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未来的医生们了解医学道德准则吗?

Are tomorrow's doctors aware of the code of medical ethics?

作者信息

Arun Babu T, Venkatesh C, Sharmila V

机构信息

Assistant Professor, Department of Pediatrics, Sri Lakshmi Narayana Institute of Medical Sciences, Osudu, Agaram, Puducherry, 605 502 INDIA email:

出版信息

Indian J Med Ethics. 2013 Jul-Sep;10(3):192-4. doi: 10.20529/IJME.2013.056.

DOI:10.20529/IJME.2013.056
PMID:23912734
Abstract

BACKGROUND

The purpose of this study was to evaluate the awareness of the 'ethical code of conduct for medical practitioners' among medical undergraduate students.

SETTING

Tertiary care medical college and hospital.

MATERIALS AND METHODS

This study covered 172 medical students in a private medical school in Pondicherry, located in southern India. They were administered a questionnaire, containing ten scenarios, which was based on the 'medical code of ethics' as set out in the chapters on 'unethical acts' and 'misconduct' of the Indian Medical Council (Professional conduct, Etiquette and Ethics) Regulations, 2002. The students were given the option of responding with a 'yes,' 'no' or 'don't know.'

RESULTS

Only 128 (74.4%) of the 172 medical undergraduates enrolled in the study returned the completed questionnaire. None of them answered all the questions correctly. The overall mean score was 6.13 out of 10, with an SD of 1.36. There were no significant differences between second-, third- or final-year students. There was no significant difference in the performance of boys and girls. Most of the students erred in scenarios related to decision-making and communication.

CONCLUSION

There are major deficiencies in the understanding of medical ethics among medical undergraduates. Including medical ethics as a mandatory and separate subject in the first few years of under graduation can help students understand and follow ethical principles.

摘要

背景

本研究旨在评估医学本科生对“医生道德行为准则”的认知情况。

研究地点

三级医疗医学院及医院。

材料与方法

本研究涵盖了位于印度南部本地治里一所私立医学院的172名医学生。他们接受了一份包含十个情景的问卷,该问卷基于2002年《印度医学理事会(职业行为、礼仪与道德)条例》中“不道德行为”和“不当行为”章节所规定的“医学道德规范”。学生们可选择回答“是”“否”或“不知道”。

结果

参与研究的172名医学生中,只有128名(74.4%)返回了完整问卷。他们中无人能正确回答所有问题。总体平均得分是10分中的6.13分,标准差为1.36。二年级、三年级和最后一年的学生之间没有显著差异。男生和女生的表现也没有显著差异。大多数学生在与决策和沟通相关的情景中出错。

结论

医学本科生对医学伦理的理解存在重大缺陷。在本科低年级的前几年将医学伦理作为一门必修且独立的课程纳入教学,有助于学生理解并遵循伦理原则。

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