Wilson Robin Fretwell
University of South Carolina School of Law, USA.
J Am Med Womens Assoc (1972). 2003 Fall;58(4):217-20; discussion 221-2.
Medical ethics evolved over the past half-century. This brought close reexamination and scrutiny of medical education and the "hands-on training" of future medical practitioners. Likewise societal opinions have intensified regarding the rights of patients, especially those deemed less likely to express their humiliation if they should discover themselves in compromising positions during treatment. Informed consent is modern medico-legal terminology; if the public felt that all patients were treated with the self-determination and dignity required by current HIPAA regulations, then there would be no reason to legislate such requirements. Law professor Robin Fretwell Wilson, Esq., and obstetrics and gynecology professor Nancy G. Chescheir, MD, present evidence and opinions from the legal and medical perspectives regarding conducting pelvic exams on anesthetized women without or with vague consent.
医学伦理在过去半个世纪中不断发展。这引发了对医学教育以及未来医学从业者“实践培训”的密切重新审视和审查。同样,社会对于患者权利的看法也更加强烈,尤其是那些如果在治疗过程中发现自己处于不利境地而不太可能表达屈辱感的患者。知情同意是现代医学法律术语;如果公众认为所有患者都能按照现行《健康保险流通与责任法案》(HIPAA)规定的自主决定权和尊严接受治疗,那么就没有理由制定此类要求的法律。法学教授罗宾·弗雷特韦尔·威尔逊律师以及妇产科教授南希·G·切舍尔医学博士,从法律和医学角度就未经明确同意或仅获得模糊同意对麻醉状态下的女性进行盆腔检查一事,提供了证据和观点。