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神经内科住院医师的医学伦理教育:我们该何去何从?

Medical Ethics Education for Neurology Residents: Where Do We Go from Here?

作者信息

Traner Christopher B, Tolchin Dorothy W, Tolchin Benjamin

机构信息

Department of Neurology, Yale University School of Medicine, New Haven, Connecticut.

Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, Massachusetts.

出版信息

Semin Neurol. 2018 Oct;38(5):497-504. doi: 10.1055/s-0038-1667381. Epub 2018 Oct 15.

Abstract

Neurologists regularly confront complex clinical scenarios that require the application of ethical principles to achieve a respectful and fair resolution. In this article, we describe the types of ethically precarious scenarios neurologists encounter, the current status of standards for ethics and communication training for neurology residents, and the present practice of ethics training in neurology residency programs. We make recommendations for optimizing bioethics training for neurology residents and suggest methods for assessing the efficacy of these training initiatives. We emphasize the current need for strengthening the practical bioethics skills of neurologists.

摘要

神经科医生经常面临复杂的临床情况,需要运用伦理原则来达成尊重且公平的解决方案。在本文中,我们描述了神经科医生遇到的伦理困境类型、神经科住院医师伦理与沟通培训标准的现状,以及神经科住院医师培训项目中伦理培训的当前实践情况。我们就优化神经科住院医师的生物伦理学培训提出建议,并提出评估这些培训举措效果的方法。我们强调当前加强神经科医生实用生物伦理学技能的必要性。

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