Abstract
Inspired by experience and informed by literature, the author attempted to manipulate and measure the effects of ethical-moral inputs in teaching medical English in a Romanian context (where language classes are compulsory in junior years, coinciding with psychology, sociology and ethics classes). An original, 20-hour didactic experiment merged medical, language and moral education into one. Control groups focused on language accuracy to transfer general language skills to medical settings and develop familiarity with jargon. Experimental groups did the same, while also addressing the ethics of communication and using methods for moral growth at behavioural level. Data from 150+ students came through pre−/post testing, questionnaire survey, diaries, direct observation. Quantitative and qualitative analysis revealed that experimental groups increased medical ethics sensitivity, cognitive ability with moral dilemmas, awareness of and commitment to core medical values, all statistically significant. Concurrently, small significant differences in medical terminology acquisitions favoured control groups. The study shows beneficial transversal benefits and warns of predictable limitations. It can help enrich medical language curricula by integrating moral development, thus facilitating future professional interactions that are both effective AND ethical.
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Notes
- 1.
Striking a balance between detachment and empathic response is a common dilemma among medical students.
- 2.
Most often most students did not.
- 3.
Self-reported data obtained from the questionnaire-based survey is not dealt with in here.
- 4.
These were starting points and fertile ground for less familiar medical terminology.
- 5.
In these examples of student writing, the original spelling and grammar are kept unchanged.
- 6.
The significant difference noted is backed by the Jonckheere-Terpstra test coefficients.
References
AAMC. (1999). Report III, Contemporary issues in medicine: Communication in medicine. Retrieved from http://www.aamc.org
ABIM, ACP-ASIM, EFIM. (2002). Medical professionalism in the new millenium: A physician charter. Annals of Internal Medicine, 136, 243–246.
ACPART-DOCIS. (2009). Metodologia de realizare a Cadrului Național al Calificărilor din Învățământul Superior - Ghid de aplicare. Retrieved from http://docis.acpart.ro
AMA. (2001). Code of medical ethics. Retrieved from http://www.ama-assn.org/ama/pub/physician-resources/medical-ethics/code-medical-ethics
Astărăstoae, V. (2004). Instruirea în Bioetică, modă sau necesitate? Rev Rom Bioet, 2(3).
Berry, D. (2007). Health communication theory and practice. Maidenhead: Open University Press.
BMJ Publishing Group, and Institute of Medical Ethics. (1998). Teaching medical ethics and law within medical education: A model for the UK Core Curriculum – Consensus statement by teachers of medical ethics and law in UK medical schools. Journal of Medical Ethics, 24, 188–192.
Branch, W. (2000). Supporting the moral development of medical students. Journal of General Internal Medicine, 15, 503–508.
Buyx, A., Maxwell, B., & Schone-Seifert, B. (2008). Challenges of educating for medical professionalism: Who should step up to the line? Medical Education, 42, 758–764.
CMR. (2008). Codul de Deontologie Medicală. Retrieved from http://www.cmr.ro/content/view/385/38/
Cohen, J. J. (2006). Professionalism in medical education, an American perspective: From evidence to accountability. Medical Education, 40, 607–617.
Crandall, S., Volk, R., & Loemker, V. (1993). Medical students’ attitudes toward providing care for the underdeserved - Are we training socially responsible physicians? JAMA, 269, 2519–2523.
Crețu, I. (2010a). Dezvoltarea etico-morală a studenților mediciniști în timpul studiilor – constatări și semnale de atenționare potrivit studiilor disponibile în literatura internațională de specialitate. In M. Flaișer (Ed.), Criza valorilor și valorile crizei în domeniul limbilor și literaturilor moderne (pp. 57–62). Iasi: Alfa Publishing House.
Crețu, I. (2010b). On the WHY and HOW of making moral education an integrated part of language courses at medical universities. In Quality Management in Higher Education, Proceedings of the 6th International Seminar “Quality Management in Higher Education,” 8th–9th July 2010, Tulcea, book (Vol. 1, pp. 91–94).
Crețu, I. (2011). Predarea unei limbi străine pentru domeniul medical în sensul dezvoltării de competențe transferabile cu relevanță pentru conduita morală în relaționarea profesională (PhD thesis). Iași: “Al. I. Cuza” University.
Cucoș, C. (2006). Pedagogie (2nd ed.). Iași: Editura Polirom.
Cuff, P., & Vanselow, N. (Eds.). (2004). Improving medical education: Enhancing the behavioral and social science content of medical school curricula. Washington, DC: National Academic Press.
Cumming, A., & Ross, M. (2004). The tuning project (medicine), learning outcomes/competences for undergraduate medical education in Europe. Edinburgh: University of Edinburgh.
Di Blasi, Z., Harkness, E., Ernst, E., & Georgiou, A. (2001). Influence of context effects on health outcomes: A systematic review. Lancet, 357(9258), 757–762.
Gavrilovici, C. (2007). Introducere în Bioetică, note de curs. Iași: Editura Junimea.
Gilligan, C. (2003). A different voice: Psychological theory and Women's development. Cambridge, Massachusetts: Harvard University Press.
GMC. (2006). Good Medical Practice - Guidance for Doctors. Retrieved from http://www.gmc-uk.org/guidance/good_medical_practice.asp
Hicks, L., Lin, Y., Robertson, D., Robinson, D., & Woodrow, S. (2001). Understanding the clinical dillemmas that shape medical students’ ethical development: Questionnaire survey and focus group. BMJ, 322, 709–710.
Hilton, S., & Southgate, L. (2007). Professionalism in medical education. Teaching and Teacher Education, 23, 265–279.
Hugman, B. (2009). Healthcare communication (p. 2009). Londra: Pharmaceutical Press.
Kenny, N., & Shelton, W. (Eds.). (2006). Lost virtue – Professional character development in medical education. Amsterdam: Elsevier.
Kohn, A. (1997). How not to teach values: A critical look at character education. Phi Delta Kappan, 78(6), 429–439.
Kuhmerket, L. (1994). The Kohlberg legacy for the helping professions. Birmingham, Alabama: Doxa Books.
Kurtz, S., Silverman, J., & Draper, J. (1998). Teaching and learning communication skills in medicine. Oxford: Radcliffe Medical Press.
Noddings, N., & Slote, M. (2002). Changing notions of the moral and of moral education. In N. Blake, P. Smeyers, R. Smith, & P. Standish (Eds.), The Blackwell guide to the philosophy of education (pp. 341–355). Oxford: Blackwell Publishing.
Nucci, L. (1987). Synthesis of research on moral development. Educational Leadership, 44(5), 86–92.
Nucci, L. (1997). Moral development and character formation. In H. Walberg & G. Haertel (Eds.), Psychology and Educational Practice (pp. 127–157). Berkeley: MacCarchan.
Nucci, L., & Narvaez, D. (Eds.). (2008). Handbook of moral and character education. New York: Routledge.
Patenaude, J., Niyonsenga, T., & Fafard, D. (2003). Changes in students’ moral development during medical school: A cohort study. Medical Education, 37, 822–829.
Power, C., Higgins, A., & Kohlberg, L. (1989). Lawrence Kohlberg’s approach to moral education. New York: Columbia University press.
Quirk, M. (2006). Intuition and metacognition in medical education, keys to developing expertise. New York: Springer Publishing Company.
Radest, H. (2000). From clinic to classroom: Medical ethics and moral education. Westport: Praeger.
Reimer, J., Pritchard, P. D., & Hersh, R. (1990). Promoting moral growth: From Piaget to Kohlberg (2nd ed.). Prospect Heights, Illinois: Waveland.
Rohe, D., Barrier, P., Clark, M., Cook, D., Vickers, K., & Decker, P. (2006). The benefits of pass-fail grading on stress, mood and group cohesion in medical students. Mayo Clinic Proceedings, 81(11), 1443–1448.
Schofield, T. (2004). Introduction. In E. Macdonald (Ed.), Difficult Conversations in Medicine (pp. xvii–xxii). New York: Oxford University Press.
Schwartz, A. W., Abramson, J. S., Wojnowich, I., Accordino, R., Ronan, E. J., & Rifkin, M. R. (2009). Evaluating the impact of the humanities in medical education. Mount Sinai Journal of Medicine, 76, 372–380.
Self, D., & Baldwin, D. (1994). Moral reasoning in medicine. In J. Rest & D. Narvaez (Eds.), Moral development in the professions (pp. 147–162). Hillsdale, NJ: Lawrence Erlbaum Associates.
Self, D., & Davenport, E. (1996). Measurement of moral development in medicine. Cambridge Quarterly of Healthcare Ethics, 5, 269–277.
Self, D., Schrader, D., Baldwin, D., & Wolinsky, F. (1993). The moral development of medical students: A pilot study of the possible influence of medical education. Medical Education, 27, 26–34.
Self, D., Baldwin, D., & Wolinsky, F. (1996). Further exploration of the relationship between medical education and moral development. Cambridge Quarterly of Healthcare Ethics, 5, 444–449.
Self, D., Olivarez, M., & Baldwin, D. (1998). Clarifying the relationship between medical education and moral development. Academic Medicine, 73, 517–523.
Severin, W. J., & Tankard, J. W. (2004). Perspective asupra teoriilor comunicării de masă: originile, metodele și utilizarea lor în mass media. Iași: Polirom.
Stepien, K., & Baernstein, A. (2006). Educating for empathy, a review. Journal of General Internal Medicine, 21, 524–530.
Stirrat, G., Johnston, C., Gillon, R., & Boyd, K. (2010). Medical ethics and law for doctors of tomorrow: The 1998 consensus statement updated. Journal of Medical Ethics, 36(1), 55–60.
UNESCO. (2005). Universal declaration on bioethics and human rights. http://portal.unesco.org. Accessed 15 Mar 2009.
WMA. (2006a). International Code of Medical Ethics. Retrieved from http://www.wma.net
WMA. (2006b). Declaration of Geneva. Retrieved from http://www.wma.net
Acknowledgments
This chapter is based on PhD research completed by the author at the Faculty of Psychology and Educational Science, “Al. I. Cuza” University of Iasi, Romania (funded by the European Social Fund and the Romanian Government: RO08-POSDRU-6/1.5/S/25), and with prior written approval from the Ethics Committee at the “Grigore T. Popa” University of Medicine and Pharmacy Iași.
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Creţu, I. (2018). Professional Ethics and Moral Education in the Medical Language Curriculum – Can It Be Done?. In: Grosu-Rădulescu, LM. (eds) Foreign Language Teaching in Romanian Higher Education. Multilingual Education, vol 27. Springer, Cham. https://doi.org/10.1007/978-3-319-93329-0_14
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