Fleenor David W, Cummins Paul, Hirschmann Jo, Sharma Vansh
Center for Spirituality and Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Bioethics Program, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
J Health Care Chaplain. 2022 Apr-Jun;28(2):285-294. doi: 10.1080/08854726.2021.1916335. Epub 2021 Apr 28.
Chaplains frequently serve on ethics committees, as ethics consultants, and as Institutional Review Board (IRB) members in hospitals. However, little is known about how Clinical Pastoral Education (CPE) residents are trained in ethics and whether this training is appropriate or adequate for chaplains' subsequent work in health care settings. We created a survey to canvas 222 CPE residency programs in the United States accredited by the ACPE: The Standard for Spiritual Care (ACPE) to inquire about the prevalence of ethics curricula within residency programs, the educational structure of ethics curricula, and challenges associated with teaching ethics within CPE. We received a total of 84 responses for a 38% response rate. Of these, three-quarters of the programs had a required ethics curriculum, another 10% were in the process of developing one, and 18% had none. There was a great deal of variability in the ethics curricula among the different programs. Developing guidelines for a standardized ethics curriculum could help healthcare chaplains provide more effective service on ethics committees, as ethics consultants, and as IRB members.
医院的牧师经常担任伦理委员会成员、伦理顾问以及机构审查委员会（IRB）成员。然而，对于临床神职教育（CPE）住院医师如何接受伦理培训，以及这种培训对于牧师随后在医疗环境中的工作是否合适或充分，人们知之甚少。我们创建了一项调查，以 canvass 美国222个经ACPE：精神护理标准（ACPE）认证的CPE住院医师培训项目，询问住院医师培训项目中伦理课程的普及情况、伦理课程的教育结构，以及CPE中与伦理教学相关的挑战。我们共收到84份回复，回复率为38%。其中，四分之三的项目设有必修伦理课程，另有10%正在开发此类课程，18%没有此类课程。不同项目的伦理课程存在很大差异。制定标准化伦理课程指南有助于医院牧师在担任伦理委员会成员、伦理顾问以及IRB成员时提供更有效的服务。
