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[关于在医学教学中使用新近死亡患者的生物伦理分析]

[Bioethical analysis of the use of newly dead patients in medical learning].

作者信息

Gomes Andréia Patrícia, Rego Sergio, Palácios Marisa, Siqueira-Batista Rodrigo

机构信息

Escola Nacional de Saúde Pública Sérgio Arouca ( ENSP) -Fundação Oswaldo Cruz - Fiocruz, Rio de Janeiro, RJ.

出版信息

Rev Assoc Med Bras (1992). 2010 Jan-Feb;56(1):11-6. doi: 10.1590/s0104-42302010000100008.

Abstract

OBJECTIVE

The purpose of this article is to carry out, a discussion on the subject of bioethics and cadavers based upon a critic review of literature.

METHODS

A review of literature, was made with a survey of articles between 1977 and 2007 in the sites 'Biblioteca Virtual de Saúde', PubMed and SciElo, utilizing the keywords: newly deceased patients, newly dead patients, simulators,. This was complemented by a critical evaluation of books published in the area of ethics and bioethics.

RESULTS

The possibility to develop learning without orientation by a supervisor is doubtful.. The utilization of newly dead for learning invasive procedures is very frequent and seldom admitted. These procedures, are usually, carried out secretly, without the knowledge and consent of the family. The ethical aspects of these practices are not discussed in the practical medical education.

CONCLUSION

It essential that the ethics of use of recent deceased become a necessary content of graduate education. Performance of these procedures by students should always be authorized by family members. The simulators meet the requirements of training. Discussions about the ethical and bioethical aspects cannot be separated from practical considerations during the students learning time.

摘要

目的

本文旨在通过对文献的批判性回顾,对生物伦理学和尸体这一主题进行讨论。

方法

对“虚拟健康图书馆”、PubMed和SciElo网站上1977年至2007年的文章进行文献回顾,使用关键词:新去世患者、新死亡患者、模拟器。同时对伦理和生物伦理学领域出版的书籍进行批判性评估作为补充。

结果

在没有导师指导的情况下开展学习的可能性值得怀疑。利用新死者进行侵入性操作学习的情况非常普遍,但很少得到认可。这些操作通常是在家人不知情且未同意的情况下秘密进行的。在实际医学教育中并未讨论这些做法的伦理方面。

结论

近期死者使用的伦理规范必须成为研究生教育的必要内容。学生进行这些操作应始终得到家庭成员的授权。模拟器符合培训要求。在学生学习期间,关于伦理和生物伦理方面的讨论不能脱离实际考量。

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