Antecedents and Consequences of Medical Students' Moral Decision Making during Professionalism Dilemmas

Lynn Monrouxe, Malissa Shaw, Charlotte Rees

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Medical students often experience professionalism dilemmas (which differ from ethical dilemmas) wherein students sometimes witness and/or participate in patient safety, dignity, and consent lapses. When faced with such dilemmas, students make moral decisions. If students' action (or inaction) runs counter to their perceived moral values-often due to organizational constraints or power hierarchies-they can suffer moral distress, burnout, or a desire to leave the profession. If moral transgressions are rationalized as being for the greater good, moral distress can decrease as dilemmas are experienced more frequently (habituation); if no learner benefit is seen, distress can increase with greater exposure to dilemmas (disturbance). We suggest how medical educators can support students' understandings of ethical dilemmas and facilitate their habits of enacting professionalism: by modeling appropriate resistance behaviors.

Original languageEnglish
Pages (from-to)568-577
Number of pages10
JournalAMA journal of ethics
Volume19
Issue number6
DOIs
Publication statusPublished - Jun 1 2017
Externally publishedYes

Fingerprint

Medical Students
medical student
Decision Making
Students
decision making
student
burnout
Patient Safety
witness
Habits
habits
profession
educator
professionalism
Professionalism
Values
experience

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Antecedents and Consequences of Medical Students' Moral Decision Making during Professionalism Dilemmas. / Monrouxe, Lynn; Shaw, Malissa; Rees, Charlotte.

In: AMA journal of ethics, Vol. 19, No. 6, 01.06.2017, p. 568-577.

Research output: Contribution to journalArticle

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