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KMID : 1025620140170020159
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Korean Journal of Medical Ethics
2014 Volume.17 No. 2 p.159 ~ p.171
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A Comparison of Moral Intuitions about Professional Ethics between the Medical Students and Residents in a University Hospital
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Park So-Youn
Kwon Ivo
Kwon Oh-Young
Yoon Tai-Young
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Abstract
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This study was designed to determine whether or not there are differences between the moral intuitions of medical students and those of residents in clinical fields. A total of 370 of 490 (75.5%) students (n=340) and residents (n=30) at one university in South Korea responded to a survey consisting of the Moral Foundations Questionnaire (MFQ30) and additional items on moral judgments concerning the duty to care during pandemic influenza. Both groups selected beneficence/non-maleficence (as opposed to autonomy or justice) as the primary ethical principle(s) in medical practice. The mean scores on a 0~5 scale for the five moral foundations for the students were not significantly different from those of the residents (harm; 3.6 vs. 3.4, fairness; 3.5 vs. 3.3, loyalty; 3.1 vs. 3.0, authority; 2.9 vs. 2.8, sanctity; 3.1 vs. 3.0, respectively). However, there was considerable variability in individual items forming the scales for the fairness foundation. Interestingly, when respondents chose justice first among ethical principles, they felt that physicians had a duty to treat patients with influenza, even if in doing so they placed themselves or their families at risk (OR 2.27, 95% CI 1.23~4.18). Our data suggest that social intuitionism may be useful for explaining differences in Korean physicians’ moral judgments and also that it may be an effective tool for feedback in medical ethics education.
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KEYWORD
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professional, social-intuitionist theory, ethics, medical
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