探讨新冠肺炎疫情期间医学教育的挑战与伦理要求:一项定性研究

Pub Date : 2021-12-31 eCollection Date: 2021-01-01 DOI:10.18502/jmehm.v14i30.8366
Ghobad Ramezani, Maryam Aalaa, Farzaneh Zahedi, Seyed Kamran Soltani Arabshahi, Davood Rasouli, Mohammad Hasan Keshavarzi
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引用次数: 0

摘要

伦理在临床教育中的争议性作用及其吸引大量受众注意的能力是不可避免的。新冠肺炎大流行带来的问题和挑战改变了临床教育环境。本研究旨在探讨2020年新冠肺炎大流行期间医学教育面临的挑战和伦理要求。本研究为定性研究,采用半结构化访谈法。与会者包括伊朗医科大学基础科学和临床科学的教员。经过16轮访谈,达到理论饱和。定性数据采用常规含量分析法进行分析,得到81个初步编码和28个小分类。最后得出“伦理挑战”和“伦理要求”两个主题,共10个类别。这些类别包括"以病人为中心"、"课程的社会责任"、"临床环境的伦理挑战"、"临床教职员工和学生的不良表现"、"以正义为中心"、"提高认识"、"遵守临床研究伦理"、"维护和促进精神健康"、"为病人保密"和"尊重个人"。我们希望通过制定伦理要求框架,减少和消除因新冠肺炎的出现而在医学教育中产生的伦理挑战。
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Exploring the challenges and ethical requirements of medical sciences education during COVID-19: a qualitative study.

The controversial role of ethics in clinical education and its ability to draw the attention of a large audience is inevitable. The issues and challenges of the COVID-19 pandemic have transformed the clinical education environment. This study was conducted to explore the challenges and ethical requirements of medical sciences education during the COVID-19 pandemic in 2020. The study was qualitative research and the instrument was a semi-structured interview. The participants included faculty members of the basic and clinical Sciences at Iran University of Medical Sciences. After 16 rounds of interviews, theoretical saturation was achieved. Qualitative data were analysed using conventional content analysis, which resulted in 81 preliminary codes and 28 sub-categories. Finally, two themes of "ethical challenges" and "ethical requirements", and 10 categories were achieved. The categories were consisted of "being patient-centred", "social accountability of curriculums", "ethical challenges of the clinical environment", "the poor performance of the clinical faculty members and students", "being justice-centred", "raising awareness", "observing clinical research ethics", "preservation and promotion of mental health", "patient confidentiality", and "respect for individuals". We hope the ethical challenges in medical education that were created due to the emergence of Covid-19 can be reduced and eliminated by defining a framework for ethical requirements.

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