Department of Psychiatry, University of New Mexico School of Medicine, Albuquerque, New Mexico.
Acad Psychiatry. 1996 Sep;20(3):176-88. doi: 10.1007/BF03341568.
Supervision of psychiatric residents provides a natural context for clinical ethics teaching. In this article, the authors discuss the need for ethics education in psychiatry residencies and describe how the special attributes of supervision allow for optimal ethics training for psychiatry residents in their everyday encounters with ethical problems. Ethical decision making in clinical settings is briefly reviewed, and a 6-step strategy for clinical ethics training in psychiatric supervision is outlined. The value of the clinical ethics supervisory strategy for teaching and patient care is illustrated through four case examples.
精神科住院医师的监督为临床伦理学教学提供了自然的环境。本文作者讨论了精神科住院医师伦理教育的必要性,并描述了监督的特殊属性如何使精神科住院医师在日常遇到伦理问题时接受最佳的伦理学培训。简要回顾了临床环境中的伦理决策,并概述了精神科监督中临床伦理学培训的六步策略。通过四个案例说明了临床伦理监督策略在教学和患者护理方面的价值。