:
Maya Overby Koretzky1, Katemanee Burapachaisri1, Bernadette Clark1
1From the Department of the History of Medicine and Medical Scientist Training Program (M.O.K.), Johns Hopkins School of Medicine; Department of Neurology (M.O.K., K.B., B.C., C.E.G., R.M.E.S., D.G.L., C.G.R.), Johns Hopkins School of Medicine, Baltimore MD; Sentara Medical Group (M.R.H.), Norfolk, VA; and Kennedy Krieger Institute (D.G.L.), Baltimore, MD.
This study evaluated a neuroethics workshop for medical students, finding it significantly improved knowledge and confidence in ethical reasoning, particularly concerning brain death and surrogate decision-making.
Area of Science:
- Medical Education
- Neuroethics
- Clinical Neurology
Background:
- Medical students face ethical challenges in neurology clerkships with limited formal neuroethics training.
- A need exists to equip students with skills for complex ethical situations.
Purpose of the Study:
- To evaluate a case-based workshop designed to introduce neuroethics concepts.
- To assess the impact on medical students' knowledge, confidence, and interest in ethics.
Main Methods:
- A 1.5-hour interactive workshop was implemented for neurology clerkship students.
- Pre- and post-workshop surveys measured knowledge, confidence, and interest in neuroethics.
- Content knowledge assessed via multiple-choice questions on brain death and capacity.
Main Results:
- 66% of students reported increased confidence in ethics knowledge; 42% showed increased interest.
- Significant improvements observed in content knowledge for capacity assessment (17%), brain death (19%), and surrogate decision making (22%).
- No significant difference in pre-session knowledge based on prior ethics experience.
Conclusions:
- Case-based neuroethics workshops effectively enhance medical students' knowledge and confidence.
- The curriculum successfully integrated ethics and health disparity education into neurology training.
- The intervention increased student interest in ethics and improved ethical reasoning skills.
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