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医学与大屠杀:作为以色列国防军医疗部队教授医学伦理学的一种方式,参观纳粹死亡集中营。

Medicine and the Holocaust: a visit to the Nazi death camps as a means of teaching medical ethics in the Israel Defense Forces Medical Corps.

机构信息

The Medical Center, Ashdod, Israel.

出版信息

J Med Ethics. 2010 Dec;36(12):821-6. doi: 10.1136/jme.2010.037101. Epub 2010 Oct 28.

Abstract

A novel method of teaching military medical ethics, medical ethics and military ethics in the Israel Defense Force (IDF) Medical Corps, essential topics for all military medical personnel, is discussed. Very little time is devoted to medical ethics in medical curricula, and even less to military medical ethics. Ninety-five per cent of American students in eight medical schools had less than 1 h of military medical ethics teaching and few knew the basic tenets of the Geneva Convention. Medical ethics differs from military medical ethics: the former deals with the relationship between medical professional and patient, while in the latter military physicians have to balance between military necessity and their traditional priorities to their patients. The underlying principles, however, are the same in both: the right to life, autonomy, dignity and utility. The IDF maintains high moral and ethical standards. This stems from the preciousness of human life in Jewish history, tradition and religious law. Emphasis is placed on these qualities within the Israeli education system; the IDF teaches and enforces moral and ethical standards in all of its training programmes and units. One such programme is 'Witnesses in Uniform' in which the IDF takes groups of officers to visit Holocaust memorial sites and Nazi death camps. During these visits daily discussions touch on intricate medical and military ethical issues, and contemporary ethical dilemmas relevant to IDF officers during active missions.

摘要

一种新的军事医学伦理学教学方法,在以色列国防军(IDF)医疗团中教授医学伦理学和军事医学伦理学,这些都是所有军事医务人员的重要课题。医学课程中几乎很少有时间专门用于医学伦理学,更不用说军事医学伦理学了。在八所医学院的 95%的美国学生接受的军事医学伦理学教学不到 1 小时,很少有人了解日内瓦公约的基本宗旨。医学伦理学与军事医学伦理学不同:前者涉及医疗专业人员与患者之间的关系,而后者军医必须在军事必要性与其对患者的传统优先事项之间取得平衡。然而,这两者的基本原则是相同的:生命权、自主权、尊严和效用。IDF 保持着很高的道德和伦理标准。这源于犹太历史、传统和宗教法中对人类生命的珍视。以色列教育系统强调这些品质;IDF 在其所有培训计划和单位中教授和执行道德和伦理标准。其中一个这样的计划是“穿制服的证人”,IDF 会带领一群军官参观大屠杀纪念馆和纳粹死亡集中营。在这些访问中,日常讨论涉及到复杂的医学和军事伦理问题,以及与 IDF 军官在现役任务中相关的当代伦理困境。

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