Thomasma David C
J Clin Ethics. 1991 Spring;2(1):16-7.
...how do we train residents to employ ethical reasoning? This is a good question, not only for the problem of strikes, but also for all medical training. The best method is inductive, since that most closely parallels the clinical reasoning processes that define the reality of medical practice. The strengths of inductive reasoning are that it most closely matches the realities of practice, it arises from the particular circumstances of the case, and it leads to a casuistic conclusion that applies more directly than abstract reasoning models to the problem at hand. The weaknesses, though, require that inductive models include a check and balance.
我们如何培训住院医生运用伦理推理呢?这是个好问题,不仅关乎罢工问题,也适用于所有医学培训。最佳方法是归纳法,因为它与界定医疗实践现实的临床推理过程最为相似。归纳推理的优点在于它与实践现实最为契合,它源于具体病例情况,且能得出一种决疑法结论,比抽象推理模型更直接地应用于手头问题。然而,其缺点是要求归纳模型具备制衡机制。