The contemporary culture in medical school and its influence on training doctors in ethics and humanistic attitude to the clinical practice (original) (raw)

Educational Ethics in Academic Environment: Medical Students' Perspectives

2016

Background and Objective: Educational ethics imply values such as honesty, reliance on one's own personal effort, not to abuse the efforts of others, and respect the dignity and respect for others. Students are faced with different situations in which they show various moral and immoral behaviors. This study aimed to explore medical students' viewpoints and experiences at Golestan University of Medical Sciences about ethics in academic environment in 2013. Materials and Methods: In this qualitative study a purposive sampling was used with maximum variation and 12 medical students participated in the research. Data was gathered using semi-structured interviews. At least an open question "When I say ethics in education or educational environment, what comes to your mind" was repeated in all the interviews. The interviews recorded and transcribed line by line and then analyzed according to "conventional content analysis" method. Results: "Respecting teacher dignity", "preserving dignity of classroom", "respecting and maintaining dignity for classmates", "seeking for knowledge and sciences" emerged as the main themes of the current study. Conclusion: University students considered learning environment as a sacred place; conforming its expected rules and ethics would be mandatory. Abnormal behavior causes not only loss of students dignity but also could be harmful to the calmness of educational atmosphere and may evoke different unpleasant pessimistic ideas about such academic environment.

Ethics in Medical Education

2011

There is no definite code of ethics in field of medical education in Iran and we cannot even see any accent in this regard in medical education references. We can define 3 major fields in medical education ethics such as: - Student – Patient relationship - Teacher- Student relationship - Relationship with other colleagues and hospital staff In this article our concern about medical students’ envelopes all medical students in different educational levels (Interns, residents, fellowships ...). Respecting ethical values in field of education, not only help us to produce morally committed physicians, but also help medical community to respect patient rights.

Teaching of Medical Ethics: students´ perception in different periods of the course

Revista Medica De Chile, 2010

Background: Medical Ethics is structured to guide doctors towards a better professional practice. However, its teaching in medical schools seems to be neglected. Aim: To evaluate the perception of Federal University of Sergipe medical students about ethical confl icts during their academic practice, in two different periods of a medical course. Material and Methods: A cross-sectional, analytic and observational study. Using a qualitative approach, analytic categories were identifi ed using an open questionnaire answered by two groups of students, before and after attending the medical ethics course. Results: In everyday practice, the participants referred embarrassment in front of patients. When considering the relationship with the professional/professor, they identifi ed negligence and confl icts of interests in their practice. The students also detected bad infrastructure and professional relationship in public services, when compared to private ones. The confl icts experienced by the students in their own practice were insecurity, inability to cope with patients' problems and inadequate perception of medical confi dentiality limits. According to the respondents, contribution of ethics teaching varied from adequate, when it was effective to orient their practice and provide confi dence, to inadequate or absent because of an overall superfi cial approach. Conclusions: Major defi ciencies related to the teaching of medical ethics were identifi ed, pointing to the need to change current medical education model.

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.

The Effect of a Compulsory Curriculum on Ethical Attitudes of Medical Students

Collegium antropologicum

The purpose of the present study was to assess the influence of a compulsory curriculum on first-year medical students. The ethical attitude study was performed at the School of Medicine, University of Rijeka, Croatia. The samples consisted of 171 medical students (68 males and 103 females) interviewed at the beginning of the first year of studies. Some of them, namely 143 (56 males and 87 females) were interviewed again at the end of the same academic year. Data were analysed by applying factor analysis under principal component model and varimax criterion as the rotation model. The results clearly show that the current compulsory curriculum without formal ethical education has a limited influence on first-year medical students. That points to the obvious necessity to implement the medical ethics in the course of medical education.

Ethical Conflicts Experienced by Medical Students

Revista Brasileira de Educação Médica, 2017

The current study aimed to identify and analyze the prevalence of ethical conflicts experienced by medical students. This study is a cross-sectional and analytical research that was conducted in a public school in the state of Minas Gerais, Brazil. The instrument used for the data collection was a self-administered questionnaire. The data collected were presented in absolute and percentage values. For the analytical statistical treatment of the data, the level of significance was considered p…

Evaluation of Medical Students' Academic Ethical Values *Tıp Fakültesi Öğrencilerinin Akademik Etik Değerlerinin Değerlendirilmesi

Turkiye Klinikleri J Med Ethics, 2021

Ethics, also called moral philosophy, is a branch of philosophy that researches, concepts and principles related to the essence and basis of moral. In this study, it was aimed to examine academic ethical values of medical faculty students. The study was designed as a cross-sectional descriptor in quantitative research design. Study’s sample size was calculated as 313 at 95% confidence interval (n=313). The scale developed by Sevim was preferred for the study. In score analysis of scale, total score was calculated as 137.28±13.22 (minimum: 91, maximum: 165). In analysis of scale total scores by years, mean scale scores of second year students were calculated as 143.37±11.50 as highest. In evaluation of scale scores of participants according to education period (pre-clinical, clinical), it was found that mean score of preclinical students (139.75±13.15) was higher than clinical period students (134.76±12.85) in total score, and it was found that two groups were statistically significant. The difference has been shown. When findings of the study are evaluated, it is seen that values score of students for scientific research is at a good level. It is believed that most of the students participating in the study have basic knowledge on scientific research and publication ethics. It can be said that implementation of a horizontal and vertical integrated education program model, which is based on organ/system-based graduation goals, is effective for primary health problems of society by making use of domestic and international examples in the faculty where study was conducted.

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.

The anatomy and physiology of conflict in medical education: a doorway to diagnosing the health of medical education systems

Medical Teacher, 2006

This qualitative study uses data from students, teachers and administrators to deepen our understanding of conflict in medical education, its nature and its consequences. It especially looks at systemic issues which may foster or hinder the health of an educational system or of any organization. Its intention is to provide better understanding of the medical education system so that this knowledge can be used to enhance the health of future medical education systems. It is preliminary to a study that would focus on ways of improving the healthiness of future systems. The findings underline the importance of moral education in the training of our future physicians (McWhinney, 1986). The importance of example by faculty and staff and moral development of the physician flows from the authors' data and their interpretation of its meaning. Also, it further underlines the importance of faculty and medical educators modeling both caring and exemplary moral behavior within our educational institutions. Bandura (1986) developed the notion of modeling and showed that, 'even at a preconscious level, we learn moral behaviors through observing and imitating authority figures and/or significant others' (Crysdale, 2006). This is especially important because caring, or compassionate presence, is so essential to healing.

Students’ Perception of Medical Professionalism

Jurnal Ilmu Kesehatan, 2021

Mastery of professionalism is a necessity in medical education. However, the application in education is still limited. Therefore, it is necessary to explore the definition of professionalism in the medical field. This study aimed to explore students' perceptions of medical professionalism, as well as the behavioral components that demonstrate professionalism. This was a qualitative analytic study, carried out among 2 focus group discussions (FGD) of students with a grounded theory approach in data analysis. The research was conducted at the Faculty of Medicine, Gadjah Mada University. Results showed that students' perceptions of medical professionalism included mastery of knowledge, skills, and overall attitudes. Meanwhile, the professionalism component consists of altruism, competence, honesty and integrity, performance, management, respect for others and humanism. Keywords: professionalism, medical professionalism