Introduction: The ethical skills fundamental to medical practice encompass a large portion of the Accreditation Council for Graduate Medical Education (ACGME) professionalism milestones. Yet many ethical practices are difficult to reduce to milestone frameworks given the variety of traditions of moral reasoning that clinician-trainees and their colleagues might properly employ.
Methods: We developed an observed standardized clinical examination (OSCE) simulation with standardized patients to assess the ethical skills captured in professionalism milestones in pediatrics. The OSCE included four vignettes based on actual cases that presented problems without a correct answer. Residents discussed ethically challenging issues with standardized patients and were evaluated on specific ethical tenets contained in the professionalism milestones. Our assessment guide for preceptors offered content for debriefing and assessment. We piloted this OSCE with seven preceptors and 17 pediatric residents in two different medical settings.
Results: Residents all agreed that the four cases were realistic. All but two residents agreed that OSCEs like this one are an appropriate or objective way of assessing the ACGME professionalism milestones. All preceptors reported that they strongly agreed the assessment improved their ability to assess the professionalism milestones.
Discussion: This OSCE offers a structured method to assess professionalism milestones and a forum to discuss ethical problem solving. It can also be used solely as a training exercise in ethical decision making and having difficult conversations.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7062544 | PMC |
| http://dx.doi.org/10.15766/mep_2374-8265.10873 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
EMYWAY Workplace-Based Entrustable Professional Activities Assessments in Otolaryngology Residency Training: A Nationwide Experience.
Otolaryngol Head Neck Surg
December 2024
Department of Otolaryngology-Head and Neck Surgery, National Taiwan University Hospital and Children's Hospital, Taipei, Taiwan.
Objective: To present workplace-based entrustable professional activities (EPAs) assessment data from the first 2 years of the EMYWAY platform in otolaryngology residency training in Taiwan.
Study Design: Two-year cross-sectional study.
Setting: Otolaryngology training programs.
Trends in scientific publication among dental students at a private Peruvian university: a seven-year characterization.
BMC Med Educ
December 2024
Facultad de Estomatología, Universidad Peruana Cayetano Heredia, Lima, Perú.
Background: For health science students, publishing in scientific journals is a significant milestone that can positively impact their professional careers, providing recognition and credibility within the academic and professional community. However, despite the apparent increase in scientific production among undergraduate dental students in Latin America and the Caribbean, it remains low compared to other regions. The study aimed to determine the frequency of publication in scientific journals of the documents to obtain the professional title of dental surgeon by undergraduate dental students at a private Peruvian university over seven years.
View Article and Find Full Text PDFWorkshop report: Clinical training and integration of genetic counselors into interprofessional teams in the German-speaking countries.
Genet Med Open
May 2024
Institute of Human Genetics, Medical University of Innsbruck, Innsbruck, Austria.
In spring 2022, the inaugural cohort of Genetic and Genomic Counseling MSc students graduated from the Medical University of Innsbruck, representing a significant milestone for the establishment of the genetic counselor (GC) profession in the German-speaking countries. A pivotal component of their education was a 15-week clinical training period. The placement experiences of both students and supervisors offered valuable insights into the attitudes of medical geneticists toward the profession.
View Article and Find Full Text PDFPrioritising Competencies in Clinician Educator Training in Residency Programmes.
Clin Teach
February 2025
Office of Graduate Medical Education, Baylor College of Medicine, Houston, Texas, USA.
Introduction: Although Clinician Educator Tracks (CETs) have been developed for postgraduate trainees, more clarity is needed regarding which competencies are most relevant to resident and fellow physicians (housestaff) seeking to become Clinician Educators (CEs).
Methods: We used the Clinician Educator Milestones, an established framework for competencies at the faculty level, to perform a targeted needs assessment at a large academic institution from April-May 2023. Educational leaders in undergraduate (UME), graduate (GME) and senior medical education (SME) leadership roles were asked to prioritise the Clinician Educator Milestones subcompetencies for a 1-year track.
Advancing peer support workforce research: Insights and recommendations through the lens of professionalization.
J Subst Use Addict Treat
December 2024
Lighthouse Institute, Chestnut Health Systems, 221 West Walton Street, Chicago, IL 60610, USA.
Over the past two decades, peer support providers have increasingly formalized their roles in the addiction treatment workforce through credentialing and professionalization efforts. Despite these advancements, misconceptions regarding their professional identity persist and contribute to challenges such as burnout and high turnover. This commentary underscores the importance of viewing the peer workforce as an emerging profession using a lens that has previously been applied to other healthcare service roles.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!