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With this form, you create a step-by-step module on research integrity or ethics. This can be used to provide instruction on a particular topic. You might want to use it for a tutorial, teaching material, case analysis tool, or an educational game.

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Instructions for:ParticipantTrainer

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Moral Case Deliberation (MCD) aims to combine reflection on concrete cases with procedures to foster moral learning. In MCD in health care settings, patients, family members and health care staff discuss a moral question. MCD can be regarded as a form of Clinical Ethics Support (CES) or REC assessment in health care and biomedical research, helping health care professionals to reflect on their actual ethical questions and reasoning, and to find answers in acute cases. MCD is about listening and asking the right questions, rather than convincing the other, and postponing one’s own judgements in the interests of being open to other viewpoints.

The validity and reliability of knowledge claims and moral judgments are constructed and examined within the practice itself. In the end, the reliability and validity of the judgments are determined in experience and in the practice of daily life. The MCD facilitator or the MCD participants can refer to existing theories and concepts, as well as existing normative frameworks (such as policies, laws, professional codes etc.). The point is, however, that ethical issues are not defined beforehand, but are derived from practice.

In MCD, the moral problem under consideration is always a concrete moral issue, experienced by one of the participants. This issue is presented as a case (for example, concerning a treatment decision with an individual patient). The case is analysed not by applying general moral concepts or principles but by investigating the values and norms of the stakeholders. In a MCD, different viewpoints are examined. The initial aim is not to decide which perspective or answer is right, but to ask open and critical questions in order to elaborate assumptions behind the perspective and find out how they are applicable to the case at hand.[[#%20ftn1|[1]]]
----[[#%20ftnref1|[1]]] Stolper M, Molewijk B, Widdershoven G. Bioethics education in clinical settings: theory and practice of the dilemma method of moral case deliberation. ''BMC Med Ethics'' 2016;17(1):45.

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