ArticleBMC medical education2024
Moral competency of students at a german medical school - A longitudinal survey.
Article in BMC medical education, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The emerging trends of healthcare professions' ethics education in recent 10 years: a systematic review.Frontiers in medicine · 2026Pooled it
- Ethical evaluation of urology specialists' knowledge and attitudes on the application of medical (chemical) castration for sexual offenders: a perspective from Turkey.BMC medical ethics · 2026Article
- Self-perceived moral competence among healthcare students in Slovakia: a cross-sectional study.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
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Authors and funding
4 authors.
Funding
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Abstract
backgroundMedical students and doctors face various challenges in clinical practice. Some of these challenges are related to ethical issues. Therefore, teaching ethics respectively building moral competences has become an integral part of the medical curriculum in Germany and many other countries. To date, there is little evidence on moral competence of medical students.
methodsSelf-administered survey among medical students from one German medical school in the first (cohort 1) and fifth semester (cohort 2) in the winter term 2019/20 (T0). Both cohorts received the same questionnaire one year later in winter term 2020/21 (T1). Assessment was performed with Lind's Moral Competence Test. We performed convenience sampling. We analyzed the data with descriptive statistics and C-Scores as a measure of moral competence (higher scores = higher competence, ≥ 30 points = high competence).
resultsA total of 613 students participated in the study (response rate 67.5%, n = 288 with data on both time points). 69.6% of the participants were female, the mean age was 21.3 years. Mean C-Score for both cohorts for T0 (first and fifth semester) is 32.5 ± 18.0 and for T1 (third and seventh semester) is 30.4 ± 17.9. Overall, 6.6% (T0) and 6.7% (T1) of respondents showed some but very low moral competence. 3.3% (T0) and 3.0% (T1) showed no moral competence. Additionally, students without prior experience in the healthcare system scored 3.0 points higher.
conclusionsImprovement of assessment of moral competence as well effective interventions are particular needed for supporting those students which have been identified to demonstrate little moral competences.
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