Clinical education is an essential part of medical trainees' education process, and curriculum planners agree that it should be
based on ethical standards and principles in the medical field. Nevertheless, no explained and codified criteria have been
developed for ethics in clinical teaching. This study was aimed to develop an ethical guideline for medical students and teachers
as the first and most important step in respecting patients' rights in educational centers.
The initial draft included the codes of ethics in clinical education and was developed based on library studies. Subsequently, it
was improved through a qualitative study using semi-structured interviews and focus group sessions with medical students,
patients, and medical teachers in educational hospitals affiliated to Tehran University of Medical Sciences. The improved draft
was reviewed and validated by a medical expert panel to prepare the final draft.
The codes derived from this study included patients' choices and rights in purely educational procedures, and special
considerations for a) obtaining informed consent for educational procedures; b) performing procedures on deceased persons,
patients under anesthesia and those lacking decision making capacity; c) educational visual recordings of the patients; and d)
safety monitoring in clinical education.
The guideline developed in this study incorporates codes of ethics into clinical training. Therefore, in addition to providing
efficient education, the interests of patients and their rights are respected, and the ethical sensitivity of learners in primacy of
patients' best interests will be preserved and enhanced.
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