Pinto Andrew D, Upshur Ross E G
Department of Family and Community Medicine, University of Toronto, 410 Sherbourne Street, Toronto, Ontario, Canada.
Dev World Bioeth. 2009 Apr;9(1):1-10. doi: 10.1111/j.1471-8847.2007.00209.x.
As a result of increased interest in global health, more and more medical students and trainees from the 'developed world' are working and studying in the 'developing world'. However, while opportunities to do this important work increase, there has been insufficient development of ethical guidelines for students. It is often assumed that ethics training in developed world situations is applicable to health experiences globally. However, fundamental differences in both clinical and research settings necessitate an alternative paradigm of analysis. This article is intended for teachers who are responsible for preparing students prior to such experiences. A review of major ethical issues is presented, how they pertain to students, and a framework is outlined to help guide students in their work.
由于对全球健康的兴趣增加,越来越多来自“发达国家”的医学生和实习生在“发展中国家”工作和学习。然而,虽然从事这项重要工作的机会增加了,但针对学生的道德准则却没有得到充分发展。人们常常认为,发达国家环境下的道德培训适用于全球的健康经历。然而,临床和研究环境中的根本差异需要一种不同的分析范式。本文是为那些在此类经历之前负责培养学生的教师而写的。文中对主要的伦理问题进行了综述,阐述了这些问题与学生的关系,并概述了一个框架以帮助指导学生开展工作。