Identify And Prioritize Of The General Medicine Curriculum Challenges with Medical Ethics Approach

Medical ethics is one of the most important principles in medical curriculum. This study aims to identify and prioritize of the Medical Curriculum Challenges using Medical Ethics Approach.

The study is mixed type, applied in terms of goal and descriptive-analytical. The qualitative data were collected as purposeful and by semi-structured interviews with 14 experts of  Medical Ethics and analyzed by inductive qualitative content analysis. The questionnaire was extracted from interviews result and its validity was calculated using Lawshe and Waltz-Bausell method with R software, the consensus among the experts was measured by Kappa coefficient and reliability was estimated by Alpha-Cronbach with SPSS-21. The statistical community of the quantitative part consisted of 457 clinical physicians and residents and according to Cochran formula ,209 individuals were selected by random stratified sampling method. The confirmatory factor analysis test and the Importance-Performance Map Analysis (IPMA) were performed by Smart Pls-3 software.

In the qualitative section, 13 themes and 48 categories were extracted and converted into the items. The indices CVR=0.9, CVI=0.93, Kappa index >0.7 and reliability (r=0.89) were estimated and confirmed. In the factor analysis, all research themes were confirmed and IMPA indicated that the most important challenges of Medical Ethics are the factors known as "Review of Content and Resources", "Inappropriate Implementation", "Poor Facilities and Opportunities" and "Hidden Curriculum Management".

Identifying and prioritizing the challenges can be applied as a guide to improve the policy making and effectiveness of the curriculum.