Abstract
Autonomy has been the central principle underpinning changes which have affected the practice of medicine in recent years. Medical education is undergoing changes as well, many of which are underpinned, at least implicitly, by increasing concern for autonomy. Some universities have embarked on graduate courses which utilize problem-based learning (PBL) techniques to teach all areas, including medical ethics. I argue that PBL is a desirable method for teaching and learning in medical ethics. It is desirable because the nature of ethical enquiry is highly compatible with the learning processes which characterize PBL. But it is also desirable because it should help keep open the question of what autonomy really is, and how it should operate within the sphere of medical practice and medical education.
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Selected References
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- Agich G. J. Reassessing autonomy in long-term care. Hastings Cent Rep. 1990 Nov-Dec;20(6):12–17. [PubMed] [Google Scholar]
- Bartholome W. G. A revolution in understanding: how ethics has transformed health care decision making. QRB Qual Rev Bull. 1992 Jan;18(1):6–11. doi: 10.1016/s0097-5990(16)30497-3. [DOI] [PubMed] [Google Scholar]
- Beecher H. K. Ethics and clinical research. N Engl J Med. 1966 Jun 16;274(24):1354–1360. doi: 10.1056/NEJM196606162742405. [DOI] [PubMed] [Google Scholar]
- Culver C. M., Clouser K. D., Gert B., Brody H., Fletcher J., Jonsen A., Kopelman L., Lynn J., Siegler M., Wikler D. Basic curricular goals in medical ethics. N Engl J Med. 1985 Jan 24;312(4):253–256. doi: 10.1056/NEJM198501243120430. [DOI] [PubMed] [Google Scholar]
- Miles S. H., Lane L. W., Bickel J., Walker R. M., Cassel C. K. Medical ethics education: coming of age. Acad Med. 1989 Dec;64(12):705–714. doi: 10.1097/00001888-198912000-00004. [DOI] [PubMed] [Google Scholar]
- Schmidt H. G. Foundations of problem-based learning: some explanatory notes. Med Educ. 1993 Sep;27(5):422–432. doi: 10.1111/j.1365-2923.1993.tb00296.x. [DOI] [PubMed] [Google Scholar]
- Schwartz R. L. Autonomy, futility, and the limits of medicine. Camb Q Healthc Ethics. 1992 Spring;1(2):159–164. doi: 10.1017/s0963180100000268. [DOI] [PubMed] [Google Scholar]
- Seedhouse D. Against medical ethics: a philosopher's view. Med Educ. 1991 Jul;25(4):280–282. doi: 10.1111/j.1365-2923.1991.tb00066.x. [DOI] [PubMed] [Google Scholar]
- Teubner J., Saunders N. The emergence of graduate medical schools in Australia. Med J Aust. 1993 Sep 6;159(5):293–295. doi: 10.5694/j.1326-5377.1993.tb137860.x. [DOI] [PubMed] [Google Scholar]
- Vernon D. T., Blake R. L. Does problem-based learning work? A meta-analysis of evaluative research. Acad Med. 1993 Jul;68(7):550–563. doi: 10.1097/00001888-199307000-00015. [DOI] [PubMed] [Google Scholar]
- Walton H. J., Matthews M. B. Essentials of problem-based learning. Med Educ. 1989 Nov;23(6):542–558. doi: 10.1111/j.1365-2923.1989.tb01581.x. [DOI] [PubMed] [Google Scholar]
- Young R. Autonomous patients and medical professionalism. Med J Aust. 1994 Mar 7;160(5):305–306. [PubMed] [Google Scholar]