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Review of ethics curricula in undergraduate medical education

Goldie, J. (2000) Review of ethics curricula in undergraduate medical education. Medical Education, 34 (2). pp. 108-119. ISSN 0308-0110 (doi:10.1046/j.1365-2923.2000.00607.x)

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Abstract

Medical ethics education, it has been said, has 'come of age' in recent years in terms of its formal inclusion in undergraduate medical curricula. This review article examines the background to its inclusion in undergraduate curricula and goes on to examine the consensus that has arisen on the design of ethics curricula, using Harden's curriculum and S.P.I.C.E.S models as templates. While there is consensus on content for undergraduate medical ethics education, there is still significant debate on learning and teaching methods. Despite the broad agreement on the need to apply adult education principles to ethics teaching, there would appear to be some tension between balancing the need for experiential learning and achieving the 'core curriculum'. There are also as yet unresolved difficulties with regards to resources for delivery, academic expertise, curriculum integration and consolidation of learning. Assessment methods also remain contentious. Although there is consensus that the ultimate goal of medical ethics, and indeed of medical education as a whole, is to create 'good doctors', the influence of the 'hidden curriculum' on students' development is only beginning to be recognized, and strategies to counteract its effects are in their infancy. The need for proper evaluation studies is recognized. It is suggested that the areas of debate appearing in the literature could be used as a starting point for evaluation studies, which would form the empirical basis of future curriculum development.

Item Type:Article
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Goldie, Dr John
Authors: Goldie, J.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > General Practice and Primary Care
Journal Name:Medical Education
Publisher:Blackwell Publishing
ISSN:0308-0110
Published Online:25 December 2001

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