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伦理、同理心与牙医教育。

Ethics, empathy, and the education of dentists.

机构信息

College of Dentistry, University of Kentucky, 800 Rose Street, Lexington, KY 40536-0297, USA.

出版信息

J Dent Educ. 2010 Jun;74(6):567-78.

Abstract

Professional education in dentistry exists to educate good dentists-dentists equipped and committed to helping society gain the benefits of oral health. In achieving this intention, dental educators acknowledge that student dentists must acquire the complex knowledge base and the sophisticated perceptual-motor skills of dentistry. The graduation of knowledgeable and skilled clinicians in dentistry is a necessary, but not sufficient, condition for ensuring quality oral health care. The further requirement is the commitment of graduates to applying their abilities with moral integrity: providing appropriate and quality care in their patients' best interest. Ultimately, good dentistry depends on individuals committed to treating their patients and society fairly, that is, ethically. This essay describes the historical basis for thinking about ethics from the perspective of human nature; describes how evolutionary ethics seeks to ground moral behavior in human emotion rather than primarily human reason; discusses the roots of morality in the behavior of animals, behavior that observed in humans would be described as empathy; characterizes empathy, discussing its imperative in caring for patients; and suggests what implications an empathy-mediated understanding of morality has for dental education.

摘要

口腔医学专业教育的目的是培养优秀的牙医——有能力并致力于帮助社会从口腔健康中获益的牙医。为了实现这一目标,口腔医学教育工作者承认,未来的牙医学生必须掌握口腔医学复杂的知识基础和精湛的感知运动技能。培养出有知识、有技能的临床医生是确保高质量口腔保健的必要条件,但不是充分条件。进一步的要求是毕业生必须承诺以道德正直来运用他们的能力:为患者的最佳利益提供适当和优质的护理。最终,良好的口腔医学取决于致力于公平对待患者和社会的个人,也就是说,要有道德。本文从人性的角度描述了思考伦理学的历史基础;描述了进化伦理学如何试图将道德行为建立在人类情感而非主要是人类理性的基础上;讨论了动物行为中的道德根源,人类观察到的行为会被描述为同理心;描述了同理心,讨论了它在照顾患者方面的必要性;并提出了同理心介导的道德理解对口腔医学教育的意义。

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