Plumeri P A
University of Medicine and Dentistry, Department of Medicine, Kennedy Professional Center, Sewell, New Jersey, USA.
Gastrointest Endosc Clin N Am. 1995 Apr;5(2):447-55.
This article has set out several relevant legal and ethical considerations for gastrointestinal endoscopic trainers. Fundamental liability issues for the trainer and trainee were reviewed, including the theories of vicarious liability. Endoscopic complications were viewed from a legal vantage point. Then, complications were analyzed from the perspective of how to teach the trainee to best risk-manage these problems. The concept of the standard of care was presented and was emphasized as a key teaching point. Adequate and accurate record keeping is underscored for its many useful purposes, including substantiating privilege requests and the termination of inadequate trainees. Lastly, the letter of recommendation was reviewed and the potential of liability associated with inaccurate letters was delineated.
本文阐述了胃肠内镜培训师若干相关的法律和伦理考量。回顾了培训师和学员的基本责任问题，包括替代责任理论。从法律角度审视了内镜并发症。然后，从如何教导学员最佳地进行这些问题的风险管理的角度分析了并发症。提出了护理标准的概念，并强调其作为关键教学要点。强调了充分而准确的记录保存对于诸多实用目的的重要性，包括证实特权申请以及辞退不合格学员。最后，对推荐信进行了审视，并阐述了与不准确推荐信相关的潜在责任。
