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167 Ethics education into internal medicine residency training in Spain: a survey by the Spanish Society of Internal Medicine Working Group in Bioethics
  1. Paula Martínez De La Cruz1,2,
  2. Carme Font2,3,
  3. Antonio Blanco-Portillo2,4
  1. 1Hospital Universitario Fundación Alcorcón, Alcorcón, Spain
  2. 2Spanish Society of Internal Medicine (SEMI) Working Group in Bioethics
  3. 3Hospital Clinic de Barcelona, Barcelona, Spain
  4. 4Hospital Universitario Doce de Octubre, Madrid, Spain


Introduction Training in clinical ethics is key to dealing with multiple ethical conflicts the clinicians face in daily practice and to developing skills for professional excellence including shared decision-making with patients and multidisciplinary teams. The aim of the present study was to assess what are the current training activities in clinical ethics for Internal Medicine residents in Spain.

Methods A cross-sectional survey was developed by members of the Spanish Society of Internal Medicine (SEMI) Working Group in Bioethics that included 7 questions focused to determine information regarding the specific training in bioethics, the teaching role of the clinical ethics committee (CEC) in each centre and the preferences for training activities in this area. The survey was sent to SEMI members by email in January 2023. Responses were anonymized and handled in accordance with the Organic Law 3/2018 on the Protection of Personal Data.

Results Data from 120 responses from 80 hospitals and 38 different provinces were analysed. Training in bioethics during the residency was reported that should be mandatory by 98% of the responders albeit it was already received by only 56% of them (61.3% with a compulsory course, 41.9% an optional course and 24.2% a planned clinical session). Training in bioethics was more common in centres that had CEC compared to those that do not (67% versus 37% respectively; p<0.05). 80% of the respondents who had received training in bioethics stated that would like to receive further education in this topic including a 49% of them that would like to participate in directed internships.

Discussion The identification of barriers and facilitators for developing educational activities in clinical ethics may contribute to shared-decision making approaches in daily care.

Conclusions There is room for developing training strategies in bioethics to Internal Medicine residents in Spain.

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