OBJECTIVE: To evaluate an educational intervention in evidence-based ethics (emphasizing clinical knowledge, epidemiologic skills, and recognition of ethical issues) administered to house staff before rotating through our neonatal intensive care unit. STUDY DESIGN: A controlled trial of 64 pediatric house staff assigned toalternating control and intervention rotations. Questionnaires were administered at the end of the rotation. RESULTS: Some benefits of the intervention were observed. However, a large percentage of intervention and control house staff substantially overestimated (>1.25 correct value) predischarge mortality (23% vs. 55% of house staff; p<0.02), mortality or major morbidity (74% vs. 46% of house staff; p=0.04), and cerebral palsy rates (70% vs. 87%; p=0.12). Neither group cited many methodological criteria for evaluating follow-up studies (3.3 vs. 2.4 criteria; p=0.05) or ethical issues considered in treatment recommendations for extremely premature infants (3.1 vs. 2.8 issues; p=0.35). CONCLUSION: Improved house staff training in evidence-based ethics is needed.
RCT Entities:
OBJECTIVE: To evaluate an educational intervention in evidence-based ethics (emphasizing clinical knowledge, epidemiologic skills, and recognition of ethical issues) administered to house staff before rotating through our neonatal intensive care unit. STUDY DESIGN: A controlled trial of 64 pediatric house staff assigned to alternating control and intervention rotations. Questionnaires were administered at the end of the rotation. RESULTS: Some benefits of the intervention were observed. However, a large percentage of intervention and control house staff substantially overestimated (>1.25 correct value) predischarge mortality (23% vs. 55% of house staff; p<0.02), mortality or major morbidity (74% vs. 46% of house staff; p=0.04), and cerebral palsy rates (70% vs. 87%; p=0.12). Neither group cited many methodological criteria for evaluating follow-up studies (3.3 vs. 2.4 criteria; p=0.05) or ethical issues considered in treatment recommendations for extremely premature infants (3.1 vs. 2.8 issues; p=0.35). CONCLUSION: Improved house staff training in evidence-based ethics is needed.
Entities:
Keywords:
Bioethics and Professional Ethics; Empirical Approach; Professional Patient Relationship
Authors: Tyler J Mulhearn; Logan M Steele; Logan L Watts; Kelsey E Medeiros; Michael D Mumford; Shane Connelly Journal: Sci Eng Ethics Date: 2016-07-07 Impact factor: 3.525
Authors: E Michelle Todd; Logan L Watts; Tyler J Mulhearn; Brett S Torrence; Megan R Turner; Shane Connelly; Michael D Mumford Journal: Sci Eng Ethics Date: 2017-02-01 Impact factor: 3.525
Authors: Alison L Antes; Stephen T Murphy; Ethan P Waples; Michael D Mumford; Ryan P Brown; Shane Connelly; Lynn D Devenport Journal: Ethics Behav Date: 2009-09-01
Authors: Anna C Phillips; Lucy K Lewis; Maureen P McEvoy; James Galipeau; Paul Glasziou; Marilyn Hammick; David Moher; Julie K Tilson; Marie T Williams Journal: BMC Med Educ Date: 2014-07-24 Impact factor: 2.463