伦理推理学习课程对医学培训的贡献。

Q3 Medicine Tunisie Medicale Pub Date : 2024-04-05 DOI:10.62438/tunismed.v102i4.4695
Amjed Ben Haouala, Badii Amamou, Bochra Ben Mohamed, Ahmed Mhalla, Ferid Zaafrane
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引用次数: 0

摘要

导言:伦理推理是所有医生的一项重要技能,他们在日常工作中经常面临复杂的伦理困境。因此,医学培训应包括学习伦理理论和概念的方法,以及如何在实际情况中应用这些理论和概念。目的:通过比较课程前后以模拟面试形式进行的相同客观结构化临床考试(OSCE)的结果,评估伦理推理学习课程对第五届医学生培训的贡献:方法:在突尼斯莫纳斯提尔医学院精神病学实习期间,对四组五年级学生进行了四次伦理推理学习(ERL),每次 45 分钟。每节课分为 7 个部分:导言、阅读临床小故事、就这一临床情况提出的问题进行头脑风暴、问题分类、确定医学伦理原则、构建伦理矩阵和结论:参加研究的 57 名学生分为 4 组。我们发现,在 ERL 课程前后,OSCE 分数的平均值存在显著差异;在伦理推理学习课程前后,尊重医疗保密的概率存在显著差异(p 结论:我们了解到 ERL 课程对学生的临床实践具有重要意义:我们了解到,ERL 课程改善了精神病学伦理方面的医学培训。要证实这些结果,还需要其他涉及其他伦理技能的课程。
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Contribution of ethical reasoning learning sessions on medical training.

Introduction: Ethical reasoning is an important skill for all physicians who often face complex ethical dilemmas in their daily practice. Therefore, medical training should include methods for learning ethical theories and concepts, as well as how to apply them in practical situations.

Aim: Assess the contribution of an Ethical Reasoning Learning session to fifth medical students' training through a comparison of results of the same objective and structured clinical examination (OSCE) in the form of simulated interview before and after sessions.

Methods: Four 45- minutes' sessions of Ethical Reasoning Learning (ERL) were implemented during a psychiatry internship for four groups of 5th-year students of the faculty of medicine of Monastir (Tunisia). Each session was divided into 7 parts: introduction, reading of a clinical vignette, brainstorming concerning the problems posed by this clinical situation, classification of the problems, identification of the principles of medical ethics, construction of the ethical matrix, and a conclusion.

Results: Fifty-seven students participated in the study divided into 4 groups. We found a significant difference in the means of the OSCE scores before and after the ERL session and a significant difference between the probability of respecting medical secrecy during pre and post-ethical reasoning learning sessions (p <0.001). We have found an effect of ERL sessions on the acquisition of this ethical competence by medical students.

Conclusion: We learned that an ERL session has improved medical training in ethics applied to psychiatry. Other sessions dealing with other ethical skills are necessary to confirm these results.

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来源期刊
Tunisie Medicale
Tunisie Medicale Medicine-Medicine (all)
CiteScore
1.00
自引率
0.00%
发文量
72
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