Examining the Level of Adherence of Medical Trainees of Jundishapur University of Ahvaz to the Principles of Clinical Professional Ethics in 2022

Document Type : Original Article

Authors

1 Assistant Professor of Emergency Medicine, Department of Emergency Medicine, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

2 Associate Professor of Forensic Medicine, Department of Forensic Medicine, School of Medicine, Social Determinants of Health Research Center, Imam Khomeini Hospital, Razi Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

3 Clinical Research Development Unit, Golestan Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

10.61186/jsmj.22.5.4

Abstract

Introduction: Considering that having professional ethics in the clinical area is an important principle for establishing communication between the clinical team and patients, this study was conducted with the aim of investigating the adherence of medical interns of Jundishapur University of Ahvaz to the principles of clinical professional ethics.
Methods: This cross-sectional descriptive study was conducted on 121 paragliding students of Jundishapur University in 2022. And the sampling method was done in a simple random way. In order to collect information, the Qasimzadeh standard professional ethics questionnaire was used, which has 16 questions in 8 dimensions. In this study, P value less than 0.05 was considered significant.
Results: In the studied statistical population (56/2), 68 of them were men, 108 (89/3) were single, and 13 (10/7) were married. The average age was 24.20, in those who accepted the medical ethics course, the average total score and also in the two dimensions of justice and responsibility were higher than those who did not take this course (P=0.010). Agreeableness (6.8) got the lowest score and honesty dimension (7.9) got the highest score.
Conclusion: The statistical tests showed that the level of compliance with all the components of professional ethics in this research among medical trainees is strong, also the medical ethics course increases the level of professional ethics. As a result, by promoting professional ethics education, it is possible to increase the level of knowledge and compliance with this importance by students.

Highlights

Alireza Rafati Navaei [PumMed] [Google Scholar]

 Farkhondeh Jamshidi [PumMed] [Google Scholar]

 Ali Moradi [PumMed] [Google Scholar]

Keywords

Main Subjects


[1] Imanipour M. [Ethical principles in education (Persian)]. Iranian Journal of Medical Ethics and History of Medicine. 2012;5(6):27-41. [Link]
[2] Sehhat S, Ehsanfar G, Aslebagh S. [The role of ethics in the fraud reduction of insurance companies from customer’s point of view (case study: Policy holders of auto insurance department) (Persian)] . Ethics in Science and Technology. 2012;7(1):65-73. [Link]
[3] Wastnidge E. The modalities of Iranian soft power: from cultural diplomacy to soft war. Politics. 2015;35(3-4):364-77.
[DOI: 10.1111/1467-9256.12084]
[4] Arasteh H, Jahed HA. [Observing ethics in universities and higher education centers: An alternative for improving behaviors (Persian)]. Science Cultivation. 2011;1(2):31-40.
[Link]
[5] Dargahi H, Jafari Pouyan E. [The impact of professionalism on job ethics through job satisfaction as mediator variable: a literature review (Persian)]. Laboratory & Diagnosis. 2019;11 (45):42-67. [Link]
[6] Jangizahi M, Sanjarani F, Haghighi M, Shahraki Mojahed L, Bagheri, S. [A Study of Professional Ethics in Clinical Training of Teachers and Students of Zabol University of Medical Sciences (Persian)]. Journal of Zabol Medical School. 2019:88-94. [Link]
[7] Abbott A. Professional ethics. American journal of sociology. 1983;88(5):855-85. [DOI: 10.1086/227762]
[8] Bouzarjomehri F, Mansourian M, Herandi Y, Bouzarjomehri H. [Academics' adherence to professional ethics in Shahid Sadoughi University of Medical Science :Students' viewpoint (Persian)]. The Journal of Medical Education and Development. 2013;8(3):44-52. [Link]
[9] Gillon R. An introduction to philosophical medical ethics: the Arthur case. British Medical Journal (Clinical research ed). 1985;290(6475):1117. [DOI: 10.1136/bmj.290.6475.1117] [PMID]
[10] Kirk LM. Professionalism in medicine: definitions and considerations for teaching. Proc (Bayl Univ Med Cent). 2007;20(1):13-6. [DOI: 10.1080/08998280.2007.11928225] [PMID]
[11] Tabei SZ, afshar l. patient’s rights in university teaching hospitals and ethical challenges. 2010.
[12] Allami A, Shirazi M. Faculty members experience about teaching of medical professionalism in Qazvin university of medical sciences. Research in Medical Education. 2015;7(2):1-11. [DOI: 10.18869/acadpub.rme.7.2.1]
[13] Nasiri E, Haghshenas MR, Hagizadeh H. [Evaluation of the Views of Externs ,Interns, Assistants, and Clinical Faculty Members on Clinical Professional Ethics (Persian)]. Journal of Pizhūhish dar dīn va Salāmat (ie, Research on Religion &amp. 2021:112-23. [DOI: 10.22037/jrrh.v6i3.24105]
[14] Mobashery M, Deris F, Taji F, Taheri Z, Mardanpour E. [Characteristics of a good teacher in terms of students of health school in shahrekord university of medical sciences (Persian)]. Research in Medical Education. 2011;3(2):1-8. [Link]
[15] Ghaffari F. [A perspective of medical ethics and patients rights according to Iranian and Islamic traditional medicine texts (Persian)]. Tārīkh-i pizishkī. 2016;2(4):11-45. [Link]
[16] Qasimzadeh A, Zavar T, Mahdion R, Rezai A. Relation between professional ethics with social responsibility and individual accountability: Mediating Role of Serving Culture. Ethics in Science and Technology. 2014;9(2). [Link]
[17] Dadgar Moghadam M, Bahonar MJ, Hoseini SS. [Level of
professional ethics of medical students in externships and internships in Mashhad University of Medical Sciences in 2018 (Persian)]. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2021;23(11):15-23. [DOI: 10.22038/ijogi.2021. 17615]
[18] Siddiqui Y, Parvez K, Askari R, Parvez K, Noor-ul-Ain QS. Dental ethics (a KAP study). Int J Dent Oral Heal. 2020;6(3):48-53.
[Link]
[19] Mateo CM, Williams DR. Racism: a fundamental driver of racial disparities in health-care quality. Nature Reviews Disease Primers. 2021;7(1):20. [DOI: 10.1038/s41572-021-00258-1] [PMID]
[20] Iezzoni LI, Rao SR, DesRoches CM, Vogeli C, Campbell EG. Survey shows that at least some physicians are not always open or honest with patients. Health Affairs. 2012;31(2):383-91. [DOI: 10.1377/hlthaff.2010.1137] [PMID]
[21] Shetty AK, Vaswani R. Knowledge, attitude and practice of healthcare ethics among final year medical and nursing students at a college in South India. Biomedicine. 2022; 42(3):511-6. [DOI: 10.51248/.v42i3.1276]
[22] Asemani O, Iman MT, Moattari M, Khayyer M, Sharif F, Tabei SZ. How Iranian medical trainees approach their responsibilities in clinical settings; a grounded theory research. Iran J Med Sci. 2015;40(5):440-7. [PMID]
[23] Green EP, Gruppuso PA. Justice and care: decision making by medical school student promotions committees. Medical education. 2017;51(6):621-32. [DOI: 10.1111/medu.13280] [PMID]
[24] Elsheikh NM, Osman IM, Husain NE, Abdalrahman SM, Nour HE, Khalil AA, et al. Final year dental students’ perception and practice of professionalism and ethical attitude in ten Sudanese dental schools: a cross-sectional surve. J Family Med Prim Care. 2020;9(1):87-92. [DOI: 10.4103/jfmpc.jfmpc_4 99_19] [PMID] [PMCID]
[25] Costa-Drolon E, Verneuil L, Manolios E, Revah-Levy A, Sibeoni J. Medical students’ perspectives on empathy: a systematic review and metasynthesis. Acad Med. 2021;96(1):142-54. [DOI: 10.1097/ACM.0000000000003655] [PMID]