Describing the perceptions of bioethics training requirements among young medical professionals: an observational studies
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20200983Keywords:
Bioethics training, Likert Scale, Massive open online courses, Perceptions, Self-directed learningAbstract
Background: Medical Council of India emphasises the training on bioethics for medical graduates and included the same in medical curriculum reforms. However, the universal implementation of structured training in bioethics remains elusive due to many challenges. Hence the study was planned to describe the perception about the bioethics training needs among trainee interns and junior residents training at tertiary medical teaching hospitals across Tamil Nadu.
Methods: A web-based cross-sectional survey was conducted during September-December 2019.Google forms survey was designed, and link was disseminated using affinity groups and snowballing techniques through social media among current medical interns and junior resident doctors working at tertiary care teaching hospital settings across Tamil Nadu. Data was analyzed using MS Excel auto generated through google forms and descriptive statistics were performed.
Results: Among 136 respondents of online survey from across 25 medical colleges in Tamil Nadu, 73 (57.5%) were females, 57 (42.2%) had training on bioethics and 31 (54.4%) during internship period. During these trainings, experts in bioethics scholarship conducted training for only 34% of participants. Self-reported inadequate levels of awareness on bioethics was seen in 20.6% subjects and 17.8% subjects professed awareness on Indian Council of Medical Research clinical research ethics guidelines. Combination of curriculum and self-directed learning was the favoured teaching-learning method.
Conclusions: This study reveals major gaps in knowledge and attitudes of young medical professionals towards bioethics training and can be addressed through testing novel methods of training.
References
The Indian Medical Council (Professional Conduct, Etiquette and Ethics) Regulations, 2002. Medical Council of India; 06 April, 2002. Available at: http://www.mciindia.org/RulesandRegulations/CodeofMedicalEthicsRegulations2002.aspx. Accessed on 3 January 2020.
Sharma S, Satija M, Sagar M, Chaudhary A, Sharma S, Sharma P. A Mixed Methods Study to Introduce Bioethics training in Undergraduate Medical Teaching of Community Medicine. Nat J Comm Med. 2018;9(6):415-9.
Rameshkumar K. Ethics in medical curriculum; Ethics by the teachers for students and society. Indian journal of urology: IJU: J Urolog Soc Ind. 2009;25(3):337-9.
Singh S, Sharma PK, Bhandari B, Kaur R. Knowledge, awareness and practice of ethics among doctors in tertiary care hospital. Ind J Pharmacol. 2016;48(Suppl 1):S89-93.
Brogen AS, Rajkumari B, Laishram J, Joy A. Knowledge and attitudes of doctors on medical ethics in a teaching hospital, Manipur. Ind J Medi Ethics. 2009;6(4):194-7.
Goldberg LR, Crocombe LA. Advances in medical education and practice: role of massive open online courses. Adv Medi Educ Pract. 2017;8:603.
Sarkar S, Bharadwaj B. Adapting massive open online courses for medical education. International J Adv Medi Health Res. 2015;2(1):68-71.
Mahajan R, Gupta P, Singh T. Massive Open Online Courses: Concept and Implications. Ind Pediatr. 2019;56(6):489-95.
Rao SJ. Medical negligence liability under the consumer protection act: A review of judicial perspective. Indian journal of urology: IJU: J Urolog Soc Ind. 2009;25(3):361-71.
Ramana KV, Kandi S, Boinpally PR. Ethics in medical education, practice, and research: An insight. Ann Trop Medi Public Health. 2013;6(6):599-602.
Mahajan R, Goyal PK, Sidhu TK, Kaur U, Kaur S, Gupta V. Module for interns in medical ethics: A developmental diegesis. Int J Appl Basic Medi Res. 2017;7(Suppl 1):S52-56.
Medical Council of India. Professional Conduct, Etiquette, and Ethics Regulations. 2002. Available at: http://www.mciindia.org/Rules-and-Regulation/ Ethics%20Regulations-2002.pdf. Accessed 28 April 2017.
Ansari SK, Hussain M, Qureshi N. Teaching professional ethics to undergraduate medical students. Nat Medi J Ind. 2018 Mar 1;31(2):101.
Bilgin AC, Timbil S, Guvercin CH, Ozan S, Semin S. Preclinical students’views on medical ethics education: a focus group study in turkey. Acta Bioethica. 2018 Jun;24(1):105.
Aboshady OA, Radwan AE, Eltaweel AR, Azzam A, Aboelnaga AA, Hashem HA, et al. Perception and use of massive open online courses among medical students in a developing country: multicentre cross-sectional study. BMJ Open. 2015 Jan 1;5(1):e006804.
Zhenghao C, Alcorn B, Christensen G, Eriksson N, Koller D, Ezekiel J, et al. who’s benefitting from MOOCs and why. Harvard Business Review. Available at: https://hbr.org/2015/09/whos-benefiting-from-moocs-and-why. Accessed 5 December 2019.
