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本文引用的文献

1
How can medical training and informed consent be reconciled with volume-outcome data?医学培训和知情同意如何能与量-效数据相协调?
J Clin Ethics. 2006 Summer;17(2):149-57.
2
'Sorry, it's my first time!' Will patients consent to medical students learning procedures?“对不起,这是我第一次!” 患者会同意医学生学习操作程序吗?
Med Educ. 2005 Apr;39(4):365-9. doi: 10.1111/j.1365-2929.2005.02113.x.
3
Patients' willingness to allow residents to learn to practice medical procedures.患者允许住院医师学习进行医疗程序操作的意愿。
Acad Med. 2004 Feb;79(2):144-7. doi: 10.1097/00001888-200402000-00010.
4
Do patients understand their physician's level of training? a survey of emergency department patients.患者了解其医生的培训水平吗?一项针对急诊科患者的调查。
Acad Med. 2004 Feb;79(2):139-43. doi: 10.1097/00001888-200402000-00009.
5
Patients' understanding of the roles of interns, residents, and attending physicians in the emergency department.患者对急诊科实习医生、住院医师和主治医师职责的理解。
Acad Emerg Med. 1999 Apr;6(4):339-44. doi: 10.1111/j.1553-2712.1999.tb00399.x.
6
Ethical considerations surrounding first time procedures: a study and analysis of patient attitudes toward spinal taps by students.首次医疗程序相关的伦理考量:一项关于学生对腰椎穿刺术患者态度的研究与分析
Kennedy Inst Ethics J. 1992 Sep;2(3):217-31. doi: 10.1353/ken.0.0108.
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Ethics manual. Fourth edition. American College of Physicians.《伦理手册》。第四版。美国医师协会。
Ann Intern Med. 1998 Apr 1;128(7):576-94.
8
Physician-patient communication. The relationship with malpractice claims among primary care physicians and surgeons.医患沟通。初级保健医生和外科医生中与医疗事故索赔的关系。
JAMA. 1997 Feb 19;277(7):553-9. doi: 10.1001/jama.277.7.553.
9
The hidden curriculum, ethics teaching, and the structure of medical education.隐性课程、伦理教学与医学教育结构
Acad Med. 1994 Nov;69(11):861-71. doi: 10.1097/00001888-199411000-00001.
10
When students introduce themselves as doctors to patients.当学生以医生的身份向患者自我介绍时。
Acad Med. 1995 Mar;70(3):175-6. doi: 10.1097/00001888-199503000-00002.

患者并不了解其医生的培训水平,因为医生不会告知他们。

Patients do not know the level of training of their doctors because doctors do not tell them.

作者信息

Santen Sally A, Rotter Tricia S, Hemphill Robin R

机构信息

Department of Higher Education Leadership, Policy Organization, Vanderbilt Peabody College, Nashville, TN, USA.

出版信息

J Gen Intern Med. 2008 May;23(5):607-10. doi: 10.1007/s11606-007-0472-1. Epub 2007 Dec 21.

DOI:10.1007/s11606-007-0472-1
PMID:18097726
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2324138/
Abstract

SETTING

Although patients should know the level of training of the physician providing their care in teaching hospitals, many do not.

OBJECTIVE

The objective of this study is to determine whether the manner by which physicians introduce themselves to patients is associated with patients' misperception of the level of training of their physician.

PATIENTS/PARTICIPANTS: This was an observational study of 100 patient-physician interactions in a teaching emergency department.

MEASUREMENTS AND MAIN RESULTS

Residents introduced themselves as a doctor 82% of the time but identified themselves as a resident only 7% of the time. While attending physicians introduced themselves as a "doctor" 64% of the time, only 6% identified themselves as the supervising physician. Patients felt it was very important to know their physicians' level of training, but most did not.

CONCLUSIONS

Physicians in our sample were rarely specific about their level of training and role in patient care when introducing themselves to patients. This lack of communication may contribute to patients' lack of knowledge regarding who is caring for them in a teaching hospital.

摘要

背景

尽管患者应该了解在教学医院为其提供护理的医生的培训水平,但许多患者并不了解。

目的

本研究的目的是确定医生向患者自我介绍的方式是否与患者对医生培训水平的误解有关。

患者/参与者:这是一项对教学急诊科100次医患互动的观察性研究。

测量与主要结果

住院医师82%的时间自称是医生,但仅7%的时间表明自己是住院医师。而主治医师64%的时间自称是“医生”,只有6%表明自己是主治医师。患者认为了解医生的培训水平非常重要,但大多数患者并不了解。

结论

在我们的样本中,医生在向患者自我介绍时很少明确说明自己的培训水平和在患者护理中的角色。这种沟通不足可能导致患者对教学医院中照顾他们的人缺乏了解。