Changes in students' moral development during medical school: a cohort study

摘要: Introduction: The requirements of professionalism and the expected qualities medical staff, including high moral character, motivate institutions to care about ethical development students during their education. We assessed progress in reasoning a cohort over first 3 years Methods: invited all 92 enrolled at University Sherbrooke, Que., complete questionnaire on start year school end third year. used French version Kohlberg9s Moral Judgment Interview. Responses were coded by stage development, weighted average scores assigned according frequency use each stage. Results: Of students, 54 completed fall again age was 21 years, 79% included study women. Over 3-year period, did not change substantially (i.e., more than half stage) for 39 (72%) shifted lower 7 (13%) higher 8 (15%). overall mean significant (from 3.46 1 3.48 3, p = 0.86); however, showed decline (p 0.028). Interpretation: Temporal variations students9 show levelling process reasoning. This finding prompts us ask whether hidden curriculum exists structure education that inhibits rather facilitates