皮肤科病理伦理与职业操守问题：美国皮肤病理学会会员的横断面调查。

Ethical and professionalism issues in dermatopathology: A cross-sectional survey of American Society of Dermatopathology Members.

机构信息

Department of Dermatology, Emory University School of Medicine, Atlanta, Georgia, USA.

Emory University, The Emory Center for Ethics, Atlanta, Georgia, USA.

出版信息

J Cutan Pathol. 2021 Jun;48(6):750-757. doi: 10.1111/cup.13946. Epub 2021 Jan 7.

DOI:10.1111/cup.13946

PMID:33350497

Abstract

BACKGROUND

Data regarding ethical/professional issues affecting dermatopathologists are lacking despite their importance in establishing policy priorities and educational content for dermatopathology.

METHODS

A 14-item cross-sectional survey about ethical/professional issues in dermatopathology was distributed over e-mail to members of the American Society of Dermatopathology from June to September 2019.

RESULTS

Two hundred sixteen surveys were completed, with a response rate of 15.3%. Respondents ranked appropriate and fair utilization of healthcare resources (n = 83 or 38.6%) as the most often encountered ethical/professional issue. Conflict of interest was ranked as the most urgent or important ethical/professional issue (n = 83 or 39.3%). One hundred thirty-three (61.6%) respondents felt "somewhat" or "not at all" well equipped to handle ethical dilemmas in practice and 47 (22.8%) respondents identified a major or extreme burden (eg, have considered resigning/retiring) due to ethical challenges.

CONCLUSIONS

Areas of priority in ethics and professionalism issues can guide future policy and educational content in dermatopathology.

摘要

背景

尽管皮肤科病理学家的伦理/专业问题对制定皮肤科病理的政策重点和教育内容很重要，但目前缺乏相关数据。

方法

2019 年 6 月至 9 月，通过电子邮件向美国皮肤病理学会成员分发了一份关于皮肤科病理伦理/专业问题的 14 项横断面调查。

结果

共完成了 216 份调查，回复率为 15.3%。受访者将适当和公平地利用医疗资源（83 人，占 38.6%）列为最常遇到的伦理/专业问题。利益冲突被列为最紧迫或最重要的伦理/专业问题（83 人，占 39.3%）。133 名（61.6%）受访者表示，在实践中处理伦理困境时，他们“有些”或“完全”没有准备，47 名（22.8%）受访者表示，由于伦理挑战，他们感到“很大”或“极端”的负担（例如，考虑辞职/退休）。