scholarly journals Informed Consent for Surgical Care in East Africa

2021 ◽  
pp. 80-84
Author(s):  
Richard Wismayer
Keyword(s):  
Informed Consent ◽  
Medical Ethics ◽  
East Africa ◽  
Communication Skills ◽  
Low Income ◽  
Ethics Education ◽  
Surgical Care ◽  
Skills Training ◽  
Medical Ethics Education ◽  
Independent Decision

In the developed world one of the pillars of ethical conduct in surgical practise is informed surgical consent. In low income developing countries only a few researchers have explored the practise of surgical consent pre-operatively. During the informed consent process, the patient has a right to make an autonomous and independent decision about his/her surgical treatment after having been provided the necessary information by the surgeon caring for the patient. Patient autonomy and independent decision-making is recommended by the World Medical Association (WMA) Declaration of Lisbon. Family and cultural background, education, religion and socioeconomic status may all influence informed consent in surgical practise. In East Africa, few studies have reviewed consent practises among surgeons to document best surgical practise and identify areas that need improvement in the East African setting. This review reports the author’s personal experience of the practise of surgical consent among surgeons in Uganda and reviews the specific challenges faced in East Africa. In Uganda, the administration and documentation of informed consent is still inadequate. Better medical ethics education and proper communication skills training in medical schools needs to be addressed. Refresher courses on medical ethics and communication skills may also be necessary for fully trained surgeons.

scholarly journals Paediatric Residents and Fellows Ethics (PERFEct) survey: perceptions of European trainees regarding ethical dilemmas

2021 ◽  
Author(s):  
M. C. den Boer ◽  
A. Zanin ◽  
J. M. Latour ◽  
J. Brierley
Keyword(s):  
Medical Education ◽  
Medical Ethics ◽  
Ethics Education ◽  
Ethical Dilemmas ◽  
Moral Dilemmas ◽  
Ethics Training ◽  
Healthcare Team ◽  
Medical Ethics Education ◽  
European Paediatric ◽  
Future Practice

AbstractWith an increasingly complex healthcare environment, ethics is becoming a more critical part of medical education. We aimed to explore European paediatric trainees’ experiences of facing ethical dilemmas and their medical ethics education whilst assessing their perceptions of ethical dilemmas in current and future practice. The Young Sections of the European Academy of Paediatrics and European Society of Paediatric and Neonatal Intensive Care developed an explorative online survey covering demographics, ethical dilemmas faced and ethics training. The survey was made available in nine languages from November 2019 to January 2020 via newsletters and social media. Participants (n = 253) from 22 countries, predominantly female (82%) and residents (70%), with a median age of 29-years, completed the survey. The majority (58%) faced ethical dilemmas monthly or more frequently. Most ethics training was received by ethics lectures in medical school (81%) and on the job (60%). A disagreement between the healthcare team and patient/family was the most frequently faced moral dilemma (45%); the second was withholding/withdrawing life-prolonging measures (33%). The latter was considered the most challenging dilemma to resolve (50%). Respondents reported that ethical issues are not sufficiently addressed during their training and wished for more case-based teaching. Many have been personally affected by moral dilemmas, especially regarding withholding/withdrawing life-prolonging measures, and often felt inadequately supported.Conclusion: Paediatric trainees face many moral issues in daily practice and consider that training about managing current and future ethical dilemmas should be improved, such as by the provision of a core European paediatric ethics curriculum. What is Known:• Paediatric services are becoming more complex with an increase in ethical dilemmas asking for rigorous training in ethics.• Ethics training is often lacking or covered poorly in both pre- and postgraduate medical education curricula.• Existing ethics training for European paediatric trainees is haphazard and lacks standardisation. What is New:• The PaEdiatric Residents and Fellows Ethics (PERFEct) survey provides insight into the European paediatric trainees’ views regarding ethical dilemmas in their current and future practice.• European paediatric trainees report a lack of ethics training during paediatric residency and fellowship.• This study provides content suggestions for standardised medical ethics training for paediatric trainees in Europe.

scholarly journals Medical ethics education

1989 ◽  
Vol 64 (12) ◽  
pp. 705-14 ◽  
Author(s):  
S H Miles ◽  
L W Lane ◽  
J Bickel ◽  
R M Walker ◽  
C K Cassel
Keyword(s):  
Medical Ethics ◽  
Ethics Education ◽  
Medical Ethics Education

scholarly journals Systematic Development and Refinement of a Contextually Relevant Strategy for Undergraduate Medical Ethics Education: a qualitative study

2020 ◽  
Author(s):  
Muhammad Shahid Shamim ◽  
Adrienne Torda ◽  
Lubna Baig ◽  
Nadeem Zubairi ◽  
Chinthaka Balasooriya
Keyword(s):  
Saudi Arabia ◽  
Medical Ethics ◽  
Qualitative Methodology ◽  
Ethics Education ◽  
Learning Strategy ◽  
Educational Strategy ◽  
Medical Ethics Education ◽  
Novel Approach ◽  
Preliminary Version ◽  
Study Participants

Abstract Background Delivery of medical ethics education is complex due to various reasons, compounded by the context-dependent nature of the content. The scarcity of relevant resources in the contexts of some developing countries adds a further layer of difficulty to ethics education in these contexts. We used a consultative approach with students, teachers and external experts to develop a contextually relevant and practical approach to medical ethics education. The aim of this study was to develop and refine a contextually relevant approach to ethics education in the region of Saudi Arabia. Methods The study utilized explorative qualitative methodology to seek views of students and faculty of Rabigh Faculty of Medicine, Kaing Abdulaziz University, Jeddah, Saudi Arabia, and international experts in the field of ethics and education to review and enhance a preliminary version of workbook-based ethics learning strategy. Three focus groups with 12 students and in-depth interviews with four faculty members enabled the study participants to objectively critique the WBEL and provide feedback to enhance its quality. In addition, eleven external experts critically analyzed the workbook. Thematic content analysis of the data was done to draw inferences which were used to refine the educational strategy. Results The analysis generated twenty-one sub-themes within four main themes: design features, content, teaching methods and assessment. These findings helped to modify the educational strategy for improve its effectiveness in the given context. Conclusion The study drew on the views of students, faculty and external experts to systematically develop a novel approach to ethics education for countries like Saudi Arabia. It also demonstrated the use of consultative approach for informing a culturally relevant educational strategy in Middle East context.

The Significance of the Hidden Curriculum in Medical Ethics

2013 ◽  
Vol 3 (4) ◽  
pp. 1-12
Author(s):  
Annaswamy Nalini
Keyword(s):  
Medical Ethics ◽  
Ethics Education ◽  
Hidden Curriculum ◽  
Ethical Dilemmas ◽  
Basic Knowledge ◽  
Formal Curriculum ◽  
Analytical Skills ◽  
Medical Ethics Education ◽  
P 16 ◽  
Medical Educators

The need to teach medical professionalism, especially medical ethics, has been emphasized by medical educators. The aim of medical ethics education is providing the basic knowledge regarding ethical analysis, enabling the students to develop the analytical skills for resolving the ethical dilemmas in clinical practice. But, a more important aspect is the assimilation of the core values of the profession by the students. The hidden curriculum, “the informal learning in which the students engage and which is unrelated to what is taught” (Harden, 2001, p.16) has a greater role in imparting education regarding the humanistic aspects of medical practice than the formal curriculum. Experiences of the medical students in the clinical setting should be considered significant for ethics education by the teachers. A review of the experiences of the students and the ethical dilemmas they face during the clinical clerkships is provided and their impact on the moral development of the students is analysed.

Comparison of lecture and team-based learning in medical ethics education

2017 ◽  
Vol 26 (3) ◽  
pp. 903-913 ◽  
Author(s):  
Levent Ozgonul ◽  
Mustafa Kemal Alimoglu
Keyword(s):  
Medical Ethics ◽  
Student Satisfaction ◽  
Ethics Education ◽  
Knowledge Retention ◽  
Short Term ◽  
Learner Engagement ◽  
Medical Ethics Education ◽  
Team Based Learning ◽  
Long Term Retention

Background: Medical education literature suggests that ethics education should be learner-centered and problem-based rather than theory-based. Team-based learning is an appropriate method for this suggestion. However, its effectiveness was not investigated enough in medical ethics education. Research question: Is team-based learning effective in medical ethics education in terms of knowledge retention, in-class learner engagement, and learner reactions? Research design: This was a prospective controlled follow-up study. We changed lecture with team-based learning method to teach four topics in a 2-week medical ethics clerkship, while the remaining topics were taught by lectures. For comparison, we formed team-based learning and lecture groups, in which the students and instructor are the same, but the topics and teaching methodologies are different. We determined in-class learner engagement by direct observation and student satisfaction by feedback forms. Student success for team-based learning and lecture topics in the end-of-clerkship exam and two retention tests performed 1 year and 2 years later were compared. Ethical considerations: Ethical approval for the study was granted by Akdeniz University Board of Ethics on Noninvasive Clinical Human Studies Ethics committee. Findings: Short-term knowledge retention did not differ; however, team-based learning was found superior to lecture at long-term retention tests. Student satisfaction was high with team-based learning and in-class engagement was better in team-based learning sessions. Discussion: Our results on learner engagement and satisfaction with team-based learning were similar to those of previous reports. However, knowledge retention results in our study were contrary to literature. The reason might be the fact that students prepared for the end-of-clerkship pass/fail exam (short term) regardless of the teaching method. But, at long-term retention tests, they did not prepare for the exam and answered the questions just using the knowledge retained in their memories. Conclusion: Our findings suggest that team-based learning is a better alternative to lecture to teach ethics in medical education.

scholarly journals The fundamental role of storytelling and practical wisdom in facilitating the ethics education of junior doctors

2019 ◽  
pp. 136345931988910
Author(s):  
Alexis Paton ◽  
Ben Kotzee
Keyword(s):  
Medical Ethics ◽  
Thematic Analysis ◽  
Role Models ◽  
Ethics Education ◽  
Practical Wisdom ◽  
Qualitative Approach ◽  
Junior Doctors ◽  
Moral Exemplars ◽  
Medical Ethics Education

Practical wisdom is a key concept in the field of virtue ethics, and it has played a significant role in the thinking of those who make use of virtue when theorising medical practice and ethics. In this article, we examine how storytelling and practical wisdom play integral roles in the medical ethics education of junior doctors. Using a qualitative approach, we conducted 46 interviews with a cohort of junior doctors to explore the role doctors feel phronesis has in their medical ethics practice and how they acquire practical wisdom through storytelling as an essential part of their medical ethics education. Through thematic analysis of the interviews, we discuss the key role storytelling about moral exemplars and role models plays in developing medical ethics education, and how telling stories about role models is considered to be one of the most useful ways to learn medical ethics. We finish by developing an argument for why practical wisdom should be an important part of medical ethics training, focusing on the important role that phronesis narratives should have in teaching medical ethics.

Sign in / Sign up

Export Citation Format

Share Document