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Teaching ethics in neonatal and perinatal medicine: What is happening in Canada?

机译:新生儿和围产期医学的伦理学教学:加拿大正在发生什么?

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Ethically challenging clinical situations are frequently encountered in neonatal and perinatal medicine (NPM), resulting in a complex environment for trainees and a need for ethics training during NPM residency. In the present study, the authors conducted a brief environmental scan to investigate the ethics teaching strategies in Canadian NPM programs. Ten of 13 (77%) accredited Canadian NPM residency programs participated in a survey investigating teaching strategies, content and assessment mechanisms. Although informal ethics teaching was more frequently reported, there was significant variability among programs in terms of content and logistics, with the most common topics being ‘The medical decision making process: Ethical considerations’ and ‘Review of bioethics principles’ (88.9% each); lectures by staff or visiting staff was the most commonly reported formal strategy (100%); and evaluation was primarily considered to be part of their overall trainee rotation (89%). This variability indicates the need for agreement and standardization among program directors regarding these aspects, and warrants further investigation.
机译:新生儿和围产期医学(NPM)中经常遇到具有伦理挑战性的临床情况,导致受训人员的环境复杂,并且在NPM住院期间需要进行道德培训。在本研究中,作者进行了简短的环境扫描,以调查加拿大NPM计划中的道德教学策略。在13个获得认可的加拿大NPM居住计划中,有10个(77%)参加了一项调查,调查了教学策略,内容和评估机制。尽管非正式伦理教学的报道更为频繁,但各计划在内容和后勤方面存在很大差异,最常见的主题是“医疗决策过程:伦理考量”和“生物伦理原则审查”(各占88.9%) ;工作人员或来访人员的讲座是最常报告的正式策略(100%);评估被认为是他们总体培训人员轮换的一部分(89%)。这种差异表明计划主管之间需要就这些方面达成协议并进行标准化,因此有必要进行进一步调查。

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