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Table 3 Summary of suggestions from the data

From: Systematic development and refinement of a contextually relevant strategy for undergraduate medical ethics education: a qualitative study

Suggested additions

Data source

Action taken

Guiding the facilitators in conducting the course

 Guidelines for new facilitators

(FI2 & FI3) (E201 & E301)

Facilitator guide developed and included in the EWB

 Use of cases scenarios that explicitly represent opposing viewpoints

(E601)

Added in EWB and facilitator guide

 Summary or take-home message

(FG1 & FG3) (FI1)

Incorporated in facilitator guide

History and philosophy of ethics

 Development of bioethics principles and their application in medical profession

(E501, E801)

Section added in EWB

Differing perspectives from legal and cultural aspects

 Local and international laws related to medical profession

(FG1, FG2 & FG3)

Excerpts from local codes and guidelines added in different sections of EWB

 Sensitive issues related to women’s health in local culture and law

(FG2 & FG3)

 More on Islamic perspective in local culture, Islamic rules from Hadith and comparison of Islamic ethics with ethics of other religions

(FI1) (E701 &E1201)

Section on Islamic ethics in EWB enhanced

 More on euthanasia to understand the two sides of views

(E601)

 Identifying and managing presuppositions and biases, and understanding opposing views on different issues

(E301, E601 & E1001)

Added in EWB and facilitator guide

Concept of privacy

(E101 & E1201)

Added in facilitator guide for discussion

Interactive learning activities

 More feedback, role-plays and videos

(FG1, FG2 & FG3) (FI1)

Added in EWB

 Reflective writing exercises should be added to video clips and role-plays

(FG2 & FG3) (FI4)

Incorporated in EWB

 More to enhance students’ communication skills

(FG1 & FG2) (FI3)

Added in EWB and facilitator guide

 Links to learning resources

(E601)

Added in EWB and facilitator guide

Clarity of goals to achieve through different activities

 Message to be taken from each session

(FG1 & FG3) (FI1) (E601)

Constructive alignment of the EWB enhanced and table added in EWB

 Learning objectives with video clips and role-plays

(FG2 & FG3) (FI4)

Added in EWB

Suggested deletions

Data source

Action taken

Repetition in the consent part

(FI4)

Corrected

Avoid the use of culturally controversial words like “Mesiah”

(E601)

Deleted from EWB

Common controversies in last section is not required at this level

(FI2) (E101 & E201)

Deleted from EWB

Prenatal issues and fetal rights are not required at this level

(E101)

Deleted from EWB

Student presentations were not effective for learning of all students

(FG1, FG2 & FG3)

Removed from the course

  1. FG students focus group, FI faculty interview, E experts’ opinion, EWB Ethics Workbook