The purpose of this study was to evaluate the self-achievement, perception and satisfaction of group discussion and presentation in medical philosophy class.
A questionnaire was developed based on topical subject of main textbook of medical philosophy and course evaluation reported by students. The questionnaire composed of self-learning achievement for the seven subjects, perception of necessity and profitability of contents and education method of medical philosophy and satisfaction with components of education method and overall class.
The data were collected from 250 medical students who complete the course of medical philosophy. Regardless of grade and gender, students reported high self-achievement, perception and overall satisfaction of medical philosophy course, but there were difference in satisfaction of components of each education methods. Students recognized positively as discussion and presentation in philosophy class, but had low awareness of the benefits of private small-group activities. The more students regarded it is beneficial for the contents and methods of philosophy classes, the overall satisfaction with the medical philosophy course was high. And the more students regarded it is necessary to educate and beneficial for the contents and methods of philosophy classes, the satisfaction with the education methods of medical philosophy course was high.
To improve the achievement level and satisfaction with the philosophy course, it is necessary to induce active interest in small group activities, and provide detailed and various discussion materials in class.
In medicine and public health areas, it is essential for researchers and clinicians to investigate causal relationships dealing with the terms of cause, causation and causality. In treating a patient, the treatment will be given based on the assumption that that treatment will cause an improvement or cure of the patient. For diagnosis, we need a causation concept to associate diseases with etiologic factors such as genetic, environmental, occupational and other components. The prevention and intervention of a disease involve the selecting process of probable causal factors too.
The causal problem is one of main issues in philosophy since ancient Greek. Aristotle theorized material, formal, efficient, and formal causes. Francis Bacon and Descartes mainly used induction and deduction, respectively. Hume denied the capacity of inductive methodologies to find truth. Among philosophers of science, the debates whether we can find objective truth or not will be continued. This causation can be two subsets, ontological and epistemological (or methodological). Traditional philosophical approaches mainly focus on ontological problems, such as what is causation?; are there causal laws? In general, scientific or epidemiological approaches are dealing with the epistemological dimension, i.e, causation criteria; test for a causal hypothesis.
For clinicians and researchers in medical and public health, it would be a good chance to review and re-think the notions of cause, causation and causality. Also there will be helpful understanding of more detail informations about the methodology such as causal inference, Hill’s criteria and Rothman’s causal pie model.
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