Neitzke Gerald
Institut für Geschichte, Ethik und Philosophie der Medizin, Medizinische Hochschule Hannover, Hannover, BRD.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2008 Aug;51(8):872-9. doi: 10.1007/s00103-008-0608-4.
Ethics education is a topic of growing importance in the medical curriculum. Medical ethics can be defined as the skilled professional discourse on moral issues in patient care, medical research and the health-care system. Ethical competence comprises conscientiousness and the ability to give reasons for intuitive moral convictions. In the curriculum, course content and didactic approaches should be aimed at all levels (cognitive, affective, practical), as discussed in this paper. Case based seminars are the gold standard of ethics education. The teacher's responsibility is rooted in their character as role models during case discussions. Ethics education should continue throughout the curriculum. In Germany the compulsory subject "history, theory, ethics of medicine" is predominant in the curriculum, but courses vary greatly between different universities. Further research is needed in the fields of adequate assessment formats and evaluation of final outcomes of ethics education. Interprofessional ethics education (undergraduate and postgraduate) is a major challenge for the future, especially since services for clinical ethics consultation and moral case deliberation are becoming more established in German hospitals.
伦理教育在医学课程中是一个日益重要的主题。医学伦理可被定义为关于患者护理、医学研究和医疗保健系统中道德问题的专业技能性论述。伦理能力包括自觉性以及为直观的道德信念提供理由的能力。正如本文所讨论的,在课程设置中,课程内容和教学方法应针对所有层面(认知、情感、实践)。基于案例的研讨会是伦理教育的黄金标准。教师的责任源于他们在案例讨论中作为榜样的角色。伦理教育应贯穿整个课程。在德国,必修科目“医学史、理论、伦理”在课程中占主导地位,但不同大学的课程差异很大。在适当的评估形式和伦理教育最终成果评估领域,还需要进一步研究。跨专业伦理教育(本科和研究生阶段)是未来的一项重大挑战,尤其是因为德国医院中临床伦理咨询和道德案例审议服务正变得越来越完善。