KMID : 0381520090210030243
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Korean Journal of Medical Education 2009 Volume.21 No. 3 p.243 ~ p.257
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Student Satisfaction and Self-Assessment after Small Group Discussion in a Medical Ethics Education Program
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Joh Hee-Kyung
Shin Jwa-Seop
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Abstract
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Purpose: Small group discussions are useful tools in medical ethics education. We aimed to assess student satisfaction with specific components of a small group discussion and to evaluate student self-assessment of the objectives of education.
Methods: A structured questionnaire was developed after a literature review and a focus group interview. Components of the small group discussion were categorized by discussion case (self, other), individual activities (self-study, making materials, presentation experience), and group activities (preclass/in-class/postclass/plenary discussion, instructor¡¯s comments). The items for student self-assessment were: ¡°To specify ethical issue in actual practice¡±, ¡°To get new knowledge¡±, ¡°To consider doctor¡¯s entity¡±, ¡°Empathy to others¡±, ¡°To get multidimensional viewpoint¡±, ¡°Viewpoint change¡±, ¡°To deliver my thought clearly¡±, and ¡°Ability to confront the medical ethics dilemma in the future¡±. After the survey, an in-depth interview was performed to determine the reason behind the students¡¯ answers.
Results: A total of 121 students responded, for whom overall satisfaction and self-assessment were high. Students reported greater satisfaction with self-case, presentation experience, in-class discussion, and instructor¡¯s comments but less satisfaction with self-study before class and postclass discussion. Student self-assessment was highest in the ability to specify an ethical issue and lowest for viewpoint change and self-confidence. After multivariate analysis, higher student self-assessment was associated with greater satisfaction with the small group discussion.
Conclusion: To improve the quality of medical ethics education, close investigation and monitoring of each component of the small group discussion and student achievement are essential, as is continuous feedback.
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KEYWORD
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Medical ethics, Student satisfaction, Self-assessment, Small group discussion
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