Evaluation of ethics education in obstetrics and gynecology residency programs.

Autor: Byrne J; Department of Obstetrics and Gynecology, Pritzker School of Medicine, University of Chicago, Chicago, IL., Straub H; Department of Obstetrics and Gynecology, Pritzker School of Medicine, University of Chicago, Chicago, IL; Department of Obstetrics and Gynecology, NorthShore University HealthSystem, Evanston, IL., DiGiovanni L; Department of Obstetrics and Gynecology, Pritzker School of Medicine, University of Chicago, Chicago, IL; MacLean Center for Clinical Medical Ethics, University of Chicago, Chicago, IL., Chor J; Department of Obstetrics and Gynecology, Pritzker School of Medicine, University of Chicago, Chicago, IL; MacLean Center for Clinical Medical Ethics, University of Chicago, Chicago, IL. Electronic address: jchormd@gmail.com.
Jazyk: angličtina
Zdroj: American journal of obstetrics and gynecology [Am J Obstet Gynecol] 2015 Mar; Vol. 212 (3), pp. 397.e1-8. Date of Electronic Publication: 2014 Dec 18.
DOI: 10.1016/j.ajog.2014.12.027
Abstrakt: Objective: The objective of the study was to assess the current status of ethics education in obstetrics-gynecology residency programs.
Study Design: A cross-sectional, web-based survey was designed in conjunction with a professional survey laboratory at the University of Chicago. The survey was piloted with a convenience sample of clinical medical ethics fellows to assess question content and clarity. The survey was deployed by e-mail to all obstetrics-gynecology residency program directors. Descriptive statistics were used to analyze participant responses. The University of Chicago's Institutional Review Board deemed this study exempt from institutional review board formal review.
Results: Of 242 eligible obstetrics-gynecology residency program directors, 118 (49%) completed the survey. Most respondents were from university-based programs (n = 78, 66%) that were not religiously affiliated (n = 98, 83%) and trained 4-6 residents per postgraduate year (n = 64, 70%). Although 50% of program directors (n = 60) reported having ethics as part of their core curriculum, most programs teach ethics in an unstructured manner. Fifty-seven percent of respondents (n = 66) stated their program dedicated 5 or fewer hours per year to ethics. The majority of program directors (n = 80, 73%) responded they would like more to a lot more ethics education and believed that ethics education should be required (n = 93, 85%) for residents to complete their training. Respondents identified that crowding in the curriculum was a significant barrier to increased ethics training (n = 50, 45%) and two-thirds (n = 74, 67%) reported a lack of faculty expertise as a moderate barrier to providing ethics education in the residency curriculum.
Conclusion: This study found that a lack of structured curricula, inadequate faculty expertise, and limited time were important barriers for ethics education in obstetrics-gynecology programs across the nation. Despite these existing challenges, program directors have a strong interest in increasing ethics education in residency training. Therefore, additional resources are needed to assist program directors in enhancing resident ethics education.
(Copyright © 2015 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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