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Laryngoscope. 2017 Nov;127(11):2501-2509. doi: 10.1002/lary.26551. Epub 2017 Aug 29.

A longitudinal simulation-based ethical-legal curriculum for otolaryngology residents.

Author information

1
Department of Otolaryngology-Head and Neck Surgery, McGill University, Montreal, Quebec, Canada.
2
Center for Medical Education, McGill University, Montreal, Quebec, Canada.
3
Department of Medicine, McGill University, Montreal, Quebec, Canada.
4
Department of Medical Education, University of Illinois, Chicago, Chicago, Illinois, U.S.A.

Abstract

OBJECTIVE:

To develop, implement, and evaluate a longitudinal, simulation-based ethics and legal curriculum designed specifically for otolaryngology residents.

METHODS:

Otolaryngology residents were recruited to participate in a yearly half-day ethical-legal module, the curriculum of which spanned 4 years. Each module included: three simulated scenarios, small-group multisource feedback, and large-group debriefings. Scenarios involved encounters with standardized patients. Residents' ethical-legal knowledge was assessed pre- and postmodule with multiple-choice questions, and ethical reasoning was assessed by a variety of evaluators during the simulated scenario using a locally developed assessment tool. Participants completed an exit survey at the end of each module.

RESULTS:

Eighteen residents completed four modules from the academic years of 2008 to 2009 to 2011 to 2012. The first year was considered a pilot module, and data were collected for the following 3 years. Knowledge of legal issues improved significantly among residents (mean at pre = 3.40 and post = 4.60, P < 0.05). Residents' ethical reasoning skills also improved across years (mean 3.60/5 in 2009-2010, 3.76/5 in 2010-2011, and 4.33 in 2011-2012, P < 0.05). Survey results revealed a statistically significant self-perceived improvement in ethics reasoning skills (mean pre = 3.62, post = 4.86, P < 0.05). Participants reported that the curriculum was relevant to their practice (85%), that the debriefings were of high quality (83%), and that they would recommend this module to others (88%).

CONCLUSION:

To our knowledge, this is the first study exploring a longitudinal simulation-based ethical-legal curriculum tailored to otolaryngology-head and neck surgery residents. This educational program resulted in a both objective and subjective improvement in legal and ethics knowledge and skills.

LEVEL OF EVIDENCE:

NA. Laryngoscope, 127:2501-2509, 2017.

KEYWORDS:

Ethics curriculum; legal; medical education; simulation; standardized patient

PMID:
28850677
DOI:
10.1002/lary.26551
[Indexed for MEDLINE]
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