Faculty of Health and Social Sciences, University of Bedfordshire, Park Square, Luton, England, UK.
J Med Ethics. 2011 Oct;37(10):616-22. doi: 10.1136/jme.2010.041566. Epub 2011 May 16.
Medical councils increasingly require graduates to understand law and to practise medicine mindful of the legal rules. In the UK a revised curriculum for medical law and ethics has been published. However, coverage of law in medical education remains variable and doubts exist about how far students acquire legal knowledge and skills in its implementation. This survey of students in two UK medical schools measured their law learning and their confidence in using this knowledge. Concept maps and a self-audit questionnaire were used to capture students' understanding and perceptions of this knowledge domain and self-assessments of their legal knowledge and skills. A large sample was achieved across first, second and final year students. Students agree that a sound understanding of law is essential to being a good doctor. Their perceptions of law are generally positive but the interface between the legal rules and codes of medical ethics creates difficulty. In some areas students offer relatively confident self-assessments of their legal knowledge and skills for practising law. However, levels of confidence in other areas of their law learning raise doubts about the degree to which they can advocate for and protect their patients. Conclusions are drawn about the effectiveness of students' law learning and recommendations made for further research.
医学委员会越来越要求毕业生了解法律，并在行医时牢记法律规定。在英国，已经发布了修订后的医学法律和伦理课程。然而，医学教育中法律覆盖范围仍然存在差异，并且对于学生在实施过程中获得法律知识和技能的程度存在疑问。这项针对英国两所医学院学生的调查衡量了他们的法律学习情况以及他们对使用这些知识的信心。概念图和自我审计问卷用于捕捉学生对这一知识领域的理解和看法，以及对自己法律知识和技能的自我评估。在一年级、二年级和最后一年的学生中都取得了较大的样本。学生们一致认为，对法律有一个扎实的理解是成为一名好医生的必要条件。他们对法律的看法总体上是积极的，但法律规则和医学伦理准则之间的接口存在困难。在某些领域，学生对自己在法律实践方面的法律知识和技能的自我评估相对有信心。然而，他们在法律学习的其他领域的信心水平使人对他们能够为患者辩护和保护患者的程度产生怀疑。对学生法律学习的有效性得出了结论，并提出了进一步研究的建议。
