Rights statement: This is an Accepted Manuscript of an article published by Taylor & Francis in Medical Teacher on 26/09/2019, available online: https://www.tandfonline.com/doi/full/10.1080/0142159X.2019.1665636
Accepted author manuscript, 372 KB, PDF document
Available under license: CC BY-NC: Creative Commons Attribution-NonCommercial 4.0 International License
Final published version
Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - Exploring the perceived medical ethics and law training needs of UK foundation doctors
T2 - MEL Training Needs for Foundation Doctors
AU - Machin, Laura
AU - Latcham, Natalie
AU - Lavelle, Claire
AU - Williams, Richard
AU - Corfield, Lorraine
N1 - This is an Accepted Manuscript of an article published by Taylor & Francis in Medical Teacher on 26/09/2019, available online: https://www.tandfonline.com/doi/full/10.1080/0142159X.2019.1665636
PY - 2020/1/7
Y1 - 2020/1/7
N2 - Foundation doctors (FDs) encounter a wide range of ethical and legal issues during their first two years of work. Despite ethics being a key part of most modern undergraduate curricula, FDs can struggle with the issues they see. This study is based on results from an on-line survey answered by 479 UK FDs regarding their medical law and ethics learning needs, and their undergraduate training in this area. Over two-thirds stated they would wish to receive MEL training as an FD on self-discharge against medical advice (∼71%), sedating patients (∼70%), decision making in emergency medicine (∼67%), and withholding and withdrawing treatment (∼66%). Over half of all respondents want MEL training during their Foundation Programme on DNACPR orders (∼63%), dealing with patients with suicidal intent (∼59%), Mental Health Act (∼55%), Deprivation of Liberty Safeguards (∼54%), and end of life care (∼53%). We therefore propose a minimum curriculum for ethics and law training for FDs based on these topics, as well as cases brought by the FDs themselves.
AB - Foundation doctors (FDs) encounter a wide range of ethical and legal issues during their first two years of work. Despite ethics being a key part of most modern undergraduate curricula, FDs can struggle with the issues they see. This study is based on results from an on-line survey answered by 479 UK FDs regarding their medical law and ethics learning needs, and their undergraduate training in this area. Over two-thirds stated they would wish to receive MEL training as an FD on self-discharge against medical advice (∼71%), sedating patients (∼70%), decision making in emergency medicine (∼67%), and withholding and withdrawing treatment (∼66%). Over half of all respondents want MEL training during their Foundation Programme on DNACPR orders (∼63%), dealing with patients with suicidal intent (∼59%), Mental Health Act (∼55%), Deprivation of Liberty Safeguards (∼54%), and end of life care (∼53%). We therefore propose a minimum curriculum for ethics and law training for FDs based on these topics, as well as cases brought by the FDs themselves.
U2 - 10.1080/0142159X.2019.1665636
DO - 10.1080/0142159X.2019.1665636
M3 - Journal article
VL - 42
SP - 92
EP - 100
JO - Medical Teacher
JF - Medical Teacher
SN - 0142-159X
IS - 1
ER -