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Educational intervention is effective in improving knowledge and confidence in surgical ethics-a prospective study.
Thirunavukarasu, Pragatheeshwar; Brewster, Luke P; Pecora, Stephanie M; Hall, Daniel E.
Afiliación
  • Thirunavukarasu P; Department of Surgery, University of Pittsburgh, PA, USA.
Am J Surg ; 200(5): 665-9, 2010 Nov.
Article en En | MEDLINE | ID: mdl-21056150
BACKGROUND: Professionalism and ethics are Accreditation Council for Graduate Medical Education (ACGME) core competencies, but there is little evidence regarding the effectiveness of ethics education. METHODS: General surgery residents at the University of Pittsburgh completed questionnaires measuring attitudes and knowledge about surgical ethics before and after four 60-minute, faculty-facilitated seminars implementing the American College of Surgeons ethics curriculum. RESULTS: Most residents experienced ethical challenges at least once every rotation: competition of interests (75%), professional obligations (75%), confidentiality (83%), truth telling (88%), surrogate decision making (91%), and end-of-life issues (100%). The educational intervention increased both knowledge about surgical ethics (P = .013) and confidence in dealing with competition of interests (P = .001), professional obligations (P = .011), truth telling (P = .013), confidentiality (P = .011), end-of-life issues (P = .007), and surrogate decision making (P = .052). Most residents recommended the American College of Surgeons text for future use (84%), considering ethics education a "standard" part of residency training (70%). CONCLUSIONS: Focused instruction using the American College of Surgeons ethics curriculum can effectively improve both knowledge and confidence about surgical ethics.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Competencia Profesional / Cirugía General / Actitud del Personal de Salud / Ética Médica / Internado y Residencia Tipo de estudio: Observational_studies / Prognostic_studies Aspecto: Ethics Límite: Adult / Humans / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Am J Surg Año: 2010 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Competencia Profesional / Cirugía General / Actitud del Personal de Salud / Ética Médica / Internado y Residencia Tipo de estudio: Observational_studies / Prognostic_studies Aspecto: Ethics Límite: Adult / Humans / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Am J Surg Año: 2010 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos