Authors
1 Faculty member, pediatrics department, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
2 Faculty member, cardiovascular department, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
3 Faculty member, medical genetic department, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
4 Faculty member, Statistic & Epidemiology department, faculty of Hygiene, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Abstract
Medical ethics is an important subject in medicine. This study was carried utilizing the display and analysis performance method in teaching medical ethics to medical interns to investigate the effectiveness of this method. Initially, a team of emergency nurses and clinical psychologists were asked to observe the attitude of medical interns towards patients and to report problems in emergency unit at Ahvaz Golestan Hospital. According to information obtained and recorded statements, a scenario was developed and showed both inappropriate behaviors that led to conflict as well as the correct behaviors in the same position. This scenario was conducted by a theater group and recorded on film. To assess the implemented process, the emergency room team recorded medical interns' unsuitable attitude and patients' complaints for 2 months. The target group consisted of 76 medical interns. After the implementation process, collecting and analyzing data, post-test scores showed a marked increase compared to pre- test scores (p<0.001). In addition, inappropriate attitudes of interns registered by the assessment team fell from a monthly average of 64 to 21 cases meaning a 68.5% decrease; and during the two months after implementation of the process, the average monthly patients complaining of inappropriate treatment and violation of patients' rights decreased by 76.9%. Moreover, patients' satisfaction of physicians' care and attitude increased significantly from 65% to 86%. To this end, results showed that the method of display of the film and performance analysis can improve knowledge and attitude towards medical ethics, therefore, improve performance of medical interns, and increase respect of patients' rights
Keywords
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