• Atencion primaria · Feb 2019

    Observational Study

    [Assessing bioethics education: Teaching to be virtuous doctors or just doctors with practical ethical skills].

    • Montse Esquerda, Josep Pifarré, Helena Roig, Ester Busquets, Oriol Yuguero, and Joan Viñas.
    • Institut Borja de Bioética, Universitat Ramon Llull, Esplugues de Llobregat, Barcelona, España; Facultat de Medicina, Universitat de Lleida, Lleida, España; Sant Joan de Déu Terres de Lleida, Lleida, España; Institut de Recerca Biomèdica de Lleida (IRB-Lleida), Lleida, España.
    • Aten Primaria. 2019 Feb 1; 51 (2): 99-104.

    ObjectiveIn the last decades, bioethics has been incorporated into the academic training of the Medical Schools. Some studies analyze the ethical-moral development of medical students and the effect of ethical education in other countries. This evaluation is done by measuring Kohlberg's moral reasoning (virtuous doctors), or ethical sensitivity to resolve clinical cases (physicians with ethical skills). The following study is proposed to assess the impact of bioethics training on these two variables, in Spanish medical students.DesignObservational cross-sectional study. SITE: Faculty of Medicine, University of Lleida.Participants175 students from third year of medicine (78 before bioethics and 97 after bioethics, in different courses) were conducted.InterventionBioethics course.Main MeasurementsA socio-demographic questionnaire, the Rest Defining Issue test scale, and Problem Identification Test with clinical vignettes were administered.ResultsA consistent and significant correlation has been found between moral reasoning and ethical sensitivity. Women presented greater post-conventional reasoning. There were no changes in Kohlberg's stage of global moral reasoning with ethical training. There were changes in ethical sensitivity with bioethical training, with a significantly and globally improvement.ConclusionIn our study, training in bioethics does not improve moral development but rather the ethical problem solving skills. It is asked if this improvement is enough to train doctors prepared for the new challenges.Copyright © 2018 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved.

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