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医学课程:我们如何处理教育环境中的偶发发现?

Medical Curriculum: How Do We Manage Incidental Findings in Educational Settings?

作者信息

Varsou Ourania, Hughes Alun, Humphreys Robert, Laidlaw Anita

机构信息

Anatomy Facility, School of Life Sciences, University of Glasgow, Thomson Building, University Avenue, Glasgow, Scotland G12 8QQ UK.

School of Medicine, University of St Andrews, St Andrews, Scotland UK.

出版信息

Med Sci Educ. 2021 Feb 9;31(2):893-895. doi: 10.1007/s40670-021-01211-3. eCollection 2021 Apr.

Abstract

Medical curricula encompass two practical-based teaching categories with likelihood of identifying incidental findings (unexpected and previously undiagnosed findings with potential health implications) in live models for demonstration purposes. One relates to clinical skills involving peers and simulated or volunteer patients. The other involves laboratory sessions, with live models, for the purposes of demonstrating scientific principles. As educationalists, it is our professional and ethical duty to have guidance on how to manage incidental findings. In this commentary, we have outlined our best practice guidelines formalised as a written policy exploring consent, debriefing, and the teachers' role. Our aim was to develop an 'easy-to-follow' standardised mechanism.

摘要

医学课程包含两类基于实践的教学,在用于示范目的的活体模型中有可能发现偶发疾病(意外且先前未被诊断出的疾病,对健康有潜在影响)。一类涉及与同龄人以及模拟或志愿患者有关的临床技能。另一类涉及为演示科学原理而使用活体模型的实验课程。作为教育工作者,我们有专业和道德义务获得关于如何处理偶发疾病的指导。在这篇评论中,我们概述了我们的最佳实践指南,将其正式化为一项书面政策,探讨同意、汇报以及教师的角色。我们的目标是制定一种“易于遵循”的标准化机制。

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