The Karnieli-Miller Communication and Professionalism Lab
Faculty of Medicine and Health Sciences,
Tel Aviv University, Israel
The Department of Medical Education
Moral courage
Hospitals are hierarchical institutions and hierarchy is very important for functioning. However, in certain situations, hierarchy can be an obstacle, such as when identifying cases in which a senior acted in error or violated professional values (e.g., humiliation of or disrespect toward a patient); or situations in which juniors need to disclose either their own error or lack of understanding. In recent years, we have developed a quantitative instrument that measures moral courage efficacy, showing the difficulty involved in behaving with this kind of courage, and the need to create interventions to empower students for this purpose. Currently, our lab studies this issue through—a quantitative study, a qualitative study examining animated video clips that we developed to teach moral courage, and a qualitative study of interviews with students to hear about their experiences. We also have an ongoing ISF grant, on assertiveness in medicine that might be a good solution in these situations.
To learn more about our studies:
Neufeld-Kroszynski, G., Michael, K. & Karnieli-Miller, O. (2024). Associations between medical students’ stress, academic burnout and moral courage efficacy. BMC Psychol 12, 296.
https://doi.org/10.1186/s40359-024-01787-6
Gutgeld-Dror, M., Laor, N., & Karnieli-Miller, O. (2023). Assertiveness in physicians’ interpersonal professional encounters: A scoping review. Medical Education. https://asmepublications.onlinelibrary.wiley.com/doi/10.1111/medu.15222
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Cohen. D., & Neufeld-Kroszynski, G., & Karnieli-Miller, O. (In preparation). Medical students' exposure to professionalism violations: The contribution/role of cognitive and emotional processes in forming a professional identity
Farajev, N. Michael, K. & Karnieli-Miller, O., (In preparation). The contribution of environmental professionalism, empathy attitudes, and communication self-efficacy, to moral courage self-efficacy among medical students.
Matalon, I., & Karnieli-Miller, O. (In preparation). The experience of the use of an animated film to promote the thinking concerning moral dilemmas and enhance moral courage: A qualitative study from medical students perspectives
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Neufeld-Kroszynski, G., & Karnieli-Miller, O. (In preparation). To react or not to react: Medical students' deliberation process regarding professionalism breaches.