Evidence map›Paper›PMID 29627144›Full record

Observational studyAtencion primaria2019

[Assessing bioethics education: Teaching to be virtuous doctors or just doctors with practical ethical skills].

Montse Esquerda, Josep Pifarré, Helena Roig, Ester Busquets, Oriol Yuguero, Joan Viñas

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Atencion primaria, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Montse EsquerdaInstitut Borja de Bioética, Universitat Ramon Llull, Esplugues de Llobregat, Barcelona, España; Facultat de Medicina, Universitat de Lleida, Lleida, España; Sant Joan de Déu Terres de Lleida, Lleida, España; Institut de Recerca Biomèdica de Lleida (IRB-Lleida), Lleida, España.
Josep PifarréFacultat de Medicina, Universitat de Lleida, Lleida, España; Sant Joan de Déu Terres de Lleida, Lleida, España; Institut de Recerca Biomèdica de Lleida (IRB-Lleida), Lleida, España; Gestió de Serveis Sanitaris (GSS)-Hospital Universitari Santa Maria, Lleida, España. Electronic address: pifarre1@comll.cat.
Helena RoigInstitut Borja de Bioética, Universitat Ramon Llull, Esplugues de Llobregat, Barcelona, España.
Ester BusquetsInstitut Borja de Bioética, Universitat Ramon Llull, Esplugues de Llobregat, Barcelona, España.
Oriol YugueroFacultat de Medicina, Universitat de Lleida, Lleida, España; Institut de Recerca Biomèdica de Lleida (IRB-Lleida), Lleida, España.
Joan ViñasInstitut Borja de Bioética, Universitat Ramon Llull, Esplugues de Llobregat, Barcelona, España; Facultat de Medicina, Universitat de Lleida, Lleida, España; Institut de Recerca Biomèdica de Lleida (IRB-Lleida), Lleida, España.
Universitat Ramon Llull · ESBiomedical Research Institute of Lleida · ESHospital Universitari de Santa Maria · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIn the last decades, bioethics has been incorporated into the academic training of the Medical Schools. Some studies analyze the ethical-moral development of medical students and the effect of ethical education in other countries. This evaluation is done by measuring Kohlberg's moral reasoning (virtuous doctors), or ethical sensitivity to resolve clinical cases (physicians with ethical skills). The following study is proposed to assess the impact of bioethics training on these two variables, in Spanish medical students.

designObservational cross-sectional study. SITE: Faculty of Medicine, University of Lleida.

participants175 students from third year of medicine (78 before bioethics and 97 after bioethics, in different courses) were conducted.

interventionBioethics course. MAIN MEASUREMENTS: A socio-demographic questionnaire, the Rest Defining Issue test scale, and Problem Identification Test with clinical vignettes were administered.

resultsA consistent and significant correlation has been found between moral reasoning and ethical sensitivity. Women presented greater post-conventional reasoning. There were no changes in Kohlberg's stage of global moral reasoning with ethical training. There were changes in ethical sensitivity with bioethical training, with a significantly and globally improvement.

conclusionIn our study, training in bioethics does not improve moral development but rather the ethical problem solving skills. It is asked if this improvement is enough to train doctors prepared for the new challenges.

Indexed as

Moral DevelopmentAdultBioethicsCross-Sectional StudiesEducation, Medical, UndergraduateFemaleHumansMaleMiddle AgedProblem SolvingSpainStudents, MedicalYoung AdultBioethicsBioéticaDesarrollo moralEducación médicaEstudiantes medicinaEthical sensitivityMedical educationMedical studentsMoral developmentSensibilidad ética

Identifiers

PMID29627144
PMCPMC6837039
OpenAlexW2795511414

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.