Using the "Question of Scruples" game to teach managed care ethics to students

UMMS Affiliation

Meyers Primary Care Institute; Department of Medicine, Division of Geriatric Medicine; Department of Family Medicine and Community Health

Publication Date


Document Type



Attitude of Health Personnel; Conflict (Psychology); Disease Management; Education, Medical, Undergraduate; Ethics, Medical; *Games, Experimental; Group Processes; Humans; Managed Care Programs; Massachusetts; Physician's Role; Pilot Projects; Practice Guidelines as Topic; Primary Health Care; Professional Competence; Program Evaluation; Students, Medical


Health Services Research | Primary Care


Ethical dilemmas often arise in routine clinical practice under managed care. Relevant clinical examples, together with a process that focuses on attitudes and behaviors, are necessary to educate medical students about such dilemmas. In 1995, we developed a required two-day, third-year course in managed care, covering such topics as health care financing, use of guidelines and formularies, disease management, capitated managed care for special populations, physician workforce considerations, and ethics. We were particularly concerned that ethical issues related to managed care practice receive full attention and that students actively participate in the learning process.


Acad Med. 2001 May;76(5):510-1.

Journal/Book/Conference Title

Academic medicine : journal of the Association of American Medical Colleges

Related Resources

Link to Article in PubMed

PubMed ID