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      The fundamental role of storytelling and practical wisdom in facilitating the ethics education of junior doctors

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          Abstract

          Practical wisdom is a key concept in the field of virtue ethics, and it has played a significant role in the thinking of those who make use of virtue when theorising medical practice and ethics. In this article, we examine how storytelling and practical wisdom play integral roles in the medical ethics education of junior doctors. Using a qualitative approach, we conducted 46 interviews with a cohort of junior doctors to explore the role doctors feel phronesis has in their medical ethics practice and how they acquire practical wisdom through storytelling as an essential part of their medical ethics education. Through thematic analysis of the interviews, we discuss the key role storytelling about moral exemplars and role models plays in developing medical ethics education, and how telling stories about role models is considered to be one of the most useful ways to learn medical ethics. We finish by developing an argument for why practical wisdom should be an important part of medical ethics training, focusing on the important role that phronesis narratives should have in teaching medical ethics.

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          Thematic networks: an analytic tool for qualitative research

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            The Storytelling Organization: A Study of Story Performance in an Office- Supply Firm

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              Proto-professionalism: how professionalisation occurs across the continuum of medical education.

              Professionalism and its assessment across the medical education continuum have become prominent topics in recent years. We consider the nature of professionalism and how it emerges and relates to the work carried out by doctors and doctors-in-training. We suggest 6 domains in which evidence of professionalism can be expected: ethical practice; reflection/self-awareness; responsibility for actions; respect for patients; teamwork, and social responsibility. Furthermore, we propose that a defining characteristic is encapsulated by the Greek term phronesis, or practical wisdom. Phronesis is acquired only after a prolonged period of experience (and reflection on experience) occurring in concert with the professional's evolving knowledge and skills base. The prior period we have termed as one of 'proto-professionalism'. Influences on proto-professionalism are considered in terms of moral and psychosocial development and reflective judgement. Curricula that develop meta-skills will foster the acquisition and maintenance of professionalism. Adverse environmental conditions in the hidden curriculum may have powerful attritional effects.
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                Author and article information

                Contributors
                Journal
                Health (London)
                Health (London)
                HEA
                sphea
                Health (London, England : 1997)
                SAGE Publications (Sage UK: London, England )
                1363-4593
                1461-7196
                18 November 2019
                July 2021
                : 25
                : 4
                : 417-433
                Affiliations
                [1-1363459319889102]University of Leicester, UK
                [2-1363459319889102]University of Birmingham, UK
                Author notes
                [*]Alexis Paton, SAPPHIRE Group and George Davies Centre, University of Leicester, George Davies Building, Leicester LE1 7RH, UK. Email: ahcp1@ 123456le.ac.uk
                Author information
                https://orcid.org/0000-0003-4310-6983
                Article
                10.1177_1363459319889102
                10.1177/1363459319889102
                8276332
                31739676
                08b7cabe-4aa2-49d2-af83-426e9cba6133
                © The Author(s) 2019

                This article is distributed under the terms of the Creative Commons Attribution 4.0 License ( https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                Funding
                Funded by: Arts and Humanities Research Council UK, ;
                Award ID: AH/M006646/1
                Categories
                Articles
                Custom metadata
                ts1

                Medicine
                empirical ethics,medical ethics education,narrative,phronesis,practical wisdom,qualitative,sociological bioethics,storytelling,united kingdom

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