改变医学伦理教育的渠道:对医学伦理和职业精神教学中的破题者进行系统回顾和定性分析。

IF 1.6 Q2 ETHICS Monash Bioethics Review Pub Date : 2021-07-01 Epub Date: 2020-10-17 DOI:10.1007/s40592-020-00120-2
Abbas Rattani, Dalia Kaakour, Raafay H Syed, Abdul-Hadi Kaakour
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引用次数: 0

摘要

随着医学伦理和职业精神教育不断为医学生和住院医师提供长效工具,教育者应继续采用引人入胜、贴近生活、适合不同年龄段的说教式辅助手段,来补充行之有效的教学策略。然而,近来流行的教学辅助工具在文献中受到了批评,而且缺乏有关替代品的总结性信息。本综述旨在评价和评估简短的视听说教补充材料或 "破冰 "在医学伦理和职业精神教学中的功能性使用和应用。从开始到 2019 年 8 月 1 日,我们对医学和人文学科文献(即 PubMed/MEDLINE、Cochrane Library 和 JSTOR)进行了系统性回顾。最后对文章进行了定性评估和专题分析。最终分析纳入了 13 篇文章。69%的研究(n = 9)发表于 2000 年之后。两项研究为定性研究,一项研究为定量研究,其余文章为评论文章。短篇视听媒体在美国以外最受欢迎(n = 10)。69%的文章(n = 9)主张使用触发影片或短片/视频形式的自制媒体,其余文章(n = 4)则讨论了电视/电影剪辑的使用。媒体的可制作性仅限于短片/触发片。内容分析确定了九个主题:适应性、对话催化剂、有效性、参与性、细微差别、实践、可制作性、真实和主题多样性。最常见的三个主题从高到低依次为:对话催化剂、真实性和适应性。触发式电影代表了一种有效而独特的教学策略,可以补充当前医学院层面的医学伦理和职业精神教学。
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Changing the channel on medical ethics education: systematic review and qualitative analysis of didactic-icebreakers in medical ethics and professionalism teaching.

As medical ethics and professionalism education continues to equip medical students and residents with long-lasting tools, educators should continue to supplement proven teaching strategies with engaging, relatable, and generationally appropriate didactic supplements. However, popular teaching aids have recently been criticized in the literature and summative information on alternatives is absent. The purpose of this review is to evaluate and assess the functional use and application of short form audiovisual didactic supplements or "icebreakers" in medical ethics and professionalism teaching. A systematic review of both the medical and humanities literature (i.e., PubMed/MEDLINE, Cochrane Library, and JSTOR) was conducted from inception to August 1, 2019. Final articles were subjected to a qualitative appraisal and thematic analysis. Thirteen articles were included for final analysis. Sixty-nine percent (n = 9) of the studies were published after 2000. Two studies were qualitative, one study was quantitative, and the remaining articles were commentaries. Short form audiovisual media was most popular outside of the United States (n = 10). Sixty-nine percent (n = 9) of articles advocated for self-contained media in the form of trigger films or short films/videos, while the remaining articles (n = 4) discussed the use of TV/film clips. Producibility of media was exclusive to short/trigger films. Nine themes were identified in the content analysis: adaptability, conversation catalyst, effective, engaging, nuance, practice, producibility, real, and subject diversity. The three most common themes in descending order of frequency were: conversation catalyst, realness, and adaptability. Trigger films represent an effective and unique pedagogical strategy in supplementing current medical ethics and professionalism teaching at the medical school level.

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来源期刊
CiteScore
2.70
自引率
6.20%
发文量
16
期刊介绍: Monash Bioethics Review provides comprehensive coverage of traditional topics and emerging issues in bioethics. The Journal is especially concerned with empirically-informed philosophical bioethical analysis with policy relevance. Monash Bioethics Review also regularly publishes empirical studies providing explicit ethical analysis and/or with significant ethical or policy implications. Produced by the Monash University Centre for Human Bioethics since 1981 (originally as Bioethics News), Monash Bioethics Review is the oldest peer reviewed bioethics journal based in Australia–and one of the oldest bioethics journals in the world. An international forum for empirically-informed philosophical bioethical analysis with policy relevance. Includes empirical studies providing explicit ethical analysis and/or with significant ethical or policy implications. One of the oldest bioethics journals, produced by a world-leading bioethics centre. Publishes papers up to 13,000 words in length. Unique New Feature: All Articles Open for Commentary
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