ArticleBMC medical education2021
Moral judgement development during medical student clinical training.
Article in BMC medical education, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- The emerging trends of healthcare professions' ethics education in recent 10 years: a systematic review.Frontiers in medicine · 2026Pooled it
- Ethical behavior profiles among nursing interns and their determinants: a latent profile analysis.BMC medical education · 2026Article
- Assessing moral competence in medical and psychology students: effects on anxiety and test duration in online versus paper-based testing.BMC medical education · 2025Article
- Characterizing the Decision-Making Competency of Nurse Managers: A Scoping Review.Journal of nursing management · 2025Article
- Integrating the Teaching and Assessment of Moral Reasoning into Undergraduate Medical Education to Advance Health Equity.Medical science educator · 2024Article
- Practice makes perfect: The learner-doctor blueprint for proficient physicians.Journal of family medicine and primary care · 2024Article
- Tough Clinical Decisions: Experiences of Polish Physicians.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2024Article
- Health professions students' approaches towards practice-driven ethical dilemmas; a case-based qualitative study.BMC medical education · 2023Article
- Exploring Professionalism Dilemma and Moral Distress through Medical Students' Eyes: A Mixed-Method Study.International journal of environmental research and public health · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhereas experience and cognitive maturity drives moral judgement development in most young adults, medical students show slowing, regression, or segmentation in moral development during their clinical years of training. The aim of this study was to explore the moral development of medical students during clinical training.
methodsA cross-sectional sample of medical students from three clinical years of training were interviewed in groups or individually at an Australian medical school in 2018. Thematic analysis identified three themes which were then mapped against the stages and dimensions of Self-authorship Theory.
resultsThirty five medical students from years 3-5 participated in 11 interviews and 6 focus groups. Students shared the impacts of their clinical experiences as they identified with their seniors and increasingly understood the clinical context. Their accounts revealed themes of early confusion followed by defensiveness characterised by desensitization and justification. As students approached graduation, some were planning how they would make moral choices in their future practice. These themes were mapped to the stages of self-authorship: External Formulas, Crossroads and Self-authorship.
conclusionsMedical students recognise, reconcile and understand moral decisions within clinical settings to successfully reach or approach self-authorship. Curriculum and support during clinical training should match and support this progress.
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Registered trials
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.