Abstract

DELGADO-MARROQUIN, M. Teresa et al. Analysis of the maturation of moral judgment in the learning process of bioethics. FEM (Ed. impresa) [online]. 2014, vol.17, n.1, pp.55-62. ISSN 2014-9840.  https://dx.doi.org/10.4321/S2014-98322014000100009.

Aim: To measure the moral reasoning of medical students before and after training in bioethics in two different cultural settings (Zaragoza and Doha), as well as MIR1s in Zaragoza, correlating in both cases the possible changes in their moral reasoning with their cultural and learning environment. Subjects and methods: Observational study of moral reasoning with medical students and MIR1 and intervention with longitudinal follow up moral reasoning before and after training in bioethics, using Georg Lind's Moral Judgement Test. Results: There were 273 initial questionnaires of students (200 from Zaragoza, 73 from Qatar) and 141 MIR1. There were information before-after 122 students (44.7%, of which 1/5 from Qatar). Before bioethics training the average C-score was 14.24 ± 8.698 (n = 273). After training, the average was 14.30 ± 10.111 (n = 194). The mean difference before and after was 0.79 ± 12.162 (n = 122). No C-score differences by region were found, but the dichotomization in preconventional (< 10) and conventional-postconventional showed differences between Qatar and Zaragoza (> 10): 49% < 10 versus 30%, respectively). There were also significant regional differences in the responses to the two dilemmas that compose the Moral Judgement Test. The MIR of Zaragoza showed the same pattern of responses to the dilemmas than students but their C-score is significantly lower (10.4 versus 14.3). Conclusions: We confirm the initial hypothesis, although this line of research should be furthered to more academic years and more university campuses.

Keywords : Bioethics; Medical education; Moral judgement.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )