Role of community health service programs in navigating the medical ethical slippery slope—a 10-year retrospective study among medical students from southern China

Autor: Liping Li, Guanhua Fan, Yizhen Luo, Zhenhua Lin, Maohuai Chen
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Mainland China
China
Self-Assessment
Students
Medical
020205 medical informatics
Implicit cognition
education
lcsh:Medicine
Context (language use)
02 engineering and technology
Medical ethics
Education
03 medical and health sciences
0302 clinical medicine
Surveys and Questionnaires
0202 electrical engineering
electronic engineering
information engineering
Cognitive development
Humans
Ethics
Medical
Community Health Services
030212 general & internal medicine
Community health service
Schools
Medical
Retrospective Studies
Medical student
Medical education
lcsh:LC8-6691
Cognitive level
lcsh:Special aspects of education
Health promotion in rural areas
lcsh:R
Cognition
General Medicine
Community medicine
Cross-Sectional Studies
General partnership
Community health
Curriculum
Public Health
Community health education
Psychology
Education
Medical
Undergraduate
Research Article
Zdroj: BMC Medical Education, Vol 19, Iss 1, Pp 1-9 (2019)
BMC Medical Education
ISSN: 1472-6920
DOI: 10.1186/s12909-019-1652-5
Popis: Background For promoting autonomous learning motivation, the learning effect of community-oriented service is beneficial, because through community participation and service, students can transfer their implicit cognition of ethics into explicit cognition, leading to the cultivation of a sympathetic partnership between the community and medical students. Despite the proven benefits of medical students’ community health service (CHS) in Western countries, CHS programs designed for medical students are not well established in mainland China, and their effects on medical students’ ethical cognition are largely unknown. This study evaluated the effects of CHS programs on the ethical cognition of medical students. Methods A cross-sectional study was conducted on third- and fourth-year medical students and graduates working at Shantou University Medical College by using a self-administered anonymous questionnaire. Through interviews, we applied a thematic approach to analyze the responses of the participating students. The questionnaire adopted in this study was revised based on a review of the literature on medical ethics in medical students and on the CHS environment in China. The reviewed questionnaires included an evaluation questionnaire on cultivating medical ethics in a CHS context, and questionnaires used to explore the cultivation and transformation of medical ethics in medical students during the preclinical period. Results A total of 361 (54.4%) undergraduate medical students and 302 (45.6%) graduates participated in this survey. Significant differences were observed in self-evaluation of the cognitive development of ethics between those who had participated in CHS programs 1–5 times and those who had participated > 6 times. The successful identification of accepting money from the patients under the table as unethical behavior significantly differed (p = .031) among the graduates but not (p = .567) among the undergraduate students. The participants expressed the positive impact of CHS programs on their self-development. Conclusion CHS programs can be widely applied in medical education in China. This educational strategy, which supports medical professionalism and incorporates humanitarian behavior as a complement to learning, should be encouraged and promoted nationally.
Databáze: OpenAIRE
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