Designing Desirable Model of Medical Curriculum with Ethics-Oriented Approach

Medical ethics is considered as one of the main principles of medical curriculum. The purpose of this project was designing a curriculum model with ethical approach.

This study did by mixed method applied in goal and descriptive-analytical method. Qualitative data were collected through semi-structured interviews with 14 faculty members and analyzed by inductive qualitative content analysis. Questionnaire validity was calculated by Lawshe and Waltz & Bausell method by R software and its reliability determined by Cronbachs’ alpha coefficient with SPSS-21 software. The qualitative community consisted of 457 individuals out of the physicians and clinical residents from whom 210 were selected by stratified random sampling method. The confirmatory factor analysis (CFA), determining the model’s dimensions, path coefficients and fitting model were done with Structural equation modeling method by Smart Pls-3.

In the qualitative part, 13 themes were extracted as the curriculum elements. The questionnaire’s reliability and validity as R=0.89 CVR=0.9 and CVI=0.93 were confirmed. In the CFA, the main themes were approved. The factor load coefficients, composite reliability and average variance extraction verified the model’s construct reliability. Also convergent and Discriminant Validity indicated the proposed model being of fitness. R2 criterion implied the significant relationship between the endogenous and exogenous structures. Based on the results medical ethics is under the influence of formal curriculum, teachers, students, hidden curriculum and external factors of the educational system.

medical curriculum requires reform with a comprehensive approach in order to educate ethics bound students.