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Antecedents and Consequences of Medical Students' Moral Decision Making during Professionalism Dilemmas

Bibliographic Data

ID15747667
AuthorsLynn V Monrouxe (0000-0002-4895-1812, Chang Gung University, corresponding author), Malissa Kay Shaw (0000-0002-3994-0302, Chang Gung Memorial Hospital), Charlotte Rees (0000-0003-4828-1422, Monash University)
Year2017
Volume19
Issue6
Pages568-577
Publication date2017-06-01
Open AccessYes
TypeARTICLE
VenueThe AMA Journal of Ethic (JOURNAL)
Journal identifiersISSN: 2376-6980 • E-ISSN: 2376-6980
PublisherAmerican Medical Association (PUBLISHER • US)
DOI10.1001/journalofethics.2017.19.6.medu1-1706
PMID28644786
OpenAlexW2621388682
LanguageEN
Citations received7
References cited5

Medical students often experience professionalism dilemmas (which differ from ethical dilemmas) wherein students sometimes witness and/or participate in patient safety, dignity, and consent lapses. When faced with such dilemmas, students make moral decisions. If students' action (or inaction) runs counter to their perceived moral values-often due to organizational constraints or power hierarchies-they can suffer moral distress, burnout, or a desire to leave the profession. If moral transgressions are rationalized as being for the greater good, moral distress can decrease as dilemmas are experienced more frequently (habituation); if no learner benefit is seen, distress can increase with greater exposure to dilemmas (disturbance). We suggest how medical educators can support students' understandings of ethical dilemmas and facilitate their habits of enacting professionalism: by modeling appropriate resistance behaviors

Action (physics · Burnout · Dignity · Distress · Moral dilemma · Moral disengagement · Political science · Power (physics · Psychotherapist · Witness · Clinical Psychology · Ethics in Business and Education · Ethics in medical practice · Innovations in Medical Education · Law · Psychology · Social Psychology

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Citations per year1.4
Citation span2021 - 2026 (6)
Highly citedNo

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