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通过道德案例审议照亮医学教育:一项叙述性综述

Illuminating Medical Education Through Moral Case Deliberations: A Narrative Review.

作者信息

Shrivastava Saurabh RamBihariLal, Gajbe Ujwal, Singh Brij Raj, Shrivastava Prateek Saurabh, Bankar Nandkishor J, Chandankhede Manju

机构信息

Department of Community Medicine, Datta Meghe Medical College, Off-Campus Centre of Datta Meghe Institute of Higher Education and Research, Hingna Road, Wanadongri, Nagpur, Maharashtra, India.

Department of Anatomy, Datta Meghe Medical College, Off-Campus Centre of Datta Meghe Institute of Higher Education and Research, Hingna Road, Wanadongri, Nagpur, Maharashtra, India.

出版信息

J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S1900-S1902. doi: 10.4103/jpbs.jpbs_1250_23. Epub 2024 Mar 5.

DOI:10.4103/jpbs.jpbs_1250_23
PMID:39346247
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11426798/
Abstract

In the field of medical education, moral case deliberations refer to a structured process, wherein health professionals together discuss and analyze moral issues or ethical dilemmas encountered in their clinical practice. The purpose of the current review is to explore the merits of moral case deliberations, identify the components, enumerate the strategies that can be used for implementation, and enlist the potential challenges and the remedial measures to overcome them. Moral case deliberations can be implemented in medical education in several ways that can be seamlessly integrated into the existing medical curriculum without stretching the overall duration of the training period. The path to successfully implement moral case deliberations in a medical school has its own share of challenges, and we must be aware of them to adopt countermeasures to overcome them. In conclusion, moral case deliberations play a vital role in augmenting ethical competence and establishing a culture of reflective practice among medical students. As medical students are bound to encounter multiple ethical dilemmas in their future clinical practice, it is our responsibility to incrementally expose them to such cases as a part of their undergraduate training to eventually prepare them for effective healthcare delivery.

摘要

在医学教育领域,道德案例审议指的是一个结构化过程,在此过程中,卫生专业人员共同讨论和分析他们在临床实践中遇到的道德问题或伦理困境。本次综述的目的是探讨道德案例审议的优点,确定其组成部分,列举可用于实施的策略,并列出潜在挑战以及克服这些挑战的补救措施。道德案例审议可以通过多种方式在医学教育中实施,这些方式可以无缝融入现有的医学课程,而不会延长培训期的总时长。在医学院成功实施道德案例审议的道路有其自身的挑战,我们必须意识到这些挑战,以便采取对策加以克服。总之,道德案例审议在增强医学生的伦理能力以及在他们中间建立反思性实践文化方面发挥着至关重要的作用。由于医学生在未来的临床实践中必然会遇到多种伦理困境,我们有责任在他们本科培训期间逐步让他们接触此类案例,以便最终使他们为提供有效的医疗服务做好准备。