Frush Benjamin W
Monroe Carrell Jr. Children's Hospital at Vanderbilt, Nashville, TN, USA.
Vanderbilt University Medical Center, Nashville, TN, USA.
Linacre Q. 2020 Nov;87(4):464-470. doi: 10.1177/0024363920937626. Epub 2020 Jul 21.
In this essay, the author draws on the theologian Stanley Hauerwas' work to describe the central challenge of the contemporary medical trainee as an inability to be present to suffering patients. While the central challenge to the physician was once the moral resources required for such presence, today it is the temporal and bureaucratic demands bearing upon the contemporary resident preclude even the opportunity for this presence. In order to seek out such spaces when time does become available, the contemporary trainee requires a moral community, as Hauerwas notes "like a church," to remind him or her of the moral commitment to be present to suffering patients even in the midst of such structural challenges.
Contemporary residents must actively seek out the opportunity to be present to suffering patients and require moral communities to sustain this commitment.
在本文中，作者借鉴神学家斯坦利·豪尔瓦斯的著作，将当代医学实习生面临的核心挑战描述为无法陪伴痛苦的患者。虽然医生曾经面临的核心挑战是陪伴患者所需的道德资源，但如今，当代住院医生面临的时间和官僚要求甚至剥夺了他们陪伴患者的机会。正如豪尔瓦斯所指出的，当代实习生需要一个道德共同体，“就像一座教堂”，以便在时间允许时寻找这样的空间，提醒他们即使在面临此类结构性挑战时，也有陪伴痛苦患者的道德义务。
当代住院医生必须积极寻找机会陪伴痛苦的患者，并需要道德共同体来维持这一义务。
