A theoretical framework for human and veterinary medical ethics education

Adv Health Sci Educ Theory Pract. 2016 Dec;21(5):1123-1136. doi: 10.1007/s10459-015-9658-1. Epub 2015 Dec 15.

Abstract

In their practice, physicians and veterinarians need to resort to an array of ethical competences. As a teaching topic, however, there is no accepted gold standard for human medical ethics, and veterinary medical ethics is not yet well established. This paper provides a reflection on the underlying aims of human and veterinary medical ethics education. Drawing from published literature on ethics education in the health professions a theoretical framework common to the teaching of human and veterinary medical ethics is proposed, based on three concepts: professional rules, moral virtues and ethical skills. The rules approach relies on the transmission of professional and social values by means of regulatory documents and depends intimately on the knowledge that students have of those documents. The virtues approach involves the inculcation of moral values and virtues that will stimulate students to develop desirable behaviours. The main focus of this approach to ethics is to develop students' attitudinal competences. Finally, the skills approach is focused on equipping the students with the necessary moral reasoning abilities to recognise and respect the plurality of ethical views that make part of contemporary society. This framework can inform future curriculum development in human and veterinary medical ethics as well as in other health care professions.

Keywords: Ethical skills; Ethics education; Medical ethics; Moral virtues; One Health; Professional rules; Veterinary ethics.

MeSH terms

  • Bioethics / education*
  • Education, Medical / ethics*
  • Education, Veterinary / ethics*
  • Humans
  • Morals
  • Professional Competence
  • Professionalism / ethics