Title |
Antecedents and Consequences of Medical Students’ Moral Decision Making during Professionalism Dilemmas
|
---|---|
Published in |
The AMA Journal of Ethic, June 2017
|
DOI | 10.1001/journalofethics.2017.19.6.medu1-1706 |
Pubmed ID | |
Authors |
Lynn Monrouxe, Malissa Shaw, Charlotte Rees |
Abstract |
Medical students often experience professionalism dilemmas (which differ from ethical dilemmas) wherein students sometimes witness and/or participate in patient safety, dignity, and consent lapses. When faced with such dilemmas, students make moral decisions. If students' action (or inaction) runs counter to their perceived moral values-often due to organizational constraints or power hierarchies-they can suffer moral distress, burnout, or a desire to leave the profession. If moral transgressions are rationalized as being for the greater good, moral distress can decrease as dilemmas are experienced more frequently (habituation); if no learner benefit is seen, distress can increase with greater exposure to dilemmas (disturbance). We suggest how medical educators can support students' understandings of ethical dilemmas and facilitate their habits of enacting professionalism: by modeling appropriate resistance behaviors. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 6 | 21% |
Australia | 4 | 14% |
United States | 3 | 11% |
Canada | 2 | 7% |
Taiwan | 1 | 4% |
Unknown | 12 | 43% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Scientists | 10 | 36% |
Members of the public | 10 | 36% |
Practitioners (doctors, other healthcare professionals) | 6 | 21% |
Science communicators (journalists, bloggers, editors) | 2 | 7% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Netherlands | 1 | 2% |
Unknown | 60 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 10 | 16% |
Lecturer > Senior Lecturer | 4 | 7% |
Student > Doctoral Student | 4 | 7% |
Student > Ph. D. Student | 4 | 7% |
Student > Postgraduate | 4 | 7% |
Other | 10 | 16% |
Unknown | 25 | 41% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 18 | 30% |
Nursing and Health Professions | 5 | 8% |
Agricultural and Biological Sciences | 2 | 3% |
Psychology | 2 | 3% |
Arts and Humanities | 1 | 2% |
Other | 4 | 7% |
Unknown | 29 | 48% |