Reviving Critical Thinking and Sense of Ethics and Humanity through “Exploring Human Enhancement Technology”

https://doi.org/10.22146/rpcpe.47861

Wika Hartanti(1*), Nurazid Mahardinata(2), Soenarto Sastrowijoto(3)

(1) Department of Medical Education and Bioethics; Faculty of Medicine, Public Health, and Nursing; Universitas Gadjah Mada; Indonesia
(2) Department of Medical Education and Bioethics; Faculty of Medicine, Public Health, and Nursing; Universitas Gadjah Mada; Indonesia Centre for Bioethics and Medical Humanities; Faculty of Medicine, Public Health, and Nursing; Universitas Gadjah Mada; Indonesia
(3) Department of Medical Education and Bioethics; Faculty of Medicine, Public Health, and Nursing; Universitas Gadjah Mada; Indonesia
(*) Corresponding Author

Abstract


Background: Ethical challenges in primary care practices are inevitable, especially with the current development and application of advanced technology which shifted the practice of medicine. Medical education institutions have no choice except to prepare and equip future doctors with a moral and ethical capacity to deal with this challenge. The “Human Enhancement Technology” (HET) module was developed and delivered in an attempt to address this need. Objective: Our study aimed to explore the HET module’s effectivity and acceptance from students’ perspectives. Method: We conducted a qualitative study on students’ online commentaries posted daily throughout the course. We performed content analysis to explore three main issues: (1) opinions on the module design (contents and methods); (2) reflections on overall learning experiences; and (3) applicability of the knowledge and skills. We analyzed students’ grade to confirm learning objectives achievements and effectivity of the module. Result: A total of 78 medical students self-enrolled into this elective module and wrote daily online commentaries. Students described the HET module as unique and extraordinary because it taught attractive yet rare topics with engaging learning methods, unlike the standard medical subjects. The learning experience in HET module was life-changing and transforming students’ opinions and attitudes. Students acquired three essential lessons from HET module, in the form of hands-on experience in critical thinking and analysis, as well as sensitization to ethics and humanity issues. The module provided knowledge and skills applicable in medical practice, also necessary for students’ preparation in entering clinical settings. Students were inspired to use the knowledge and skills gained from this module to be better doctors, deliver comprehensive patient care, and contribute more to humanity. Conclusion: The HET module was delivered effectively and well accepted by the students. Most importantly, the course had successfully engaged students in various personalized form and influenced students’ p ositive t ransformation r egarding personal, academic, and professional commitments. The module showed potentials for further development and implementation as part of the mandatory medical curriculum


Keywords


bioethics; human enhancement technology; humanities; medical education

Full Text:

PDF


References

Furler JS, Palmer VJ. The ethics of everyday practice in primary medical care: responding to social health inequities. Philosophy, Ethics, and Humanities in Medicine. 2010 Dec;5(1):6.

2. Papanikitas A, Spicer J. Teaching and learning ethics in primary healthcare. In Handbook of Primary Care Ethics. CRC Press, 2017 Sep 25; p. 225-232.

3. Hamet P, Tremblay J. Artificial intelligence in medicine. Metabolism. 2017 Apr 1;69:S36-40.

4. Coenen C. Transhumanism in emerging technoscience as a challenge for the humanities and technology assessment. Teorija in Praksa. 2014 Sep 1;51(5).

5. Heath I. How medicine has exploited rationality at the expense of humanity: An essay by Iona Heath. BMJ. 2016 Nov 1;355:i5705.

6. Barritt P. Humanity in healthcare: The heart and soul of medicine. CRC Press. 2017 Nov 22.

7. Gupta P. Humanity in medicine. Journal of Medical Ethics and History of Medicine. 2011;4.

8. Doukas DJ, McCullough LB, Wear S. Perspective: Medical education in medical ethics and humanities as the foundation for developing medical professionalism. Academic Medicine. 2012 Mar 1;87(3):334-41.

9. Loike JD, Rush BS, Schweber A, Fischbach RL. Lessons learned from undergraduate students in designing a science-based course in bioethics. CBE—Life Sciences Education. 2013 Dec;12(4):701-10.

10. Chiapperino L, Boniolo G. Rethinking medical humanities. Journal of Medical Humanities. 2014 Dec 1;35(4):377-87.

11. Indonesian Medical Council. Indonesian doctor competency standards. 2nd ed. Jakarta: Indonesian Medical Council. 2012.

12. Wachtler C, Lundin S, Troein M. Humanities for medical students? A qualitative study of a medical humanities curriculum in a medical school program. BMC Medical Education. 2006 Dec;6(1):16.

13. Republic of Indonesia. Act number 20/2013 about medical education. Jakarta: State Secretariat. 2013.

14. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qualitative Health Research. 2005 Nov;15(9):1277-88.

15. Erlingsson C, Brysiewicz P. A hands-on guide to doing content analysis. African Journal of Emergency Medicine. 2017 Sep 1;7(3):93-9.

16. Horton ME. The orphan child: Humanities in modern medical education. Philosophy, Ethics, and Humanities in Medicine. 2019 Dec;14(1):1.

17. Arao B, Clemens K. From safe spaces to brave spaces. The art of effective facilitation: Reflections from social justice educators. 2013:135-50.

18. Ryujin DT, Collett D, Mulitalo KE. From safe to brave spaces: A component of social justice curriculum in physician assistant education. The Journal of Physician Assistant Education. 2016 Jun 1;27(2):86-8.

19. Bell S. Project-based learning for the 21st century: Skills for the future. The Clearing House. 2010 Jan 29;83(2):39-43.

20. Welch TJ, Harrison SL. Teaching medicine through the study of literature: Implementing a fourth-year distance learning elective. Academic Medicine. 2016 Mar 1;91(3):360-4.

21. Sandhu P, Wylie A, Jakeways N, Kirtchuk L. Clinical humanities in primary care for year 2 medical students: A student perspective. MedEdPublish. 2018 Sep 4;7.



DOI: https://doi.org/10.22146/rpcpe.47861

Article Metrics

Abstract views : 2142 | views : 1580

Refbacks

  • There are currently no refbacks.


Copyright (c) 2019 Wika Hartanti, Nurazid Mahardinata, Soenarto Sastrowijoto

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.


View My Stats