Phronesis and the Medical Community: Follow on Impact and Engagement

Phronesis 和医学界：关注影响和参与

基本信息

批准号：
AH/S000763/1
负责人：
Mervyn Conroy
金额：
$ 10.28万
依托单位：
University of Birmingham
依托单位国家：
英国
项目类别：
Research Grant
财政年份：
2018
资助国家：
英国
起止时间：
2018 至无数据
项目状态：
已结题

来源：
https://gtr.ukri.org/projects?ref=AH%2FS000763%2F1
关键词：
Phronesis Medical Community Follow Impact

项目摘要

Through our 'Phronesis and the Medical Community' (PMC) dissemination activity undertaken to date, we know that currently no consensus exists across UK medical schools about the best way to teach and assess medical ethics. Some principally use lectures, others problem-based learning and interactive resources. In terms of assessment some medical schools use essays, others reflective work, Objective Structured Clinical Examinations (OSCES) and Multiple Choice Questions (MCQs), or a mixture of these methods. Therefore in order to impact on education we need a flexible and adaptable resource. In addition, different medical schools allocate differing amounts of time to the teaching of ethics. Our project, PMC, has shown that ethical principles in terms of a wide variety of practice virtues are expressed by students, trainees and experienced practitioners through their experiential learning within a multi-disciplinary environment and clinical context, along with other clinical skills. These virtues are not applied or fully understood in medical schools or Continuing Professional Development (CPD) education. What we have also found is a significant vertical and horizontal fragmentation in the many medical practice virtues accounted for in the stories from our participants through the different career stage cohorts in the medical community. Our aim is to apply the PMC findings in the form of a flexible, accessible and interactive resource, including teaching material beyond the three partnering University Medical Schools in the original project (Birmingham, Nottingham and Warwick) to other medical schools and CPD medical training providers across the UK. The outcome would be resources and capabilities that would improve ethical decision-making training and education for the wider medical community. The impact would be improved clinical outcomes, patient experience and trust in the medical profession, growing in the community as a whole.We are currently producing a six-episode video serial drama connected to an existing health and social care virtual community called 'Stilwell' (the fictional town in which the community is based), which will enact the combined received wisdom (covering accounts of good and questionable practices) in the research findings from medical school to experienced consultant or GP (using professional actors). Along with this will be tutor notes to guide the use of the resource. Like previous Stilwell applications (for nursing and allied health professionals) it can be used as a safe placement resource by the medical schools and CPD providers we engage with on this project. It will allow medical students to interact with the ethical dilemmas depicted by the consultant and GP characters and have the moral debates about which course of action they think is appropriate for patients and society. It can also be used for CPD applications in the same way. In summary the Stilwell moral debating resource and tutor notes will provide an opportunity to:1. Give clinical context via accessible video and other media resources to the learning of medical ethics.2. Provide a safe controlled placement/ environment with time for reflective learning.3. Enable discussion around what should be taught and assessed in terms of medical ethical and start to generate a consensus as a basis for safe and effective clinical practice.Project DesignWe will engage with medical schools across the UK at three workshops to see how best to adapt the learning resources to fit with their needs. The workshops will co-produce refined versions of the teaching package (video series and tutor notes) with: a) Staff from the medical schools responsible for medical ethics.b) Staff from CPD training providers to cover those from the other medical cohorts at career stages beyond medical school. c) We would also involve medical education policy makers, leading practitioners and medical education leading academics.

通过迄今为止开展的“Phronesis 和医学界”(PMC) 传播活动，我们知道，目前英国医学院对于医学道德教学和评估的最佳方式尚未达成共识。有些主要使用讲座，其他则基于问题的学习和互动资源。在评估方面，一些医学院使用论文，其他医学院则使用反思性作业、客观结构化临床考试（OSCES）和多项选择题（MCQ），或这些方法的混合。因此，为了影响教育，我们需要灵活且适应性强的资源。此外，不同的医学院分配给伦理学教学的时间也不同。我们的 PMC 项目表明，学生、实习生和经验丰富的从业者通过在多学科环境和临床背景下的体验式学习以及其他临床技能，表达了各种实践美德的伦理原则。这些美德在医学院或持续专业发展 (CPD) 教育中并未得到应用或充分理解。我们还发现，在医学界不同职业阶段的参与者的故事中，许多医疗实践美德存在显着的纵向和横向碎片化。我们的目标是将 PMC 的研究结果以灵活、可访问和交互式资源的形式应用，包括原始项目中三所合作大学医学院（伯明翰、诺丁汉和华威）以外的教材，应用于其他医学院和 CPD 医疗培训提供者遍布英国。其结果将是改善更广泛的医学界的道德决策培训和教育的资源和能力。其影响将是改善临床结果、患者体验和对医疗行业的信任，并在整个社区中不断发展。我们目前正在制作一部六集视频连续剧，与现有的健康和社会护理虚拟社区“史迪威”相关（社区所在的虚构城镇），它将在从医学院到经验丰富的顾问或全科医生（使用专业演员）的研究结果中综合公认的智慧（涵盖良好和有问题的做法）。除此之外，还将有导师注释来指导资源的使用。与之前的史迪威应用程序（针对护理和专职医疗专业人员）一样，我们在该项目中参与的医学院和 CPD 提供者可以将其用作安全安置资源。它将允许医学生与顾问和全科医生角色所描述的道德困境进行互动，并就他们认为哪种行动方案适合患者和社会进行道德辩论。它也可以以同样的方式用于 CPD 应用。总之，史迪威道德辩论资源和导师笔记将提供一个机会：1。通过可访问的视频和其他媒体资源为医学伦理学学习提供临床背景。2．提供安全受控的安置/环境以及反思性学习的时间。3。围绕医学伦理方面应教授和评估的内容进行讨论，并开始达成共识，作为安全有效的临床实践的基础。项目设计我们将与英国各地的医学院合作举办三个研讨会，以了解如何最好地适应学习资源以满足他们的需求。讲习班将与以下人员共同制作教学包的改进版本（视频系列和导师笔记）：a）来自医学院负责医学伦理的工作人员。b）来自 CPD 培训机构的工作人员，以涵盖职业生涯中其他医学群体的人员医学院以外的阶段。 c) 我们还将让医学教育政策制定者、主要从业者和医学教育领先学者参与进来。