McCullough Laurence B
Center for Medical Ethics, Baylor College of Medicine, One Baylor Plaza, MS-420, Houston, TX 77030-3411, USA.
J Med Philos. 2013 Feb;38(1):1-5. doi: 10.1093/jmp/jhs055.
The morally responsible practice of clinical medicine depends on many factors, the integrity of clinical judgment chief among them. Responsible clinical judgment requires that it be deliberative. The disciplines of the humanities, all of which contribute to clinical ethics-as the papers that follow illustrate-teach that deliberative reasoning includes critical self-awareness and self-scrutiny. Critical appraisal proves essential to achieving both. The papers in the 2013 Clinical Ethics number of the Journal provide distinctive critical appraisals of clinical judgment: concepts of race; narrative; stewardship; and the Rule of Rescue. By becoming commonplace, such critical appraisals of clinical judgment become essential to clinical ethics.
临床医学中符合道德责任的实践取决于许多因素，其中临床判断的完整性最为重要。负责任的临床判断要求其具有审慎性。人文学科的各个领域都对临床伦理学有所贡献——正如后续论文所表明的那样——它们教导我们审慎性推理包括批判性的自我意识和自我审视。批判性评估对于实现这两者都至关重要。《期刊》2013年临床伦理学专刊中的论文对临床判断进行了独特的批判性评估：种族概念、叙事、管理以及救援规则。通过变得普遍，这种对临床判断的批判性评估对临床伦理学变得至关重要。
