Evaluation of medical ethics competencies in rheumatology: local experience during national accreditation process
Introduction Rheumatologists are the primary healthcare professionals responsible for patients with rheumatic diseases and should acquire medical ethical competencies, such as the informed consent process (ICP). The objective clinical structured examination is a valuable tool for assessing clinical...
Authors: | ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; |
---|---|
Format: | Electronic Article |
Language: | English |
Check availability: | HBZ Gateway |
Journals Online & Print: | |
Fernleihe: | Fernleihe für die Fachinformationsdienste |
Published: |
BMJ Publ.
2019
|
In: |
Journal of medical ethics
Year: 2019, Volume: 45, Issue: 12, Pages: 839-842 |
Online Access: |
Volltext (lizenzpflichtig) Volltext (lizenzpflichtig) |
MARC
LEADER | 00000caa a22000002 4500 | ||
---|---|---|---|
001 | 1816161578 | ||
003 | DE-627 | ||
005 | 20230428063526.0 | ||
007 | cr uuu---uuuuu | ||
008 | 220908s2019 xx |||||o 00| ||eng c | ||
024 | 7 | |a 10.1136/medethics-2019-105717 |2 doi | |
035 | |a (DE-627)1816161578 | ||
035 | |a (DE-599)KXP1816161578 | ||
040 | |a DE-627 |b ger |c DE-627 |e rda | ||
041 | |a eng | ||
084 | |a 1 |2 ssgn | ||
100 | 1 | |a Pascual-Ramos, Virginia |e VerfasserIn |4 aut | |
245 | 1 | 0 | |a Evaluation of medical ethics competencies in rheumatology: local experience during national accreditation process |
264 | 1 | |c 2019 | |
336 | |a Text |b txt |2 rdacontent | ||
337 | |a Computermedien |b c |2 rdamedia | ||
338 | |a Online-Ressource |b cr |2 rdacarrier | ||
520 | |a Introduction Rheumatologists are the primary healthcare professionals responsible for patients with rheumatic diseases and should acquire medical ethical competencies, such as the informed consent process (ICP). The objective clinical structured examination is a valuable tool for assessing clinical competencies. We report the performance of 90 rheumatologist trainees participating in a station designed to evaluate the ICP during the 2018 and 2019 national accreditations.Methods The station was validated and represented a medical encounter in which the rheumatologist informed a patient with systemic lupus erythematosus with clinically active nephritis about renal biopsy. A trained patient-actor and an evaluator were instructed to assess ICP skills (with a focus on kidney biopsy benefits, how the biopsy is done and potential complications) in obtaining formal informed consent, delivering bad news and overall communication with patients. The evaluator used a tailored checklist and form.Results Candidate performance varied with ICP content and was superior for potential benefit information (achieved by 98.9% of the candidates) but significantly reduced for potential complications (37.8%) and biopsy description (42.2%). Only 17.8% of the candidates mentioned the legal perspective of ICP. Death (as a potential complication) was omitted by the majority of the candidates (93.3%); after the patient-actor challenged candidates, only 57.1% of them gave a clear and positive answer. Evaluators frequently rated candidate communications skills as superior (≥80%), but ≥1 negative aspect was identified in 69% of the candidates.Conclusions Ethical competencies are mandatory for professional rheumatologists. It seems necessary to include an ethics competency framework in the curriculum throughout the rheumatology residency. | ||
700 | 1 | |a Contreras-Yáñez, Irazú |e VerfasserIn |4 aut | |
700 | 1 | |a Arce Salinas, Cesar Alejandro |e VerfasserIn |4 aut | |
700 | 1 | |a Saavedra Salinas, Miguel Angel |e VerfasserIn |4 aut | |
700 | 1 | |a Del Mercado, M. V. |e VerfasserIn |4 aut | |
700 | 1 | |a López Zepeda, Judith |e VerfasserIn |4 aut | |
700 | 1 | |a Muñoz López, Sandra |e VerfasserIn |4 aut | |
700 | 1 | |a Vázquez-Mellado, Janitzia |e VerfasserIn |4 aut | |
700 | 1 | |a Amezcua Guerra, Luis Manuel |e VerfasserIn |4 aut | |
700 | 1 | |a Fragoso Loyo, Hilda Esther |e VerfasserIn |4 aut | |
700 | 1 | |a Villarreal Alarcón, Miguel Angel |e VerfasserIn |4 aut | |
700 | 1 | |a Pérez Cristobal, Mario |e VerfasserIn |4 aut | |
700 | 1 | |a Rubio Pérez, Eugenia Nadina |e VerfasserIn |4 aut | |
700 | 1 | |a Torres Jiménez, Alfonso Ragnar |e VerfasserIn |4 aut | |
700 | 1 | |a Maldonado, María del Rocio |e VerfasserIn |4 aut | |
700 | 1 | |a Álvarez-Hernández, Everardo |e VerfasserIn |4 aut | |
773 | 0 | 8 | |i Enthalten in |t Journal of medical ethics |d London : BMJ Publ., 1975 |g 45(2019), 12, Seite 839-842 |h Online-Ressource |w (DE-627)323607802 |w (DE-600)2026397-1 |w (DE-576)260773972 |x 1473-4257 |7 nnns |
773 | 1 | 8 | |g volume:45 |g year:2019 |g number:12 |g pages:839-842 |
856 | 4 | 0 | |u https://doi.org/10.1136/medethics-2019-105717 |x Resolving-System |z lizenzpflichtig |3 Volltext |
856 | 4 | 0 | |u http://jme.bmj.com/content/45/12/839.abstract |x Verlag |z lizenzpflichtig |3 Volltext |
935 | |a mteo | ||
951 | |a AR | ||
ELC | |a 1 | ||
ITA | |a 1 |t 1 | ||
LOK | |0 000 xxxxxcx a22 zn 4500 | ||
LOK | |0 001 4185615523 | ||
LOK | |0 003 DE-627 | ||
LOK | |0 004 1816161578 | ||
LOK | |0 005 20220908053742 | ||
LOK | |0 008 220908||||||||||||||||ger||||||| | ||
LOK | |0 035 |a (DE-Tue135)IxTheo#2022-08-03#368443D8F0BB980C1BC7BA25CC0BAA9A3D1CE946 | ||
LOK | |0 040 |a DE-Tue135 |c DE-627 |d DE-Tue135 | ||
LOK | |0 092 |o n | ||
LOK | |0 852 |a DE-Tue135 | ||
LOK | |0 852 1 |9 00 | ||
LOK | |0 935 |a ixzs |a ixrk |a zota | ||
OAS | |a 1 |b inherited from superior work | ||
ORI | |a SA-MARC-ixtheoa001.raw |