Evidence map›Paper›PMID 25543016›Full record

ArticleInternational journal of medical education2014

The failure of medical education to develop moral reasoning in medical students.

Vicki S Murrell

Open access · hybridAbstract read
In one paragraph

Article in International journal of medical education, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
7.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.

  1. Pooled it
  2. Constructing knowledge and moral skills through hospital clown interventions: a qualitative study.International journal of qualitative studies on health and well-being · 2026
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  6. Review
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  8. Article
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  11. Perceived Stalking by a Patient: An Educational Case Report.Journal of graduate medical education · 2022
    Article
  12. The Virtue of Hope in Medical Training.The Linacre quarterly · 2022
    Article
  13. Article
  14. Article
  15. Exploring medical ethics' implementation challenges: A qualitative study.Journal of education and health promotion · 2021
    Article
  16. Clerkship Ethics: Unique Ethical Challenges for Physicians-in-Training.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2020
    Article
  17. Article
  18. Observational
  19. Explaining professionalism in moral reasoning: a qualitative study.Advances in medical education and practice · 2019
    Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Vicki S MurrellDepartment of Counseling, Educational Psychology and Research, College of Education, Health and Human Sciences, University of Memphis, Tennessee, USA.
University of Memphis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe goal of this study was to determine differences in moral judgment among students in medical school.

methodsThis cross-sectional study involved students currently enrolled in undergraduate medical education. Recruited via email, 192 students took an online version of the Defining Issues Test to determine their current stage of moral judgment, as well as their percentage of postconventional thought. Independent variables included year of graduation, which indicated curriculum completion as well as participation in a professionalism course. Data was analyzed primarily using One-Way Analysis of Variance.

resultsOf the 192 participants, 165 responses were utilized. ANOVA showed no significant differences in moral judgment between or among any of the student cohorts, which were grouped by year of matriculation. Comparisons included students in the four years of medical school, divided by graduation year; students about to graduate (n=30) vs. those still in school (n=135); and students who had participated in a course in professionalism (n=91) vs. those who had not (n=74).

conclusionsThese results demonstrate a lack of evolution in the moral reasoning of medical students and raise the issue of what might stimulate positive changes in moral judgment during the medical school experience.

Indexed as

Education, Medical, UndergraduateJudgmentMoralsCognitionCross-Sectional StudiesCurriculumEducational MeasurementEthics, MedicalFemaleHumansMalePhysician-Patient RelationsSocial SkillsStudents, MedicalSurveys and QuestionnairesMedical educationmedical trainingmoral developmentmoral development in medical education

Identifiers

PMID25543016
PMCPMC4282786
OpenAlexW2099448463

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.