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Related Concept Videos

Ethical Issues01:27

Ethical Issues

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Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
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Obedience01:08

Obedience

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According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
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Nursing Ethical Principles II01:27

Nursing Ethical Principles II

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Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
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Ethical Dilemmas I01:17

Ethical Dilemmas I

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Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
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Ethical Standards I01:25

Ethical Standards I

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The American Nurses Association (ANA) created and implemented the first nationally accepted Code of Ethics for Nurses with Interpretive Statements. The Code of Ethics is a living document regularly updated by the ANA and establishes an ethical standard that is non-negotiable for nurses in all roles and settings.
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
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Ethical Dilemmas II01:30

Ethical Dilemmas II

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Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
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Related Experiment Video

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

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Fairness: the hidden challenge for competency-based postgraduate medical education programs.

Colleen Y Colbert1,2, Judith C French3,4, Mary Elizabeth Herring5

  • 1Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, OH, USA. colberc2@ccf.org.

Perspectives on Medical Education
|May 19, 2017
PubMed
Summary

Fairness in medical education is crucial. This study examines fairness in competency-based systems, identifying potential legal issues and offering insights for improvement.

Keywords:
AssessmentCompetency based medical educationFairnessPostgraduate medical education

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Area of Science:

  • Medical Education
  • Competency-Based Education
  • Systems Thinking

Background:

  • Competency-based medical education (CBME) individualizes learning but must ensure fairness.
  • Learner probation or dismissal due to unmet competencies can lead to legal challenges.
  • Existing literature lacks in-depth examination of fairness in CBME.

Purpose of the Study:

  • To examine fairness within postgraduate medical education using a systems lens.
  • To identify potential threats to fairness in educational opportunities, assessment, and decision-making.
  • To explore legal implications and environmental factors affecting fairness.

Main Methods:

  • Literature search for studies on fairness in medical education.
  • Systems analysis of fairness in postgraduate training.
  • Examination of legal and environmental aspects of fairness.

Main Results:

  • No prior in-depth examination of fairness in CBME was found.
  • Fairness issues can arise in educational opportunities, assessments, and decision-making processes.
  • Concerns about fairness are universal in competency-based medical education frameworks.

Conclusions:

  • Assessment oversight and program evaluations can reveal hidden fairness threats.
  • Recognizing potential fairness issues is the first step toward addressing them.
  • Proactive discussions are needed to ensure fairness in all medical education programs.