Department of Geography (Medical), University of British Columbia, Vancouver, Canada.
J Med Ethics. 2010 Jun;36(6):371-4. doi: 10.1136/jme.2009.034900. Epub 2010 May 28.
In theory, physicians subscribe to and in their actions personify a set of virtues whose performance demands personal engagement. At the same time, they are instructed in their professional roles to remain emotionally and personally distant from those they are called to treat. The result, the authors argue, is an ethical conflict whose nature is described through an analysis of two narratives drawn from an online blog for young physicians. Confusion over professional responsibilities and personal roles were found to affect physicians' perceptions of their clinical duties and their social roles. In addition, it sets in sharp relief contemporary debates on physician training and the ethical nature of medical professionalism. Practically, the authors suggest, the confusion may contribute to early physician burnout. Methodologically, this paper promotes the use of online discussion sites as rich repositories providing an insight into real dilemmas and the actual perception of physicians' attempts to address them. It thus promotes use of such sites as a resource in which assumptions about physicians' own perceptions about the nature of their role in contemporary society can be tested.
从理论上讲，医生信奉并在行动中体现了一套美德，而这些美德的表现要求个人投入。与此同时，他们在职业角色中被教导要与他们所治疗的人在情感和个人上保持距离。作者认为，其结果是一种伦理冲突，其性质可以通过对来自年轻医生在线博客的两个叙述的分析来描述。研究发现，对专业职责和个人角色的混淆会影响医生对其临床职责和社会角色的看法。此外，它还鲜明地凸显了当代关于医生培训和医学专业精神的伦理性质的争论。实际上，作者认为，这种混淆可能导致医生早期倦怠。从方法论上讲，本文提倡使用在线讨论网站作为丰富的存储库，深入了解真实的困境以及医生试图解决这些困境的实际看法。因此，它提倡将这些网站作为一种资源，在其中可以检验人们对医生自身对当代社会角色性质的看法。
