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April/May 2001, Volume 21, Number 3, Pages 161-166 |
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Original Article |
Training Pediatric House Staff in Evidence-Based Ethics: An Exploratory Controlled Trial† |
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| Terri L Major-Kincade MD, MPHa, Jon E Tyson MD, MPH and Kathleen A Kennedy MD |
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UT Southwestern Medical Center at Dallas, Department of Pediatrics, Dallas, TX
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Correspondence to: Jon E. Tyson, MD, MPH, Department of Pediatrics, Division of Neonatal-Perinatal Medicine, University of Texas-Houston Medical School, 6431 Fannin Street, Suite 2.106, Houston, TX 77030-1503
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aCurrent affiliation: Department of Pediatrics, UT Houston Medical School, 6431 Fannin Street, MSB 3.228, Houston, TX 77030. |
†This study was supported by the American Academy of Pediatrics (Resident Research Grant Award) and by the National Institutes of Child Health and Human Development (Specialized Clinical Fellowship 3U10HD21373-12S1).
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Abstract |
| OBJECTIVE: To evaluate an educational intervention in evidence-based ethics (emphasizing clinical knowledge, epidemiologic skills, and recognition of ethical issues) administered to house staff before rotating through our neonatal intensive care unit. STUDY DESIGN: A controlled trial of 64 pediatric house staff assigned to alternating control and intervention rotations. Questionnaires were administered at the end of the rotation. RESULTS: Some benefits of the intervention were observed. However, a large percentage of intervention and control house staff substantially overestimated (>1.25 correct value) predischarge mortality (23% vs. 55% of house staff; p<0.02), mortality or major morbidity (74% vs. 46% of house staff; p=0.04), and cerebral palsy rates (70% vs. 87%; p=0.12). Neither group cited many methodological criteria for evaluating follow-up studies (3.3 vs. 2.4 criteria; p=0.05) or ethical issues considered in treatment recommendations for extremely premature infants (3.1 vs. 2.8 issues; p=0.35). CONCLUSION: Improved house staff training in evidence-based ethics is needed. Journal of Perinatology 2001; 21:161-166. |
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Received 3 August 2000; accepted 18 December 2000 |
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April/May 2001, Volume 21, Number 3, Pages 161-166 |
Table of contents Previous Abstract Next Article PDF |
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