McCammon Susan D, Brody Howard
Department of Otolaryngology-Head and Neck Surgery, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555-0521, USA.
HEC Forum. 2012 Dec;24(4):257-72. doi: 10.1007/s10730-012-9202-0.
We argue that a turn toward virtue ethics as a way of understanding medical professionalism represents both a valuable corrective and a missed opportunity. We look at three ways in which a closer appeal to virtue ethics could help address current problems or issues in professionalism education-first, balancing professionalism training with demands for professional virtues as a prerequisite; second, preventing demands for the demonstrable achievement of competencies from working against ideal professionalism education as lifelong learning; and third, avoiding temptations to dismiss moral distress as a mere "hidden curriculum" problem. As a further demonstration of how best to approach a lifelong practice of medical virtue, we will examine altruism as a mean between the extremes of self-sacrifice and selfishness.
我们认为,转向美德伦理学作为理解医学职业精神的一种方式,既是一种有价值的纠正,也是一个错失的机会。我们探讨了更紧密地诉诸美德伦理学有助于解决职业精神教育中当前问题的三种方式——首先,将职业精神培训与对职业美德的要求相平衡,将其作为先决条件;其次,防止对能力可证明成就的要求与作为终身学习的理想职业精神教育背道而驰;第三,避免将道德困扰仅仅视为一个“隐性课程”问题而不予理会的诱惑。作为如何最好地实现医学美德终身实践的进一步例证,我们将把利他主义作为自我牺牲和自私这两个极端之间的一种中庸之道来审视。