The teaching moral practices and techniques used in bioethics as a discipline in the Faculties of Medicine in the state of São Paulo (original) (raw)

The teaching of bioethics in medical schools in Brazil

Revista Bioética, 2016

In Brazilian medical education and in the general teaching of bioethics in Brazil, there is a recurrent debate about the best way to teach ethics and/or bioethics, and even about whether it is possible to do so. In part this is due to the growing concern in society about the necessity of physicians to be both technically and morally competent. The teaching of bioethics is distinguished from medical ethics in that it focuses on the rights and duties of the doctor and also by its multi-and inter-disciplinary characteristics. The aim of the present study was to identify whether bioethics as a specific discipline is included in the curriculum of Brazilian undergraduate medical courses, and if so, how it is taught and what are its contents. The study found that the number of dedicated bioethics classes in medical courses has increased, and that the most frequently addressed issues are: an introduction to bioethics and principles of bioethics, the physician-patient relationship, abortion and euthanasia.

Contributions to the planning and evaluation of bioethics teaching

The purpose of this article is to present a reflection on the teaching of bioethics and its evaluation in degree and postgraduate courses in the area of health, considering the possible educational objectives of such teaching. The contents, methods, and techniques of teaching must be suitable for the educational stage in which the student is inserted. Theoretical content, the so-called " toolbox " of bioethics, is of particular importance, and should be suitable for the level and objectives of the training. Attention is drawn to the distinction between competence in ethics and moral competence. The study discusses the role of the teacher and the teaching environment in the formation of critical and dialogical thinking. Resumo Contribuições para planejamento e avaliação do ensino da bioética O propósito deste artigo é refletir sobre ensino da bioética e sua avaliação em graduações e pós-graduações da área da saúde, considerando seus possíveis objetivos educacionais. Conteúdos, métodos e técnicas de ensino devem ser apropriados para o nível de formação em que o aluno está inserido. Ressalta-se a importância dos conteúdos teóricos, a chamada " caixa de ferramentas " da bioética, que devem ser adequados ao nível de formação e aos objetivos. Chama-se atenção para a distinção entre competência em ética e competência moral. Discute-se o papel do docente e do ambiente de ensino na formação do pensamento crítico e dialógico. Palavras-chave: Bioética. Educação. Métodos-Avaliação educacional. Docentes. Resumen Contribuciones para la planificación y evaluación de la enseñanza de la bioética El propósito de este artículo es reflexionar sobre la enseñanza de la bioética y su evaluación en carreras de pregrado y de postgrado en el área de la salud, al considerar sus posibles objetivos educativos. Los contenidos, métodos y técnicas de enseñanza deben ser apropiados para el nivel de formación en el cual se inserta el estudiante. Cabe resaltar la importancia de los contenidos teóricos, la llamada " caja de herramientas " de la bioética, los cuales deben ser adecuados al nivel de formación y a los objetivos. Se enfatiza sobre la distinción entre la competencia en ética y la competencia moral. Se discute el rol del docente y el ambiente de aprendizaje en la formación del pensamiento crítico y dialógico.

The Teaching of Ethics and the Moral Competence of Medical and Nursing Students

Health Care Analysis

In a time marked by the development of innovative treatments in healthcare and the need for health professionals to deal with resulting ethical dilemmas in clinical practice, this study was developed to determine the influence of the bioethics teaching on the moral competence of medical and nursing students. The authors conduct a longitudinal study using the Moral Competence Test extended version before and after attending the ethics curricular unit, in three nursing schools and three medical schools of Portugal. In this questionnaire the participant is confronted with three ethical dilemmas (related to theft, euthanasia and the torture of a terrorist) and asked to evaluate arguments for and against the attitude of the main character (Worker, doctor and judge). For both nursing and medical students, C-score was lower after the attendance of the ethics curricular units, with a statistically significant decrease in the total score (from 21 to 19.5 on average; p = 0.046) for nursing st...

Ethics Education in Research Involving Human Beings in Undergraduate Medicine Curriculum in Brazil

Developing World Bioethics, 2013

Introduction: The Brazilian national curriculum guidelines for undergraduate medicine courses inspired and influenced the groundwork for knowledge acquisition, skills development and the perception of ethical values in the context of professional conduct. Objective: The evaluation of ethics education in research involving human beings in undergraduate medicine curriculum in Brazil, both in courses with active learning processes and in those with traditional lecture learning methodologies.

A Brazilian critique of UNESCO's Core curriculum as a tool for teaching Bioethics

GLOBAL BIOETHICS ENQUIRY, 2022

The Core Curriculum proposed by UNESCO as a tool for dissemination and ethical education has been widely used by several countries and seeks to structure a bioethical content related to human rights agreed at the UN. In this article, we review the contents present in this teaching material and the learning objectives that are worked on in the proposal. The proposed content is anthropocentric and instrumental. Some themes are missing from the material, notably the discussion of animal ethics which would involve the fact-based discussion of replacing animal use in experiments and animal welfare, and environmental ethics. Considering the limits of the pedagogical proposal, we suggest using the concepts of moral and ethical competence to structure the Core Curriculum and choose appropriate methods for teaching Bioethics.

Humanities : teaching a “ new ” ethical dimension in medical education

2020

This study presents the process of ethical formation through the Medical Humanities subject of a medical undergraduate program in Southern Brazil. This is a qualitative research carried out with 28 medical students between the 1st and 7th periods. Data collection took place by focus groups and the results, obtained by content analysis, were divided into two thematic categories: production of self and of the ethical dimension in medical education; and proposals of changes in “humanistic” training. We concluded that it is necessary to identify the ethical problems present in the teaching-learning process itself, develop opportunities for other means of connection between professors and students and discuss issues inherent to medical ethics.

Bioethics Education on Medical Students: Opinions About Ethical Dilemmas

SAGE Open

Medical education aims to train professionals who are capable of making extremely complex decisions. As part of the medical curriculum, bioethics education could have an important role in promoting moral development and decision-making in medical students. This study aims to determine if, after a Bioethics and Professional Deontology course, medical students would present a change of opinion on three ethical dilemmas. A quantitative and longitudinal study was developed by applying the MCTxt (Moral Competence Test extended), composed of three ethical dilemmas (Worker, doctor, and judge dilemmas), to a sample of 70, fourth year medical students, from a Portuguese medical school. The questionnaire was applied at the beginning and end of a bioethics course, with a 3 month time interval. For this study the opinion scores were analyzed and described using the mean and standard deviation. The comparison of these scores, at both times, were performed using t-tests for paired samples. A sign...

Bioethics education – Its goals and different target groups (Presenting problems of bioethics at textual seminars)

Ethics & Bioethics (in Central Europe), 2012

Due to the interdisciplinary nature of bioethics, there are many ways of how its problems can be presented and introduced to students. Which method is used by a teacher depends on the student group; their age, previous bioethical knowledge, the overall aim of their studies. The aim of this article is to emphasize the necessity of the different content of bioethical modules for students of medical sciences and students of ethics. Future physicians and nurses are supposed to learn what the role of ethics is in their professions and how to recognize moral dilemmas (mostly through case studies), while the task of ethics students is different. Their goal is to extend their abilities to discover moral conflicts, to analyze them more deeply, and to argue about the problems in a more consistent and theoretical way. In the final part of the paper, I present the opinion that a textual seminar, which does not necessarily need to be focused on the problems of bioethics, can help students to a wider and more complex understanding of bioethical issues.

The use of films as a teaching tool for the teaching-learning process in bioethics

Investigación y educación en enfermería, 2014

Identifying the contribution of using films in the process of teaching-learning in bioethics and verifying the facilities and difficulties in using this teaching resource. A qualitative study analyzed from the Bardin referential. Semi-structured interviews were carried out, recorded, and transcribed in full. For definition of the sample was used the criteria of repetition. In total, participated in the study 21 students of Nursing and Biochemistry, members of a Center for Teaching and Research in Bioethics of a public federal university in the city of Divinópolis, Minas Gerais, Brazil. During the analysis of interviews, two thematic categories and two subcategories emerged. In their responses, students indicated the importance of viewing the bioethical problem for the reflection and decision-making in professional practice. Many reported that from the experience in discussions of the films showed, were made changes in the ethical position. The use of films as a teaching resource con...

Bioethics education in clinical settings: theory and practice of the dilemma method of moral case deliberation

BMC Medical Ethics

Background: Moral Case Deliberation is a specific form of bioethics education fostering professionals' moral competence in order to deal with their moral questions. So far, few studies focus in detail on Moral Case Deliberation methodologies and their didactic principles. The dilemma method is a structured and frequently used method in Moral Case Deliberation that stimulates methodological reflection and reasoning through a systematic dialogue on an ethical issue experienced in practice. Methods: In this paper we present a case-study of a Moral Case Deliberation with the dilemma method in a health care institution for people with an intellectual disability, describing the theoretical background and the practical application of the dilemma method. The dilemma method focuses on moral experiences of participants concerning a concrete dilemma in practice. By an in-depth description of each of the steps of the deliberation process, we elucidate the educational value and didactics of this specific method. Results: The didactics and methodical steps of the dilemma method both supported and structured the dialogical reflection process of the participants. The process shows that the participants learned to recognize the moral dimension of the issue at stake and were able to distinguish various perspectives and reasons in a systematic manner. The facilitator played an important role in the learning process of the participants, by assisting them in focusing on and exploring moral aspects of the case. Discussion: The reflection and learning process, experienced by the participants, shows competency-based characteristics. The role of the facilitator is that of a Socratic teacher with specific knowledge and skills, fostering reflection, inquiry and dialogue. Conclusion: The specific didactics of the dilemma method is well suited for teaching bioethics in clinical settings. The dilemma method follows an inductive learning approach through a dialogical moral inquiry in which participants develop not only knowledge but also skills, attitude and character. The role of a trained facilitator and a specific view on teaching and practicing ethics are essential when using the dilemma method in teaching health care professionals how to reflect on their own moral issues in practice.