Abstract
This chapter is an attempt to envision the outlook and illustrate how the revolutionary changes in the information, communication, and medical industry require and need ethical and professional guidelines. These ethical concepts and professional guidelines should be globally accepted, applicable and capable to accommodate, guide and guard all the emerged medical technologies currently and in the future. Virtual, hybrid medical education, augmented reality, metaverse, robotic surgery, machine learning, telemedicine, and virtual universities will become the norm and prevail. It is possible to have a robotic surgeon or neurosurgeon to operate or examine and manage the case, and it is possible to have robotic nurses, paramedical, and virtual clinics. However, patients are and will always remain very much real with blood, flesh, and feelings. Patients seek medical help to save their life and reduce their pain. Therefore, the code of ethics, which respects patient’s right and safety, is mandatory.
Medical education and training relationships are built on five elements which are (1) visionary and strategic plan of health care and high education stakeholders, (2) trainee, (3) trainer, (4) the curriculum, (5) logistics, premises, and facilities (universities, hospital, labs, …). All these elements interact in different weights, means, and varieties according to stakeholders and clustered interests and plans. The progress of medical information and communication sciences and technological innovations as well as the development of the health systems and the medical–industrial complex create new medical situations that forced the educators and health care planner to take necessary measures to catch up and go online with these welcomed changes. These emerged new medical cares and educational and training situations raised a myriad of ethical questions.
The concept of Values-Based Medical Education (VsBME) may offer a global applicable concept to implement and integrate the ethics and values in the daily rapidly changes in medical world.
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References
World Health Organization. European observatory on health systems and policies. Glossar [homepage on the Internet]. http://www.euro.who.int/observatory/Glossary/TopPage?phrase=G. Accessed 16 June 2009.
Bergsma A, Buijt I, Veenhoven R. Will happiness-trainings make us happier? A research synthesis using an online findings-archive. Front Psychol. 2020;11:1953. https://doi.org/10.3389/fpsyg.2020.01953. eCollection 2020. PMID: 33312145.
Ad Bergsma A, Buijt I, Veenhoven R. Will happiness-trainings make us happier? A research synthesis using an online findings-archive. Front Psychol. 2020;11:1953. Published online 2020 Nov 17. https://doi.org/10.3389/fpsyg.2020.01953.
Buettner D, Nelson T, Veenhoven R. Ways to greater happiness: a Delphi study. J Happ Stud. 2020. https://doi.org/10.1007/s10902-019-00199-3. [CrossRef] [Google Scholar].
Carter PJ, Hore B, McGarrigle L. Happy thoughts: enhancing well-being in the classroom with a positive events diary. J Posit Psychol. 2012;13:110–21.
Colbert CY, Graham L, White BA, Arroliga AC, Myers JD, Ogden PE, Archer J, Mohammad ZTA, Clark J. Teaching metacognitive skills: helping your physician trainees in the quest to ‘know what they don’t know’. Am J Med. 2015;128(3):318–24.
Montessori M. The absorbant mind. Badford: Wilder publication LLC; 2014.
Campbell E. Ethical knowledge in teaching: a moral imperative of professionalism. Educ Can. 2006;46(4):32–5.
Eva KW, Regehr G. Self-assessment in the health professions: a reformulation and research agenda. Acad Med. 2005;80(10 Suppl):S46–54.
Fleming SM, Dolan RJ, Frith CD. Metacognition: computation, biology and function. Philos Trans R Soc Lond Ser B Biol Sci. 2012;367:1280–6.
Bandura A, Ross D, Ross SA. Transmission of aggression through the imitation of aggressive models. J Abnorm Soc Psychol. 1961;63:575–82.
McLeod SA. Bandura—social learning theory. Simply Psychology. 2016. https://www.simplypsychology.org/bandura.htm.
Cruess RL, Cruess SR, Johnston SE. Renewing professionalism: an opportunity for medicine. Acad Med. 1999;74(8):878–84. https://doi.org/10.1097/00001888-199908000-00010.
West M. What’s a good doctor, and how can you make one? BMJ. 1973;325:669–70.
Chadwick R. Professional ethics. In: Craig E, editor. Routledge encyclopedia of philosophy. London: Routledge; 1998. Accessed 20 Oct 2006.
Royal Institute of British Architects—Code of professional conduct Archived 2013-06-18 at the Wayback Machine. 2013.
Ammar A. Value based medicine. In: Ammar A, Bernstein M, editors. Neurosurgical ethics in practice: value based medicine, vol. 1. Berlin: Springer; 2014. p. 7–9.
Sharp RR, Taylor HA, Brinich MA, Boyle MM, Cho M, Coors M, Danis M, Havard M, Magnus D, Wilfond B. Share. Research ethics consultation: ethical and professional practice challenges and recommendations. Acad Med. 2015;90(5):615–20. https://doi.org/10.1097/ACM.0000000000000640. PMID: 25607942.
Ammar A, Berstein M. Cross-cultural ethics. In: Neurosurgical ethics in practice- value based medicine. Heidelberg: Springer; 2014. p. 23–36.
Potts JR. Assessment of competence. The Accreditation Council for Graduate Medical Education/Residency Review Committee Perspective. Surg Clin N Am. 2016;96:15–24.
Epstein RM, Hundert EM. Defining and assessing professional competence. JAMA. 2002;287(2):226–35. https://doi.org/10.1001/jama.287.2.226.
Mahanjan R, Anshu, Gupta P, Singh T. Practice-based Learning and Improvement (PBLI) in postgraduate. Indian Pediatr. 2017;54:311–8. Medical training: milestones, Instructional and Assessment strategies.
Eysenbach G. Introducing artificial intelligence training in medical education. JMIR Med Educ. 2019;5(2):e16048. https://doi.org/10.2196/16048.
VanBlaricom AL, Goff BA, Chinn M, Icasiano MM, Nielsen P, Mandel L. A new curriculum for hysteroscopy training as demonstrated by an objective structured assessment of technical skills (osats). Am J Obstet Gynecol. 2005;193:1856–65.
Harada K, Morita A, Minakawa Y, Min Baek Y, Sora S, Sugita N, Kimura T, Tanikawa R, Ishikawa T, Mitsuishi M. Assessing microsurgical skill with medico-engineering technology. World Neurosurg. 2015;84(4):964–71.
Lanys A, Krikler G, Spitzer RF. The impact of a global health elective on CanMEDS competencies and future practice. Hum Resour Health. 2020;18(1):6. https://doi.org/10.1186/s12960-020-0447-4.
Beauchamp T, Childress JF. Principles of biomedical ethics, 4th ed. Oxford; 1994.
Senders JT, Staples PC, Karhade AV, Zaki MM, Gormley WB. Machine learning and neurosurgical outcome prediction: a systematic review. World Neurosurg. 2018;109:476–86.
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Ammar, A. (2022). The Integration of Values-Based Medical Education (VsBME) in the Education and Training Processes: A Conceptual Framework for Neurosurgical/Surgical/Medical Education and Training. In: Ammar, A. (eds) Learning and Career Development in Neurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-031-02078-0_13
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