• We are sorry, but NCBI web applications do not support your browser and may not function properly. More information
Logo of jmedethJournal of Medical EthicsCurrent TOCInstructions to authors
J Med Ethics. Jun 1994; 20(2): 112–117.
PMCID: PMC1376437

What are students thinking when we present ethics cases?: an example focusing on confidentiality and substance abuse.

Abstract

As part of an ethics course, health professions students were asked to identify ethical issues and to propose resolutions before and after a class discussion of a case involving confidentiality and substance abuse. Students listed an average of 2.4 issues before and 3.6 issues after the discussion. After discussion 50 per cent of students made explicit changes in their proposed resolution. Opinions varied widely on breaching confidentiality and the responsibility for protecting the patient's health. After the discussion almost 20 per cent of the class felt it was acceptable to breach confidentiality as long as the patient was unaware. Many students identified more with the health care provider than with the patient. The presence of substance abuse altered many students' views on confidentiality. In this experience students were less rigorous in their application of principles, creating an excellent opportunity for teaching through exploration of the complexity of ethical decision-making in a specific case.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (971K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Siegler M, Rezler AG, Connell KJ. Using simulated case studies to evaluate a clinical ethics course for junior students. J Med Educ. 1982 May;57(5):380–385. [PubMed]
  • Bergsma J, Thomasma DC. The contribution of ethics and psychology to medicine. Soc Sci Med. 1985;20(7):745–752. [PubMed]
  • Culver CM, Clouser KD, Gert B, Brody H, Fletcher J, Jonsen A, Kopelman L, Lynn J, Siegler M, Wikler D. Basic curricular goals in medical ethics. N Engl J Med. 1985 Jan 24;312(4):253–256. [PubMed]
  • Patterson DR, Miller-Perrin C, McCormick TR, Hudson LD. When life support is questioned early in the care of patients with cervical-level quadriplegia. N Engl J Med. 1993 Feb 18;328(7):506–509. [PubMed]

Articles from Journal of Medical Ethics are provided here courtesy of BMJ Group

Formats:

Related citations in PubMed

See reviews...See all...

Cited by other articles in PMC

See all...

Links

  • MedGen
    MedGen
    Related information in MedGen
  • PubMed
    PubMed
    PubMed citations for these articles

Recent Activity

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

See more...