Dickman R L
J Fam Pract. 1980 Apr;10(4):633-7.
Since many ethical dilemmas in the practice of medicine involve cases associated with tertiary care, primary care providers may feel removed from these kinds of problems. Family medicine, committed to an intellectual synergism with a variety of non-biomedical disciplines as well as being a "specialty in breadth" should develop a strong bond with medical ethics. Because of their ongoing relationships with patients and subsequent knowledge of their value systems, family physicians can provide leadership in guiding ethical decision making in intensive care settings. In addition, since a significant number of ethical dilemmas in medicine involve common problems, family physicians may be more sensitive to and feel more comfortable with this aspect of medical practice. Some family practice residency programs have begun to provide educational experiences in medical ethics for their trainees. Although the evaluation methodology for this aspect of training is not fully developed, it seems clear that residency programs should give additional attention to these areas in planning their curricula.
由于医学实践中的许多伦理困境涉及与三级护理相关的病例，初级保健提供者可能觉得与这类问题无关。家庭医学致力于与各种非生物医学学科形成知识协同效应，并且作为一门“广度上的专科”，应该与医学伦理建立紧密联系。由于家庭医生与患者保持着持续的关系，并因此了解他们的价值体系，所以在重症监护环境中指导伦理决策方面，家庭医生能够发挥引领作用。此外，由于医学中相当数量的伦理困境涉及常见问题，家庭医生可能对医疗实践的这一方面更为敏感，也感觉更自在。一些家庭医学住院医师培训项目已开始为其学员提供医学伦理方面的教育体验。尽管针对这方面培训的评估方法尚未完全成熟，但很明显，住院医师培训项目在规划课程时应更多地关注这些领域。
