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We thank Dr Moaddab and colleagues for their response to our recent article regarding obstetrics and gynecology residency program directors’ assessments of resident ethics education. We agree that while role modeling of ethical behavior and practice is essential, this approach is not sufficient for ensuring that residents graduate with a solid framework for addressing ethically challenging clinical situations. Discussing ethical considerations for each case on teaching rounds, as proposed by Dr Moaddab et al, is one important approach to integrate ethics education into resident training. However, as our study found that the second most common barrier to education was a lack of faculty expertise, particularly in community-based programs, discussing ethics on rounds may not always be feasible. Not all attending physicians will be comfortable with or have the background to fully integrate such discussions into their teaching rounds. Therefore, we also believe that having a standardized, web-based curriculum developed by obstetrician-gynecologists with expertise in clinical medical ethics would be a worthwhile endeavor. Such a curriculum would decrease reliance on institution-specific expertise and ensure that residents attain a baseline level of competence in navigating ethically challenging clinical situations. It also would provide a standardized resource for attending physicians and other resident educators to improve their comfort level and knowledge about ethics in obstetrics and gynecology.

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May 6, 2017 | Posted by in GYNECOLOGY | Comments Off on Reply

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