Kapp M B
J Med Educ. 1981 Jul;56(7):559-64. doi: 10.1097/00001888-198107000-00003.
Faculty evaluation of the clinical performance of medical students and residents is a great responsibility. However, many faculty members are reluctant to fulfill this responsibility with complete candor because of the fear of legal liability and lawsuits by dissatisfied students. This article examines current methods and uses of evaluation and problems created when they are incomplete or disingenuous. Legal issues arising in this process are then discussed, with emphasis upon the Supreme Court's 1978 Horowitz decision. Finally, the substantive and procedural implications of Horowitz for faculty practice are explained. It is argued that the law permits and encourages full and honest faculty evaluation of clinical performance.
教师对医学生和住院医师临床能力的评估责任重大。然而,由于担心法律责任以及不满意的学生提起诉讼,许多教师不愿完全坦诚地履行这一职责。本文审视了当前评估的方法和用途,以及评估不完整或不真诚时所产生的问题。接着讨论了这一过程中出现的法律问题,重点是最高法院1978年的霍洛维茨裁决。最后,解释了霍洛维茨裁决对教师实践的实质和程序影响。本文认为,法律允许并鼓励教师对临床能力进行全面、诚实的评估。