Ethical dilemmas faced by an academic fieldwork coordinator, clinical preceptor, and student illustrate the complex issues surrounding confidentiality in allied health clinical experience. Awareness of the law and professional codes of ethics should guide decision making. (SK)

The purpose of this research was to describe what master's-level clinical training programs value and teach. There are two methodologies available in describing these programs. One is a view from the "outside," using data which describe programs. The assumption behind this approach is that a program description reflects the content, faculty…

Third-year medical students prepared case studies involving ethical issues, drawn from clinical experience. A study of the quality of the projects, the types of ethical issues raised, and attitudes expressed in them revealed limited student understanding of the range of ethical issues and widespread disagreement with physician handling of cases.…

Recent discussion of the ethical problems of biomedical human experimentation has drawn attention to the responsibility of the medical schools for training new clinical investigators and for safeguarding the rights and welfare of the subjects of clinical research conducted in the medical schools and their affiliated hospitals. (Author)

A national sample of medical students was surveyed to identify the ways the students obtained informed consent from their patients and to learn the students' views of certain issues concerning informed consent. All the students were less forthright about their status when given the opportunity to perform invasive procedures. (Author/MLW)

In health care education a balance needs to be struck between theoretical and practical teaching. Undergraduates typically split their time between clinical placement and university-based teaching blocks. A proportion of the time spent in preparation for clinical practice placements will be spent in the classroom or in simulation suites. The…

A collaborative course was developed in 1980 for senior medical students and other professional school students by the faculties teaching ethics at the four medical schools in or near the District of Columbia. The course in bioethics is described. (MLW)

Final-year Ontario medical students (n=88) took a 4-station objective structured clinical examination (OSCE) using standardized patients and involving decisions to forgo life-sustaining treatment. Performance was scored on a checklist of behaviors unique to each case. Results indicated that because of low reliability, the OSCE is not a feasible…

Development of a comprehensive medical ethics teaching program for four years and residency, and of an ethics consultation service, are described. Potentials and significant difficulties in program establishment and maintenance are discussed, including long-term funding, negative faculty and student attitudes, and instructional approaches.…

Many students, it is argued, view medical education as a onetime requirement for the mastery of facts. They give little thought to the application of these facts or the ethical contexts in which they are used, and they are not being educated for a lifetime of learning. (MLW)

A disciplined understanding of human values is seen as an essential complement to the biomedical and psychosocial components of clinical training in medical education. A biopsycho-ethical model for medical education is presented. By combining interdisciplinary seminars with clinical experience, both the rigor and relevance of value analysis are…

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 to determine the incidence of unethical classroom and clinical behaviors among nursing students, to find out their opinions, and to investigate the relationships among demographic data, unethical behaviors and opinions about the behaviors is discussed. (Author/MLW)

The ethics training program at the University of Tennessee Center for the Health Sciences involves a four-way dialogue among clinical faculty and house staff, ethics faculty and fellows, the medical students, and philosophy ethics students. The program's clinical basis allows participants to become sophisticated about ethical issues in practice.…

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…