Baumgartner Fritz, Flores Gabriel
Division Cardiothoracic Surgery, Los Angeles County Harbor-UCLA Medical Center, Torrance, CA, USA.
Universidad Autónoma de Guadalajara, Zapopan, Jalisco, Mexico.
Linacre Q. 2018 Feb;85(1):63-73. doi: 10.1177/0024363918756389. Epub 2018 Mar 28.
The Hippocratic Oath is a standard of medical ethics. Oath adaptations are common. Objective: Evaluate students' perceptions regarding the oath. Design: Survey of University of California, Los Angeles (UCLA) Medical School graduating students regarding the oath's relevance, content, and application, and whether a choice of version should be provided.
Forty-two of the fifty-three students (79 percent) considered the original oath relevant. Most (53 percent) disagreed that the oath in its original form be used, and most preferred a modified oath. More agreed (40 percent) than disagreed (28 percent) on providing a choice of version of the oath. The mean of correct answers as to the original oath's contents was 68 percent. Euthanasia and abortion prohibitions were recognized by 68 percent and 62 percent, respectively. Increased knowledge of the original's contents correlated with decreased desire that it be used ( = .02). Recognition of euthanasia/abortion prohibitions was significantly better for those in disagreement than in agreement that the original be used. Those who disagreed that a choice of oath versions be provided had significantly better knowledge of the original's euthanasia/abortion prohibitions than those who agreed. However, those who felt strongly that a choice should or should not be given each had a 100 percent accuracy of identifying euthanasia/abortion prohibitions.
Most students preferred an adapted oath to the original. Increased student knowledge of the original oath's contents, including reference to euthanasia/abortion, significantly correlated with decreased desire to use it. Given the original's importance in medical ethics, this is concerning. A subset of students, however, affirmed the original's value and desired its use. Improved education in the Hippocratic oath is important, given modern medicine's complex moral issues.
The Hippocratic oath is a standard of medical ethics. Oath adaptations eliminating the original's prohibitions of abortion/euthanasia are common. Most medical students who were questioned preferred the adapted oath to the original. Only two-thirds recognized the original's prohibitions of abortion/euthanasia. Those who knew of the original oath's prohibitions also had a decreased desire that it be used. Students disagreeing that a choice of versions of the oath be provided had better knowledge of these prohibitions. This is concerning, given the original oath's importance in medical ethics including at the 1945-1949 Nuremberg trials. Nonetheless, a subset of students affirmed the original Hippocratic oath's importance, desiring its use.
希波克拉底誓言是医学伦理的一项标准。对誓言进行改编很常见。目的：评估学生对该誓言的看法。设计：对加利福尼亚大学洛杉矶分校（UCLA）医学院的毕业生进行调查，了解他们对誓言的相关性、内容、应用的看法，以及是否应提供誓言版本的选择。
53名学生中有42名（79%）认为原始誓言具有相关性。大多数人（53%）不同意使用原始形式的誓言，并且大多数人更喜欢经过修改的誓言。对于提供誓言版本的选择，同意的人（40%）比不同意的人（28%）更多。关于原始誓言内容的正确答案的平均值为68%。分别有68%和62%的人认识到禁止安乐死和堕胎的内容。对原始内容了解的增加与使用它的意愿降低相关（ = 0.02）。对于那些不同意使用原始誓言的人来说，对安乐死/堕胎禁令的认识明显比对同意使用原始誓言的人更好。那些不同意提供誓言版本选择的人对原始誓言中安乐死/堕胎禁令的了解明显比同意的人更好。然而，那些强烈认为应该或不应该提供选择的人在识别安乐死/堕胎禁令方面的准确率均为100%。
大多数学生更喜欢改编后的誓言而非原始誓言。学生对原始誓言内容（包括提及安乐死/堕胎）了解的增加与使用它的意愿降低显著相关。鉴于原始誓言在医学伦理中的重要性，这令人担忧。然而，一部分学生肯定了原始誓言的价值并希望使用它。鉴于现代医学复杂的道德问题，加强对希波克拉底誓言的教育很重要。
希波克拉底誓言是医学伦理的一项标准。消除原始誓言中对堕胎/安乐死禁令的改编很常见。大多数接受询问的医学生更喜欢改编后的誓言而非原始誓言。只有三分之二的人认识到原始誓言对堕胎/安乐死的禁令。那些知道原始誓言禁令的人也降低了使用它的意愿。不同意提供誓言版本选择的学生对这些禁令的了解更好。鉴于原始誓言在包括1945 - 1949年纽伦堡审判在内的医学伦理中的重要性，这令人担忧。尽管如此，一部分学生肯定了原始希波克拉底誓言的重要性，并希望使用它。
