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Seit 2003 ist neben Medizingeschichte und -theorie Medizinethik Bestandteil des Pflichtstudiencurriculums (Querschnittsbereich GTE). Zuvor, seit Ende der 80er Jahre, hatte es an vielen medizinischen Fakultäten optionale Veranstaltungen zur Medizinethik gegeben. Die Analyse von Veröffentlichungen zur Didaktik der Medizinethik und von Unterrichtscurricula zeigt, dass einem relativ geringen Stundenkontingent anspruchsvolle kognitive, emotionale und handlungsorientierte Lehrziele gegenüberstehen. Offenbar wird von der Medizinethik praxisbezogene Problemlösungskompetenz erwartet. Zugleich zeigt sich, dass die Vorbereitung der Studierenden auf schwierige moralische Entscheidungen nach wie vor ein Desiderat darstellt. Angesichts (...) |
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A traditional approach to teaching medical ethics aims to provide knowledge about ethics. This is in line with an epistemological view on ethics in which moral expertise is assumed to be located in theoretical knowledge and not in the moral experience of healthcare professionals. The aim of this paper is to present an alternative, contextual approach to teaching ethics, which is grounded in a pragmatic-hermeneutical and dialogical ethics. This approach is called moral case deliberation. Within moral case deliberation, healthcare professionals (...) |
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Many models of (un)ethical decision making assume that people decide rationally and are in principle able to evaluate their decisions from a moral point of view. However, people might behave unethically without being aware of it. They are ethically blind. Adopting a sensemaking approach, we argue that ethical blindness results from a complex interplay between individual sensemaking activities and context factors. |
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‘Tragedy’ is one of those curiously elastic words reserved for life's saddest spheres and events, irrespective of the forms in which they appear. Even though a vast body of genre studies has emerged, however, only a handful of studies have drawn cross-historical comparisons between tragic forms. This essay demonstrates how Walter Benjamin’s reflections on Attic tragedy may contribute to such a line of thought, focusing both on tragedies’ subversive potential and on the social-historical constellations in which they first emerged. In (...) |
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Recent findings suggest that medical students’ moral competence decreases throughout medical school. This pilot study gives preliminary insights into the effects of two educational interventions in ethics classes on moral competence among medical students in Munich, Germany. Between 2012 and 2013, medical students were tested using Lind’s Moral Competence Test prior to and after completing different ethics classes. The experimental group participated in principle-based structured case discussions and was compared with a control group with theory-based case discussions. The pre/post C-scores (...) |
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The pluralism of methodologies and severe time constraints pose important challenges to pedagogy in clinical ethics. We designed a step-by-step student handbook to operate within such constraints and to respect the methodological pluralism of bioethics and clinical ethics. The handbook comprises six steps: Step 1: What are the facts of the case?; Step 2: What are your obligations to your patient?; Step 3: What are your obligations to third parties to your relationship with the patient?; Step 4: Do your obligations (...) |
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