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Medical Ethics, Bioethics and Research Ethics Education Perspectives in South East Europe in Graduate Medical Education

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Abstract

Ethics has an established place within the medical curriculum. However notable differences exist in the programme characteristics of different schools of medicine. This paper addresses the main differences in the curricula of medical schools in South East Europe regarding education in medical ethics and bioethics, with a special emphasis on research ethics, and proposes a model curriculum which incorporates significant topics in all three fields. Teaching curricula of Medical Schools in Bulgaria, Bosnia and Herzegovina, Croatia, Serbia, Macedonia and Montenegro were acquired and a total of 14 were analyzed. Teaching hours for medical ethics and/or bioethics and year of study in which the course is taught were also analyzed. The average number of teaching hours in medical ethics and bioethics is 27.1 h per year. The highest national average number of teaching hours was in Croatia (47.5 h per year), and the lowest was in Serbia (14.8). In the countries of the European Union the mean number of hours given to ethics teaching throughout the complete curriculum was 44. In South East Europe, the maximum number of teaching hours is 60, while the minimum number is 10 teaching hours. Research ethics topics also show a considerable variance within the regional medical schools. Approaches to teaching research ethics vary, even within the same country. The proposed model for education in this area is based on the United Nations Educational, Scientific and Cultural Organization Bioethics Core Curriculum. The model curriculum consists of topics in medical ethics, bioethics and research ethics, as a single course, over 30 teaching hours.

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Acknowledgments

The project was supported by Research Grant # R25TW007085 from the Fogarty International Center. The content is solely the responsibility of the author and does not necessarily represent the official views of the Fogarty International Center or the National Institutes of Health. I thank Prof. Martin Strosberg, Prof. Jane Greenlaw, Prof. Ana Marušić and Prof. Matko Marušić for their guidance and support while conducting this study, and preparing the manuscript. I thank Dr. Emily Frances Spry and Rhoopa Dhatt, M.D., for their help in matters of English language.

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Correspondence to Goran Mijaljica.

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Mijaljica, G. Medical Ethics, Bioethics and Research Ethics Education Perspectives in South East Europe in Graduate Medical Education. Sci Eng Ethics 20, 237–247 (2014). https://doi.org/10.1007/s11948-013-9432-9

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  • DOI: https://doi.org/10.1007/s11948-013-9432-9

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