This report describes the development and implementation of a required course in medical ethics for second-year medical students at Cornell University Medical College (New York). The planning model stressed achieving faculty consensus. Evaluation indicated that faculty felt the planning sessions added greatly to their teaching and students were…

A survey of 665 fourth-year medical students in 6 schools investigated whether students had encountered ethically problematic situations, their attitudes about them, and their perceptions of their personal ethical development. Results suggest that ethical dilemmas are commonly encountered and often detrimental, warranting attention of physicians,…

A study of 110 first-year University of Virginia medical students taking a required course in medical ethics found that the curriculum had little effect on student attitudes toward certain ethical questions or on their factual knowledge regarding particular ethical and legal issues. (Author/MSE)

This paper argues that in the debate over medical ethics and its role in medical education, the divergence of law and reality reflects the law's flawed medical model, which poorly matches the dynamic of the physician-patient relationship and attempts ineffectually to reshape it, and also medicine's autonomous professional culture, which…

A study of the effect of incorporating medical ethics into the medical curriculum and comparing two teaching methods (lecture and case studies) found higher moral reasoning after instruction, but neither method was significantly more effective. (Author/MSE)

A survey of 249 students at the State University of New York at Buffalo identified medical ethics issues arising during clinical training in professional norms, limits of intervention, defensive shielding of professional colleagues, respect toward patients, communication, and student boundaries. Concerns differed by student year, supporting…

Analysis of responses of 63 medical faculty involved in formal ethics teaching programs for medical residents indicated such perceived problems as time constraints resulting from residents' heavy schedules; attitudes of residents; logistical problems; time demands on faculty; lack of reinforcement for teaching ethics; and deficiencies in faculty…

This article reviews the 25-year history of undergraduate medical ethics education. Alternatives to the traditional model that focus more directly on students' personal values, attitudes, and behavior, are discussed. Three incipient trends are identified: everyday ethics, student ethics, and macro-ethics. Specific course and curricula are used as…

Development of a Virginia Commonwealth University course on responsible conduct of science in the biomedical disciplines is described. Issues discussed include course content decisions; use of published resource materials and documents from professional societies, institutions, states, and federal government as teaching tools; and use of case…

This paper argues that medical ethics education relies too much on strategies that target ethical thinking and should focus more on students as ethical actors in specific clinical contexts, responding to ethical dilemmas. Traditional approaches may not offer the skills students need to learn norms of ethical behavior. Strategies for encouraging…

Issues concerning inclusion of ethics instruction in the medical school curriculum are discussed, including whether ethics should be presented as a body of knowledge or matter of professional identity and the "hidden curriculum" of medicine as a form of socialization. Recommendations for the structuring of an ethics curriculum are…

Discusses three issues: selection and education of medical students in the context of liberal education; evolution of the medical school curriculum to a more learning-focused, ethics-based one; and the training of physicians who see medicine in a broad social context. Argues that the liberally-educated doctor is most likely to have such a…

A study compared the knowledge, confidence, and attitudes regarding medical ethics of 55 house officers and 57 full-time faculty members of the Georgetown University (District of Columbia) Department of Medicine. Results indicated low knowledge levels in both groups, higher faculty confidence, and somewhat more faculty sentiment for mandatory…

An Association of American Medical Colleges working group on student professional ethics suggests improving (1) admission criteria; (2) the medical school learning climate, including consideration of cultural diversity; and (3) communication of expectations to students. An AAMC initiative for instruction, instructional material development, and…

A survey of 549 biomedical trainees (graduate and postdoctoral students, medical students, residents, fellows) investigated training in research ethics, observation of scientific misconduct, and willingness to select, omit, or fabricate data to win a grant or publish a paper. The efficacy of current ethics instruction is questioned. (Author/MSE)