Table 5.

Reasons for discarding items

Reasons for discarding items	Examples of discarded items
Not relevant enough for MCD	Reduce feelings of bad conscience
	Diminish fear of legal liability
Too unspecific; not possible to categorise to only one domain	Strengthen confidence to see a way out
	Improve ability to prioritise between clinical tasks in an ethical way
Too vague	Improve quality of care in patient cases
	Become aware of the tension between my personal values and actual behaviour
Too abstract	Enhance moral sensitivity
	Enhance knowledge of virtue ethics (such as courage, tolerance, compassion, honesty, humility)
Too academic	Know how to differentiate between ethical issues and other issues (such as psychological or legal)
	Enhance knowledge how to apply the four ethical principles: respect for autonomy, non-maleficence, beneficence and justice