Ethics, Dental
Power and the teaching of medical ethics. (1/53)
This paper argues that ethics education needs to become more reflective about its social and political ethic as it participates in the construction and transmission of medical ethics. It argues for a critical approach to medical ethics and explores the political context in medical schools and some of the peculiar problems in medical ethics education. (+info)Evaluation of research ethics committees in Turkey. (2/53)
In Turkey, there was no legal regulation of research on human beings until 1993. In that year "the amendment relating to drug researches" was issued. The main objectives of the regulation are to establish a central ethics committee and local ethics committees, and to provide administrative control. There are no compulsory clinical ethics lectures in the medical curriculum, so it is also proposed that research ethics committees (RECs) play a central educational role by helping physicians to be aware of moral problems and by contributing to the training of research teams. (+info)An ethical paradox: the effect of unethical conduct on medical students' values. (3/53)
OBJECTIVE: To report the ethical development of medical students across four years of education at one medical school. DESIGN AND SETTING: A questionnaire was distributed to all four classes at the Wake Forest University School of Medicine during the Spring of 1996. PARTICIPANTS: Three hundred and three students provided demographic information as well as information concerning their ethical development both as current medical students and future interns. MAIN MEASUREMENTS: Results were analyzed using cross-tabulations, correlations, and analysis of variance. RESULTS: Results suggested that the observation of and participation in unethical conduct may have disparaging effects on medical students' codes of ethics with 35% of the total sample (24% of first years rising to 55% of fourth years) stating that derogatory comments made by residents/attendings, either in the patient's presence or absence, were "sometimes" or "often" appropriate. However, approximately 70% of the sample contended that their personal code of ethics had not changed since beginning medical school and would not change as a resident. CONCLUSIONS: Results may represent an internal struggle that detracts from the medical school experience, both as a person and as a doctor. Our goal as educators is to alter the educational environment so that acceptance of such behaviour is not considered part of becoming a physician. (+info)Dilemmas, ethics and intent--a commentary.(4/53)
(+info)Changes in students' moral development during medical school: a cohort study. (5/53)
INTRODUCTION: The requirements of professionalism and the expected qualities of medical staff, including high moral character, motivate institutions to care about the ethical development of students during their medical education. We assessed progress in moral reasoning in a cohort of medical students over the first 3 years of their education. METHODS: We invited all 92 medical students enrolled at the University of Sherbrooke, Que., to complete a questionnaire on moral reasoning at the start of their first year of medical school and at the end of their third year. We used the French version of Kohlberg's Moral Judgment Interview. Responses to the questionnaire were coded by stage of moral development, and weighted average scores were assigned according to frequency of use of each stage. RESULTS: Of the 92 medical students, 54 completed the questionnaire in the fall of the first year and again at the end of their third year. The average age of the students at the end of the third year was 21 years, and 79% of the students included in the study were women. Over the 3-year period, the stage of moral development did not change substantially (i.e., by more than half a stage) for 39 (72%) of the students, shifted to a lower stage for 7 (13%) and shifted to a higher stage for 8 (15%). The overall mean change in stage was not significant (from mean 3.46 in year 1 to 3.48 in year 3, p = 0.86); however, the overall mean change in weighted average scores showed a significant decline in moral development (p = 0.028). INTERPRETATION: Temporal variations in students' scores show a levelling process of their moral reasoning. This finding prompts us to ask whether a hidden curriculum exists in the structure of medical education that inhibits rather than facilitates the development of moral reasoning. (+info)In the genes or in the stars? Children's competence to consent. (6/53)
Children's competence to refuse or consent to medical treatment or surgery tends to be discussed in terms of the child's ability or maturity. This paper argues that the social context also powerfully influences the child's capacity to consent. Inner attributes and external influences are discussed using an analogy of the genes and the stars. (+info)Measuring the ethical sensitivity of medical students: a study at the University of Toronto. (7/53)
An instrument to assess 'ethical sensitivity' has been developed. The instrument presents four clinical vignettes and the respondent is asked to list the ethical issues related to each vignette. The responses are classified, post hoc, into the domains of autonomy, beneficence and justice. This instrument was used in 1990 to assess the ethical sensitivity of students in all four medical classes at the University of Toronto. Ethical sensitivity, as measured by this instrument, is not related to age or grade-point average. Sensitivity increases between the 1st and 2nd year and then decreases throughout the rest of undergraduate medical training, such that the 4th-year students identify fewer issues than those entering medical school. Students expressing a career choice of family medicine identify more issues than their peers. Several problems with the use of the instrument and the interpretation of the data were found. Nonetheless, these findings, if reproducible, are important and their meaning needs further discussion. (+info)Learning to see: moral growth during medical training. (8/53)
During medical training students and residents reconstruct their view of the world. Patients become bodies; both the faults and the virtues of the medical profession become exaggerated. This reconstruction has moral relevance: it is in part a moral blindness. The pain of medical training, together with its narrowness, contributes substantially to these faulty reconstructions. Possible improvements include teaching more social science, selecting chief residents and faculty for their attitudes, helping students acquire communication skills, and helping them deal with their own pain. Most importantly, clearer moral vision requires time and scope for reflection. (+info)I'm sorry for any confusion, but "Moral Development" is not a term that has a specific medical definition. It is a concept that primarily belongs to the fields of psychology and philosophy.
Moral development refers to the process by which individuals acquire, construct, and systematize moral knowledge and make moral judgments. This concept was popularized by psychologist Lawrence Kohlberg through his stages of moral development theory, which posits that individuals go through distinct stages in their understanding and interpretation of moral dilemmas. These stages range from a focus on avoiding punishment (pre-conventional morality) to considering the rights and welfare of others (post-conventional morality).
While medical professionals may take into account a patient's moral development when providing care or counseling, it is not a term that has a specific medical definition.
I'm sorry for any confusion, but "morals" is not a term that has a medical definition. Morals refer to personal or societal beliefs about right and wrong behavior. It is a concept that falls under the realm of ethics, philosophy, and sociology rather than medicine. If you have any questions related to medical terminologies or concepts, I would be happy to help clarify those for you.
I'm sorry for any confusion, but "personality development" is not a term that has a specific medical definition. It is a concept that is more commonly found in psychology and personal growth contexts. In those fields, personality development refers to the process by which a person's character, behaviors, thoughts, and patterns of emotion are formed, structured, and changed throughout their life. This process can be influenced by genetic factors, environmental influences, and individual experiences. If you have any questions related to mental health or psychology, I would be happy to try to help answer them!
Dental ethics refers to the principles and rules that guide the conduct of dental professionals in their interactions with patients, colleagues, and society. These ethical standards are designed to promote trust, respect, and fairness in dental care, and they are often based on fundamental ethical principles such as autonomy, beneficence, non-maleficence, and justice.
Autonomy refers to the patient's right to make informed decisions about their own health care, free from coercion or manipulation. Dental professionals have an obligation to provide patients with accurate information about their dental conditions and treatment options, so that they can make informed choices about their care.
Beneficence means acting in the best interests of the patient, and doing what is medically necessary and appropriate to promote their health and well-being. Dental professionals have a duty to provide high-quality care that meets accepted standards of practice, and to use evidence-based treatments that are likely to be effective.
Non-maleficence means avoiding harm to the patient. Dental professionals must take reasonable precautions to prevent injuries or complications during treatment, and they should avoid providing unnecessary or harmful treatments.
Justice refers to fairness and equity in the distribution of dental resources and services. Dental professionals have an obligation to provide care that is accessible, affordable, and culturally sensitive, and to advocate for policies and practices that promote health equity and social justice.
Dental ethics also encompasses issues related to patient confidentiality, informed consent, research integrity, professional competence, and boundary violations. Dental professionals are expected to adhere to ethical guidelines established by their professional organizations, such as the American Dental Association (ADA) or the British Dental Association (BDA), and to comply with relevant laws and regulations governing dental practice.
I'm sorry for any confusion, but "Moral Obligations" is not a term that has a specific medical definition. The term "moral obligations" is more related to ethics and philosophy, referring to the duties or actions that are considered right or wrong based on a set of moral principles or values.
However, in a broader sense, healthcare professionals may use the term "moral obligations" to refer to their professional responsibility and commitment to providing compassionate, respectful, and high-quality care to all patients, regardless of their background, beliefs, or circumstances. This concept is closely related to medical ethics and professionalism, which provide guidelines for ethical decision-making in clinical practice.