Ramsey Kevin M, Weijer Charles
Cumberland Regional Health Care Centre, Amherst, Canada.
World J Surg. 2007 Nov;31(11):2067-9; discussion 2070-1. doi: 10.1007/s00268-007-9243-8.
The practice of surgical trainees operating in developing countries is gaining interest in the medical community. Although there has been little analysis about the ethical impact of these electives, there has been some concerns raised over the possible exploitation of trainees and their patients. An ethical review of this practice shows that care needs to be taken to prevent harm. Inexperienced surgeons learning surgical skills in developing countries engender greater risk of violating basic ethical principles. Advanced surgical trainees who have already achieved surgical competence are best qualified to satisfy these ethical issues. All training programs need to develop a structured ethical review for international electives to protect their trainees and their patients from harm.
外科实习生在发展中国家开展手术的做法在医学界正日益受到关注。尽管对于这些选修活动的伦理影响几乎没有进行过分析，但人们对实习生及其患者可能受到的剥削提出了一些担忧。对这种做法的伦理审查表明，需要谨慎防范伤害。在发展中国家学习手术技能的经验不足的外科医生更有可能违反基本伦理原则。已经具备手术能力的高级外科实习生最有资格解决这些伦理问题。所有培训项目都需要为国际选修活动制定结构化的伦理审查，以保护其实习生及其患者免受伤害。
