Dossabhoy Shernaz S, Feng Jessica, Desai Manisha S
Medical Students, University of Massachusetts Medical School, Worcester, MA.
Associate Professor, Department of Anesthesiology, University of Massachusetts Medical School, Worcester, MA.
J Anesth Hist. 2018 Apr;4(2):139-146. doi: 10.1016/j.janh.2017.09.005. Epub 2017 Oct 5.
We determined the extent and context in which the Hippocratic or other oaths are administered at accredited medical schools in the United States.
An online survey was used to gather data about oath ceremonies at every allopathic medical school in the US.
Sixty-seven of 141 contacted medical schools (48%) had medical students recite an oath. Fifty-nine (88% of responding institutions) had students swear an oath more than once during medical training and 30 (45%) used more than one oath. Responses show that 29 (43%) schools used the classic Hippocratic Oath or a modified version of it, 29 (43%) used oaths authored by students and/or faculty, and 28 (42%) used some other oath. All reporting institutions (67, 100%) incorporated an oath into a White Coat Ceremony (62, 92%), a ceremonial event where medical students are given short white coats to be worn during clinical rotations, or Commencement (62, 93%).
Oaths play a significant role in medical school ceremonies with an unknown impact on shaping the medical ethics of student physicians. Although sections of the Hippocratic Oath may seem outdated, its principles remain vastly applicable to the ethical practice of modern medicine. On the contrary, we argue that many features of the oath are more applicable than ever before to the modern clinician. We believe that the Hippocratic Oath ought to remain a vital part of today's medical education and clinical practice.
我们确定了美国认可的医学院校中施行希波克拉底誓言或其他誓言的程度和背景。
通过在线调查收集美国每所全科医学院校誓言仪式的数据。
在联系的141所医学院校中，有67所（48%）让医学生宣誓。59所（占回复机构的88%）在医学培训期间让学生不止宣誓一次，30所（45%）使用不止一种誓言。回复显示，29所（43%）学校使用经典的希波克拉底誓言或其修改版本，29所（43%）使用学生和/或教师撰写的誓言，28所（42%）使用其他誓言。所有报告机构（67所，100%）将誓言纳入白袍仪式（62所，92%），即医学生在临床轮转期间穿着短白袍的仪式活动，或毕业典礼（62所，93%）。
誓言在医学院校仪式中发挥着重要作用，但其对塑造医学生职业道德的影响尚不清楚。尽管希波克拉底誓言的部分内容可能看起来过时，但其原则在很大程度上仍适用于现代医学的道德实践。相反，我们认为誓言的许多特征比以往任何时候都更适用于现代临床医生。我们相信希波克拉底誓言应该仍然是当今医学教育和临床实践的重要组成部分。
