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https://doi.org/10.1186/s12909-021-02644-5
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 Physicians Postgraduate medical education Scoping review SEBA 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. https://doi.org/10.1186/s12909-021-02644-5 | 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 | URI: | https://scholarbank.nus.edu.sg/handle/10635/232737 | ISSN: | 1472-6920 | DOI: | 10.1186/s12909-021-02644-5 | Rights: | Attribution 4.0 International |
Appears in Collections: | Elements Staff Publications |
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