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与患者谈论外科培训医师。

Talking with Patients about Surgical Trainees.

出版信息

J Clin Ethics. 2023 Spring;34(1):98-102. doi: 10.1086/723315.

DOI:10.1086/723315
PMID:36940349
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11512742/
Abstract

AbstractTraining of resident physicians is essential for the care of future patients. While surgical trainee involvement is necessary, its disclosure to patients can often be omitted or underplayed by surgeons. The informed consent process and the underlying ethical principles make evident that patients should be informed of trainee involvement. In this review we explore the importance of disclosure, current themes in practice, and the optimal discussion for which we should strive.

摘要

摘要

住院医师的培训对于未来患者的护理至关重要。虽然需要外科培训生的参与,但外科医生通常会省略或淡化向患者透露培训生参与的情况。知情同意过程和潜在的伦理原则清楚地表明,应告知患者培训生的参与情况。在这篇综述中,我们探讨了披露的重要性、当前实践中的主题以及我们应努力进行的最佳讨论。

相似文献

1
Talking with Patients about Surgical Trainees.与患者谈论外科培训医师。
J Clin Ethics. 2023 Spring;34(1):98-102. doi: 10.1086/723315.
2
Training surgeons and the informed consent discussion in paediatric patients: a qualitative study examining trainee participation disclosure.培训外科医生与儿科患者的知情同意讨论:一项检查实习生参与信息披露情况的定性研究。
BMJ Open Qual. 2019 Jul 19;8(3):e000559. doi: 10.1136/bmjoq-2018-000559. eCollection 2019.
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本文引用的文献

1
Patient Perceptions of Resident Involvement in Surgery: A Qualitative Study Using Surgical Video.患者对住院医师参与手术的看法:使用手术录像的定性研究
J Surg Educ. 2022 Jul-Aug;79(4):974-982. doi: 10.1016/j.jsurg.2022.03.002. Epub 2022 Apr 5.
2
Trust as a Predictor of Patient Perceptions Regarding Overlapping Surgery and Trainee Independence.信任是预测患者对重叠手术和实习生独立性看法的一个因素。
Laryngoscope. 2020 Nov;130(11):2728-2735. doi: 10.1002/lary.28557. Epub 2020 Feb 17.
3
"Clinical" Surgical Ethics.“临床”外科伦理学
J Clin Ethics. 2019 Spring;30(1):49-55.
4
Patient opinions regarding surgeon presence, trainee participation, and overlapping surgery.患者对外科医生在场、实习医生参与及手术重叠的看法。
Laryngoscope. 2019 Jun;129(6):1337-1346. doi: 10.1002/lary.27541. Epub 2018 Dec 24.
5
Informed consent-It's more than a signature on a piece of paper.知情同意——它远不止是在一张纸上签名。
Am J Surg. 2017 Dec;214(6):993-997. doi: 10.1016/j.amjsurg.2017.09.015. Epub 2017 Sep 20.
6
American College of Surgeons Statements on Principles.美国外科医师学会原则声明
Bull Am Coll Surg. 2016 Sep;101(9):19-34.
7
Intraoperative Decision Making: The Decision to Perform Additional, Unplanned Procedures on Anesthetized Patients.
J Am Coll Surg. 2016 May;222(5):956-60. doi: 10.1016/j.jamcollsurg.2016.02.011. Epub 2016 Feb 26.
8
Readability of Invasive Procedure Consent Forms.侵入性操作同意书的可读性。
Clin Transl Sci. 2015 Dec;8(6):830-3. doi: 10.1111/cts.12364. Epub 2015 Dec 17.
9
Preoperative anxiety in ambulatory surgery: The impact of an empathic patient-centered approach on psychological and clinical outcomes.门诊手术中的术前焦虑:以患者为中心的共情方法对心理和临床结果的影响。
Patient Educ Couns. 2016 May;99(5):733-8. doi: 10.1016/j.pec.2015.11.016. Epub 2015 Nov 26.
10
Impact of Resident Involvement in Surgery (IRIS-NSQIP): Looking at the Bigger Picture Based on the American College of Surgeons-NSQIP Database.住院医师参与手术的影响(IRIS-NSQIP):基于美国外科医师学会-国家外科质量改进计划数据库的全面审视
J Am Coll Surg. 2016 Jan;222(1):30-40. doi: 10.1016/j.jamcollsurg.2015.10.011. Epub 2015 Oct 27.