Clever S L, Edwards K A, Feudtner C, Braddock C H
Department of Medicine, Division of General Internal Medicine, University of Chicago, Chicago, IL 60637, USA.
J Gen Intern Med. 2001 Aug;16(8):559-63. doi: 10.1046/j.1525-1497.2001.016008560.x.
Ethics education aims to train physicians to identify and resolve ethical issues. To address ethical concerns, physicians may need to confront each other. We surveyed medical students to determine if their comfort challenging members of their ward teams about ethical issues varies by specialty and what attributes of students and their teams contributed to that comfort. Compared to other specialties, students felt significantly less comfortable challenging team members about ethical issues on surgery and obstetrics/gynecology. We suggest that ethics education must address the atmosphere on ward teams and give students skills to help them speak out despite their discomfort.
伦理教育旨在培养医生识别和解决伦理问题的能力。为了应对伦理问题,医生们可能需要相互对峙。我们对医学生进行了调查,以确定他们在就伦理问题向病房团队成员提出质疑时的自在程度是否因专业而异,以及学生及其团队的哪些特质会影响这种自在程度。与其他专业相比,学生们在就伦理问题向外科和妇产科的团队成员提出质疑时明显感觉不那么自在。我们建议,伦理教育必须关注病房团队的氛围,并赋予学生技能,帮助他们即使感到不自在也能直言不讳。