Purpose: The purpose of this study was to assess the educational efficacy of an online software decision-making program, The Values Exchange. While ethics is a vital aspect of educating public health professionals, it is both difficult to teach and assess. There is a need to identify best practices in the pedagogy of public health ethics and in the teaching methodologies that enhance student learning and engagement in both theoretical and practical applications of ethical concepts. Method: Ten students enrolled in a graduate level public health ethics course completed a survey and participated in a focus group about the efficacy of the Values Exchange upon completion of the five-week course. Educational efficacy was identified as the effect on student awareness of their thought process, engagement, satisfaction, and usability of the tool. Descriptive statistics and a priori qualitative thematic analysis were used to interpret the data. Results: Students reported high levels of increased awareness of their thought process, engagement, satisfaction, and usability after using the Values Exchange. Seven themes were identified that related to the educational efficacy constructs: (1) thoughtful decision making, (2) considering other viewpoints, (3) novelty of the program, (4) enhanced curiosity, (5) climate of respect, (6) reluctance and concerns, and (7) organization. Students positively evaluated the Values Exchange and noted an improved learning experience as a result of using the tool. Conclusions: This small scale study demonstrated the potential of the Values Exchange as an innovative tool to enhance student understanding of public health ethics and the complexity of decision making in challenging situations. Future studies should continue to assess the efficacy of the program with larger, more diverse populations.