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Ethical reasoning and decision-making in the clinical setting: assessing the process
C Myser1, I H Kerridge, K R Mitchell
1Faculty of Medicine, University of Newcastle, Australia.
Medical Education
|January 1, 1995
Summary
Developing effective clinical ethical reasoning skills requires more than just knowledge. A systematic approach and case report assessments help medical students bridge the gap between ethical knowledge and clinical decision-making.
Area of Science:
- Medical Education
- Bioethics
- Clinical Reasoning
Background:
- Clinical ethical reasoning is crucial for patient care, yet applying ethical knowledge doesn't guarantee competence.
- Senior medical students struggle to bridge the gap between ethical knowledge and clinical decision-making.
Purpose of the Study:
- To develop and evaluate a systematic program for teaching clinical ethics.
- To create effective assessment methods for clinical ethical reasoning and decision-making.
Main Methods:
- Piloted a three-session program focusing on systematic ethical issue management (1992-1994).
- Developed a written case report format to assess the decision-making process and outcome.
Main Results:
- Students showed improved ability to apply ethical knowledge in clinical settings.
- The case report format allows assessment of both the process and product of clinical ethical decisions.
Conclusions:
- A systematic approach enhances students' ability to manage ethical issues.
- Written case reports are valuable tools for assessing clinical ethical reasoning and decision-making.
Keywords:
Bioethics and Professional Ethics