Davis D J, Doucet H
Departments of Pediatrics and Obstetrics, Division of Neonatology, University of Ottawa, 401 Smyth Rd., Ottawa ON K1H 8L1, Canada.
Ann R Coll Physicians Surg Can. 1996 Feb;29(1):45-8.
Ethical thought plays a role in clinical decision-making, especially in fields such as neonatal-perinatal medicine. There is limited information, however, on the best way to teach ethics to postgraduate medical trainees in this subspeciality. This article describes the development, implementation, and evolution of a structured curriculum in ethics for a program in neonatal-perinatal medicine. The curriculum is facilitated by a specialist in ethics and based on hypothetical case scenarios, which are discussed using a framework that highlights the ethical values promoted or neglected in each decision option. Formal evaluation of the program has been impossible, but informal reviews indicate that there is a high degree of satisfaction.
伦理思考在临床决策中发挥着作用,尤其是在新生儿围产期医学等领域。然而,关于向该亚专业的研究生医学实习生传授伦理学的最佳方式,相关信息有限。本文描述了新生儿围产期医学项目伦理学结构化课程的开发、实施及演变。该课程由一位伦理学专家推动,基于假设的病例场景展开讨论,讨论时使用一个框架,该框架突出了每个决策选项中所倡导或忽视的伦理价值。对该项目进行正式评估是不可能的,但非正式评估表明满意度很高。