Title |
Initiatives for Responding to Medical Trainees’ Moral Distress about End-of-Life Cases
|
---|---|
Published in |
The AMA Journal of Ethic, June 2017
|
DOI | 10.1001/journalofethics.2017.19.6.stas1-1706 |
Pubmed ID | |
Authors |
M Sara Rosenthal, Maria Clay |
Abstract |
Moral distress frequently arises for medical trainees exposed to end-of-life cases. We review the small literature on best practices for reducing moral distress in such cases and propose two areas to target for moral distress reduction: medical education and organizational ethics programs. Students require training in end-of-life dialogues and truthful prognostication, which are not generally available without skilled mentors. But physician-mentors and teachers can suffer from lingering moral residue themselves, which can affect the teaching culture and student expectations. Finally, reducing unit moral distress that affects learners requires formal educational opportunities to debrief about difficult end-of-life cases and formal institutional mechanisms for effective clinical ethics consultation. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 25 | 33% |
United Kingdom | 14 | 19% |
Canada | 4 | 5% |
Australia | 4 | 5% |
Cameroon | 1 | 1% |
Argentina | 1 | 1% |
Comoros | 1 | 1% |
Chile | 1 | 1% |
Spain | 1 | 1% |
Other | 5 | 7% |
Unknown | 18 | 24% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 40 | 53% |
Practitioners (doctors, other healthcare professionals) | 24 | 32% |
Scientists | 11 | 15% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 42 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Doctoral Student | 6 | 14% |
Researcher | 5 | 12% |
Student > Master | 4 | 10% |
Student > Bachelor | 3 | 7% |
Librarian | 3 | 7% |
Other | 8 | 19% |
Unknown | 13 | 31% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 13 | 31% |
Nursing and Health Professions | 8 | 19% |
Agricultural and Biological Sciences | 1 | 2% |
Unknown | 20 | 48% |