Moreno-Hunt Carey, Gilbert William M
Department of Obstetrics and Gynecology, University of California, Davis, USA.
Obstet Gynecol. 2005 Dec;106(6):1382-4. doi: 10.1097/01.AOG.0000187895.59463.5b.
To assess the level and type of medical-legal education offered to obstetrics and gynecology residents and medical students.
All obstetrics and gynecology program directors (n = 252) were asked to complete a survey questioning the availability of, type of, and desire for medical-legal education within their programs.
Seventy-eight percent of the program directors answered the survey with 86% reporting some degree of formal medical-legal education. The most common formats were didactic lectures (38%), grand rounds (30%), case conferences (19%), mock trials (9%), and other (4%). These sessions most commonly contained information on proper documentation (48%), testifying (25%), and giving a deposition (24%). The average number of sessions per year was 4.1 with a median of 3 sessions per year. Despite this high percentage of some formal education, 88% expressed an interest in pursuing other educational options on these topics.
Most obstetrics and gynecology residency programs provide some form of medical-legal instruction to residents, but the small number of sessions suggests that this is inadequate. Residency programs may benefit from a larger and more formal resident education program on medical-legal issues.
评估为妇产科住院医师和医学生提供的医学法律教育的水平和类型。
向所有妇产科项目主任(n = 252)发放调查问卷,询问其所在项目中医学法律教育的可获得性、类型及需求。
78%的项目主任回复了调查问卷,其中86%报告开展了一定程度的正规医学法律教育。最常见的形式是理论讲座(38%)、大查房(30%)、病例讨论会(19%)、模拟审判(9%)及其他(4%)。这些课程最常包含的内容有正确记录(48%)、作证(25%)及宣誓作证(24%)。每年课程的平均数量为4.1节,中位数为每年3节。尽管正规教育的比例很高,但88%的人表示有兴趣学习这些主题的其他教育课程。
大多数妇产科住院医师培训项目为住院医师提供了某种形式的医学法律指导,但课程数量较少表明这并不充分。住院医师培训项目可能会从规模更大、更正规的医学法律问题住院医师教育项目中受益。