Ethics in a short white coat

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Abstract
Many existing ethics curricula fail to address the subtle yet critical ethical issues that medical students confront daily . The authors report on the kinds of dilemmas students face as clinical clerks , using cases that students submitted in 1991 –92 during an innovative and well-received ethics class given at a tertiary care hospital as part of the internal medicine clerkship . Analysis of these cases reveals that many dilemmas are intimately tied to the student's unique role on the medical health care team . Recurring themes included the student's pursuit of experience , differing degrees of knowledge and ignorance among team members , and dealing with disagreement within the hierarchical authority structure of the medical team . The authors conclude that some components of ethical education must be participant-driven and developmentally stage-specific , focusing more attention on the kinds of ethical decisions made by medical students as opposed to those made by residents or practicing physicians .

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