Department of Bioethics, Faculty of Life Sciences, Kumamoto University, Honjo 1-1-1, Chuo-ku, Kumamoto, 8608556, Japan.
Anat Sci Int. 2022 Jul;97(3):316-322. doi: 10.1007/s12565-022-00670-x. Epub 2022 May 9.
Cadaver surgical training (CST), which aims to maintain patient safety, provided anatomists with new duties and increased their workload. In Japan, with development of relevant guidelines, CST programs have been implemented and promoted mainly by surgical societies. This paper examines ethics of and anatomists' attitude toward the Japanese CST guidelines. The guidelines were well established to ensure that ethical issues such as financial exploitation and commercialism involved in procurement of cadavers for training do not emerge, as these can create the dilemma of how to allocate cadavers for undergraduate education and postgraduate surgical training, given the increase in demand for cadavers. Fair allocation must accommodate and respect the donor's advance will. Also, the guidelines must offer more detailed commentary on informed consent, particularly with regard to disclosure of information to donor candidates. The guidelines should explain better the legality of CST, the roles of anatomists, and surgeon preparedness.
尸体解剖培训（CST）旨在维护患者安全，为解剖学家带来了新的职责并增加了他们的工作量。在日本，随着相关指南的制定，CST 计划主要由外科协会实施和推动。本文探讨了日本 CST 指南的伦理问题和解剖学家的态度。这些指南的制定是为了确保在为培训获取尸体时不会出现财务剥削和商业化等伦理问题，因为随着对尸体需求的增加，如何分配尸体用于本科教育和研究生外科培训可能会产生困境。公平分配必须考虑和尊重捐赠者的事先意愿。此外，指南还必须就知情同意提供更详细的意见，特别是关于向捐赠者候选人披露信息的问题。指南应更好地解释 CST 的合法性、解剖学家的角色以及外科医生的准备情况。
