Ethical Literacy in Medical Education: A Comparative Study of Medical Ethics among Undergraduate Students in Peshawar, Pakistan: Ethical literacy in Medical Education

Khansa Khan; Salman Zahir; Marwa Shaukat; Abdul Muqeet Ahmad; Muhammad Abdullah; Kabir Iqbal; Syeda Romesa Sana; Shumayel Ashraf; Amber Ahmad Khattak; Muhammad Nabeel; Somia Mazhar; Jamal Shah

doi:10.54393/pbmj.v7i05.1086

Authors

Khansa Khan Department of Medicine and Surgery, Northwest School of Medicine, Peshawar, Pakistan
Salman Zahir Department of Medicine and Surgery, Northwest General Hospital and Research Center, Peshawar, Pakistan
Marwa Shaukat Department of Medicine and Surgery, Northwest General Hospital and Research Center, Peshawar, Pakistan
Abdul Muqeet Ahmad Department of Medicine and Surgery, Northwest School of Medicine, Peshawar, Pakistan
Muhammad Abdullah Department of Medicine and Surgery, Northwest School of Medicine, Peshawar, Pakistan
Kabir Iqbal Department of Medicine and Surgery, Northwest School of Medicine, Peshawar, Pakistan
Syeda Romesa Sana Department of Medicine and Surgery, Northwest School of Medicine, Peshawar, Pakistan
Shumayel Ashraf Department of Medicine and Surgery, Northwest School of Medicine, Peshawar, Pakistan
Amber Ahmad Khattak Department of Pharmacology, Northwest School of Medicine, Peshawar, Pakistan
Muhammad Nabeel Department of Medicine and Surgery, Northwest School of Medicine, Peshawar, Pakistan
Somia Mazhar Department of Biomedical Sciences, National University of Science and Technology, Islamabad, Pakistan
Jamal Shah Department of Medicine and Surgery, Northwest School of Medicine, Peshawar, Pakistan

DOI:

https://doi.org/10.54393/pbmj.v7i05.1086

Keywords:

Healthcare Providers, Medical Ethics, Public Health, Ethical literacy

Abstract

Medical ethics knowledge and practice by healthcare providers is an incredibly critical topic in today's highly advanced and demanding medical care. Objective: To assess the knowledge and attitude of undergraduate medical students regarding medical ethics, and to compare the results among the students of public and private medical colleges of Peshawar. Methods: Over the course of six months, 1203 undergraduate students from a variety of fields participated in an observational cross-sectional study. A standardized questionnaire about medical ethics knowledge, attitudes, and demographics was filled out by the participants. Descriptive statistics and the chi-square test were used in the analysis of the data using SPSS version 27.0 to look for differences between groups. Results: A total of 1203 undergraduate students were enrolled in the study; 60.2% of the participants were men and 39.6% were women. Of these, 66.9% have previously studied medical ethics. 2.1% of the participants had poor knowledge of medical ethics, 26.8% had average knowledge, and 71.1% had good knowledge. Furthermore, 76.2% of students thought that medical ethics ought to be taught in undergraduate programs. While 41.1% of respondents said that medical ethics were merely important to avoid legal issues, 42% of respondents believed that doctors may occasionally act unethically. Conclusions: The study concluded that students in the public and private sectors both possess an adequate amount of knowledge regarding medical ethics. Additionally, students in both fields demonstrate a positive attitude toward the application of medical ethics in the medical field

References

Jatana SK, Soe HH, Phyu KL, Lwin H, Than NN. A survey on knowledge and attitudes towards medical ethics among undergraduate medical students. Education. 2018; 8(3): 48-53. doi:10.5923/j.edu.20180803.03.

Adhikari S, Paudel K, Aro AR, Adhikari TB, Adhikari B, Mishra SR. Knowledge, attitude and practice of healthcare ethics among resident doctors and ward nurses from a resource poor setting, Nepal. BioMed Central Medical Ethics. 2016 Dec; 17: 1-8. doi: 10.1186/s12910-016-0154-9. DOI: https://doi.org/10.1186/s12910-016-0154-9

Ghias K, Lakho GR, Asim H, Azam IS, Saeed SA. Self-reported attitudes and behaviours of medical students in Pakistan regarding academic misconduct: a cross-sectional study. BioMed Central Medical Ethics. 2014 Dec; 15: 1-4. doi: 10.1186/1472-6939-15-43. DOI: https://doi.org/10.1186/1472-6939-15-43

Rajamohanan RR, Phansalkar M, Kuruvila S. Awareness about medical ethics among undergraduates after introduction of humanities in curriculum. International Journal of Research. 2021 Sep; 7(5): 636. doi: 10.18203/issn.2455-4529.IntJResDermatol20213164. DOI: https://doi.org/10.18203/issn.2455-4529.IntJResDermatol20213164

Jalal S, Imran M, Mashood A, Younis M. Awareness about knowledge, attitude and practice of medical ethics pertaining to patient care, among male and female physicians working in a public sector Hospital of Karachi, Pakistan-A cross-sectional survey. European Journal of Environment and Public Health. 2018 Mar; 2(1): 04. doi: 10.20897/ejeph/86260. DOI: https://doi.org/10.20897/ejeph/86260

Okoye O, Nwachukwu D, Maduka-Okafor FC. Must we remain blind to undergraduate medical ethics education in Africa? A cross-sectional study of Nigerian medical students. BioMed Central Medical Ethics. 2017 Dec; 18: 1-8. doi: 10.1186/s12910-017-0229-2. DOI: https://doi.org/10.1186/s12910-017-0229-2

Aacharya RP and Shakya YL. Knowledge, attitude and practice of medical ethics among medical intern students in a Medical College in Kathmandu. Bangladesh Journal of Bioethics. 2015 May; 6(3): 1-9. doi: 10.3329/bioethics.v6i3.27613. DOI: https://doi.org/10.3329/bioethics.v6i3.27613

Hertrampf K, Groß D, Karsten G, Wenz HJ. The influence of clinical experience on dental students' ethical awareness. European Journal of Dental Education. 2019 May; 23(2): 101-9. doi: 10.1111/eje.12408. DOI: https://doi.org/10.1111/eje.12408

Rani V. Knowledge and attitude about medical ethics among undergraduate medical students-A cross sectional comparative study. Indian Journal of Health Sciences and Biomedical Research kleu. 2022 May; 15(2): 131-6. doi: 10.4103/kleuhsj.kleuhsj_13_21. DOI: https://doi.org/10.4103/kleuhsj.kleuhsj_13_21

AlKabba AF, Hussein G, Kasule OH, Jarallah J, Alrukban M, Alrashid A. Teaching and evaluation methods of medical ethics in the Saudi public medical colleges: cross-sectional questionnaire study. BioMed Central Medical Education. 2013 Dec; 13(1): 1-8. doi: 10.1186/1472-6920-13-122. DOI: https://doi.org/10.1186/1472-6920-13-122

Humayun A, Fatima N, Naqqash S, Hussain S, Rasheed A, Imtiaz H et al. Patients' perception and actual practice of informed consent, privacy and confidentiality in general medical outpatient departments of two tertiary care hospitals of Lahore. BioMed Central Medical Ethics. 2008 Dec; 9: 1-8. doi: 10.1186/1472-6939-9-14. DOI: https://doi.org/10.1186/1472-6939-9-14

Stites SD, Rodriguez S, Dudley C, Fiester A. Medical students' exposure to ethics conflicts in clinical training: implications for timing UME bioethics education. HEC Forum. 2020 Jun; 32: 85-97. doi: 10.1007/s10730-020-09412-w. DOI: https://doi.org/10.1007/s10730-020-09412-w

Jafari H, Khatony A, Abdi A, Jafari F. Nursing and midwifery students' attitudes towards principles of medical ethics in Kermanshah, Iran. BioMed Central Medical Ethics. 2019 Dec; 20: 1-6. doi: 10.1186/s12910-019-0364-z. DOI: https://doi.org/10.1186/s12910-019-0364-z

Ranasinghe AW, Fernando B, Sumathipala A, Gunathunga W. Medical ethics: knowledge, attitude and practice among doctors in three teaching hospitals in Sri Lanka. BioMed Central Medical Ethics. 2020 Dec; 21: 1-0. doi: 10.1186/s12910-020-00511-4. DOI: https://doi.org/10.1186/s12910-020-00511-4

Gupta C, Palimar V, Kalthur SG. Knowledge of medical ethics among medical undergraduate students in a medical college in South India. Gazi Medical Journal. 2019 Jan; 30(4): 358-60. doi: 10.12996/gmj.2019.92. DOI: https://doi.org/10.12996/gmj.2019.92

Pais V, Vaswani V, Pais S. To evaluate the knowledge, attitude and practice of healthcare ethics among medical, dental and physiotherapy postgraduate students-a pilot study. International Journal of Ethics Education. 2021 Apr; 6(1): 97-107. doi: 10.1007/s40889-020-00106-y. DOI: https://doi.org/10.1007/s40889-020-00106-y

Tegegne MD, Melaku MS, Shimie AW, Hunegnaw DD, Legese MG, Ejigu TA et al. Health professionals' knowledge and attitude towards patient confidentiality and associated factors in a resource-limited setting: a cross-sectional study. BioMed Central Medical Ethics. 2022 Mar; 23(1): 26. doi: 10.1186/s12910-022-00765-0. DOI: https://doi.org/10.1186/s12910-022-00765-0

Javaeed A. General needs assessment of the undergraduate medical students to integrate courses on medical ethics, time management and communication skills into the bachelor of medicine, bachelor of surgery curriculum of Pakistani medical colleges. Cureus. 2019 Apr; 11(4). doi: 10.7759/cureus.4433. DOI: https://doi.org/10.7759/cureus.4433

Tenenbaum A, Moutel G, Wolikow M, Vial-Dupuy A, Azogui-Levy S. Implementation of a medical ethics course in undergraduate dental education and assessment of knowledge and attitudes. Journal of International Society of Preventive and Community Dentistry. 2020 Sep; 10(5): 569-78. doi: 10.4103/jispcd.JISPCD_364_19. DOI: https://doi.org/10.4103/jispcd.JISPCD_364_19

Imran N, Haider II, Jawaid M, Mazhar N. Health ethics education: knowledge, attitudes and practice of healthcare ethics among interns and residents in Pakistan. Journal of Postgraduate Medical Institute. 2014; 28(4): 383-9.