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当儿科医生何时会呼叫伦理咨询服务?临床经验和正式伦理培训的影响。

When Do Pediatricians Call the Ethics Consultation Service? Impact of Clinical Experience and Formal Ethics Training.

机构信息

Department of Philosophy, Oakland University, Rochester, Michigan, USA.

Department of Foundational Medical Studies and Department of Pediatrics, Oakland University William Beaumont School of Medicine, Rochester, Michigan, USA.

出版信息

AJOB Empir Bioeth. 2020 Apr-Jun;11(2):83-90. doi: 10.1080/23294515.2020.1737983. Epub 2020 Mar 24.

DOI:10.1080/23294515.2020.1737983
PMID:32207383
Abstract

Previous research shows that pediatricians inconsistently utilize the ethics consultation service (ECS). Pediatricians in two suburban, Midwestern academic hospitals were asked to reflect on their ethics training and utilization of ECS via an anonymous, electronic survey distributed in 2017 and 2018, and analyzed in 2018. Participants reported their clinical experience, exposure to formal and informal ethics training, use of formal and informal ethics consultations, and potential barriers to formal consultation. Less experienced pediatricians were more likely to utilize formal ethics consultation and more likely to have formal ethics training. The most commonly reported reasons not to pursue formal ECS consultation were inconvenience and self-reported expertise in pediatric ethics. These results inform ongoing discussions about ethics consultation among pediatricians and the role of formal ethics training in both undergraduate and graduate medical education.

摘要

先前的研究表明,儿科医生在使用伦理咨询服务(ECS)方面不一致。2017 年和 2018 年,通过匿名电子调查的方式,向两家位于中西部郊区的学术医院的儿科医生询问他们对伦理培训和 ECS 使用的看法,并于 2018 年进行了分析。参与者报告了他们的临床经验、正式和非正式伦理培训的接触、正式和非正式伦理咨询的使用,以及正式咨询的潜在障碍。经验较少的儿科医生更有可能使用正式的伦理咨询,也更有可能接受正式的伦理培训。报告中最常见的不寻求正式 ECS 咨询的原因是不方便和自我报告的儿科伦理专业知识。这些结果为儿科医生之间的伦理咨询以及正式伦理培训在本科和研究生医学教育中的作用提供了信息。

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