ETHICAL DEVELOPMENT AND MEDICAL DECISION-MAKING SKILLS IN MID-CAREER MEDICAL STAFFT
Article Sidebar
Main Article Content
Abstract
This article examines the interrelated constructs of ethical development and medical decision-making skills in mid-career medical professionals. In modern healthcare systems, mid-career practitioners serve as crucial intermediaries between senior specialists and junior staff, making complex clinical decisions that require both professional judgment and ethical sensitivity. Ethical development influences the perception of moral problems, the internalization of professional values, and the ability to resolve ethical dilemmas. Meanwhile, decision-making skills determine how medical professionals synthesize clinical evidence, patient values, and situational factors when choosing optimal care paths. Drawing on theoretical literature from Uzbek, CIS, and foreign researchers published between 2010 and 2025, this article develops an integrated model that explains how ethical development shapes decision-making processes, and vice versa. The study highlights institutional, cultural, and educational factors affecting both competencies and offers recommendations for enhancing ethical professionalism and decision competence in healthcare organizations.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
Axmedov O.A. Professional ethics and humanistic values in medical education. Tashkent Medical Journal, 2018.
Beauchamp T.L., Childress J.F. Principles of Biomedical Ethics, 8th ed. Oxford: Oxford University Press, 2019.
Kohlberg L. Moral development and professional moral reasoning. Journal of Medical Ethics, 2011.
Mirzaev S.T. Clinical decision-making and reflective practice. Medical Education Review, 2020.
Jonsen A.R., Siegler M., Winslade W.J. Clinical Ethics, 8th ed. New York: McGraw-Hill, 2015.
National Medical Ethics Standards of Uzbekistan. Ministry of Health, 2021.
Petrova N.V. Ethical culture in CIS healthcare organizations. Ethics and Healthcare, 2017.
Rest J.R. A Neo-Kohlbergian Approach to Moral Development. Human Development, 2015.
Smith M.C. et al. Decision-Making in Nursing and Healthcare: Philosophies, Theories, and Models, 4th ed. Wolters Kluwer, 2023.
Tashkent Institute of Advanced Medical Training. Professional Development Guidelines for Mid-Career Physicians. Tashkent, 2022.
Thompson C. et al. Clinical reasoning and evidence-based practice. Clinical Skills Journal, 2014.
Ustozov B.R. Experience and ethical maturity in clinical practice. Central Asian Medical Journal, 2023.
World Medical Association. Declaration of Helsinki, 2013.
Young B. et al. Ethical decision-making frameworks in clinical practice. Bioethics Quarterly, 2016.
Zokirov T.S. Effectiveness of structured ethics programs. Uzbek Clinical Ethics Review, 2024.
Mamanazarov U.B. Specific features of the program aimed at developing moral self-awareness in adolescence. International Conference on Economics, Finance, Banking and Management, 2024, pp. 316–320.
Mamanazarov Uchqun Burxon O‘g‘li, Mirsagatova Nargiza Sayfullayevna. Pedagogical features of formation of professional competence in students. ReFocus, 2024, No. 10.
Mamanazarov U. O‘smirlik davrida axloqiy o‘zini o‘zi anglashning xususiyatlari. Maktabgacha va maktab ta’limi jurnali, 2023, Vol. 1, No. 2–3.
Mamanazarov U.B. O‘smirlik davrida axloqiy o‘zini o‘zi anglashni rivojlanishini o‘rganishda ilmiy-nazariy yondashuvlar. Tadqiqot markazi, 2024, Vol. 3, No. 9, pp. 292–296.