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儿科住院医师的伦理教育:文献综述

Ethics education for pediatric residents: a review of the literature.

作者信息

Deonandan Raywat, Khan Hafsa

机构信息

Interdisciplinary School of Health Sciences, University of Ottawa, Ottawa, Ontario.

出版信息

Can Med Educ J. 2015 Apr 20;6(1):e61-7. eCollection 2015.

Abstract

BACKGROUND

Ethics education and research on medical residents is needed because, unlike medical students or experienced doctors, medical residents have to perform multiple roles simultaneously - student, teacher and clinician - thus exposing them to unique ethical stressors. In this paper we reviewed the literature concerning ethics education in postgraduate pediatrics training programs. Our goal was not to simply describe educational strategies and programs, but also to explore measurements and experiences of current practices to address gaps in ethics education during residency.

METHOD

We conducted a structured literature review to explore the extent of ethics education in pediatric residency programs.

RESULTS

Twelve relevant studies were found. The studies suggest that existing training regimens are insufficient to meet the real life ethical challenges experienced in actual practice, particularly with respect to palliative care and the commission of clinical errors.

CONCLUSIONS

The increasing diversity of culture and beliefs in the clinical workplace is also serving to complicate educational needs. An interdisciplinary approach, spread over the entirety of a physician's training, is a proposed solution worthy of more attention.

摘要

背景

对住院医师进行伦理教育和研究是必要的,因为与医学生或经验丰富的医生不同,住院医师必须同时扮演多种角色——学生、教师和临床医生——因此使他们面临独特的伦理压力源。在本文中,我们回顾了有关儿科研究生培训项目中伦理教育的文献。我们的目标不仅是简单描述教育策略和项目,还探索当前实践中的衡量方法和经验,以弥补住院医师培训期间伦理教育的差距。

方法

我们进行了一项结构化文献综述,以探究儿科住院医师培训项目中伦理教育的程度。

结果

共找到12项相关研究。这些研究表明,现有的培训方案不足以应对实际临床实践中遇到的现实伦理挑战,尤其是在姑息治疗和临床失误方面。

结论

临床工作场所文化和信仰的日益多样化也使教育需求变得更加复杂。一种贯穿医生整个培训过程的跨学科方法是一个值得更多关注的解决方案。

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本文引用的文献

1
Does pediatrics need its own bioethics?
Perspect Biol Med. 2010 Autumn;53(4):613-24. doi: 10.1353/pbm.2010.0011.
3
Integrating bioethics into postgraduate medical education: the University of Toronto model.
Acad Med. 2010 Jun;85(6):1035-40. doi: 10.1097/ACM.0b013e3181dbebb8.
4
A longitudinal method of teaching pediatric palliative care to interns: preliminary findings regarding changes in interns' comfort level.
Palliat Support Care. 2010 Mar;8(1):35-40. doi: 10.1017/S147895150999068X. Epub 2010 Feb 18.
5
Everyday ethics issues in the outpatient clinical practice of pediatric residents.
Arch Pediatr Adolesc Med. 2009 Sep;163(9):838-43. doi: 10.1001/archpediatrics.2009.139.
6
Pediatric residents' and fellows' perspectives on palliative care education.
J Palliat Med. 2009 May;12(5):451-7. doi: 10.1089/jpm.2008.0263.
7
Ethics education in surgical residency programs: a review of the literature.
J Surg Educ. 2009 Jan-Feb;66(1):35-42. doi: 10.1016/j.jsurg.2008.10.001.
8
Medical error disclosure among pediatricians: choosing carefully what we might say to parents.
Arch Pediatr Adolesc Med. 2008 Oct;162(10):922-7. doi: 10.1001/archpedi.162.10.922.
9
Pediatricians' reports of their education in ethics.
Arch Pediatr Adolesc Med. 2008 Apr;162(4):368-73. doi: 10.1001/archpedi.162.4.368.
10
The junior doctor as ethically unique.
J Med Ethics. 2008 Apr;34(4):268-70. doi: 10.1136/jme.2007.020636.

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