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J Korean Med Sci ; 34(22): e163, 2019 Jun 10.
Artículo en Inglés | MEDLINE | ID: mdl-31172696


BACKGROUND: Seoul National University College of Medicine has provided a new educational curriculum on basis of the competency-based curriculum since 2016. The new curriculum included the medical humanities course (MHC) to potentiate humanities of medical students. The present study applied the context, input, process and product (CIPP) evaluation model to the MHC in order to confirm the feasibility of the CIPP model and to improve the MHC by questionnaire survey and analysis of teaching materials. METHODS: This study analyzed the MHC provided to the freshmen in 2016 and to the freshmen and sophomores in 2017 by the CIPP model. Firstly, evaluation criteria and indicators were developed according to the CIPP classification. The materials collected from the course were analyzed by quantitative and qualitative analysis according to the evaluation criteria. In the quantitative analysis, an independent sample t-test was performed to verify the difference in the responses between the students (n = 522) and the professors (n = 22). In addition, content analysis was conducted for qualitative evaluation. RESULTS: There were significant differences in perceptions of MHC between students and professors about the results of almost all objective survey questions through the t-test, such as score 3.64 in students and 4.48 in professors in response to the item of 'provision of appropriate feedback.' As a result of the content analysis, 7 categories and 20 subcategories were derived. There were the most responses to various instructional methods (students, 20%; professors, 21.5%). CONCLUSION: The CIPP evaluation model was acceptable for the MHC analysis. The first task is to raise students' awareness of the MHC in order to improve the MHC quality.

Humanidades/ética , Estudiantes de Medicina/psicología , Curriculum , Educación Médica , Femenino , Humanos , Masculino , Universidades , Adulto Joven
Bioethics ; 32(9): 553-561, 2018 11.
Artículo en Inglés | MEDLINE | ID: mdl-30264873


Many working in bioethics today are engaging in forms of normative interpretation concerning the meaningful contexts of relational agency and institutional structures of power. Using the framework of relational bioethics, this article focuses on two significant social practices that are significant for health policy and public health: the practices of solidarity and the practices of care. The main argument is that the affirming recognition of, and caring attention paid to, persons as moral subjects can politically motivate a society in three respects. The recognition of solidarity and the attention of care can prompt progressive change toward a democratic willingness: (a) to provide for equal respect for rights and dignity; (b) to provide the social resources and services needed for just health and well-being; and (c) to focus its creativity and wealth on the actualization of potential flourishing of each and all. Solidarity is discussed as a morally developmental stance that moves from standing up for another, standing up with another, and standing up as another. Care is discussed as a morally developmental stance that moves from the attentive rehabilitation of another, attentive companionship with and for another, and attentive commitment to another.

Salud Global/ética , Accesibilidad a los Servicios de Salud/ética , Justicia Social/ética , Responsabilidad Social , Bioética , Disparidades en el Estado de Salud , Humanidades/ética , Humanos , Cooperación Internacional , Salud Pública , Bienestar Social/ética
Interface (Botucatu, Online) ; 22(65): 473-480, abr.-jun. 2018.
Artículo en Portugués | LILACS | ID: biblio-893475


A Bioética surgiu em um momento em que a distância entre a ciência e as humanidades parecia intransponível. Em seu surgimento, a Bioética possuía um apelo para superar essa distância que se revelava fatal para o futuro desenvolvimento da humanidade e para a manutenção das condições de vida nesse planeta. É nesse contexto que V. R. Potter propôs seu conceito original de Bioética como uma integração entre a Biologia e os valores humanos - especialmente a filosofia moral - para orientar a sobrevivência humana. Nesse sentido, o presente texto procurará desenvolver o significado do conceito de Bioética para V. R. Potter e o problema das "duas culturas", isto é, da necessidade de construção de um diálogo entre as humanidades e a ciência, buscando uma convergência da relação ética de todos os saberes em torno do cuidado da vida.(AU)

The rise of Bioethics took place at a time when the gap between the sciences and the humanities seemed insurmountable. The appeal of Bioethics was in its mission of overcoming this distance which was proving to be critical for the future development of humanity and for maintaining the conditions for life on the planet. It was in this context that V. R. Potter put forward his original concept of Bioethics as an integration between Biology and human values - particularly moral philosophy - to guide human survival. In this sense, this paper will seek to develop and clarify the meaning of the concept of V. R. Potter's Bioethics and the problem of "two cultures", namely the need for building a dialogue between the humanities and the sciences, seeking a convergence of the ethical relationships of all knowledge around the idea of caring for life.(AU)

La Bioética surgió en un momento en el que la distancia entre la ciencia y las humanidades parecía insalvable. En su aparición, la Bioética presentaba un clamor para superar esa distancia que se revelaba fatal para el futuro desarrollo de la humanidad y para el mantenimiento de las condiciones de vida en ese planeta. Es en ese contexto que V. R. Potter propuso su concepto original de Bioética como una integración entre la Biología y los valores humanos - especialmente la filosofía moral - para orientar la supervivencia humana. En este sentido, este texto buscará desarrollar el significado del concepto de Bioética para V. R. Potter y el problema de las "dos culturas", es decir, de la necesidad de construcción de un diálogo entre las humanidades y la ciencia, buscando una convergencia de la relación ética de todos los saberes alrededor del cuidado de la vida.(AU)

Bioética , Ética , Humanidades/ética
Camb Q Healthc Ethics ; 27(1): 14-26, 2018 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-29141699


This essay brings together work I have done over the past 10 years: on the nature of ethics, on the purpose of ethics, and on its foundations in a way that, I hope, as E.M. Forster put it, connects "the prose and the passion." I deploy lessons learned in this process to identify and face what I believe to be crucial challenges to science and to freedom (as defended by, among others, Cicero, Pete Seeger, Bob Dylan, Thomas Hobbes, John Stuart Mill, and Bertrand Russell). Finally I consider threats to freedom of a different sort, posed by the creation and dissemination of "alternative facts" and by what is sometimes called "super" or "full" artificial intelligence (AI).

Bioética , Libertad , Humanidades/ética , Filosofía , Poesía como Asunto , Inteligencia Artificial/ética , Democracia , Humanos , Metáfora , Principios Morales , Música , Publicaciones/ética , Edición/ética
Artículo en Portugués | Coleciona SUS | ID: biblio-968434


A questão da ética em pesquisas com seres humanos no Brasil tem sido ainda um dilema, mesmo com a criação da Resolução nº 510/16 do Conselho Nacional de Saúde (CNS). Este artigo faz uma reflexão sobre os aspectos e procedimentos éticos da pesquisa Análise sobre a Formação Profissional e Experiência dos Médicos Cooperados do Programa Mais Médicos no Brasil, que se enquadra na área de Saúde Coletiva, porém utiliza metodologias das Ciências Humanas e Sociais (CHS). Para isto, comparou-se as duas últimas resoluções do CNS com os procedimentos realizados na pesquisa. Embora a nova resolução tenha trazido avanços nas normas éticas brasileiras para as pesquisas nas áreas de CHS, ainda existem lacunas que causam dificuldades para que os pesquisadores enquadrem suas pesquisas nas diretrizes e normas regulamentadoras.(AU)

The issue of ethics in research with humans in Brazil has still been a dilemma, even with the creation of the Resolution 510/16 of the National Health Council (CNS). This paper reflects on the ethical aspects and procedures of the research Analysis of the Professional Training and Experience of the Cooperated Doctors of the More Physicians Program in Brazil, which is part of the Public Health area, but uses Humanities and Social Sciences (HSS) methodologies. To this end, the last two resolutions of the CNS were compared with the procedures performed in the research. Although a new resolution has brought advances in the Brazilian ethical standards for research in HSS areas, there are still gaps that cause difficulties for researchers to frame their research on guidelines and regulatory standards.(AU)

La cuestión de la ética en investigaciones con seres humanos en Brasil continúa siendo un dilema, aun después de la creación de la Resolución n. 510/16 del Consejo Nacional de Salud (CNS). Este artículo hace una reflexión sobre los aspectos y procedimientos éticos de la investigación Análisis sobre la Formación Profesional y Experiencia de los Médicos Cooperantes del Programa Más Médicos en Brasil, que se enmarca en el área de Salud Colectiva; sin embargo, utiliza metodologías de las Ciencias Humanas y Sociales (CHS). Se compararon las dos últimas resoluciones del CNS con los procedimientos realizados en la investigación. Aunque la nueva resolución haya traído avances en las normas éticas brasileras para las investigaciones en las áreas de CHS, aún existen vacíos que ocasionan dificultades para que los investigadores adecuen sus investigaciones en las directrices y normas reguladoras.(AU)

Bioética , Salud Pública/ética , Ética en Investigación , Políticas Públicas de Salud , Humanidades/ética
Rev. inf. cient ; 96(1)2017.
Artículo en Español | CUMED | ID: cum-68487


Se presentan los primeros resultados parciales del Proyecto Investigativo Institucional para el desarrollo de la competencia sociohumanista en los profesionales de salud que se desarrolló en la Universidad de Ciencias Médicas de Guantánamo desde el año 2015. Los procedimientos seguidos en esta investigación se correspondieron con los de una investigación cualitativa en tanto permitieron definir, caracterizar y evaluar la presencia del empobrecimiento sociohumanista en nuestras comunidades. Mediante la investigación bibliográfica se precisó la definición y con la aplicación de otros métodos de investigación se alcanzó establecer los elementos característicos de la presencia del problema. A partir de esta información primaria, se pretendió entonces, a punto de partida de un acercamiento reflexivo al problema, trazar pautas a seguir desde la Medicina General Integral para su mitigación(AU)

The first partial results of the I Project Investigative Institutional for the development of the socio humanist abilities in the professionals of health that is developed in the University of Medical Sciences of Guantanamo during 2015. The procedures continued in this investigation belong together with those of a qualitative investigation as long as they allowed defining, characterizing and evaluating the presence of the socio humanist impoverishment in our communities. By means of the bibliographical investigation is necessary the definition and with the application of other investigation and methods .It was reached to establish the characteristic elements of the presence of the problem. Starting from this primary information, it is sought then, about to departure of a reflexive approach to the problem, to trace rules to continue from the MGI for their mitigation

Humanos , Valores Sociales , Estilo de Vida , Calidad de Vida , Pobreza , Humanidades/ética
Ciênc. saúde coletiva ; 21(9): 2977-2977, Set. 2016.
Artículo en Inglés, Portugués | LILACS | ID: lil-795883


Errata no artigo: Índices antropométricos de crianças assistidas em creches e sua relação com fatores socioeconômicos, maternos e infantis. edição: volume 21 número 7: 2016, p.2219 correção na p.2230 Doi: 10.1590/1413-81232015217.11712015

Errata no artigo: Resolução nº 510 de 7 de abril de 2016 que trata das especificidades éticas das pesquisas nas ciências humanas e sociais e de outras que utilizam metodologias próprias dessas áreas. na edição: volume 21 número 8: 2016, p.2629 DOI: 10.1590/1413-81232015218.17212016

Errata in article: Anthropometric indices of children treated in daycare centers and the relationship with socioeconomic, maternal and child factors.edição: volume 21 número 7: 2016, p.2219 Doi: 10.1590/1413-81232015217.11712015

Errata in article: Approval of the Resolution governing the ethics of research in social sciences, the humanities, and other disciplines that use methodologies characteristic of these areas: challenges and achievements. na edição: volume 21 número 8: 2016, p.2629 DOI: 10.1590/1413-81232015218.17212016

Humanos , Niño , Jardines Infantiles , Humanidades/ética , Factores Socioeconómicos
Camb Q Healthc Ethics ; 25(2): 176-85, 2016 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-26957443


This article discusses the suggestion of having the notion of solidarity as the foundational value for welfare scheme reforms. Solidarity is an emerging concept in bioethical deliberations emphasizing the need for value-oriented discussion in revising healthcare structures, and the notion has been contrasted with liberal justice and rights. I suggest that this contrast is unnecessary, flawed, and potentially counterproductive. As necessary as the sense of solidarity is in a society, it is an insufficient concept to secure the goals related to social responsibility. The discussion on solidarity is also based on a questionable sense of nostalgia. Furthermore, solidarity and liberal justice share essential objectives concerning welfare schemes; therefore, the question arises whether the proper comparison should in the first place be within justice and solidarity.

Bioética , Humanidades/ética , Justicia Social/ética , Responsabilidad Social , Bienestar Social/ética , Derechos Humanos , Humanos , Política , Valores Sociales , Reino Unido
Sci Eng Ethics ; 21(6): 1551-79, 2015 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-25479960


The study of ethical behavior and ethical decision making is of increasing importance in many fields, and there is a growing literature addressing the issue. However, research examining differences in ethical decision making across fields and levels of experience is limited. In the present study, biases that undermine ethical decision making and compensatory strategies that may aid ethical decision making were identified in a series of interviews with 63 faculty members across six academic fields (e.g., biological sciences, health sciences, social sciences) and three levels of rank (assistant professor, associate professor, and full professor) as well as across gender. The degree to which certain biases and compensatory strategies were used in justifications for responses to ethical situations was compared across fields, level of experience, and gender. Major differences were found across fields for several biases and compensatory strategies, including biases and compensatory strategies related to use of professional field principles and field-specific guidelines. Furthermore, full professors tend to differ greatly from assistant and associate professors on a number of constructs, and there were differences in the consistency with which biases and compensatory strategies were displayed within these various groups. Implications of these findings for ethics training and future research are discussed.

Toma de Decisiones/ética , Ética Profesional , Docentes , Ciencia/ética , Universidades , Sesgo , Disciplinas de las Ciencias Biológicas , Femenino , Humanidades/ética , Humanos , Masculino , Factores Sexuales , Ciencias Sociales
J Empir Res Hum Res Ethics ; 8(4): 37-41, 2013 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-24169420


Most accounts of the ethical problems facing researchers across a broad spectrum of research fields come from ethicists, ethics committees, and specialists committed to the study of ethics in human research. In contrast, this study reports on the ethical questions that researchers, themselves, report facing in their everyday practice. Fifty-five Swedish researchers contributed 109 examples of ethical dilemmas, conflicts, and problems in research. They were all researchers at the postdoctoral level in the fields of medicine, the humanities, education, and the social sciences, who devoted at least 50 percent of their working hours to research. They reported issues they face before, during, and after gathering data. Their range of issues is broader than generally discussed and points to the importance of researchers' ethical sensitivity.

Bioética , Educación/ética , Ética en Investigación , Humanidades/ética , Investigadores/ética , Ciencias Sociales/ética , Humanos , Suecia
Rev. med. (Säo Paulo) ; 91(3): 163-173, jul.-set. 2012.
Artículo en Portugués | LILACS | ID: lil-748461


Este artigo tem por objetivo apresentar uma análise crítica do estado-da-arte da literatura sobre o movimento deintrodução das Humanidades Médicas em Educação Médica no Reino Unido, assim como as percepções e atitudes de estudantes de Medicina, acadêmicos e pesquisadores na área. Para tal foi realizada uma revisão crítica de literatura nas bases Ovid-SP e Scopus para os descritores na língua inglesa ‘medical humanities’, ‘medical education’, ‘humanities’, ‘humanisation’, ‘physicians’, ‘patients’, ‘medical students’, ‘British’, ‘England’, no período de 2000 a 2011, com publicações em língua inglesa e por referência cruzada. Tal pesquisa gerou um resultado de 34 artigos, dos quais 29 encontram-se diretamente referenciados neste texto que mostra a maneira como as Humanidades Médicaspassaram a ser uma florescente disciplina a ser introduzida em Escolas Médicas a partir da década de 1950, paralelamente entre E.U.A. e Reino Unido. Neste panorama, historicizamos as origens do processo de dissolução do ‘bom médico’ e delineamos o caminho por meio do qual o Reino Unido configurou-se como o berço da atual tendência mundial de humanização doscuidados em saúde. Desta maneira, o Reino Unido tem liderado o debate mundial com sua ampla experiência nas Humanidades em Saúde, primeiramente como instrumento de formação éticaem saúde e, mais recentemente, como linha de pesquisa para investigar os efeitos observados na integralidade da formação de médicos produzidos pelos variados modelos de sua implementaçãoem suas Escolas Médicas após a publicação dos Médicos de Amanhã pelo General Medical Council em 1995, cujo objetivo é o de resgatar o ‘good doctor’, o ‘bom médico’, para a prática clínica...

This editorial aims to present a critical analysis of the state-of-the-art literature on the initiative of introduction of the Medical Humanities into Medical Education in the United Kingdom, as well as the perceptions and attitudes of medical students,scholars and researchers in this field. For such purpose, a critical literature review was performed at the online bases Ovid-SP and Scopus for the keywords in the English language ‘medical humanities’, ‘medical education’, ‘humanities’, ‘humanisation’, ‘physicians’, ‘patients’, ‘medical students’, ‘British’, ‘England’,during the period from 2000 to 2011, also collecting publications by cross-referencing. This search produced a result of 34 papers, from which 29 were directly referenced in this work that shows the way through which the Medical Humanities became a flourishing discipline to be introduced in Medical Schools from the 1950’s on, simultaneously in the US and the UK. At this panorama, we historicised the origins of the dissolution process of the ‘good doctor’ and delineated the pathway by which the UK has becomethe focus of a worldwide trend in humanisation of the health care. As such, raising the world debate with the British both wide and effective experience of introduction of the Medical Humanities, firstly as an instrument for the ethical education in health, then, more recently, as a research strength to investigate the observed effects of the integrity in the education od doctors produced by itsseveral formats implementation across the Medical Schools in the UK, after the publication of Tomorrow’s Doctors by the General Medical Council in 1995, whose main aim was to “rescue” the‘good doctor’ back into the healthcare...

Humanos , Humanidades/educación , Humanidades/ética , Educación Médica , Humanización de la Atención , Literatura de Revisión como Asunto , Reino Unido
Rev. med. (Säo Paulo) ; 91(3): 174-177, jul.-set. 2012.
Artículo en Portugués | LILACS | ID: lil-748462


Este artigo descreve, a partir da experiência com uma atividade educacional desenvolvida com alunosde graduação e pós-graduação da EPM-UNIFESP, o Laboratório de Humanidades, a forma como a leiturae discussão de clássicos da literatura universal pode contribuir para o processo de formação humanística ehumanização de futuros médicos e profissionais da saúde em geral. Fundamentado na perspectiva teórica das humanidades e na observação empírica do fenômeno educacional, este estudo aponta a experiência estética ereflexiva a partir da literatura como forma privilegiada de promover a humanização no contexto educacional...

Based on the experience of an educational activity for undergraduate and post graduate students from EPM-UNIFESP, the Laboratory of Humanities, this article aim to describe the way as reading and discussion of literature classics can give humanistic contributions for the medical education. Grounded in the humanities theoretical background and in the empirical observation of educational phenomena, this study shows that aesthetical and reflective experience could be a privileged form to promote “humanization” in the medical education context...

Humanos , Actividades Humanas/ética , Humanidades/educación , Humanidades/ética , Educación Médica , Humanización de la Atención , Medicina en la Literatura , Literatura
J Med Humanit ; 33(3): 175-83, 2012 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-22610726


Medical humanities have a central role to play in combating biopiracy. Medical humanities scholars can articulate and communicate the complex structures of meaning and significance which human beings have invested in their ways of conceiving health and sickness. Such awareness of the moral significance of medical heritage is necessary to ongoing legal, political, and ethical debates regarding the status and protection of medical heritage. I use the Indian Traditional Knowledge Digital Library as a case study of the role of medical humanities in challenging biopiracy by deepening our sense of the moral value of medical heritage.

Concienciación , Ética Médica , Humanidades/ética , Propiedad Intelectual , Bibliotecas Digitales/ética , Curriculum , Conocimientos, Actitudes y Práctica en Salud , Humanos , India , Principios Morales