After the workshop, two members of the working group (project leader, test theorist) developed the items and converted them into an appropriate format for a Delphi round.

Each item was listed individually and supplemented with a comment field (consent, no consent, reason for non-consent, alternative proposal). The answer option (consent) and the scaling (six-level) were identical for all items, and they were also matched. The dimension ‘previous knowledge of ethics’ consisted of sixteen items.

The second dimension ‘Dealing with ethical issues’ contained ninety items. The subsequent third dimension ‘Expectations and desires in terms of teaching in medical ethics’ consisted of twenty items. Finally, the participants of the working group were asked to comment on the questionnaire used in the qualitative study on sociodemographic and, for example, on the question of volunteer work.

A total of thirty-nine items were commented on. Concrete suggestions for reformulation were made for twenty-three items. The remaining sixteen items were editorial comments. These comments were entered for a second Delphi round, and then circulated within the working group once again. The members of the working group unanimously approved the proposed changes.

Since students were involved in the next steps, the study protocol for the testing and validation of the ethics commission was presented. The project was approved by the Ethics Committee of the University of Kiel, Germany (D477/18).

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