The main goal of this research was to evaluate the ethical growth in moral judgment among pharmacy undergraduates and graduates at a Jordanian university. A cross-sectional approach was employed to examine the ethical decision-making abilities of 512 pharmacy students and graduates using the Professional Ethics in Pharmacy (PEP) instrument. The key metric was the Principled Morality Score, expressed as a percentage indicating the extent of advanced moral judgment, with elevated scores signifying higher levels of ethical maturity. Among participants, the participation level reached 49%. The overall median Principled Morality Score stood at 16.7, showing consistency without notable variations across the five student groups. Gender comparisons revealed no meaningful distinctions in median scores (16.7 for males versus 20 for females). Similarly, completion of an ethics curriculum did not yield significant differences (median scores of 20 for those who finished the course compared to 16.7 for others). No patterns of change were detected in the scores over time. The findings indicate that future pharmacists in this sample exhibited lower-than-anticipated levels of professional ethical reasoning. It is recommended to conduct a future longitudinal investigation tracking one group over time, exploring potential links between ethical growth and variables such as age, gender, academic progression, and approaches to ethics instruction.
