An exploratory study on the elements that might affect medical students' and residents' responsibility during clinical training.
We are now more or less confronting a "challenge of responsibility" among both undergraduate and postgraduate medical students and some recent alumni from medical schools in Iran. This ethical problem calls for urgent etiologic and pathologic investigations into the problem itself and the...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Tehran University of Medical Sciences
2015-10-01
|
Series: | Journal of Medical Ethics and History of Medicine |
Subjects: | |
Online Access: | https://jmehm.tums.ac.ir/index.php/jmehm/article/view/110 |
id |
doaj-e60853226fa64e09b11279775ef9ea3a |
---|---|
record_format |
Article |
spelling |
doaj-e60853226fa64e09b11279775ef9ea3a2020-11-25T03:33:12ZengTehran University of Medical SciencesJournal of Medical Ethics and History of Medicine2008-03872015-10-0171An exploratory study on the elements that might affect medical students' and residents' responsibility during clinical training.Omid Asemani0Mohammad Taghi Iman1Marzieh Moattari2Seyed Ziaadin Tabei3Farkhondeh Sharif4Mohammad Khayyer5Department of Medical Ethics and Philosophy of Health, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.Department of Sociology, Shiraz University, Shiraz, Iran.Department of Nursing, College of Nursing & Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.Department of Medical Ethics and Philosophy of Health, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.Department of Psychiatric Nursing, Community Based Psychiatric Care Research Center, and College of Nursing & Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.College of Education and Psychology, Shiraz University, Shiraz, Iran.We are now more or less confronting a "challenge of responsibility" among both undergraduate and postgraduate medical students and some recent alumni from medical schools in Iran. This ethical problem calls for urgent etiologic and pathologic investigations into the problem itself and the issues involved. This study aimed to develop a thematic conceptual framework to study factors that might affect medical trainees' (MTs) observance of responsibility during clinical training. A qualitative descriptive methodology involving fifteen in-depth semi-structured interviews was used to collect the data. Interviews were conducted with both undergraduate and postgraduate MTs as well as clinical experts and experienced nurses. Interviews were audio-recorded and then transcribed. The data was analyzed using thematic content analysis. The framework derived from the data included two main themes, namely "contextual conditions" and "intervening conditions". Within each theme, participants recurrently described "individual" and "non-individual or system" based factors that played a role in medical trainees' observance of responsibility. Overall, contextual conditions provide MTs with a "primary or basic responsibility" which is then transformed into a "secondary or observed responsibility" under the influence of intervening conditions. In conclusion three measures were demonstrated to be very important in enhancing Iranian MTs' observance of responsibility: a) to make and implement stricter and more exact admission policies for medical colleges, b) to improve and revise the education system in its different dimensions such as management, structure, etc. based on regular and systematic evaluations, and c) to establish, apply and sustain higher standards throughout the educational environment.https://jmehm.tums.ac.ir/index.php/jmehm/article/view/110clinical trainingmedical residentqualitative descriptive studyresponsibilityundergraduate medical student |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Omid Asemani Mohammad Taghi Iman Marzieh Moattari Seyed Ziaadin Tabei Farkhondeh Sharif Mohammad Khayyer |
spellingShingle |
Omid Asemani Mohammad Taghi Iman Marzieh Moattari Seyed Ziaadin Tabei Farkhondeh Sharif Mohammad Khayyer An exploratory study on the elements that might affect medical students' and residents' responsibility during clinical training. Journal of Medical Ethics and History of Medicine clinical training medical resident qualitative descriptive study responsibility undergraduate medical student |
author_facet |
Omid Asemani Mohammad Taghi Iman Marzieh Moattari Seyed Ziaadin Tabei Farkhondeh Sharif Mohammad Khayyer |
author_sort |
Omid Asemani |
title |
An exploratory study on the elements that might affect medical students' and residents' responsibility during clinical training. |
title_short |
An exploratory study on the elements that might affect medical students' and residents' responsibility during clinical training. |
title_full |
An exploratory study on the elements that might affect medical students' and residents' responsibility during clinical training. |
title_fullStr |
An exploratory study on the elements that might affect medical students' and residents' responsibility during clinical training. |
title_full_unstemmed |
An exploratory study on the elements that might affect medical students' and residents' responsibility during clinical training. |
title_sort |
exploratory study on the elements that might affect medical students' and residents' responsibility during clinical training. |
publisher |
Tehran University of Medical Sciences |
series |
Journal of Medical Ethics and History of Medicine |
issn |
2008-0387 |
publishDate |
2015-10-01 |
description |
We are now more or less confronting a "challenge of responsibility" among both undergraduate and postgraduate medical students and some recent alumni from medical schools in Iran. This ethical problem calls for urgent etiologic and pathologic investigations into the problem itself and the issues involved. This study aimed to develop a thematic conceptual framework to study factors that might affect medical trainees' (MTs) observance of responsibility during clinical training. A qualitative descriptive methodology involving fifteen in-depth semi-structured interviews was used to collect the data. Interviews were conducted with both undergraduate and postgraduate MTs as well as clinical experts and experienced nurses. Interviews were audio-recorded and then transcribed. The data was analyzed using thematic content analysis. The framework derived from the data included two main themes, namely "contextual conditions" and "intervening conditions". Within each theme, participants recurrently described "individual" and "non-individual or system" based factors that played a role in medical trainees' observance of responsibility. Overall, contextual conditions provide MTs with a "primary or basic responsibility" which is then transformed into a "secondary or observed responsibility" under the influence of intervening conditions. In conclusion three measures were demonstrated to be very important in enhancing Iranian MTs' observance of responsibility: a) to make and implement stricter and more exact admission policies for medical colleges, b) to improve and revise the education system in its different dimensions such as management, structure, etc. based on regular and systematic evaluations, and c) to establish, apply and sustain higher standards throughout the educational environment. |
topic |
clinical training medical resident qualitative descriptive study responsibility undergraduate medical student |
url |
https://jmehm.tums.ac.ir/index.php/jmehm/article/view/110 |
work_keys_str_mv |
AT omidasemani anexploratorystudyontheelementsthatmightaffectmedicalstudentsandresidentsresponsibilityduringclinicaltraining AT mohammadtaghiiman anexploratorystudyontheelementsthatmightaffectmedicalstudentsandresidentsresponsibilityduringclinicaltraining AT marziehmoattari anexploratorystudyontheelementsthatmightaffectmedicalstudentsandresidentsresponsibilityduringclinicaltraining AT seyedziaadintabei anexploratorystudyontheelementsthatmightaffectmedicalstudentsandresidentsresponsibilityduringclinicaltraining AT farkhondehsharif anexploratorystudyontheelementsthatmightaffectmedicalstudentsandresidentsresponsibilityduringclinicaltraining AT mohammadkhayyer anexploratorystudyontheelementsthatmightaffectmedicalstudentsandresidentsresponsibilityduringclinicaltraining AT omidasemani exploratorystudyontheelementsthatmightaffectmedicalstudentsandresidentsresponsibilityduringclinicaltraining AT mohammadtaghiiman exploratorystudyontheelementsthatmightaffectmedicalstudentsandresidentsresponsibilityduringclinicaltraining AT marziehmoattari exploratorystudyontheelementsthatmightaffectmedicalstudentsandresidentsresponsibilityduringclinicaltraining AT seyedziaadintabei exploratorystudyontheelementsthatmightaffectmedicalstudentsandresidentsresponsibilityduringclinicaltraining AT farkhondehsharif exploratorystudyontheelementsthatmightaffectmedicalstudentsandresidentsresponsibilityduringclinicaltraining AT mohammadkhayyer exploratorystudyontheelementsthatmightaffectmedicalstudentsandresidentsresponsibilityduringclinicaltraining |
_version_ |
1724564121151602688 |