Clinical training in ethical decision making processes has relied heavily on teaching students to apply ethical codes and legal statutes to written scenarios using ethical decision making models. While an excellent academic exercise, this approach tends to remain abstract and does not prepare students for the complexities of making decisions during the process of therapy. Recently, experts in the field have called for reforms in ethical training, believing current models must move beyond cognitive exercises that detach students from the humanity of their clients and themselves. The described pedagogical approach bridges the gap by using a modified Objective Structured Clinical Exam to provide a safe context for students to practice ethical decision making and receive feedback before entering actual clinical practice.

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临床医生基于伦理的培训：超越伦理决策模型

道德决策过程的临床培训在很大程度上依赖于教学生使用道德决策模型将道德准则和法律法规应用于书面场景。虽然这是一项出色的学术练习，但这种方法往往保持抽象，并且不会让学生为在治疗过程中做出决策的复杂性做好准备。最近，该领域的专家呼吁对道德培训进行改革，他们认为当前的模式必须超越认知练习，使学生与客户和他们自己的人性分离。所描述的教学方法通过使用修改后的客观结构化临床考试来弥合差距，为学生提供一个安全的环境，让他们在进入实际临床实践之前进行道德决策和接收反馈。