Domen Ronald E
Division of Clinical Pathology (Laboratory Medicine), Department of Pathology, Penn State Hershey Medical Center and College of Medicine, Hershey, PA, USA.
Acad Pathol. 2016 Jun 16;3:2374289516654712. doi: 10.1177/2374289516654712. eCollection 2016 Jan-Dec.
Understanding and embracing uncertainty are critical for effective teacher-learner relationships as well as for shared decision-making in the physician-patient relationship. However, ambiguity has not been given serious consideration in either the undergraduate or graduate medical curricula or in the role it plays in patient-centered care. In this article, the author examines the ethics of ambiguity and argues for a pedagogy that includes education in the importance of, and tolerance of, ambiguity that is inherent in medical education and practice. Common threads running through the ethics of ambiguity are the virtue of respect, and the development of a culture of respect is required for the successful understanding and implementation of a pedagogy of ambiguity.
理解并接受不确定性对于建立有效的师生关系以及医患关系中的共同决策至关重要。然而,无论是本科还是研究生医学课程,抑或是其在以患者为中心的医疗中所起的作用,模糊性都未得到认真考虑。在本文中,作者审视了模糊性的伦理问题,并主张采用一种教学法,其中包括对医学教育和实践中固有的模糊性的重要性及容忍度进行教育。贯穿模糊性伦理的共同主线是尊重的美德,而成功理解和实施模糊性教学法需要培养一种尊重的文化。