Teaching and evaluation methods of medical ethics in the Saudi public medical colleges: cross-sectional questionnaire study
Tóm tắt
Saudi Arabia is considered one of the most influential Muslim countries being as the host of the two most holy places for Muslims, namely Makkah and Madina. This was reflected in the emphasis on teaching medical ethics in a lecture-based format as a part of the subject of Islamic culture taught to medical students. Over the last few years, both teaching and evaluation of medical ethics have been changing as more Saudi academics received specialized training and qualifications in bioethics from western universities. This study aims at studying the current teaching methods and evaluation tools used by the Saudi public medical schools. It is done using a self-administered online questionnaire. Out of the 14 medical schools that responded, the majority of the responding schools (6; 42.8%), had no ethics departments; but all schools had a curriculum dedicated to medical ethics. These curricula were mostly developed by the faculty staff (12; 85.7%). The most popular teaching method was lecturing (13; 92.8%). The most popular form of student assessment was a paper-based final examination (6; 42.8%) at the end of the course that was allocated 40% or more of the total grade of the ethics course. Six schools (42.8%) allocated 15-30% of the total grade to research. Although there is a growing interest and commitment in teaching ethics to medical students in Saudi schools; there is lack of standardization in teaching and evaluation methods. There is a need for a national body to provide guidance for the medical schools to harmonize the teaching methods, particularly introducing more interactive and students-engaging methods on the account of passive lecturing.
Tài liệu tham khảo
Population by nationality in health regions 1430 H.(2009 G.). 2010, Saudi Arabia Ministry of Health, Ref Type: Report
Health statistics book for the year of 2008. 2009, Saudi Arabia: Ministry of Health, 3-8-2010.Ref Type: Report
Saudi Arabia: health profile. 2008, World Health Organization, 3-8-2010.Ref Type: Pamphlet
World Health Organization (WHO): Saudi Arabia country profile. 2010, World Health Organization (WHO), 3-8-2010.Ref Type: Electronic Citation. URL: http://www.who.int/countries/sau/en/
Ministry of Higher Education: Achievements and aspirations. 2012, Ministry of Higher Education, Ref Type: Electronic Citation. URL: http://www.mohe.gov.sa/en/aboutus/Pages/Achievements-and-aspirations.aspx
Ministry of Higher Education: Higher education in the Kingdom of Saudi Arabia: indicators and international comparisons. 2011, Riyadh, Saudi Arabia: Ministry of Higher Education, 21-25. Ref Type: Report
World Economic Forum: The global competitiveness report 2011–2012. Edited by: Schwab K, Sala-i-Martin X. 2011, Geneva, Switzerland: World Economic Forum. The Global Competitiveness Report, 442-449. Ref Type: Report
Telmesani A, Zaini RG, Ghazi HO: Medical education in Saudi Arabia: a review of recent developments and future challenges. East Mediterr Health J. 2011, 17: 703-707.
Fox E, Arnold RM, Brody B: Medical ethics education: past, present, and future. Acad Med. 1995, 70 (9): 761-769. 10.1097/00001888-199509000-00011.
Mattick K, Bligh J: Teaching and assessing medical ethics: where are we now?. J Med Ethics. 2006, 32: 181-185. 10.1136/jme.2005.014597.
Moodley K: Teaching medical ethics to undergraduate students in post-apartheid South Africa, 2003–2006. J Med Ethics. 2007, 33: 673-677. 10.1136/jme.2006.018432.
Miyasaka M, Akabayashi A, Kai I, Ohi G: An international survey of medical ethics curricula in Asia. J Med Ethics. 1999, 25: 514-521. 10.1136/jme.25.6.514.
Hussein G: Democracy: the forgotten challenge for bioethics in the developing countries. BMC Med Ethics. 2009, 10: 3-10.1186/1472-6939-10-3.
Ypinazar V, Margolis S: Western medical ethics taught to junior medical students can cross cultural and linguistic boundaries. BMC Med Ethics. 2004, 5: 4-10.1186/1472-6939-5-4.
Alkaabba A, Hussein GM: Democratization of medical education is needed to effective teaching of bioethics. J Med Liban. 2011, 59: 33-36.
Eckles RE, Meslin EM, Gaffney M, Helft PR: Medical ethics education: where are we? Where should we be going? A review. Acad Med. 2005, 80: 1143-10.1097/00001888-200512000-00020.
Al-Shehri AM, Al-Ghamdi AS: Is there anything wrong with undergraduate medical education in Saudi Arabia. Saudi Medical J. 1999, 20: 215-218.
Abdulghani HM: Stress and depression among medical students: a cross sectional study at a medical college in Saudi Arabia. Pakistan J Med Sci. 2008, 24: 12.
Gallagher EB: Medical education in Saudi Arabia. J Asian African Studies 20. 1985, 1: 1-12.
Al-Gindan YM, Al-Sulaiman AA, Al-Faraidy A: Undergraduate curriculum reform in Saudi medical schools. Which direction to go?. Saudi Med J. 2000, 21: 324-326.
Kassimi MA: Problems of undergraduate medical education in Saudi Arabia. Med Educ. 1983, 17: 233-234. 10.1111/j.1365-2923.1983.tb01455.x.
Al-Hazimi A, Al-Hyiani A, Roff S: Perceptions of the educational environment of the medical school in King Abdul Aziz University, Saudi Arabia. Med Teach. 2004, 26: 570-573. 10.1080/01421590410001711625.
Cox M, Irby DM, Stern DT, Papadakis M: The developing physician becoming a professional. New England J Med. 2006, 355: 1794-1799. 10.1056/NEJMra054783.
Ahmed K, El Bagir M: What is happening to bedside clinical teaching?. Med Educ. 2002, 36: 1185-1188. 10.1046/j.1365-2923.2002.01372.x.
Moodley K: Teaching medical ethics to undergraduate students in post-apartheid South Africa, 2003 2006. J Med Ethics. 2007, 33 (11): 673-677. 10.1136/jme.2006.018432. Ref Type: Journal (Full)
McCullough MT: A skills-based approach to teach clinical ethics. Acad Med. 2009, 84: 154-10.1097/ACM.0b013e31819398cd.
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