Missed opportunities in the way medical schools evaluate the ethical domain in clerkship rotations

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dc.contributor.authorDos Santos, Maria Fernanda [UNESP]
dc.contributor.authorSchoueri, João F.L. [UNESP]
dc.contributor.authorVidal, Camila T. [UNESP]
dc.contributor.authorFilho, Pedro T. Hamamoto [UNESP]
dc.contributor.authorFukushima, Fernanda B. [UNESP]
dc.contributor.authorVidal, Edison I.O. [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionUniversity of Sorocaba (UNISO)
dc.date.accessioned2019-10-06T16:34:27Z
dc.date.available2019-10-06T16:34:27Z
dc.date.issued2019-05-01
dc.description.abstractBackground Several lines of evidence indicate that medical schools have been failing to adequately nurture empathy and the ethical dimension in their graduates, the lack of which may play a central role in the genesis of medical errors, itself a major source of avoidable deaths, incapacity and wasted resources. It has been widely proposed that medical schools should adopt evaluation strategies as a means to promote a culture of respectful relationships. However, it is not clear if evaluation strategies in medical schools have addressed key domains related to that aim, such as ethics, through the perspective of their students. Hence, we conducted a national survey of instruments used by Brazilian medical schools to assess clerkship rotations from the perspective of students, with a main focus on the ethical domain. Methods The authors invited 121 randomly selected institutions to participate in the study. Key informants answered a questionnaire about clerkship rotations and sent copies of any instrument used to assess the quality of clerkship rotations according to the students' perspectives. Results Twenty-six (53%) of 49 participating schools used an instrument to assess the quality of clerkship rotations according to the perspective of students. Just 13 (27%) schools had instruments containing at least one question encompassing the ethical domain. Only 2 (4%) schools asked students specifically about the occurrence of any negative experience concerning the ethical domain during rotations. Merely 1 (2%) school asked students about having witnessed patient mistreatment and none asked about mistreatment against students themselves. Conclusions There are several missed opportunities in the way medical schools assess the quality of clerkship rotations regarding the ethical domain. Closing the gap between usual institutional discourses regarding ethics and how that dimension is assessed within clerkship rotations might represent an important step towards the improvement of medical education and healthcare systems.en
dc.description.affiliationPublic Health Department Botucatu Medical School Sao Paulo State University (UNESP)
dc.description.affiliationOccupational Therapy Department University of Sorocaba (UNISO)
dc.description.affiliationInternal Medicine Department Botucatu Medical School Sao Paulo State University (UNESP)
dc.description.affiliationNeurology Psychology and Psychiatry Department Botucatu Medical School Sao Paulo State University (UNESP)
dc.description.affiliationAnesthesiology Department Botucatu Medical School Sao Paulo State University (UNESP)
dc.description.affiliationUnespPublic Health Department Botucatu Medical School Sao Paulo State University (UNESP)
dc.description.affiliationUnespInternal Medicine Department Botucatu Medical School Sao Paulo State University (UNESP)
dc.description.affiliationUnespNeurology Psychology and Psychiatry Department Botucatu Medical School Sao Paulo State University (UNESP)
dc.description.affiliationUnespAnesthesiology Department Botucatu Medical School Sao Paulo State University (UNESP)
dc.identifierhttp://dx.doi.org/10.1371/journal.pone.0217717
dc.identifier.citationPLoS ONE, v. 14, n. 5, 2019.
dc.identifier.doi10.1371/journal.pone.0217717
dc.identifier.issn1932-6203
dc.identifier.lattes9276729087180415
dc.identifier.orcid0000-0002-1573-4678
dc.identifier.scopus2-s2.0-85067126334
dc.identifier.urihttp://hdl.handle.net/11449/189240
dc.language.isoeng
dc.relation.ispartofPLoS ONE
dc.rights.accessRightsAcesso aberto
dc.sourceScopus
dc.titleMissed opportunities in the way medical schools evaluate the ethical domain in clerkship rotationsen
dc.typeArtigo
unesp.author.lattes9276729087180415[6]
unesp.author.orcid0000-0002-1573-4678[6]

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Artigos - Saúde Pública - FMB
Artigos - Anestesiologia - FMB
Artigos - Clínica Médica - FMB
Artigos - Neurologia, Psicologia e Psiquiatria - FMB