Shelton W
Center for Medical Ethics, Education, and Research, Albany Medical College, NY 12208, USA.
Acad Med. 1999 Jun;74(6):671-4. doi: 10.1097/00001888-199906000-00013.
Applying standards of virtue that define the "good doctor" in a complex and technologically sophisticated health care system is often challenging and sometimes confusing. What are the characteristics of a "good doctor," who wishes to live up to high ethical and professional standards but who also must live and work in a health care system in which moral ambiguity is pervasive? Medical educators are urgently faced with such questions as their schools try to equip students with the skills and capacities required of the virtuous physician. The author describes how Aristotelian concepts of virtue can be used to guide medical educators in defining and teaching virtue. He then discusses how such traits as the ability to tolerate moral differences and ambiguity, the ability to develop thoughtful individual moral positions, and the capacity to respect and understand various cultural traditions may be what might be considered virtues in today's health care system. A "good" doctor, then, would be someone who is thoughtful, fair-minded, respectful of differences, and committed to his or her professional values.
在一个复杂且技术先进的医疗保健系统中,应用界定“好医生”的美德标准往往具有挑战性,有时甚至令人困惑。一个“好医生”想要达到高道德和专业标准,但又必须在一个道德模糊无处不在的医疗保健系统中生活和工作,其特征是什么呢?医学教育工作者迫切面临这样的问题,因为他们的学校试图让学生具备有德行的医生所需要的技能和能力。作者描述了亚里士多德的美德概念如何能够用于指导医学教育工作者界定和教授美德。然后,他讨论了诸如容忍道德差异和模糊性的能力、形成深思熟虑的个人道德立场的能力,以及尊重和理解各种文化传统的能力等特质,在当今医疗保健系统中可能如何被视为美德。那么,一个“好”医生将是一个有思想、公正、尊重差异并致力于其专业价值观的人。