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Reconceptualizing Ethics Through Morbidity and Mortality Rounds.

Ryan Snelgrove1, Stella L Ng2, Karen Devon3

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Integrating ethics into surgical Morbidity and Mortality (M&M) rounds makes ethical principles more relevant and learnable for surgeons. This educational innovation transforms ethical knowledge from abstract concepts into an integral part of professional identity.

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Area of Science:

  • Medical Education
  • Surgical Ethics
  • Professional Identity Development

Background:

  • Surgical ethics education faces challenges due to differing knowledge conceptions and perceived value.
  • Traditional ethics training is often seen as disconnected from practical application.
  • This study introduces an innovation to better integrate ethics into surgical learning.

Purpose of the Study:

  • To evaluate the implementation of Ethics Morbidity and Mortality (M&M) rounds.
  • To compare participant perceptions of ethics education in traditional models versus M&M rounds.
  • To explore how ethics education influences professional identity in surgeons.

Main Methods:

  • Qualitative evaluation using interviews with 12 residents and 9 faculty.
  • Analysis informed by constructivist grounded theory and Habermas' theory of knowledge (technical, practical, emancipatory).
  • Comparative analysis of ethics learning in traditional settings versus M&M rounds.

Main Results:

  • Traditional ethics teaching was perceived as disconnected and less valuable.
  • Ethics within M&M rounds was viewed as integral, engaging, relevant, and valuable.
  • Ethical principles were seen as learnable and transformable within M&Ms, unlike the fixed character model of traditional teaching.

Conclusions:

  • Traditional surgical ethics teaching may equip physicians with knowledge but not application skills.
  • Incorporating ethics into M&M rounds facilitates learning ethical tools and integrating principles into professional identity.
  • Ethics M&M rounds enhance the practical application and internalization of ethical principles in surgical practice.