Case-Based Ethics Grand-Rounds have a positive impact on Ethical-Decision-making and Professional Behaviors in Interns
Refereed conference paper presented and published in conference proceedings


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AbstractBackground: Ethics teaching outcomes for medical students, are best assessed by evaluating students' capacity to analyze the ethical dimensions of a problem and apply key principles towards a possible resolution of such conflicts.

Method: Our program for Bioethics establishes a solid foundation required to understand Ethical principles. Senior students (years 4-6) are exposed to grand rounds, involving Ethical dilemmas or professional misbehaviors . Student participation is obligatory for final year students with a 100% attendance requirement.

Results: To date, 430 students have participated in the grand rounds (n=8). These rounds require students to a) Identify the key Ethical Issues that arise in the context of the case b) Discuss possible conflicting principles and c) Provide a reasonable resolution based on the 4-principles approach that underpins much of our teaching of ethics. Student participation has been enthusiastic. The rounds are interactive and generate heated discussions. Students and staff members are required to vote using a green-red card, and this encourages everyone to participate. Evidence of Impact: Focus group interviews of interns from 2 successive batches of CUHK* students (n= 44) who participated in these grand rounds revealed that rounds had a positive impact on their ability to apply ethical principles in case resolution, during their practice as interns.
Some of the interns also reported that they were able to identify issues of professional behaviors in themselves and amongst other healthcare workers – in particular conflicts between patient autonomy and paternalistic behaviors. The principle of justice became much more tangible and evident in their daily practice and in their views the rounds increased their sensitivity and improved their awareness towards the ethical dimensions of clinical care.

Conclusion: The discussion of real and authentic cases that happen in the health care environment where students are eventually going to practice, exposes them to some of the vagaries and realities of practice. Allowing students to discuss these cases without fear, and mentoring them to defend key ethical principles has been deeply valued. This is likely to have an impact in their practice behaviors and may counteract the hidden curriculum they are often exposed to.
All Author(s) ListShekhar Kumta, Paul Lai, HK Ng, Isabel Hwang, Sara Bergstresser, Yan Jin
Name of ConferenceAn International Association For Medical Education (AMEE) 2018 Annual Conference
Start Date of Conference25/08/2018
End Date of Conference29/08/2018
Place of ConferenceBasel, Switzerland
Country/Region of ConferenceSwitzerland
Proceedings TitleThe Proceeding of An International Association For Medical Education (AMEE) 2018 Annual Conference
Year2018
Month8
Pages496 - 496
LanguagesEnglish-United Kingdom

Last updated on 2018-19-12 at 11:45