Fitzgerald Faith
University of California, Davis, California 95817, USA.
Wien Klin Wochenschr. 2004 Jul 15;116(13):434-8. doi: 10.1007/BF03040932.
In this paper I wish to introduce a short description of the US medical educational system and show how various types of Advance Directives can be used in the educational process. The danger is that these documents will become one more thing to be gotten out of the way so that no real discussion takes place. In summation, many academic teaching hospitals, and their faculty are asked to teach residents and students about advance directives, but it is often done in a formulaic way, because the nature of the doctors, the patients, and the medical care system impede true inquiry into the fundamental question which makes an advance directive valuable and legitimate: how can we help this person either live or die in a way that is both medically feasible and closest to their desires?
在本文中，我想简要介绍一下美国的医学教育体系，并展示各种类型的预立医疗指示如何在教育过程中得到应用。危险在于，这些文件会变成又一件需要被搁置一旁的事情，从而无法进行真正的讨论。总之，许多学术教学医院及其教职员工被要求向住院医生和学生传授预立医疗指示的相关知识，但往往只是照本宣科，因为医生、患者以及医疗体系的性质阻碍了对一个使预立医疗指示变得有价值且合理的根本问题进行真正的探究：我们如何才能以医学上可行且最贴近他们愿望的方式帮助这个人生存或离世？
