International Medical University, Kuala Lumpur, Malaysia.
Children's Mercy Kansas City, Kansas City, Missouri; and.
Pediatrics. 2017 Mar;139(3). doi: 10.1542/peds.2016-2795. Epub 2017 Feb 7.
When minors are asked to assist medical educators by acting as standardized patients (SPs), there is a potential for the minors to be exploited. Minors deserve protection from exploitation. Such protection has been written into regulations governing medical research and into child labor laws. But there are no similar guidelines for minors' work in medical education. This article addresses the question of whether there should be rules. Should minors be required to give their informed consent or assent? Are there certain practices that could cause harm for the children who become SPs? We present a controversial case and ask a number of experts to consider the ethical issues that arise when minors are asked to act as SPs in medical education.
当未成年人被要求作为标准化患者（SP）协助医学教育者时，他们有可能被利用。未成年人应该受到防范被剥削的保护。这种保护已被写入规范医学研究和童工法的法规中。但是，对于未成年人在医学教育中的工作，没有类似的指导方针。本文探讨了是否应该制定规则的问题。是否应该要求未成年人提供知情同意或同意？是否有某些做法可能会对成为 SP 的儿童造成伤害？我们提出了一个有争议的案例，并请多位专家考虑当未成年人被要求在医学教育中担任 SP 时出现的伦理问题。
