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Pregled bibliografske jedinice broj: 535799

Časopis

Autori: Hren, Darko; Marušić, Matko; Marušić, Ana
Naslov: Regression of Moral Reasoning during Medical Education : Combined Design Study to Evaluate the Effect of Clinical Study Years
Izvornik: PLoS ONE (1932-6203) 6 (2011), 3; e17406
Vrsta rada: članak
Ključne riječi: moral reasoning; students
Sažetak:
Background Moral reasoning is important for developing medical professionalism but current evidence for the relationship between education and moral reasoning does not clearly apply to medical students. We used a combined study design to test the effect of clinical teaching on moral reasoning. Methods We used the Defining Issues Test-2 as a measure of moral judgment, with 3 general moral schemas: Personal Interest, Maintaining Norms, and Postconventional Schema. The test was applied to 3 consecutive cohorts of second year students in 2002 (n = 207), 2003 (n = 192), and 2004 (n = 139), and to 707 students of all 6 study years in 2004 cross-sectional study. We also tested 298 age-matched controls without university education. Results In the cross-sectional study, there was significant main effect of the study year for Postconventional (F(5, 679) = 3.67, P = 0.003) and Personal Interest scores (F(5, 679) = 3.38, P = 0.005). There was no effect of the study year for Maintaining Norms scores. 3rd year medical students scored higher on Postconventional schema score than all other study years (p<0.001). There were no statistically significant differences among 3 cohorts of 2nd year medical students, demonstrating the absence of cohort or point-of-measurement effects. Longitudinal study of 3 cohorts demonstrated that students regressed from Postconventional to Maintaining Norms schema-based reasoning after entering the clinical part of the curriculum. Interpretation Our study demonstrated direct causative relationship between the regression in moral reasoning development and clinical teaching during medical curriculum. The reasons may include hierarchical organization of clinical practice, specific nature of moral dilemmas faced by medical students, and hidden medical curriculum.
Projekt / tema: 216-1080314-0245
Izvorni jezik: ENG
Rad je indeksiran u
bazama podataka:
Current Contents Connect (CCC)
MEDLINE
Scopus
SCI-EXP, SSCI i/ili A&HCI
Science Citation Index Expanded (SCI-EXP) (sastavni dio Web of Science Core Collectiona)
Kategorija: Znanstveni
Znanstvena područja:
Temeljne medicinske znanosti,Psihologija,Pedagogija
URL Internet adrese: http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0017406
Broj citata:
Altmetric:
DOI: 10.1371/journal.pone.0017406
URL cjelovitog teksta:
Časopis izlazi u samo elektroničkom izdanju: DA
Google Scholar: Regression of Moral Reasoning during Medical Education : Combined Design Study to Evaluate the Effect of Clinical Study Years
Upisao u CROSBI: amarusic@mef.hr (amarusic@mef.hr), 9. Stu. 2011. u 16:05 sati



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