Lynoe N, Löfmark R, Thulesius H O
Centre for Bioethics, LIME, Karolinska Institutet, 171 77 Stockholm, Sweden.
J Med Ethics. 2008 Apr;34(4):315-6. doi: 10.1136/jme.2007.021147.
The goal of the present study was to elucidate what influences medical students' attitudes and interests in medical ethics. At the end of their first, fifth and last terms, 409 medical students from all six medical schools in Sweden participated in an attitude survey. The questions focused on the students' experience of good and poor role models, attitudes towards medical ethics in general and perceived effects of the teaching of medical ethics. Despite a low response rate at some schools, this study indicates that increased interest in medical ethics was related to encountering good physician role models, and decreased interest, to encountering poor role models. Physicians involved in the education of medical students seem to teach medical ethics as role models even when ethics is not on the schedule. The low response rate prevents us from drawing definite conclusions, but the results could be used as hypotheses to be further scrutinised.
本研究的目的是阐明是什么影响了医学生对医学伦理学的态度和兴趣。在第一学期、第五学期和最后一学期末,瑞典所有六所医学院的409名医学生参与了一项态度调查。问题集中在学生对优秀和糟糕榜样的体验、对医学伦理学的总体态度以及医学伦理学教学的感知效果。尽管一些学校的回应率较低,但本研究表明,对医学伦理学兴趣的增加与遇到优秀的医生榜样有关,而兴趣的降低与遇到糟糕的榜样有关。参与医学生教育的医生似乎即使在课程表上没有伦理学时,也会以榜样的身份教授医学伦理学。低回应率使我们无法得出明确的结论,但这些结果可作为有待进一步审视的假设。