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Ethical Dilemmas I01:17

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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.
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Ethics is a philosophical study of moral actions. Ethics attempts to determine what is valuable for individuals and society. It examines the rational justification of moral judgments and analyzes what is morally just, fair, and right. Bioethics is a sub-discipline of applied ethics that analyzes the philosophical, social, and legal issues in life sciences and medicine. Ethical theories serve as a foundation for decision-making and represent the viewpoints from which people seek direction. They...
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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Ethical Dilemmas at Student-Run Clinics: A Narrative Review.

Nicholas Peoples1, Alexandra Alvarez2, Shiwei Wang3

  • 1Department of Emergency Medicine, Massachusetts General Hospital and Brigham and Women's Hospital, Boston, MA, USA.

AJOB Empirical Bioethics
|March 16, 2026
PubMed
Summary

Student-run clinics (SRCs) offer valuable training and care but raise ethical questions. This review synthesizes concerns regarding oversight, quality of care, and community involvement in these vital healthcare settings.

Keywords:
Student-run clinicethicsmedical educationquality-of-care

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Area of Science:

  • Medical Education
  • Bioethics
  • Public Health

Background:

  • Student-run clinics (SRCs) are an innovative model combining medical education with healthcare delivery.
  • SRCs aim to address healthcare disparities and train future physicians in underserved communities.
  • However, the administrative and clinical autonomy of SRCs raises significant ethical considerations.

Purpose of the Study:

  • To identify and synthesize the major ethical concerns associated with student-run clinics.
  • To provide a comprehensive overview of the ethical landscape of SRCs for researchers and practitioners.

Main Methods:

  • A systematic literature search was conducted across major databases (PubMed, Embase, etc.).
  • Publications from specialized journals and snowball sampling were used to ensure comprehensive data retrieval.
  • Thematic analysis was employed to categorize the identified ethical concerns.

Main Results:

  • The review identified six primary categories of ethical concerns in SRCs: structural/systemic issues, oversight deficiencies, quality of care, patient influence, trainee impact, and community engagement.
  • A small fraction of SRC literature (4.3%) specifically addresses ethical concerns.
  • Identified issues often stem from administrative and sociological factors beyond direct student control.

Conclusions:

  • SRCs present complex ethical challenges impacting patient care and medical training.
  • Addressing these concerns requires greater awareness of administrative, structural, and sociological factors.
  • Further bioethical investigation and practical support are crucial for the success of SRCs in achieving their aims of equity and service.