Implications of the concept of the standard of care on self-regulation and medical ethics based on medical regulation

Abstract Background Now in training physicians, should be pay attention to medical education and clinical skills with respect to justice, dignity and human rights. This is the ultimate goal of medical ethics. The purpose of this study is a comprehensive case study educational program of ethics course based on blended learning model and its effect on indicators of active learning. MethodsThis quasi-experimental intervention study was performed on 70 physiopathology medical students who had taken medical ethics course. The students' educational program included teaching theoretical topics of medical ethics, discussing ethical issues and clinical reasoning on cases, discussing in forum environment and individual assignments in LMS system and completing portfolio. Student evaluation was associated with evaluating the effect of method on students' knowledge, attitude and ethical reasoning skills. The impact of intervention on self-directed learning and self-regulation was also investigated. Data collection tools were Gaglimino (1978) and Beauford (1995) self-directed readiness questionnaires that students answered before and after their intervention. . Data analysis was performed using SPSS software at two levels of descriptive and analytic statistics. Results The results showed that there was a significant difference between students 'self-direction after the intervention compared to before the intervention (p = 0.005). but, students' self-regulation was not significant despite the increase after the intervention (p = 0.149). Also, the total score of students in intervention group were significant compared to traditional group (p<.05).Conclusion According to research findings, it is suggested that while considering student-centered educational approaches based on case study, the use of blended learning in medical ethics course, can have a positive effects on improving students' learning and individual learning indicators (self-regulation and self-directed learning). Using those method suggest in other medical courses.

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Medical Custom and Medical Ethics: Rethinking the Standard of Care

Cambridge Quarterly of Healthcare Ethics ◽

10.1017/s0963180105050048 ◽

2005 ◽

Vol 14 (01) ◽

Cited By ~ 2

Author(s):

BEN A. RICH

Keyword(s):

Medical Ethics ◽

Standard Of Care

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Executive Impairment Determines ADHD Medication Response: Implications for Academic Achievement

Journal of Learning Disabilities ◽

10.1177/0022219410391191 ◽

2011 ◽

Vol 44 (2) ◽

pp. 196-212 ◽

Cited By ~ 49

Author(s):

James B. Hale ◽

Linda A. Reddy ◽

Margaret Semrud-Clikeman ◽

Lisa A. Hain ◽

James Whitaker ◽

...

Keyword(s):

Academic Achievement ◽

Rating Scales ◽

Neuropsychological Functioning ◽

Self Regulation ◽

Standard Of Care ◽

Double Blind ◽

Treatment Gains ◽

Inattentive Type ◽

Executive Impairment ◽

And Behavior

Methylphenidate (MPH) often ameliorates attention-deficit/hyperactivity disorder (ADHD) behavioral dysfunction according to indirect informant reports and rating scales. The standard of care behavioral MPH titration approach seldom includes direct neuropsychological or academic assessment data to determine treatment efficacy. Documenting “cool” executive-working memory (EWM) and “hot” self-regulation (SR) neuropsychological impairments could aid in differential diagnosis of ADHD subtypes and determining cognitive and academic MPH response. In this study, children aged 6 to 16 with ADHD inattentive type (IT; n = 19) and combined type ( n = 33)/hyperactive-impulsive type ( n = 4) (CT) participated in double-blind placebo-controlled MPH trials with baseline and randomized placebo, low MPH dose, and high MPH dose conditions. EWM/ SR measures and behavior ratings/classroom observations were rank ordered separately across conditions, with nonparametric randomization tests conducted to determine individual MPH response. Participants were subsequently grouped according to their level of cool EWM and hot SR circuit dysfunction. Robust cognitive and behavioral MPH response was achieved for children with significant baseline EWM/SR impairment, yet response was poor for those with adequate EWM/ SR baseline performance. Even for strong MPH responders, the best dose for neuropsychological functioning was typically lower than the best dose for behavior. Findings offer one possible explanation for why long-term academic MPH treatment gains in ADHD have not been realized. Implications for academic achievement and medication titration practices for children with behaviorally diagnosed ADHD will be discussed.

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Saint Martin of Tours in a New World of Medical Ethics

Cambridge Quarterly of Healthcare Ethics ◽

10.1017/s0963180100004886 ◽

1994 ◽

Vol 3 (2) ◽

pp. 159-167 ◽

Cited By ~ 2

Author(s):

Richard D. Lamm

Keyword(s):

World War I ◽

Medical Ethics ◽

New World ◽

Clinical Skills ◽

Standard Of Care ◽

World War ◽

True Story ◽

Saint Martin ◽

International Reputation ◽

Do So

I end with another parable, but it is also a true story. Harvey Gushing, the famous surgeon after whom the Gushing Lectures are named, made an international reputation in his allegiance to quality. He badgered his profession to a higher standard of self-effacement and railed against the debasement of clinical skills and overemphasis on research and pursuit of personal gain. We honor him to this day because those were, and remain, important points. Yet, Harvey Gushing served as a surgeon during World War I and at Ypres. Although the Allied mortality was as much as 50,000 soldiers a day, not counting the wounded, Gushing refused to operate on any more than two patients each day, arguing that to do so would have lowered his standard of care for his patients a – standard that made sense in one time but that became strikingly insensitive, and I suggest even unethical, in another when confronted with a different reality.

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Medical ethics and self-regulation in Korean medical society

Journal of Korean Medical Association ◽

10.5124/jkma.2013.56.4.258 ◽

2013 ◽

Vol 56 (4) ◽

pp. 258 ◽

Cited By ~ 1

Author(s):

Younsuck Koh

Keyword(s):

Medical Ethics ◽

Self Regulation ◽

Medical Society

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Self-Regulation and the Writing Process: Enhancing the Performance of Students With Language and Learning Difficulties

Perspectives on Language Learning and Education ◽

10.1044/lle16.1.28 ◽

2009 ◽

Vol 16 (1) ◽

pp. 28-36 ◽

Cited By ~ 1

Author(s):

Gary A. Troia

Keyword(s):

Writing Process ◽

Self Regulation ◽

Learning Difficulties ◽

Evidence Based ◽

Struggling Learners ◽

Evidence Based Practices

Abstract This article first provides an overview of components of self-regulation in writing and specific examples of each component are given. The remainder of the article addresses common reasons why struggling learners experience trouble with revising, followed by evidence-based practices to help students revise their papers more effectively.

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