Evidence map›Paper›PMID 41063202›Full record

ArticleBMC medical ethics2025

How do medical professionals justify their involvement with live tissue training?

C S Swain, G Helgesson

Abstract read
In one paragraph

Article in BMC medical ethics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

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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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

C S SwainDepartment of Learning, Informatics, Management & Ethics (LIME), Karolinska Institutet, Stockholm, Sweden. cara.swain@ki.se.ORCID 0000-0003-0273-9653
G HelgessonDepartment of Learning, Informatics, Management & Ethics (LIME), Karolinska Institutet, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background"Live tissue training" (LTT) is simulation that uses a live anaesthetised animal in place of a human patient. It is a training practice which is significantly contested, but continues to occur despite availability of alternative simulator models. The aim of this study was to explore if, and how, medical professionals who participate in LTT justify their own professional involvement.

methodsFifteen semi-structured interviews of physicians who had knowledge and prior experience of LTT were performed as part of a wider research project and initially analysed using the Framework Method. Data categorised as 'ethical views' underwent a secondary thematic analysis to answer this research aim. Data were grouped by similar meaning to produce themes in the form of beliefs or views expressed by the participants.

resultsAlthough no participant used language to explicitly indicate moral theorising, there is a set of identifiable coherent beliefs/views among the cohort. A belief that training must be conducted in order to save human patients' lives (1); that human life is of higher value than animal life (2); and that there is no sufficiently good alternative to LTT (3). It is felt that LTT is reasonable as the numbers of animals used are minimised and opportunities for learning or other uses maximised (4); animals are well cared for and are not suffering (5) and reasonable in comparison to other animal uses (6).

conclusionThere is a predominant consequentialist thinking regarding the use of live animals, with evidence that the 3Rs principles are being considered, if not explicitly, as a restriction on the use of animals for LTT and also partly to justify or defend medical professionals' involvement. We suggest that professional identity is likely to have a role in forming these justificatory arguments, but personal views about the moral standing of animals and notions of speciesism could also influence decisions about being involved in LTT.

Indexed as

Attitude of Health PersonnelPhysiciansAdultAnimalsFemaleHumansInterviews as TopicMaleQualitative ResearchAnimal ethicsConsequentialismSimulationTrauma surgery

Identifiers

PMID41063202
PMCPMC12506302

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Registered trials

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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.