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未经授权的行为:在麻醉状态下对女性进行盆腔检查教学。

Unauthorized practice: teaching pelvic examination on women under anesthesia.

作者信息

Wilson Robin Fretwell

机构信息

University of South Carolina School of Law, USA.

出版信息

J Am Med Womens Assoc (1972). 2003 Fall;58(4):217-20; discussion 221-2.

PMID:14640251
Abstract

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.

摘要

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。

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Unauthorized practice: teaching pelvic examination on women under anesthesia.未经授权的行为:在麻醉状态下对女性进行盆腔检查教学。
J Am Med Womens Assoc (1972). 2003 Fall;58(4):217-20; discussion 221-2.
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A change in medical student attitudes of obstetrics-gynecology clerkships toward seeking consent for pelvic examinations on an anesthetized patient.医学生在妇产科实习期间对在麻醉患者身上进行盆腔检查寻求同意的态度变化。
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Ethics versus education: pelvic exams on anesthetized women.伦理与教育:对麻醉状态下女性进行盆腔检查
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AWHONN responds regarding pelvic exams without consent.美国妇产科护士协会就未经同意进行盆腔检查作出回应。
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Educational pelvic exams on anesthetized women: Why consent matters.对麻醉状态下女性进行的教育性盆腔检查:为何同意至关重要。
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引用本文的文献

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Implementation and utilization of gynecological teaching associate and male urogenital teaching associate programs: a scoping review.妇科教学辅助和男性泌尿生殖系统教学辅助项目的实施与应用:一项范围综述
Adv Simul (Lond). 2021 May 20;6(1):19. doi: 10.1186/s41077-021-00172-2.
2
Consent for Pelvic Examinations Under Anesthesia by Medical Students: Historical Arguments and Steps Forward.医学学生行麻醉下骨盆检查的同意书:历史论点与前进步骤。
Obstet Gynecol. 2019 Dec;134(6):1298-1302. doi: 10.1097/AOG.0000000000003509.