一个小说的外科伦理课程的结果为整体外科住院医生
Steven Char1, Rosamond Rhodes2, Alexandra Z Agathis1
1Department of Surgery, Division of General Surgery, Icahn School of Medicine at Mount Sinai, New York, New York.
Journal of surgical education
|September 14, 2025
概括
整体外科医生发现了具有挑战性的伦理主题. 住院主导的课程提高了对10个关键的外科伦理领域的信心,有96%的人认为它是相关的.
科学领域:
- 医学教育 医学教育
- 手术伦理学 手术伦理学
- 在外科手术的专业性.
背景情况:
- 一般外科医生面临着复杂的道德困境.
- 需要一个结构化的课程来应对外科培训中的伦理挑战.
研究的目的:
- 为了确定最具挑战性的外科伦理主题,一般外科住院医生.
- 设计和评估一个纵向的,居民主导的课程,以解决这些道德缺陷.
主要方法:
- 一项需求评估调查了居民对17个伦理学主题的信心,使用5分利克特尺度.
- 开发了6个模块的课程,包括居民主导的教学和案例讨论.
- 课程后调查重新评估了信心,使用威尔科克森排名总和测试分析了变化.
主要成果:
- 住院居民在解决关于拒绝治疗,与同事分歧以及同事能力的困境方面报告了最低的基线信心.
- 该课程显著提高了居民对10个涉及的伦理学主题的信心 (p < 0.05).
- 90%的参与者认为课程有价值,96%的人认为它是相关的.
结论:
- 一个由居民领导的课程有效地解决了手术伦理知识中发现的差距.
- 教育干预增强了居民对关键伦理领域的信心.
- 这个模型为改善外科住院计划的伦理教育提供了一个框架.
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