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AJOB Primary Research.

Improving third-year medical students’ competency in clinical moral reasoning: Two interventions

Background: This article reports on the impact of two ethics interventions implemented for third-year medical students. Previous research validated our institution’s model for assessing medical students’ competency in medical ethics. Confident in our assessment model, the bioethics faculty sought to improve student performance. Methods: We designed and implemented two additions to the third-year medical ethics curriculum: a written ethics project with faculty feedback, and a standardized glossary of the bioethical concepts addressed by our curriculum. To measure the impact of the written ethics project, we compared students’ scores on their comprehensive ethics assessment in 2011, prior to the curricular additions, to the 2013 scores of students who only received the written ethics assignment supplement. To measure the impact of the glossary we distributed it to half of the students sitting for the ethics assessment in 2013, and compared their scores with their classmates’ who had not received the glossary. Results: The 2013 students who only received the written ethics project scored 12.5% higher than the 2011 students, and they displayed significant improvement in justifying a resolution of a clinical ethical dilemma. The 2013 students who received the glossary were significantly better at recognizing which principles and concepts of biomedical ethics were relevant to a clinical case and explaining how they created a conflict. Conclusions:Medical student competency in clinical moral reasoning is enhanced by written ethics projects, a faculty feedback component, and access to a glossary of ethical terms.

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Volume 7, Issue 3
July 2016

Target Articles.

Improving third-year medical students' competency in clinical moral reasoning: Two interventions Paul J. Cummins, Katherine J. Mendis, Robert Fallar, Amanda Favia, Lily Frank, Carolyn Plunkett, Nada Gligorov & Rosamond Rhodes
Religious identity and workplace discrimination: A national survey of American Muslim physicians Aasim I. Padela, Huda Adam, Maha Ahmad, Zahra Hosseinian & Farr Curlin
A pilot study of neonatologists' decision-making roles in delivery room resuscitation counseling for periviable births Brownsyne Tucker Edmonds, Fatima McKenzie, Janet E. Panoch, Douglas B. White & Amber E. Barnato
Does promoting research advance planning in a general elderly population enhance completion of a research directive and proxies' predictive ability? a randomized controlled trial Gina Bravo, Lise Trottier, Marie-France Dubois, Marcel Arcand, Danièle Blanchette, Anne-Marie Boire-Lavigne, Maryse Guay, Paule Hottin, Julie Lane, Suzanne Bellemare & Karen Painter
Concerns about genetic testing for schizophrenia among young adults at clinical high risk for psychosis Ryan E. Lawrence, Phoebe Friesen, Gary Brucato, Ragy R. Girgis & Lisa Dixon