A quantitative method to evaluate the capacity of medical graduates' cognition on ethical issues

  • Liang Hao ,
  • He Lingyu ,
  • Zhang Xinqing
Expand
  • 1Department of Infectious Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China;
    2School of Humanities and Social Sciences, Peking Union Medical College, Beijing 100730, China

Received date: 2021-01-05

  Online published: 2021-08-31

Abstract

Objective To explore the method of case analysis combined with quantitative analysis to evaluate the capacity of medical graduates in recognizing and analyzing ethical issues. Methods Based on the ethical issues presented in stem cell therapy from clinical case,the questionnaire was distributed to 176 graduates enrolled in 2019 in Peking Union Medical College and the influencing factors of the questionnaire scores were analyzed with a self-designed scale. Results The general result was well. 89.8% (158/176) graduate students recognized the problems like inadequate informed consent from patients, unacceptable risk-benefit ratio, lack of responsibility, but 50.1%(90/176) of students failed to evaluate the weakness linking to ethical principles and just 35.2%(62/176) of them fully demonstrated informed consent status of patients. The multivariate logistic analysis showed thatfemale students are 3.36 times than male students to fully discuss the informed consent (OR=3.36,95%CI was 1.27 to 8.88). Conclusions Most graduates can recognize ethical issues, while the capacity of analysis need to be improved especially for male students in terms of gaining informed consent. Method of quantitative research in case analysis may evaluate the ethical capacity of graduates and provide scientific evidences for improving ethical education.

Cite this article

Liang Hao , He Lingyu , Zhang Xinqing . A quantitative method to evaluate the capacity of medical graduates' cognition on ethical issues[J]. Chinese Journal of Medical Education, 2021 , 41(9) : 845 -848 . DOI: 10.3760/cma.j.cn115259-20210105-00014

References

[1]Miles SH, Lane LW, Bickel J, et al. Medical ethics education: coming of age[J]. Acad Med, 1989,64(12):705-714. DOI: 10.1097/00001888-198912000-00004.
[2]Sherer R, Dong H, Cong Y, et al. Medical ethics education in China: lessons from three schools[J]. Educ Health (Abingdon), 2017,30(1):35-43. DOI:10.4103/1357-6283.210501.
[3]Brooks L, Bell D. Teaching, learning and assessment of medical ethics at the UK medical schools[J]. J Med Ethics, 2017,43(9):606-612. DOI: 10.1136/medethics-2015-103189.
[4]Robeson R, King N. Performable case studies in ethics education[J]. Healthcare (Basel), 2017,5(3):57-69.DOI:10.3390/healthcare5030057.
[5]AlMahmoud T, Hashim MJ, Elzubeir MA, et al. Ethics teaching in a medical education environment: preferences for diversity of learning and assessment methods[J]. Med Educ Online, 2017,22(1):1328257. DOI:10.1080/10872981.2017.1328257.
[6]郑聪毅, 张新庆. 定量评估医学研究生伦理认知和论证能力的现状研究[J].中华医学教育杂志,2017,37(4):518-521,546.DOI:10.3760/cma.j.issn.1673-677X.2017.04.010.
[7]Vladislav V, Simovic MB, Marina G, et al. Ethical and safety issues of stem cell-based therapy [J]. International Journal of Medical Sciences, 2018,15(1):36-45. DOI:10.71 50/ijms.21666.
[8]Oates K, Wilson I, Hu W, et al. Changing medical student attitudes to patient safety: a multicentre study[J]. BMC Med Educ, 2018,18(1):1-7. DOI: 10.1186/s12909-018-1313-0.
[9] Löffler-Stastka H, Seitz T, Billeth S, et al. Significance of gender in the attitude towards doctor-patient communication in medical students and physicians[J]. Wiener Klinische Wochenschrift, 2016,128(17-18):663-668.DOI:10.1007/s00508-016-1054-1.
Outlines

/