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Title: Postgraduate ethics training programs: a systematic scoping review
Authors: Hong, Daniel Zhihao
Goh, Jia Ling
Ong, Zhi Yang
Ting, Jacquelin Jia Qi
Wong, Mun Kit
Wu, Jiaxuan
Tan, Xiu Hui
Toh, Rachelle Qi En
Chiang, Christine Li Ling
Ng, Caleb Wei Hao
Ng, Jared Chuan Kai
Ong, Yun Ting
Cheong, Clarissa Wei Shuen
Tay, Kuang Teck
Tan, Laura Hui Shuen
Phua, Gillian Li Gek 
Fong, Warren 
Wijaya, Limin 
Neo, Shirlyn Hui Shan 
Lee, Alexia Sze Inn
Chiam, Min
Chin, Annelissa Mien Chew 
Krishna, Lalit Kumar Radha 
Keywords: Ethics curriculum
Ethics education
Ethics training program
Medical ethics
Postgraduate medical education
Scoping review
Systematic scoping review
Issue Date: 9-Jun-2021
Publisher: BioMed Central Ltd
Citation: Hong, Daniel Zhihao, Goh, Jia Ling, Ong, Zhi Yang, Ting, Jacquelin Jia Qi, Wong, Mun Kit, Wu, Jiaxuan, Tan, Xiu Hui, Toh, Rachelle Qi En, Chiang, Christine Li Ling, Ng, Caleb Wei Hao, Ng, Jared Chuan Kai, Ong, Yun Ting, Cheong, Clarissa Wei Shuen, Tay, Kuang Teck, Tan, Laura Hui Shuen, Phua, Gillian Li Gek, Fong, Warren, Wijaya, Limin, Neo, Shirlyn Hui Shan, Lee, Alexia Sze Inn, Chiam, Min, Chin, Annelissa Mien Chew, Krishna, Lalit Kumar Radha (2021-06-09). Postgraduate ethics training programs: a systematic scoping review. BMC Medical Education 21 (1) : 338. ScholarBank@NUS Repository.
Rights: Attribution 4.0 International
Abstract: Background: Molding competent clinicians capable of applying ethics principles in their practice is a challenging task, compounded by wide variations in the teaching and assessment of ethics in the postgraduate setting. Despite these differences, ethics training programs should recognise that the transition from medical students to healthcare professionals entails a longitudinal process where ethics knowledge, skills and identity continue to build and deepen over time with clinical exposure. A systematic scoping review is proposed to analyse current postgraduate medical ethics training and assessment programs in peer-reviewed literature to guide the development of a local physician training curriculum. Methods: With a constructivist perspective and relativist lens, this systematic scoping review on postgraduate medical ethics training and assessment will adopt the Systematic Evidence Based Approach (SEBA) to create a transparent and reproducible review. Results: The first search involving the teaching of ethics yielded 7669 abstracts with 573 full text articles evaluated and 66 articles included. The second search involving the assessment of ethics identified 9919 abstracts with 333 full text articles reviewed and 29 articles included. The themes identified from the two searches were the goals and objectives, content, pedagogy, enabling and limiting factors of teaching ethics and assessment modalities used. Despite inherent disparities in ethics training programs, they provide a platform for learners to apply knowledge, translating it to skill and eventually becoming part of the identity of the learner. Illustrating the longitudinal nature of ethics training, the spiral curriculum seamlessly integrates and fortifies prevailing ethical knowledge acquired in medical school with the layering of new specialty, clinical and research specific content in professional practice. Various assessment methods are employed with special mention of portfolios as a longitudinal assessment modality that showcase the impact of ethics training on the development of professional identity formation (PIF). Conclusions: Our systematic scoping review has elicited key learning points in the teaching and assessment of ethics in the postgraduate setting. However, more research needs to be done on establishing Entrustable Professional Activities (EPA)s in ethics, with further exploration of the use of portfolios and key factors influencing its design, implementation and assessment of PIF and micro-credentialling in ethics practice. © 2021, The Author(s).
Source Title: BMC Medical Education
ISSN: 1472-6920
DOI: 10.1186/s12909-021-02644-5
Rights: Attribution 4.0 International
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