医学教育核心的思考:超越美德伦理与实践准则
Deliberation at the hub of medical education: beyond virtue ethics and codes of practice.
作者信息
Barilan Y M, Brusa M
机构信息
Department of Medical Education, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
出版信息
Med Health Care Philos. 2013 Feb;16(1):3-12. doi: 10.1007/s11019-012-9419-3.
Although both codes of practice and virtue ethics are integral to the ethos and history of "medical professionalism", the two trends appear mutually incompatible. Hence, in the first part of the paper we explore and explicate this apparent conflict and seek a direction for medical education. The theoretical and empirical literature indicates that moral deliberation may transcend the incompatibilities between the formal and the virtuous, may enhance moral and other aspects of personal sensitivity, may help design and improve other parts of the curricula, and may foster self-awareness and clarification of the professional role. Not only are these goals essential for good and conscientious doctoring, but they may also reduce physicians' "burn-out". We argue that medical education should focus on the ubiquitous practice of deliberation in contemporary medicine, and especially the practice of moral deliberation.
尽管实践准则和美德伦理都是“医学专业精神”的精神气质和历史的组成部分,但这两种趋势似乎相互矛盾。因此,在本文的第一部分,我们探讨并阐明这种明显的冲突,并为医学教育寻找方向。理论和实证文献表明,道德思考可能超越形式与美德之间的不相容性,可能增强个人敏感性的道德和其他方面,可能有助于设计和改进课程的其他部分,并可能促进自我意识和对专业角色的澄清。这些目标不仅对成为优秀且尽责的医生至关重要,而且还可能减轻医生的“职业倦怠”。我们认为医学教育应专注于当代医学中普遍存在的思考实践,尤其是道德思考的实践。