Why Respect for Learner Autonomy Is an Ethical Priority

Learner autonomy is essential in medical education, not just as an educational goal but as an ethical priority. Drawing on self-determination theory (SDT), this Viewpoint differentiates autonomy from independence and emphasizes the need for autonomy support throughout medical training. We explore the ethical imperative of supporting autonomy in medical learners, why current educational models are often inadequate and how educators can adopt practices that respect learner autonomy. The paper concludes with a call for structural changes in medical education, to better align with evidence-based approaches that foster motivation, professional development and ultimately well-being.