衡量医学生的道德敏感度：多伦多大学的一项研究。
Measuring the ethical sensitivity of medical students: a study at the University of Toronto.
作者信息
Hébert P C, Meslin E M, Dunn E V
机构信息
Department of Family and Community Medicine, University of Toronto, Canada.
出版信息
J Med Ethics. 1992 Sep;18(3):142-7. doi: 10.1136/jme.18.3.142.
An instrument to assess 'ethical sensitivity' has been developed. The instrument presents four clinical vignettes and the respondent is asked to list the ethical issues related to each vignette. The responses are classified, post hoc, into the domains of autonomy, beneficence and justice. This instrument was used in 1990 to assess the ethical sensitivity of students in all four medical classes at the University of Toronto. Ethical sensitivity, as measured by this instrument, is not related to age or grade-point average. Sensitivity increases between the 1st and 2nd year and then decreases throughout the rest of undergraduate medical training, such that the 4th-year students identify fewer issues than those entering medical school. Students expressing a career choice of family medicine identify more issues than their peers. Several problems with the use of the instrument and the interpretation of the data were found. Nonetheless, these findings, if reproducible, are important and their meaning needs further discussion.
一种用于评估“伦理敏感性”的工具已被开发出来。该工具呈现四个临床案例，要求受访者列出与每个案例相关的伦理问题。事后，这些回答被归类到自主、行善和正义等领域。1990年，该工具被用于评估多伦多大学所有四个医学班级学生的伦理敏感性。通过该工具测量的伦理敏感性与年龄或平均绩点无关。敏感性在第一年和第二年之间增加，然后在本科医学培训的其余时间下降，以至于四年级学生识别出的问题比刚进入医学院的学生少。表示职业选择为家庭医学的学生比同龄人识别出更多问题。研究发现了该工具使用和数据解释方面的几个问题。尽管如此，这些发现如果可以重现，是很重要的，其意义需要进一步讨论。
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