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Proximity morality in medical school--medical students forming physician morality "on the job": grounded theory analysis of a student survey.

https://arctichealth.org/en/permalink/ahliterature162028
Source
BMC Med Educ. 2007;7:27
Publication Type
Article
Date
2007
Author
Hans O Thulesius
Karl Sallin
Niels Lynoe
Rurik Löfmark
Author Affiliation
Department of Clinical Sciences Malmö, Division of Family Medicine, Lund University, Sweden. hans.thulesius@ltkronoberg.se
Source
BMC Med Educ. 2007;7:27
Date
2007
Language
English
Publication Type
Article
Keywords
Adult
Clinical Clerkship - ethics
Clinical Competence - standards
Curriculum - standards
Ethics, Medical
Female
Humans
Job Description
Male
Morals
Physician's Role
Questionnaires
Students, Medical - statistics & numerical data
Sweden
Abstract
The value of ethics education have been questioned. Therefore we did a student survey on attitudes about the teaching of ethics in Swedish medical schools.
Questionnaire survey on attitudes to ethics education with 409 Swedish medical students participating. We analyzed > 8000 words of open-ended responses and multiple-choice questions using classic grounded theory procedures.
In this paper we suggest that medical students take a proximity morality stance towards their ethics education meaning that they want to form physician morality "on the job". This involves comprehensive ethics courses in which quality lectures provide "ethics grammar" and together with attitude exercises and vignette reflections nurture tutored group discussions. Goals of forming physician morality are to develop a professional identity, handling diversity of religious and existential worldviews, training students described as ethically naive, processing difficult clinical experiences, and desisting negative role modeling from physicians in clinical or teaching situations, some engaging in "ethics suppression" by controlling sensitive topic discussions and serving students politically correct attitudes.
We found that medical students have a proximity morality attitude towards ethics education. Rather than being taught ethics they want to form their own physician morality through tutored group discussions in comprehensive ethics courses.
Notes
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PubMed ID
17683618 View in PubMed
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[Respect patient's right to refuse life support care. New guidelines from The Swedish Society of Medicine's delegation].

https://arctichealth.org/en/permalink/ahliterature160508
Source
Lakartidningen. 2007 Oct 10-16;104(41):2969-71
Publication Type
Article