Post Graduate Resident, Dept. of Radiology, St. John's Medical College, Bengaluru, Karnataka, 560 034 INDIA.
Indian J Med Ethics. 2022 Oct-Dec;VII(4):322-325. doi: 10.20529/IJME.2022.032. Epub 2022 Mar 10.
Freshly graduated doctors are the lesser-known workhorses of the rural healthcare system in India. These rural clinicians confront numerous ethical dilemmas in their day-to-day life, which are quite different from the ethical issues they may have encountered during their medical training and internship at a tertiary care hospital. These include taking end of life decisions, breaking bad news, conflicts in the doctor-patient relationship, declaration of death, and counselling of patients or family attendants of terminally ill patients. Yet, the decisions they make during such challenging situations are often influenced by their undergraduate training and limited clinical exposure. This is a personal reflection on the ethical dilemmas that I faced as a young medical graduate, appointed as the resident medical officer of a rural hospital in Kerala, and how they influenced me in my early stages of clinical practice.
刚毕业的医生是印度农村医疗体系中鲜为人知的主力军。这些农村临床医生在日常生活中面临着许多伦理困境，这些困境与他们在三级保健医院接受医疗培训和实习期间可能遇到的伦理问题有很大的不同。这些问题包括做出生命末期的决策、告知坏消息、医患关系冲突、宣布死亡以及对绝症患者进行咨询。然而，他们在这些具有挑战性的情况下做出的决策往往受到本科培训和有限的临床经验的影响。这是我作为一名年轻的医学毕业生，被任命为喀拉拉邦一家农村医院的住院医师时所面临的伦理困境的个人反思，以及它们在我临床实践的早期阶段对我产生的影响。
