Virtue and Care Ethics & Humanism in Medical Education: a Scoping Review

Overview

Journal BMC Med Educ

Publisher Biomed Central

Specialty Medical Education

Date 2022 Feb 27

PMID 35219311

Authors

David J Doukas

David T Ozar

Martina Darragh

Janet M De Groot

Brian S Carter

Nathan Stout

Affiliations

Soon will be listed here.

Abstract

Purpose: This scoping review explores how virtue and care ethics are incorporated into health professions education and how these factors may relate to the development of humanistic patient care.

Method: Our team identified citations in the literature emphasizing virtue ethics and care ethics (in PubMed, NLM Catalog, WorldCat, EthicsShare, EthxWeb, Globethics.net , Philosopher's Index, and ProQuest Central) lending themselves to constructs of humanism curricula. Our exclusion criteria consisted of non-English articles, those not addressing virtue and care ethics and humanism in medical pedagogy, and those not addressing aspects of character in health ethics. We examined in a stepwise fashion whether citations: 1) Contained definitions of virtue and care ethics; 2) Implemented virtue and care ethics in health care curricula; and 3) Evidenced patient-directed caregiver humanism.

Results: Eight hundred eleven citations were identified, 88 intensively reviewed, and the final 25 analyzed in-depth. We identified multiple key themes with relevant metaphors associated with virtue/care ethics, curricula, and humanism education.

Conclusions: This research sought to better understand how virtue and care ethics can potentially promote humanism and identified themes that facilitate and impede this mission.

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References

Cook T, Mavroudis C, Jacobs J, Mavroudis C . Respect for patient autonomy as a medical virtue. Cardiol Young. 2015; 25(8):1615-20. DOI: 10.1017/S1047951115002097. View

Britten N, Campbell R, Pope C, Donovan J, Morgan M, Pill R . Using meta ethnography to synthesise qualitative research: a worked example. J Health Serv Res Policy. 2002; 7(4):209-15. DOI: 10.1258/135581902320432732. View

Kotzee B, Ignatowicz A . Measuring 'virtue' in medicine. Med Health Care Philos. 2015; 19(2):149-61. DOI: 10.1007/s11019-015-9653-6. View

Peabody F . A medical classic: the care of the patient by Francis W. Peabody. Jama, 1927, 88: 877. Med Times. 1973; 101(10):62-4 passim. View

Doukas D, McCullough L, Wear S . Perspective: Medical education in medical ethics and humanities as the foundation for developing medical professionalism. Acad Med. 2012; 87(3):334-41. DOI: 10.1097/ACM.0b013e318244728c. View

Benner P . A dialogue between virtue ethics and care ethics. Theor Med. 1997; 18(1-2):47-61. View

Kesselheim J, Atlas M, Adams D, Aygun B, Barfield R, Eisenman K . Humanism and professionalism education for pediatric hematology-oncology fellows: A model for pediatric subspecialty training. Pediatr Blood Cancer. 2014; 62(2):335-340. DOI: 10.1002/pbc.25253. View

Barilan Y . Responsibility as a meta-virtue: truth-telling, deliberation and wisdom in medical professionalism. J Med Ethics. 2009; 35(3):153-8. DOI: 10.1136/jme.2008.025411. View

Delgado J, de Groot J, McCaffrey G, Dimitropoulos G, Sitter K, Austin W . Communities of practice: acknowledging vulnerability to improve resilience in healthcare teams. J Med Ethics. 2020; . PMC: 8257551. DOI: 10.1136/medethics-2019-105865. View

10.

Schaechter J, Canning E . 'Pals'. A medical student public service program. West J Med. 1994; 161(4):390-2. PMC: 1022619. View

11.

Delgado J, Siow S, de Groot J, McLane B, Hedlin M . Towards collective moral resilience: the potential of communities of practice during the COVID-19 pandemic and beyond. J Med Ethics. 2021; . PMC: 7992383. DOI: 10.1136/medethics-2020-106764. View

12.

Bolsin S, Faunce T, Oakley J . Practical virtue ethics: healthcare whistleblowing and portable digital technology. J Med Ethics. 2005; 31(10):612-8. PMC: 1734023. DOI: 10.1136/jme.2004.010603. View

13.

Coulehan J . Written role models in professionalism education. Med Humanit. 2013; 33(2):106-9. DOI: 10.1136/jmh.2005.000250. View

14.

Carrese J, Malek J, Watson K, Lehmann L, Green M, McCullough L . The essential role of medical ethics education in achieving professionalism: the Romanell Report. Acad Med. 2015; 90(6):744-52. DOI: 10.1097/ACM.0000000000000715. View

15.

Madani M, Larijani B, Madani E, Ghasemzadeh N . Establishment of medical education upon internalization of virtue ethics: bridging the gap between theory and practice. J Med Ethics Hist Med. 2017; 10:3. PMC: 5742490. View

16.

Brody H, Doukas D . Professionalism: a framework to guide medical education. Med Educ. 2014; 48(10):980-7. DOI: 10.1111/medu.12520. View

17.

Austin W . The Terminal: a tale of virtue. Nurs Ethics. 2007; 14(1):54-61. DOI: 10.1177/0969733007071358. View

18.

Irby D, Hamstra S . Parting the Clouds: Three Professionalism Frameworks in Medical Education. Acad Med. 2016; 91(12):1606-1611. DOI: 10.1097/ACM.0000000000001190. View

19.

Leget C, van Nistelrooij I, Visse M . Beyond demarcation: Care ethics as an interdisciplinary field of inquiry. Nurs Ethics. 2017; 26(1):17-25. DOI: 10.1177/0969733017707008. View

20.

Coulehan J . Viewpoint: today's professionalism: engaging the mind but not the heart. Acad Med. 2005; 80(10):892-8. DOI: 10.1097/00001888-200510000-00004. View