Document Detail


Educational intervention is effective in improving knowledge and confidence in surgical ethics-a prospective study.
MedLine Citation:
PMID:  21056150     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Pragatheeshwar Thirunavukarasu; Luke P Brewster; Stephanie M Pecora; Daniel E Hall
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of surgery     Volume:  200     ISSN:  1879-1883     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-11-08     Completed Date:  2011-01-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  665-9     Citation Subset:  AIM; IM    
Copyright Information:
Published by Elsevier Inc.
Affiliation:
Department of Surgery, University of Pittsburgh, PA, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Attitude of Health Personnel*
Ethics, Medical / education*
General Surgery / education*
Humans
Internship and Residency / ethics*
Middle Aged
Pennsylvania
Professional Competence / standards*
Prospective Studies
Questionnaires
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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