Undergraduate engineering students are increasingly engaged in community-partnered and global health design, yet there remain limited approaches for exploring how capstone courses support learning related to sociotechnical reasoning (the connection between humans and technology), justice (giving others what they are owed), and ethical responsibility (doing what is right). This exploratory study examines learning outcomes in a senior biomedical engineering capstone course that integrates human-centered design, project-based learning, and anti-oppressive pedagogy through sustained community partnerships. Building on prior work that established the course’s pedagogical framework, the present study shifts focus to assessment. Using a mixed-methods approach, we analyze matched pre/post survey responses and structured student reflections to explore changes in how students frame design problems, integrate social considerations, and reason about power and responsibility over the semester. Findings suggest developmental movement in sociotechnical and justice-oriented reasoning, while values-based orientations remain relatively stable. Qualitative analysis provides additional insight into how technical and ethical reasoning co-develop in practice. This work demonstrates the feasibility of exploring justice-oriented learning in capstone design and informs future assessment and course development efforts.
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