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. 1992 Sep;18(3):142–147. doi: 10.1136/jme.18.3.142

Measuring the ethical sensitivity of medical students: a study at the University of Toronto.

P C Hébert 1, E M Meslin 1, E V Dunn 1
PMCID: PMC1376259  PMID: 1404281

Abstract

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.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Arras J. D. Getting down to cases: the revival of casuistry in bioethics. J Med Philos. 1991 Feb;16(1):29–51. doi: 10.1093/jmp/16.1.29. [DOI] [PubMed] [Google Scholar]
  2. Berseth C. L., Durand R. Evaluating the effect of a human values seminar series on ethical attitudes toward resuscitation among pediatric residents. Mayo Clin Proc. 1990 Mar;65(3):337–343. doi: 10.1016/s0025-6196(12)62534-8. [DOI] [PubMed] [Google Scholar]
  3. Carse A. L. The 'voice of care': implications for bioethical education. J Med Philos. 1991 Feb;16(1):5–28. doi: 10.1093/jmp/16.1.5. [DOI] [PubMed] [Google Scholar]
  4. Clouser K. D., Gert B. A critique of principlism. J Med Philos. 1990 Apr;15(2):219–236. doi: 10.1093/jmp/15.2.219. [DOI] [PubMed] [Google Scholar]
  5. Holmes Helen Bequaert. A call to heal medicine. Hypatia. 1989 Summer;4(2):1–8. doi: 10.1111/j.1527-2001.1989.tb00568.x. [DOI] [PubMed] [Google Scholar]
  6. Hébert P., Meslin E. M., Dunn E. V., Byrne N., Reid S. R. Evaluating ethical sensitivity in medical students: using vignettes as an instrument. J Med Ethics. 1990 Sep;16(3):141–145. doi: 10.1136/jme.16.3.141. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Self D. J., Wolinsky F. D., Baldwin D. C., Jr The effect of teaching medical ethics on medical students' moral reasoning. Acad Med. 1989 Dec;64(12):755–759. doi: 10.1097/00001888-198912000-00014. [DOI] [PubMed] [Google Scholar]
  8. Sherwin Susan. Feminist and medical ethics: two different approaches to contextual ethics. Hypatia. 1989 Summer;4(2):57–72. doi: 10.1111/j.1527-2001.1989.tb00573.x. [DOI] [PubMed] [Google Scholar]
  9. Sulmasy D. P., Geller G., Levine D. M., Faden R. Medical house officers' knowledge, attitudes, and confidence regarding medical ethics. Arch Intern Med. 1990 Dec;150(12):2509–2513. [PubMed] [Google Scholar]

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