Maa April, McCullough Laurence B
University of Texas Southwestern Medical Center, USA.
Med Teach. 2006 Jun;28(4):351-5. doi: 10.1080/01421590600627649.
Public hospitals serve as primary training sites for medical students. Public patients may therefore bear a disproportionate burden of medical student education. The purpose of this study was to critically examine the ethics of medical education in the public setting. Attitudes of first- and fourth-year students towards the role of public patients in medical education were elicited in focus groups. Inductive qualitative analysis was utilized to organize data into conceptual groups, which were then analyzed within an ethical framework. All patients have an equal obligation to participate in medical education. Students identified modifying factors that could affect a patient's obligation to educate future physicians. Available data highlight a concern that public teaching hospitals may provide a lower quality of care. If true, then the public teaching setting is creating an unfair burden upon that patient population who would then have a weakened obligation to participate in medical education.
公立医院是医学生的主要培训场所。因此，公众患者可能承担了不成比例的医学生教育负担。本研究的目的是严格审视公共环境中医学生教育的伦理问题。通过焦点小组访谈，了解了一年级和四年级学生对公众患者在医学教育中作用的态度。采用归纳定性分析方法将数据整理成概念组，然后在伦理框架内进行分析。所有患者都有平等的义务参与医学教育。学生们确定了可能影响患者教育未来医生义务的修正因素。现有数据凸显了一种担忧，即公立教学医院可能提供较低质量的医疗服务。如果情况属实，那么公共教学环境正在给该患者群体造成不公平的负担，而这些患者参与医学教育的义务也会因此减弱。
