Coverdale John H, McCullough Laurence B
a Department of Psychiatry and Behavioral Sciences , Baylor College of Medicine , Houston , Texas , USA.
Teach Learn Med. 2014;26(3):312-5. doi: 10.1080/10401334.2014.910460.
Many medical schools now offer students a distinctive clinical and learning opportunity, the student-run clinic (SRC), in which generalist physicians often play the major role. Although SRCs have become popular, they pose as-yet unexplored ethical challenges for the learning experiences of students. In SRCs students not only take on a significant administrative role especially in coordinating care, but also provide direct patient care for a clinically challenging, biopsychosocially vulnerable, medically indigent population of patients. SRCs provide an exemplar of the ethical challenges of care for such patients.
The ethical framework proposed in this article emphasizes that these valued learning opportunities for students should occur in the context of professional formation, with explicit attention to developing the professional virtues, with faculty as role models for these virtues.
The valued learning opportunities for students in SRCs should occur in the context of professional formation, with explicit attention to developing the professional virtues of integrity, compassion, self-effacement, self-sacrifice, and courage, which are required for the appropriate care of the vulnerable populations served by SRCs.
现在许多医学院校为学生提供了一种独特的临床和学习机会，即学生运营的诊所（SRC），在其中全科医生通常发挥主要作用。尽管学生运营的诊所已变得很普遍，但它们给学生的学习经历带来了尚未得到探索的伦理挑战。在学生运营的诊所中，学生不仅承担重要的管理角色，尤其是在协调护理方面，而且还为临床上具有挑战性、生物心理社会层面脆弱且医疗贫困的患者群体提供直接的患者护理。学生运营的诊所为护理这类患者所面临的伦理挑战提供了一个典型案例。
本文提出的伦理框架强调，这些对学生而言宝贵的学习机会应在专业形成的背景下出现，要明确注重培养专业美德，教师应成为这些美德的榜样。
学生在学生运营的诊所中获得的宝贵学习机会应在专业形成的背景下出现，要明确注重培养正直、同情、谦逊、自我牺牲和勇气等专业美德，这些美德是妥善护理学生运营的诊所所服务的弱势群体所必需的。
