title: Reform in medical ethics curriculum: a step by step approach based on available resources.
abstract: In this project, we aimed to revise the medical ethics curriculum at the School of Medicine, Tehran University of Medical Sciences, in order to promote the level of students' ethical awareness and enable them to make ethical decisions. Ideal and long term educational objectives were set to determine directions for future reforms and to provide a baseline for future evaluation of the project. However, based on limited available recourses, the first stage of the reform was planned and implemented with a 3 years scope. In revising the curriculum, which was done according to the Harden's ten questions, we focused on moral attitude and ethical reasoning skill in addition to academic knowledge base by using methods such as case discussions, portfolio, and clinical ethics rounds. The revised curriculum was implemented during the first semester of the 2006-2007 academic year for the first time. The student feedback indicated that the new curriculum was successful in increasing the students' awareness of ethical issues and enabled them to understand and accept their professional obligations. Revising the curriculum and its evaluation should be considered as an ongoing process. The present project was a successful experience that motivated faculty members to pursue the next steps of improving the curriculum on medical ethics and proved to be convincing for the authorities and policy makers to support it.
authors.affiliation: Assistant Professor, Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences.
authors.forename: Fariba
authors.initials: F
authors.lastname: Asghari
authors.forename: Azim
authors.initials: A
authors.lastname: Mirzazadeh
authors.forename: Aniseh
authors.initials: A
authors.lastname: Samadi
authors.forename: Aliakbar Nejati
authors.initials: AN
authors.lastname: Safa
authors.forename: Ali
authors.initials: A
authors.lastname: Jafarian
authors.forename: Ali Vasheghani
authors.initials: AV
authors.lastname: Farahani
authors.forename: Seyed Hasan Emami
authors.initials: SH
authors.lastname: Razavi
keywords: Curriculum; Medical ethics; Undergraduate medical education
references.citation: Acad Med. 2004 Jul;79(7):682-9
references.pmid: 15234922
references.citation: Acad Med. 2006 Jul;81(7):626-31
references.pmid: 16799283
references.citation: Med J Aust. 2001 Aug 20;175(4):205-10
references.pmid: 11587281
references.citation: Med Teach. 2002 Mar;24(2):130-5
references.pmid: 12098431
references.citation: J Med Ethics. 2006 Mar;32(3):181-5
references.pmid: 16507668
references.citation: Med Educ. 1986 Jul;20(4):356-65
references.pmid: 3747885
references.citation: J Med Ethics. 1999 Dec;25(6):514-21
references.pmid: 10635508
references.citation: Med Educ. 2000 Aug;34(8):630-4
references.pmid: 10964210
references.citation: Med Educ. 2006 Jul;40(7):607-17
references.pmid: 16836532
references.citation: J Med Ethics Hist Med. 2009 May 31;2:7
references.pmid: 23908721
references.citation: J Eval Clin Pract. 2001 Nov;7(4):387-97
references.pmid: 11737530
references.citation: Ann Acad Med Singap. 2004 Nov;33(6):706-10
references.pmid: 15608822
references.citation: J Med Ethics. 1998 Jun;24(3):188-92
references.pmid: 9650114
references.citation: Lancet. 2001 Mar 17;357(9259):867-70
references.pmid: 11265967
references.citation: Med Educ. 2002 Apr;36(4):353-9
references.pmid: 11940176