Medical Ethics Education for Neurology Residents: Where Do We Go from Here?

Traner, Christopher; Tolchin, Dorothy W.; Tolchin, Benjamin

doi:10.1055/s-0038-1667381

Cited by 12 publications

(7 citation statements)

References 47 publications

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“…According to a recent study, the necessity of medical ethics courses given in medical faculties was reported, but it was reported that there was no standardization regarding the duration of medical ethics courses to be given (4). Similar results have been shown in other studies (14). According to another study, it was concluded that medical ethics education in medical school education significantly changed the students' perspective on medical ethics (15).…”

Section: Discussionmentioning

confidence: 77%

Comparison of Medical Ethics Approaches According to Professional Experience and the Source of Medical Ethics Training: A Survey Study

Demirtaş¹

2020

Erciyes Med J

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Objective: This study aimed to compare the perspective on, the standard of knowledge and perceptions of medical ethics in the sixth-grade medical faculty students of a university hospital and the residents and academics working in the same hospital. Materials and Methods:In the first step, the participants were divided into three groups as sixth-grade medical students, residents and academics. Each group included 100 participants. The participants were divided into groups according to the source of ethics training (from the person with ethical expertise or except for the ethics expert). The questionnaire, which consisted of 10 main questions, was applied to the participants one-to-one and face to face. The first five questions evaluate the demographic data of the participants, the questions 6, 7, 8 and 9 evaluate the participants' perspectives on medical ethics education and the 10 th question evaluates the associations of medical ethics. Results:The most common age range was 20-24 (30%) years. The majority of the participants agreed that medical ethics training was necessary (92.7%). The findings showed that participants who received medical ethics education from an ethics specialist had more ideas about the distinction between deontology and medical ethics (86.3% vs. 76.1%, p<0.001). The findings showed that participants who received training from ethical experts had higher knowledge of medical ethics. Conclusion:Providing ethical education by experts may ensure that healthcare professionals have a higher level of basic ethical knowledge. All groups agree on the necessity of medical ethics education.

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Section: Discussionmentioning

confidence: 77%

Comparison of Medical Ethics Approaches According to Professional Experience and the Source of Medical Ethics Training: A Survey Study

Demirtaş¹

2020

Erciyes Med J

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“…A qualitative study conducted to analyse the perspectives of US paediatricians regarding shared decision-making in ADHD showed that instead of familiarizing families with all the options first, the paediatricians provided information to persuade families to accept the treatment of their choice [ 70 ]. These different scenarios can be explained in part by the quality of communication between the physician and the patient/parent, the technical language used, and possibly the cultural context of both parties [ 71 ] as well as the development of medical bioethics and doctor–patient communication skills [ 72 ].…”

Section: Discussionmentioning

confidence: 99%

Communication patterns in the doctor–patient relationship: evaluating determinants associated with low paternalism in Mexico

et al. 2020

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Background Paternalism/overprotection limits communication between healthcare professionals and patients and does not promote shared therapeutic decision-making. In the global north, communication patterns have been regulated to promote autonomy, whereas in the global south, they reflect the physician’s personal choices. The goal of this study was to contribute to knowledge on the communication patterns used in clinical practice in Mexico and to identify the determinants that favour a doctor–patient relationship characterized by low paternalism/autonomy. Methods A self-report study on communication patterns in a sample of 761 mental healthcare professionals in Central and Western Mexico was conducted. Multiple ordinal logistic regression models were used to analyse paternalism and associated factors. Results A high prevalence (68.7% [95% CI 60.0–70.5]) of paternalism was observed among mental health professionals in Mexico. The main determinants of low paternalism/autonomy were medical specialty (OR 1.67 [95% CI 1.16–2.40]) and gender, with female physicians being more likely to explicitly share diagnoses and therapeutic strategies with patients and their families (OR 1.57 [95% CI 1.11–2.22]). A pattern of highly explicit communication was strongly associated with low paternalism/autonomy (OR 12.13 [95% CI 7.71–19.05]). Finally, a modifying effect of age strata on the association between communication pattern or specialty and low paternalism/autonomy was observed. Conclusions Among mental health professionals in Mexico, high paternalism prevailed. Gender, specialty, and a pattern of open communication were closely associated with low paternalism/autonomy. Strengthening health professionals’ competencies and promoting explicit communication could contribute to the transition towards more autonomist communication in clinical practice in Mexico. The ethical implications will need to be resolved in the near future.

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“…A qualitative study conducted to analyse the perspectives of U.S. paediatricians regarding shared decision-making in ADHD indicated that instead of familiarizing families with all the options rst, the paediatricians provided information to persuade families to accept the treatment of their choice [73]. These different scenarios can be explained in part by the quality of communication between the physician and the patient/parent, the technical language used and possibly the cultural context of both parties [74] as well as the development of medical bioethics and doctor-patient communication skills [75].…”

Section: Discussionmentioning

confidence: 99%

Communication patterns in the doctor–patient relationship: evaluating determinants associated with low paternalism in Mexico.

Lazcano-Ponce

Ángeles-Llerenas

Rodríguez-Valentín

et al. 2020

Preprint

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Abstract Background: Paternalism/overprotection limits communication between healthcare professionals and patients and does not promote shared therapeutic decision-making. In the global north, communication patterns have been regulated to promote autonomy, whereas in the global south, they reflect the physician’s personal choices. The goal of this work was contribute to knowledge of the communication patterns used in clinical practice in Mexico and to identify the determinants that favour a doctor-patient relationship characterized by low paternalism/autonomism. Methods: A self-report study of communication patterns within a sample of 761 mental healthcare professionals in Central and Western Mexico was conducted. Multiple ordinal logistic regression models were performed to analyse paternalism and associated factors. Results: A high prevalence (68.7% [95% CI 60.0-70.5]) of paternalism was observed among mental healthcare professionals in Mexico. The main determinants of low paternalism/autonomism were medical specialty (OR 1.67 [95% CI 1.16-2.40]) and gender, with female physicians more likely to explicitly share diagnoses and therapeutic strategies with patients and their families (OR 1.57 [95% CI 1.11-2.22]). A pattern of highly explicit communication was strongly associated with low paternalism/autonomism (OR 12.13 [95% CI 7.71-19.05]). Finally, a modifying effect of age strata on the association between communication pattern or specialty and low paternalism/autonomism was observed. Conclusions: Among mental healthcare professionals in Mexico, an elevated paternalism prevailed. Gender, specialty, and a pattern of open communication were closely associated with low paternalism/autonomism. Strengthening the competencies of health professionals and promoting explicit communication could contribute to the transition towards more autonomist communication in clinical practice in Mexico. The ethical implications will need to be resolved in the near future.

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Medical Ethics Education for Neurology Residents: Where Do We Go from Here?

Cited by 12 publications

References 47 publications

Comparison of Medical Ethics Approaches According to Professional Experience and the Source of Medical Ethics Training: A Survey Study

Comparison of Medical Ethics Approaches According to Professional Experience and the Source of Medical Ethics Training: A Survey Study

Communication patterns in the doctor–patient relationship: evaluating determinants associated with low paternalism in Mexico

Communication patterns in the doctor–patient relationship: evaluating determinants associated with low paternalism in Mexico.

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