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Further Exploration of the Relationship Between Medical Education and Moral Development

Published online by Cambridge University Press:  29 July 2009

Donnie J. Self ,
DeWitt C. Baldwin Jr  and
Fredric D. Wolinsky
Donnie J. Self
Affiliation:
A Professor in the Department of Humanities in Medicine, Philosophy, and Pediatrics, Texas A&M University College of Medicine, College Station, Texas.
DeWitt C. Baldwin Jr
Affiliation:
Scholar in Residence at the American Medical Association, Chicago, Illinois.
Fredric D. Wolinsky
Affiliation:
A Professor in the Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana.
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Extract

In the wake of a pilot study that indicated that the experience of medical education appears to Inhibit moral development In medical students, increased attention needs to be given to the structure of medical education and the Influence it has on medical students. Interest in ethics and moral reasoning has become widespread in many aspects of professional and public life. Society has exhibited great interest in the ethical issues confronting physicians today. Considerable effort has been undertaken to train medical students, interns, and residents In how to reason through medical-ethical dilemmas. Media attention has focused on Issues such as abortion, euthanasia, care of severely handicapped infants, organ transplantation, and so forth, producing heated debates in both the professional and lay literature over the morality of the various positions. The curriculum of medical education has paralleled and reflected this general Interest in medical ethics. Most medical schools now offer, and frequently require, course work in ethics. However, further research Is needed to better characterize and understand the relationship of medical education to moral development.

Type
Articles
Information
Cambridge Quarterly of Healthcare Ethics , Volume 5 , Issue 3 , Summer 1996 , pp. 444 - 449
Copyright
Copyright © Cambridge University Press 1996

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References

Notes

1. Self, DJ, Schrader, DE, Baldwin, DC Jr, Wolinsky, FD. A pilot study of the relationship of medical education and moral development. Academic Medicine 1991;66:629.CrossRefGoogle ScholarPubMed

2. Pellegrino, ED, McElhinney, TK. Teaching Ethics, the Humanities, and Human Values in Medical Schools: A Ten-Year Overview. Washington, DC: Society for Health and Human Values, 1982.Google Scholar

3. Bickel, J. Integrating Human Values Teaching Programs Into Medical Students' Clinical Education. Washington, DC: Association of American Medical Colleges, 1986.Google Scholar

4. Bouford, JI, Carson, RA [Project Directorsrsqb;. The Teaching of Humanities and Human Values in Primary Care Residency Training. McLean, Virginia: Society for Health and Human Values, 1984.Google Scholar

5. Self, DJ, Lyon-Loftus, GT. A model for teaching ethics in family medicine residency. Journal of Family Practice 1983;16:355–9.Google Scholar

6. Self, DJ. The pedagogy of two different approaches to humanistic medical education: cognitive vs. affective. Theoretical Medicine 1988;9:227–36.CrossRefGoogle ScholarPubMed

7. Goldman, SA, Arbuthnot, J. Teaching medical ethics: the cognitive-development approach. Journal of Medical Ethics 1979;5:170–80.CrossRefGoogle ScholarPubMed

8. Baldwin, DC Jr, Daugherty, SF, Self, DJ. Changes in moral reasoning during medical school. Academic Medicine 1991;66(Suppl):1–3.Google ScholarPubMed

9. Self, DJ, Wolinsky, FD, Baldwin, DC Jr. The effect of teaching medical ethics on medical students' moral reasoning. Academic Medicine 1989;64:755–9.CrossRefGoogle ScholarPubMed

10. Self, DJ, Jecker, NS. Baldwin, DC Jr, Shadduck, JA. Moral orientations of justice and care among veterinarians entering veterinary practice. Journal of the American Veterinary Medical Association 1991;199:569–73.Google ScholarPubMed

11. Sheehan, J, Husted, S, Candee, D, Cook, CD, Bargen, M. Moral judgment as a predictor of clinical performance. Evaluation and the Health Professions 1980;3:393–404.CrossRefGoogle Scholar

12. Sheehan, J, Candee, D, Willms, J, Donnelly, J, Husted, S. Structural equation models of moral reasoning and physician performance. Evaluation and the Health Professions 1985;8:379–400.CrossRefGoogle Scholar

13. Gibbs, JC, Widaman, KF. Social Intelligence: Measuring the Development ofSociomoral Reflection. Engle-wood Cliffs, New Jersey: Prentice-Hall Inc., 1982.Google Scholar

14. Kohlberg, L. Essays on Moral Development. Vol. II. The Psychology of Moral Development. San Francisco: Harper & Row, 1984.Google Scholar

15. Rest, JR. Development in Judging Moral Issues. Minneapolis, Minnesota: University of Minnesota Press, 1979.Google Scholar

16. Gibbs, JC, Widaman, KF, Colby, A. Construction and validation of a simplified, group-administrable equivalent to the moral judgment interview. Child Development 1982;53:895–910.CrossRefGoogle Scholar

17. Kohlberg, L. Moral stages and moralization: the cognitive-developmental approach. In: Lickona, T, Ed. Moral Development and Behavior. New York: Holt, Rinehart and Winston, 1976:31–53.Google Scholar

18. Kohlberg, L. Stage and sequence: the cognitive-developmental approach to socialization. In: Goslin, D, Ed. Handbook of Socialization Theory and Research. Chicago: Rand McNally, 1969:347–480.Google Scholar

19. Colby, A, Kohlberg, L. The Measurement of Moral Judgment. Vol. I. Theoretical Foundations and Research Validation. New York: Cambridge University Press, 1987.Google Scholar

20. Modgil, S, Modgil, C, Eds. Lawrence Kohlberg: Consensus and Controversy. Philadelphia: The Falmer Press, 1985.Google Scholar

21. Reed, TM. Developmental moral theory. Ethics 1987;97:441–56.CrossRefGoogle Scholar

22. Kurtines, W, Grief, EB. The development of moral thought: review and evaluation of Kohlberg's approach. Psychological Bulletin 1974;81:453–70.CrossRefGoogle ScholarPubMed

23. Simpson, EL. Moral research: a case study of scientific cultural bias. Human Development 1974;27:81–106.CrossRefGoogle Scholar

24. Gilligan, C. In a Different Voice: Psychological Theory and Women's Development. Cambridge, Massachusetts: Harvard University Press, 1982.Google Scholar

25. Noddings, N. Caring: A Feminine Approach to Ethics and Moral Education. Los Angeles: University of California Press, 1984.Google Scholar

26. Gilligan, C, Attanucci, J. Two moral orientations: gender differences and similarities. Merrill-Palmer Quarterly 1988;34:223–37.Google Scholar

27. Gilligan, C, Johnston, DK, Miller, B. Moral Voice, Adolescent Development, and Secondary Education: A Study at the Green River School. Cambridge, Massachusetts: Center for the Study of Gender, Education, and Human Development of the Harvard Graduate School of Education, 1988.Google Scholar

28. Bebeau, M, Brabeck, M. Integrating care and justice issues in professional moral education: a gender perspective. The Journal of Moral Education 1987;16:189–203,CrossRefGoogle Scholar

29. Blatt, M, Kohlberg, L. The effects of classroom moral discussion upon children's level of moral judgment. The Journal of Moral Education 1975;4:129–61.CrossRefGoogle Scholar

30. Schlaefli, A, Rest, JR, Thoma, SJ. Does moral education improve moral judgment? A meta-analysis of intervention studies using the defining issues test. Review of Educational Research 1985;55:319–52.CrossRefGoogle Scholar

31. Self, DJ, Baldwin, DC Jr, Wolinsky, FD. Evaluation of teaching medical ethics by an assessment of moral reasoning. Medical Education 1992;26:178–84.CrossRefGoogle ScholarPubMed

32. Self, DJ, Baldwin, DC Jr, Olivarez, M. Teaching medical ethics to first-year students by using film discussion to develop their moral reasoning. Academic Medicine 1993;68(5):383–5.CrossRefGoogle ScholarPubMed

33. Rest, JR. Can ethics be taught in professional schools? The psychological research. Ethics: Easier Said Than Done 1988;1:22–6.Google Scholar