Agur Cohen Dikla, Shadmi Liv, Biderman Aya, Yakov Gila
Department of Family Medicine, The Ruth and Baruch Rappaport Faculty of Medicine, Technion, Israel.
The Department of Family Medicine, The Ruth and Baruch Rappaport Faculty of Medicine, Technion, Israel.
Perspect Med Educ. 2025 Jul 24;14(1):427-435. doi: 10.5334/pme.1543. eCollection 2025.
BACKGROUND & NEED FOR INNOVATION: Ethical dilemmas in healthcare often involve navigating emotional and value-laden challenges. Traditional teaching approaches, such as principle-based frameworks, highlight the theory but do not contain tools to integrate emotional reflection and value prioritization, leaving a gap in preparing physicians for real-world ethical decision making.
We introduce a novel visual tool named VIEW (isual nsight for thical isdom) that enhances ethical decision making by fostering reflection on values, emotions, and professional identity.
The VIEW tool was developed as an interactive framework that allows users to map ethical dilemmas visually. It was implemented in three workshops with 31 participants, including junior and senior physicians and medical educators. Participants used the VIEW to analyze real-life ethical challenges. They created 31 visual maps that captured emotional responses, core values, and interpretations of dilemmas. We qualitatively analyzed these maps, alongside other observations and interviews, to identify key themes.
Preliminary evaluations indicated that the VIEW tool effectively bridges theory and practice. It externalized thought processes, encouraging emotional awareness, and promoting value-based reasoning. Participants reported improved capacity to navigate complex dilemmas and deeper engagement with their professional identity.
This visual tool integrates cognitive and emotional dimensions of ethical reasoning, addressing the limitations of traditional approaches. Its implementation highlights the importance of reflection in medical education and clinical practice. Further research is needed to explore the tool's broader applicability.
医疗保健中的伦理困境常常涉及应对充满情感和价值冲突的挑战。传统的教学方法，如基于原则的框架，侧重于理论，但缺乏将情感反思和价值优先级整合起来的工具，这使得在培养医生应对现实世界伦理决策方面存在差距。
我们引入了一种名为VIEW（伦理智慧的视觉洞察）的新型视觉工具，通过促进对价值观、情感和职业身份的反思来增强伦理决策。
VIEW工具被开发为一个交互式框架，允许用户直观地描绘伦理困境。它在三个工作坊中进行了实施，有31名参与者，包括初级和高级医生以及医学教育工作者。参与者使用VIEW来分析现实生活中的伦理挑战。他们创建了31个视觉地图，捕捉了情感反应、核心价值观和对困境的解读。我们对这些地图以及其他观察和访谈进行了定性分析，以确定关键主题。
初步评估表明，VIEW工具有效地弥合了理论与实践之间的差距。它将思维过程外化，鼓励情感意识，并促进基于价值的推理。参与者报告称，他们应对复杂困境的能力有所提高，并且对自己的职业身份有了更深入的认识。
这种视觉工具整合了伦理推理的认知和情感维度，解决了传统方法的局限性。它的实施凸显了反思在医学教育和临床实践中的重要性。需要进一步研究以探索该工具更广泛的适用性。
