Virtue ethics has long provided fruitful resources for the study of issues in medical ethics. In particular, study of the moral virtues of the good doctor—like kindness, fairness and good judgement—have provided insights into the nature of medical professionalism and the ethical demands on the medical practitioner as a moral person. Today, a substantial literature exists exploring the virtues in medical practice and many commentators advocate an emphasis on the inculcation of the virtues of good medical practice in medical education and throughout the medical career. However, until very recently, no empirical studies have attempted to investigate which virtues, in particular, medical doctors and medical students tend to have or not to have, nor how these virtues influence how they think about or practise medicine. The question of what virtuous medical practice is, is vast and, as we have written elsewhere, the question of how to study doctors’ moral character is fraught with difficulty. In this paper, we report the results of a first-of-a-kind study that attempted to explore these issues at three medical schools (and associated practice regions) in the United Kingdom. We identify which character traits are important in the good doctor in the opinion of medical students and doctors and identify which virtues they say of themselves they possess and do not possess. Moreover, we identify how thinking about the virtues contributes to doctors’ and medical students’ thinking about common moral dilemmas in medicine. In ending, we remark on the implications for medical education.

Virtue-approaches to medical ethics are becoming ever more influential. Virtue theorists advocate redefining right or good action in medicine in terms of the character of the doctor performing the action (rather than adherence to rules or principles). In medical education, too, calls are growing to reconceive medical education as a form of character formation (rather than instruction in rules or principles). Empirical studies of doctors' ethics from a virtue-perspective, however, are few and far between. In this respect, theoretical and empirical study of medical ethics are out of alignment. In this paper, we survey the empirical study of medical ethics and find that most studies of doctors' ethics are rules- or principles-based and not virtue-based. We outline the challenges that exist for studying medical ethics empirically from a virtue-based perspective and canvas the runners and riders in the effort to find virtue-based assessments of medical ethics.

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Harry Brighouse and Adam Swift argue that education is a positional good; this, they hold, implies that there is a qualified case for leveling down educational provision. In this essay, Ben Kotzee discusses Brighouse and Swift's argument for leveling down. He holds that the argument fails in its own terms and that, in presenting the problem of educational justice as one of balancing education's positional and nonpositional benefits, Brighouse and Swift lose sight of what a consideration of the nonpositional benefits by itself can reveal. Instead of focusing on education's positional benefits, Kotzee investigates what emphasizing education's nonpositional benefits would imply for educational justice. Drawing on recent work in social epistemology, Kotzee holds that theories of educational justice would benefit from a consideration of the virtue of epistemic justice, and he outlines solutions to a number of problems in the area from this perspective.

This article explores some general considerations bearing on the question of whether virtue can be measured. What is moral virtue? What are measurement and evaluation, and what do they presuppose about the nature of what is measured or evaluated? What are the prospective contexts of, and purposes for, measuring or evaluating virtue, and how would these shape the legitimacy, methods, and likely success of measurement and evaluation? We contrast the realist presuppositions of virtue and measurement of virtue with the behavioral operationalism of a common conception of measurement in psychometrics. We suggest a realist and non-reductive conceptualization of the measurability of virtue. We then discuss three possible educational contexts in which the measurement of virtue might be pursued: high-stakes testing and accountability schemes, the evaluation of programs in character education, and routine student evaluation. We argue that highstakes testing of virtue would be ill-advised and counterproductive. We make some suggestions for how program evaluation in character education might proceed, and offer some examples of evaluation of student virtue-related learning. We conclude that virtue acquisition might be measured in a population of students accurately enough for program evaluation while also arguing that student and program evaluation do not require comprehensive evaluations of how virtuous individual students are. Routine student evaluation will typically focus on specific aspects of virtue acquisition, and program evaluations can measure the aggregate progress of virtue acquisition in all its aspects while evaluating only limited aspects of the learning of individual students.