A novel curriculum for the Same-Sex Marriage Act and Patient Right to Autonomy Act (SMPRA) module based on two new laws in Taiwan: a mixed-methods study

BMC Medical Education

Research

Zxy-Yann Jane Lu¹  Chung-Pei Fu²  Jing-Yi Lin³  Yaw-Wen Chang³  Chih-Chia Wang³  Yi-Chih Shiao⁴  Wan-Ting Chen⁵ 

[1] Department of Bioscience Technology, Chung Yuan Christian University, No. 200, Zhongbei Rd., Zhongli Dist, 320314, Taoyuan City, Taiwan;Department of Occupational Therapy, College of Medicine, Fu Jen Catholic University, No.510, Zhongzheng Rd., Xinzhuang Dist, 24205, New Taipei City, Taiwan;School of Medicine, National Defense Medical Center, No.161, Sec. 6, Minquan E. Rd., Neihu Dist, 11490, Taipei City, Taiwan;Department of Family and Community Medicine, Tri-Service General Hospital, National Defense Medical Center, No.325, Sec. 2, Chenggong Rd., Neihu Dist, 11490, Taipei City, Taiwan;School of Medicine, National Defense Medical Center, No.161, Sec. 6, Minquan E. Rd., Neihu Dist, 11490, Taipei City, Taiwan;Department of Family and Community Medicine, Tri-Service General Hospital, National Defense Medical Center, No.325, Sec. 2, Chenggong Rd., Neihu Dist, 11490, Taipei City, Taiwan;College of Law, National Chengchi University, No.64, Sec.2, ZhiNan Rd., Wenshan District, 11605, Taipei City, Taiwan;School of Medicine, National Defense Medical Center, No.161, Sec. 6, Minquan E. Rd., Neihu Dist, 11490, Taipei City, Taiwan;Department of Psychiatry, Tri-Service General Hospital, National Defense Medical Center, No.325, Sec. 2, Chenggong Rd., Neihu Dist, 11490, Taipei City, Taiwan;

关键词: Gender;    Medicine;    Law;    Sexual rights;    Medical ethics;    Legal ethics;   

DOI  :  10.1186/s12909-023-04076-9

 received in 2022-07-18, accepted in 2023-02-01,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundThe establishment of laws has had a tremendous impact on holistic medical care. The Patient Right to Autonomy (PRA) Act and the Same-Sex Marriage Act have been passed in Taiwan, and both have sparked intense societal debate. The Same-Sex Marriage Act and PRA Act (SMPRA) teaching module was created for the Gender, Medicine, and Law (GML) course of the medical curriculum. This video trigger-assisted problem-based learning (VTA–PBL) software has integrated content on the aforementioned legislative proclamations. It upends conventional beliefs and fosters reflective practices on sexual rights and the right to representation among medical students. This study examined how the SMPRA module affected the knowledge and attitudes of medical students taking up the GML course.MethodsA simple pre-/post-test design evaluated the outcomes of the PBL module to examine the changes in knowledge and attitudes of medical students toward same-sex marriage rights. In 2019 and 2020, 126 and 49 5th-year medical students took up the GML course, respectively. The GML components included a video scenario representing advanced decision-making and a healthcare agency with a same-sex couple, a PBL discussion, and student feedback presentations. The mechanisms of feedback collection and measuring student knowledge and attitudes toward sexual rights differed between one cohort in 2019 and the other in 2020. Pre- and post-lecture tests were used in the first school year, whereas a post-lecture open-ended questionnaire survey was used in the second school year.ResultsIn total, 90 and 39 eligible questionnaires were received in the first and second school years, respectively, which corresponded to response rates of 71% and 80%. Students showed a better understanding of and positive enhancement of proficiency in legal and ethical content and relevant clinical practice. Qualitative analysis revealed that students viewed healthcare providers as checkpoints for conflicts of interest; medical ethics as the cornerstone of clinical practice; cultural background as a significant influence on decision-making; and empathetic communication as the cornerstone of relationships between patients, family members, and doctors.ConclusionThe GML course of the SMPRA module fosters reflective practices on ethical and legal sexual rights issues.

【 授权许可】

CC BY   
© The Author(s) 2023

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