Section of Plastic Surgery, Department of Surgery.
Department of Surgery, New York University School of Medicineand.
Plast Reconstr Surg. 2023 Jul 1;152(1):217-220. doi: 10.1097/PRS.0000000000010233. Epub 2023 Jan 24.
As more academic institutions with surgical residency training programs begin to offer gender-affirming surgery, issues of trainee conscientious objection related to participation in these patient encounters may arise. In this article, the authors discuss their institutional experience with residents' conscientious objection to involvement in gender-affirming surgery. Although there are ethical arguments for and against conscientious objection, current U.S. federal policy grants all health care workers conscientious objector status upon their request. Recommendations are offered for other institutions that may experience similar situations regarding conscientious objection to gender-affirming care or to other aspects of plastic and reconstructive surgery.
随着越来越多的拥有外科住院医师培训项目的学术机构开始提供性别肯定手术，与参与这些患者接触相关的受训者出于良心拒绝对参与这些手术的问题可能会出现。在本文中，作者讨论了他们所在机构在住院医师对参与性别肯定手术的出于良心拒绝对这方面的经验。尽管出于良心拒绝对此有正反两方面的论点，但目前美国联邦政策在所有医护人员提出要求时，都给予其出于良心拒绝对其的豁免权。本文还为可能在对性别肯定护理或整形和重建手术的其他方面的出于良心拒绝对方面经历类似情况的其他机构提供了建议。
