Objective -To examine the long term effects of an innovative curriculum on medical house officers' (HOs 9 knowledge, confidence, and attitudes regarding medical ethics. Design -Long term cohort study. The two-year curiculum, implemented by a single physician ethicist with assistance from otherfaculty, was fully integrated into the programme. It consisted of monthly sessions: ethics morning report alternating with didactic conferences. The content included topics such as ethics vocabulary and principles, withdrawing life support, informed consent, andjustice. Identical content was offered simultaneously at the largest affiliated community hospital. Setting -A multi-hospital university training programme from July, 1992 to June, 1994.
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