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2017年英国医学院校中希波克拉底誓言或其他专业誓言的使用情况:实践、对益处的认知及原则主义

Use of the Hippocratic or other professional oaths in UK medical schools in 2017: practice, perception of benefit and principlism.

作者信息

Green Ben

机构信息

Institute of Medicine, University Centre Shrewsbury, Guildhall, Shrewsbury, SY3 8HQ, UK.

The Medical School, University of Chester, Parkgate Road, Chester, CH1 4BJ, UK.

出版信息

BMC Res Notes. 2017 Dec 29;10(1):777. doi: 10.1186/s13104-017-3114-7.

Abstract

OBJECTIVE

This paper concerns the continued use of the Hippocratic Oath in United Kingdom (UK) medical schools. A survey of all UK medical schools looked at which schools use the Oath, which variants they use, and what they perceive to be the benefits of using the Oath. 27 schools participated in the study.

RESULTS

Although some authors have deemed the Oath as out of date for the purposes of modern medicine [1], new variants of the Oath have been embraced and 19/27 (70%) of schools use an Oath, with some Universities asking student doctors to acknowledge this Oath on entry to and graduation from medical school. There is a renewed interest in use of the Oath, with use in some Schools on admission and graduation. Reasons for adopting the Oath include a desire to enhance good practice and to prevent unwanted behaviour. Variants of the Oath used were analysed according to which bioethical principles are contained within them and some do not accord with all principles. A new variant of the Oath is proposed which encompasses all four bioethical principles.

摘要

目的

本文关注英国医学院校中希波克拉底誓言的持续使用情况。一项针对英国所有医学院校的调查研究了哪些学校使用该誓言、使用的是哪些变体,以及他们认为使用该誓言的益处是什么。27所学校参与了这项研究。

结果

尽管一些作者认为该誓言对于现代医学而言已经过时[1],但新的誓言变体已被采用,27所学校中有19所(70%)使用誓言,一些大学要求医学生在进入医学院和毕业时认可该誓言。人们对使用誓言重新产生了兴趣,一些学校在入学和毕业时使用。采用该誓言的原因包括希望加强良好行为规范以及防止不良行为。根据其中包含的生物伦理原则对所使用的誓言变体进行了分析,有些并不符合所有原则。本文提出了一种涵盖所有四项生物伦理原则的新的誓言变体。

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