Abstract：
BACKGROUND:Professionalism and ethics are Accreditation Council for Graduate Medical Education (ACGME) core competencies, but there is little evidence regarding the effectiveness of ethics education. METHODS:General surgery residents at the University of Pittsburgh completed questionnaires measuring attitudes and knowledge about surgical ethics before and after four 60-minute, faculty-facilitated seminars implementing the American College of Surgeons ethics curriculum. RESULTS:Most residents experienced ethical challenges at least once every rotation: competition of interests (75%), professional obligations (75%), confidentiality (83%), truth telling (88%), surrogate decision making (91%), and end-of-life issues (100%). The educational intervention increased both knowledge about surgical ethics (P = .013) and confidence in dealing with competition of interests (P = .001), professional obligations (P = .011), truth telling (P = .013), confidentiality (P = .011), end-of-life issues (P = .007), and surrogate decision making (P = .052). Most residents recommended the American College of Surgeons text for future use (84%), considering ethics education a "standard" part of residency training (70%). CONCLUSIONS:Focused instruction using the American College of Surgeons ethics curriculum can effectively improve both knowledge and confidence about surgical ethics.
journal_name
Am J Surgjournal_title
American journal of surgeryauthors
Thirunavukarasu P,Brewster LP,Pecora SM,Hall DEdoi
10.1016/j.amjsurg.2010.08.002subject
Has Abstractpub_date
2010-11-01 00:00:00pages
665-9issue
5eissn
0002-9610issn
1879-1883pii
S0002-9610(10)00467-8journal_volume
200pub_type
杂志文章abstract：BACKGROUND:Routine contralateral groin exploration in infants and children with a clinically detected inguinal hernia is the subject of much debate. The detection of a patent processus vaginalis by transinguinal laparoscopy has proven advantageous. However, controversy remains regarding the true incidence of a contrala...
journal_title：American journal of surgery
pub_type： 杂志文章
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更新日期：2001-12-01 00:00:00
abstract：BACKGROUND:No studies to date exist regarding the attire of physicians on a surgical service. The objective of this study was to determine patient, surgeon, and nonhospitalized public (NHP) attitudes and preferences regarding surgeons' attire and mannerisms. METHODS:A questionnaire was developed to survey each group. ...
journal_title：American journal of surgery
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doi：10.1016/j.amjsurg.2005.04.003
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journal_title：American journal of surgery
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journal_title：American journal of surgery
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journal_title：American journal of surgery
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journal_title：American journal of surgery
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journal_title：American journal of surgery
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pub_type： 杂志文章
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更新日期：2011-01-01 00:00:00
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journal_title：American journal of surgery
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journal_title：American journal of surgery
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journal_title：American journal of surgery
pub_type： 杂志文章
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更新日期：1981-02-01 00:00:00
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journal_title：American journal of surgery
pub_type： 杂志文章
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更新日期：1985-09-01 00:00:00
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更新日期：2009-04-01 00:00:00
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更新日期：2011-10-01 00:00:00
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journal_title：American journal of surgery
pub_type： 杂志文章
doi：10.1016/s0002-9610(01)00672-9
更新日期：2001-08-01 00:00:00
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journal_title：American journal of surgery
pub_type： 杂志文章
doi：10.1016/s0002-9610(05)80718-4
更新日期：1992-12-01 00:00:00
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pub_type： 杂志文章,随机对照试验
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更新日期：2013-10-01 00:00:00
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journal_title：American journal of surgery
pub_type： 杂志文章,评审
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更新日期：2018-09-01 00:00:00
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journal_title：American journal of surgery
pub_type： 杂志文章
doi：10.1016/j.amjsurg.2003.07.024
更新日期：2003-11-01 00:00:00
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journal_title：American journal of surgery
pub_type： 杂志文章
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更新日期：2006-12-01 00:00:00
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journal_title：American journal of surgery
pub_type： 杂志文章,评审
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更新日期：1977-07-01 00:00:00
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journal_title：American journal of surgery
pub_type： 杂志文章
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更新日期：2014-10-01 00:00:00
abstract：BACKGROUND:To establish feasibility, reliability and validity of a newly designed basic surgical training (BST) assessment form. METHODS:The assessment form was evaluated among trainees on the South-east Scotland BST rotation over 18 months. Feasibility was indicated by response rate. Reliability was determined using ...
journal_title：American journal of surgery
pub_type： 杂志文章
doi：10.1016/s0002-9610(01)00647-x
更新日期：2001-07-01 00:00:00
