Assessing ethical problem solving by reasoning rather than decision making

Medical Education
Tsuen-Chiuan TsaiTyrone Donnon

Abstract

The assessment of ethical problem solving in medicine has been controversial and challenging. The purposes of this study were: (i) to create a new instrument to measure doctors' decisions on and reasoning approach towards resolving ethical problems; (ii) to evaluate the scores generated by the new instrument for their reliability and validity, and (iii) to compare doctors' ethical reasoning abilities between countries and among medical students, residents and experts. This study used 15 clinical vignettes and the think-aloud method to identify the processes and components involved in ethical problem solving. Subjects included volunteer ethics experts, postgraduate Year 2 residents and pre-clerkship medical students. The interview data were coded using the instruments of the decision score and Ethical Reasoning Inventory (ERI). The ERI assessed the quality of ethical reasoning for a particular case (Part I) and for an individual globally across all the vignettes (Part II). There were 17 Canadian and 32 Taiwanese subjects. Based on the Canadian standard, the decision scores between Taiwanese and Canadian subjects differed significantly, but made no discrimination among the three levels of expertise. Scores on the ERI Parts I and ...Continue Reading

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Citations

Mar 16, 2011·Medical Education·Shiphra Ginsburg, Lorelei Lingard
Nov 21, 2015·Advances in Health Sciences Education : Theory and Practice·Christina St-OngeRemy Rikers
Oct 24, 2017·Medical Teacher·Hongmei DongBrian Cooper
Jul 3, 2015·Medicine, Health Care, and Philosophy·Ben Kotzee, Agnieszka Ignatowicz
Sep 8, 2020·Cambridge Quarterly of Healthcare Ethics : CQ : the International Journal of Healthcare Ethics Committees·Patrik K TellÉus, Winnie Jensen
Jun 11, 2021·BMC Medical Education·Daniel Zhihao HongLalit Kumar Radha Krishna

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