Medical Students’ Views on Medical Ethics Education-A Mixed Method Study

Authors

  • Sarosh Saleem Department of Health Care Ethics, Saint Louis University, St. Louis, MO, USA
  • Iqra Ghulam Rasool Department of Molecular Biology, Institute of Biochemistry and Biotechnology, University of Veterinary and Animal Sciences, Lahore, Pakistan
  • Omar Nisar House Officer, Sialkot Medical College, Sialkot, Pakistan
  • Sadia Rehman Rao Rao Department of Dairy Technology, University of Veterinary and Animal Sciences, Lahore, Pakistan
  • Samaha Nisar House Officer, Fauji Foundation Hospital, Lahore, Pakistan

DOI:

https://doi.org/10.53685/jshmdc.v3i2.129

Abstract

Background: Medical Ethics (ME) is considered an integral component of medical education around the world. However, limited training is being offered to medical students in Pakistan.

Objectives: This study was designed to evaluate medical students' perspectives regarding medical ethics and to explore their experiences about medical ethics as a subject at a private medical college in Lahore, where Medical Ethics was formally introduced as part of the undergraduate curriculum in 2017.

Methods: This mixed-method study included medical students from all five years of medical college. Quantitative component included a survey questionnaire, and the sample size was 410.  Convenient sampling technique was used. Qualitative component included focus group discussions. The students who have attended medical ethics lectures were included in the study.

Results: The response rate was 82.72%. There were more females in gender distribution; 76.1% were female and 23.9% were male. Most respondents (74.9%) found medical ethics classes interesting and 72% thought that lecture sessions were important in medical ethics.

Conclusions: Medical students find medical ethics as an important component of medical education. Although it is hard to correlate ethics education with their clinical experience as medical students, they believe that medical ethics education can be useful. Social and cultural issues inform clinical decision-making in Pakistan and hence these discussions should be incorporated into medical education. Further studies must be conducted on the actions that need to be taken to help students internalize the ethical issues.

References

Beauchamp T, Childress J. Principles of Biomedical Ethics: Marking Its Fortieth Anniversary. Am J Bioeth. 2019; 19(11): 9- 12. doi: 10.1080/15265161.2019.1665402.

Doherty RF. Ethical Dimensions in the Health Professions-E-Book. 7thed Elsevier Health Sciences; 2020.

Olejarczyk JP, Young M. Patient Rights and Ethics. In: StatPearls. StatPearls Publishing, Treasure Island (FL); 2022.

Aitchison L, Steiner-Birmanns B, Weishut D. We need to teach human rights in medical schools. Torture Journal. 2021; 31(2):147-148.doi: 10.7146/torture.v31i2.128025

Mackey TK, Vian T, Kohler J. The sustainable development goals as a framework to combat health-sector corruption. Bull World Health Organ. 2018; 96(9): 634-643 doi: 10.2471/BLT.18.209502

Vian T. Anti-corruption, transparency and accountability in health: concepts, frameworks, and approaches. Glob Health Action. 2020; 13(sup1): 1694744. doi: 10.1080/16549716.2019.1694744

Shiraz B, Shamim MS, Shamim MS, Ahmed A. Medical ethics in surgical wards: knowledge, attitude and practice of surgical team members in Karachi. Indian J Med Ethics. 2005; 2(3): 94-96. doi: 10.20529/IJME.2005.048..

Sathirareuangchai S. Medical students’ and interns’ attitudes toward medical ethics education in a Thai medical school. Siriraj Med J. 2016; 68(2): 97-103.

Khan MA, Zafar B. Perception of medical students regarding medical ethics teaching in their curriculum. Pak. J. Rehabil. 2017; 6(1): 51-57.

Harris JA, Byhoff E. Variations by state in physician disciplinary actions by US medical licensure boards. BMJ Qual Saf. 2017; 26(3): 200-208. doi: 10.1136/bmjqs- 2015-004974.

Aacharya RP, Shakya YL. Knowledge, attitude and practice of medical ethics among medical intern students in a Medical College in Kathmandu. BJBio. 2015; 6(3): 1-9. doi: 10.3329/bioethics.v6i3.27613

Jatana SK, Soe HH, Phyu KL, Lwin H, Than NN. A survey on knowledge and attitudes towards medical ethics among undergraduate medical students. Education. 2018; 8(3): 48-53. doi:10.5923/j.edu.20180803.03

Souza AD, Vaswani V. Diversity in approach to teaching and assessing ethics education for medical undergraduates: A scoping review. Ann Med Surg (Lond). 2020; 56: 178-185. doi:10.1016/j.amsu.2020.06.028.

Asghari F, Samadi A, Rashidian A. Medical ethics course for undergraduate medical students: a needs assessment study. J Med Ethics Hist Med. 2013; 6: 7.

Rabbani MW, Mujtaba M, Naeem F, Ullah E. Knowledge and awareness of medical ethics among medical graduates from two medical colleges in Lahore, Pakistan. RMJ. 2014; 39(3): 341-343

Humayun A, Fatima N, Naqqash S, Hussain S, Rasheed A, Imtiaz H, Imam SZ. Patients' perception and actual practice of informed consent, privacy and confidentiality in general medical outpatient departments of two tertiary care hospitals of Lahore. BMC medical ethics. 2008; 9(1): 1-8. doi: 10.1186/1472-6939-9-14

Johnston C, Haughton P. Medical students’ perceptions of their ethics teaching. J Med Ethics. 2007; 33(7): 418-422.doi:10.1136/jme.2006.018010

Mattick K, Bligh J. Undergraduate ethics teaching: revisiting the Consensus Statement. Med Educ. 2006; 40(4): 329-332. doi:10.1111/j.13652929.2006.02407.x.

Aguilera ML, Martínez Siekavizza S, Barchi F. A practical approach to clinical ethics education for undergraduate medical students: a case study from Guatemala. J Med Educ Curric Dev. 2019; 6: 2382120519869207. doi:10. 1177/2382120519869207

Saleem S, Tariq S. Developing Ethical Leadership in Health Care-Experience of Introducing Bioethics in Post Graduate Training. Global bioethics enquiry. 2020; 8(3): 164-171.

Downloads

Published

12/30/2022

How to Cite

1.
Sarosh Saleem, Ghulam Rasool I, Nisar O, Rao SRR, Nisar S. Medical Students’ Views on Medical Ethics Education-A Mixed Method Study. J Shalamar Med Dent Coll [Internet]. 2022 Dec. 30 [cited 2024 Nov. 21];3(2):81-90. Available from: https://journal.smdc.edu.pk/index.php/journal/article/view/129

Issue

Section

Original Articles