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Full-Text Articles in Medicine and Health Sciences
Theory Building As Integrated Reflection: Understanding Physician Reflection Through Human Communication Research, Medical Education, And Ethics, Andrea Vicini, Ashley P. Duggan, Allen F. Shaughnessy
Theory Building As Integrated Reflection: Understanding Physician Reflection Through Human Communication Research, Medical Education, And Ethics, Andrea Vicini, Ashley P. Duggan, Allen F. Shaughnessy
Journal of Health Ethics
Grounded in a presupposition that a single explanatory framework cannot fully account for the expansive learning processes that occur during medical residency, the article examines developing physicians’ reflective writing from three disciplinary lenses. The goal is to understand how the multi-dimensional nature of medical residency translates into assembling educational experiences and constructing meaning that cannot be fully explained through a single discipline. An interdisciplinary research team across medical education, communication, and ethics qualitatively analyzed reflective entries (N=756) completed by family medicine residents (N=33) across an academic year. Results provide evidence for moving toward an integrated thematic explanation across disciplines. The …
Ethical Issues Perceived By Clinical Ethicists, Marcia S. Bosek, Brian Fulmer
Ethical Issues Perceived By Clinical Ethicists, Marcia S. Bosek, Brian Fulmer
Journal of Health Ethics
“Ethicists often work alone in rural locations while also holding leadership roles. Who helps the ethicist when he/she experiences an ethical dilemma or moral distress?” asked an ethicist. Purposes of this descriptive exploratory convenience research project were to (1) Identify the ethical issues personally experienced by clinical ethicists while fulfilling their professional role, and (2) Describe the resources that clinical ethicists have or desire for resolving these personally experienced ethical situations. A random purposive sampling strategy was implemented. IRB approval was obtained. 12 clinical ethicists participated. Eight of the participants had experienced a personal ethical issue while performing their clinical …