Increasing bioethics education in preclinical medical curricula: What ethical dilemmas do clinical clerks experience?

Academic Medicine

Volumn 84, Issue 4, 2009, Pages 498-504

  Kelly, Emily ^a   Nisker, Jeff ^a  

^a WESTERN UNIVERSITY   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BIOETHICS; CLINICAL EDUCATION; CURRICULUM; MEDICAL EDUCATION; MEDICAL ETHICS; MEDICAL STUDENT; MORALITY; PRIORITY JOURNAL; CANADA; EDUCATION; ETHICS; HEALTH PERSONNEL ATTITUDE; HUMAN; INFORMED CONSENT; MEDICINE; PATIENT CARE; PSYCHOLOGICAL ASPECT; RESUSCITATION;

ATTITUDE OF HEALTH PERSONNEL; BIOETHICS; CLINICAL CLERKSHIP; CURRICULUM; EDUCATION, MEDICAL, UNDERGRADUATE; HUMANS; INFORMED CONSENT; ONTARIO; PATIENT CARE; RESUSCITATION ORDERS; SPECIALTIES, MEDICAL; STUDENTS, MEDICAL;

EID: 65249110946     PISSN: 10402446     EISSN: None     Source Type: Journal    
DOI: 10.1097/ACM.0b013e31819a8b30     Document Type: Article

References (35)

1. Nisker JA. Narrative ethics in health care. In: Rodney PA, Storch JL, eds. Toward a Moral Horizon: Nursing Ethics for Leadership and Practice. Toronto, Canada: Pearson Education Leadership and Practice; 2004.
2. Goldie J. Review of ethics curricula in undergraduate medical education. Med Educ. 2000;34:108-119. (Pubitemid 30069430)
3. Charon R. The patient-physician relationship. Narrative medicine: A model for empathy, reflection, profession, and trust. JAMA. 2001;286:1897-1902.
4. Burrel D, Hauerwas S. From system to story: An alternative pattern for rationality in ethics. In: Engelhardt HT, Callahan D, eds. Knowledge, Value and Belief. Hastings on Hudson, NY; The Hastings Center; 1977:111-152.
5. Brody H. Storytelling in medicine. In: Brody H. Stories of Sickness. 2nd ed. Oxford, UK: Oxford University Press; 2003:1-19.
6. Jones AH. Narrative in medical ethics. In: Greenhalgh T, Hurwitz B, eds. Narrative-Based Medicine. London, UK: BMJ Books; 1998.
7. Lindemann H. How to do things with stories. In: Lindemann H, ed. Stories and Their Limits: Narrative Approaches to Bioethics. New York, NY: Routledge; 1997.
8. Howell SL, Coates CJ. Utilizing narrative inquiry to evaluate a nursing doctorate program professional residency. J Prof Nurs. 1997;13:110-123.
9. Maxwell TL, Passow ES, Plumb J, Sifri RD. Experience with hospice: Reflections of third-year medical students. J Palliat Med. 2002;5: 721-727. (Pubitemid 35283433)
10. DasGupta S, Charon R. Personal illness narratives: Using reflective writing to teach empathy. Acad Med. 2004;79:351-356. (Pubitemid 38451086)
11. Strauss AL, Corbin JM. Basics of Qualitative Research: Grounded Theory Procedures and Techniques. 2nd ed. Thousand Oaks, Calif: Sage Publications; 1998.
12. Jameton A. Nursing Practice: The Ethical Issues. Englewood Cliffs, NJ: Prentice Hall; 1984.
13. Sherwin S. No Longer Patient: Feminist Ethics and Health Care. Philadelphia, Pa: Temple University Press; 1992.
14. Sherwin S. A relational approach to autonomy in health care. In: Sherwin S, coordinator. The Feminist Health Care Ethics Research Network. The Politics of Women's Health: Exploring Agency and Autonomy. Philadelphia, Pa: Temple University Press; 1998;19-47.
15. Pellegrino ED, Thomasma DC. The Virtues in Medical Practice. New York, NY: Oxford University Press; 1993.
16. Caldicott CV, Faber-Langendoen K. Deception, discrimination and fear of reprisal: Lessons in ethics from third-year medical students. Acad Med. 2005;80:866-873. (Pubitemid 41232918)
17. Weston WW, Brown JB. Teaching the patient-centered method: The human dimensions of medical education. In: Stewart M, Brown JB, Weston WW, McWhinney IR, McWilliam CL, Freeman TR, eds. Patient-Centred Medicine: Transforming the Clinical Method. London, UK: Sage; 1995:117-131.
18. Nisker JA. Medical students mirror and hold mirrors. J Obstet Gynaecol Can. 2003;25:995-999.
19. May WF. Code, covenant, contract, or philanthropy. Hastings Cent Rep. 1975;5: 29-38.
20. Nisker J. A covenant model for the medical educator-student relationship: Lessons from the covenant model of the physician-patient relationship. Med Educ. 2006;40:502-503. (Pubitemid 43742822)
21. Hicks LK, Lin Y, Robertson DW, Robinson DL, Woodrow SI. Understanding the clinical dilemmas that shape medical students' ethical development: Questionnaire survey and focus group study. BMJ. 2001;322:709-710. (Pubitemid 32238776)
22. Williams CT, Fost N. Ethical considerations surrounding first time procedures. Kennedy Inst Ethics J. 1992;2:217-231.
23. Dyrbye LN, Thomas MR, Shanafelt TD. Systematic review of depression, anxiety and other indicators of psychological distress among US and Canadian medical students. Acad Med. 2006;81:354-373.
24. Webster GC, Baylis F. Moral residue. In: Rubin SB, Zoloth L, eds. Margin of Error: The Ethics of Mistakes in the Practice of Medicine. Hagerstown, Md: University Publishing Group; 2000.
25. Marcus RB. Moral Dilemmas and Consistency. J Philos. 1980;77:121-136.
26. Althouse LA, Stritter FT, Steiner BD. Attitudes and approaches of influential role models in clinical education. Adv Health Sci Educ Theory Pract. 1999;4:111-122.
27. Kenny NP, Mann KV. See one, do one, teach one: Role models and the CanMEDS competencies. Ann R Coll Physicians Surg Can. 2001;34:435-438.
28. Chen DT, Mills AE, Werhane PH. Tools for tomorrow's health care system: A systems-informed mental model, moral imagination, and physician's professionalism. Acad Med. 2008;83:723-732.
29. Parker M, Luke H, Zhang J, Wilkinson D, Peterson R, Ozolins I. The "pyramid of professionalism": Seven years of experience with an integrated program of teaching, developing, and assessing professionalism among medical students. Acad Med. 2008;83: 733-741.
30. Feudtner C, Christakis DA, Christakis NA. Do clinical clerks suffer ethical erosion? Students' perceptions of their ethical environment and personal development. Acad Med. 1994;69:670-679. (Pubitemid 24261012)
31. Patenaude J, Niyonsenga T, Fafard D. Changes in medical students' moral development during medical school: A cohort study. Can Med Assoc J. 2003;168:840-844. (Pubitemid 36433937)
32. Dannefer EF, Henson LC, Bierer SB, et al. Peer assessment of professional competence. Med Educ. 2005;39:713-722.
33. Falk-Rafael AR, Chinn PL, Anderson MA, Laschinger H, Rubotzky AM. The effectiveness of feminist pedagogy in empowering a community of learners. Nurs Educ. 2004;43:107-115. (Pubitemid 40313534)
34. Kalet A, Krackov S, Rey M. Mentoring for a new era. Acad Med. 2002;77:1171-1172.
35. Berger BK. Power-over, power-with and power-to relations: Critical reflections on public relations, the dominant coalition and activism. J Public Relat Res. 2005;17:5-28.