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Ethics and communication

Does students’ comfort addressing ethical issues vary by specialty team?

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Abstract

Ethics education aims to train physicians to identify and resolve ethical issues. To address ethical concerns, physicians may need to confront each other. We surveyed medical students to determine if their comfort challenging members of their ward teams about ethical issues varies by specialty and what attributes of students and their teams contributed to that comfort. Compared to other specialties, students felt significantly less comfortable challenging team members about ethical issues on surgery and obstetrics/gynecology. We suggest that ethics education must address the atmosphere on ward teams and give students skills to help them speak out despite their discomfort.

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References

  1. Fox E, Arnold RM, Brody B. Medical ethics education: past, present, and future. Acad Med. 1995;70:761–9.

    Article  PubMed  CAS  Google Scholar 

  2. Bickel J. Medical students’ professional ethics: defining the problems and developing resources. Acad Med. 1991;66:726–9.

    Article  PubMed  CAS  Google Scholar 

  3. Merton RK, Reader GG, Kendall PL, eds. The Student-Physician: Introductory Studies in the Sociology of Medical Education. Cambridge, Mass: published for the Commonwealth Fund by Harvard University Press; 1957.

    Google Scholar 

  4. Becker HS. Boys in White: Student Culture in Medical School. Chicago, Ill: University of Chicago Press; 1961.

    Google Scholar 

  5. Hafferty FW. Into the Valley: Death and the Socialization of Medical Students. New Haven, Conn: Yale University Press; 1991.

    Google Scholar 

  6. Hafferty F, Franks R. The hidden curriculum, ethics teaching, and the structure of medical education. Acad Med. 1994;69:861–71.

    Article  PubMed  CAS  Google Scholar 

  7. Dwyer J. Primum non tacere: an ethics of speaking up. Hastings Cent Rep. 1994;24:13–8.

    PubMed  CAS  Google Scholar 

  8. Feudtner C, Christakis D, Schwartz P. Ethics and the art of confrontation: lessons from the John Conley essays. JAMA. 1996;276:755–6.

    Article  PubMed  CAS  Google Scholar 

  9. Christakis DA, Feudtner C. Ethics in a short white coat: the ethical dilemmas that medical students confront. Acad Med. 1993;68:249–54.

    Article  PubMed  CAS  Google Scholar 

  10. Satterwhite WM III, Satterwhite RC, Enarson CE. Medical students’ perceptions of unethical conduct at one medical school. Acad Med. 1998;73:529–31.

    Article  PubMed  Google Scholar 

  11. Feudtner C, Christakis DA, Christakis NA. Do clinical clerks suffer ethical erosion? Students’ perceptions of their ethical environment and personal development. Acad Med. 1994;69:670–9.

    Article  PubMed  CAS  Google Scholar 

  12. Edwards KA, Braddock CH, Back T, Marshall S. Ward ethics: building survival skills for third-year students. J Gen Intern Med. 2000;15:S211.

    Google Scholar 

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Correspondence to Sarah L. Clever MD.

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Clever, S.L., Edwards, K.A., Feudtner, C. et al. Ethics and communication. J GEN INTERN MED 16, 560–563 (2001). https://doi.org/10.1007/s11606-001-0045-7

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  • DOI: https://doi.org/10.1007/s11606-001-0045-7

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