This paper builds on an important didactic element of course described at the 2011 ASEE conference. 1 This present paper expands on its emphasis on story writing and reflection, but with an added ethics twist. A great short story requires superb character development, an excellent plot often with a seminal event and with twists, ethical dilemmas and an outcome. For our biomedical and rehabilitation engineering (BmRE) course, we also require a triage component, diagnosis, treatment and a cost-of-care analysis. The fact that the students themselves developed the story line internalized the ethical concepts, hopefully transferable to a real-world situation.
Ethical DidacticsFor over a decade, the ~50 students/ semester (90% engineers, 10% from business and the life sciences = ~1200 students in total) were given lectures on human research requirements and misuse and required to complete the CitiProgram on-line human research course. In other lectures, they were introduced to ethical models, 5 the sensory-motor nervous system and spinal cord injury (SCI) pathology, and assistive technology for a variety of sensory-motor deficits.As described in our previous ASEE conference paper, 1 students were required to buy a bound lab notebook, take class notes in it, and also include weekly homework assignments and literature review analysis. The notebook was graded as a substantial part of the final grade. Slides from some lectures were provided and students were encouraged to put those in their notebook. The key for notebook use was that all tests were open notebook (only), but difficult. These tests were not a complete measure of retention, as they had notes to rely on, but the difficulty factor helped those with better retention. While not germane to this present paper, this 3-hour biomedical engineering survey course also provided introductions to cardiology, medical imaging, biometrics, prosthetics and orthotics, bio-informatics, biosignals and telehealth.These assignments addressed the ethical issues raised in the course and are described later.Did you complete the CitiProgram on-line human research course? Did you attend the lecture on medical ethics allocation models? What are the benefits of Speech Generating Devices for individuals with cerebral palsy? How was assistive technology used to help an individual with amyotrophic lateral sclerosis? Should artificial limbs be provided to all veterans? Should all children who are deaf get a cochlear implant? Should all women at age 40 get mammograms (or wait until 50)? Write a good short story with ethical twists about 3 individuals who sustain spinal cord injuries.