Post S G, Botkin J R, Headrick L A
Center for Biomedical Ethics, School of Medicine, Case Western Reserve University, Cleveland, Ohio 44106, USA.
Med Educ. 1995 Mar;29(2):128-32. doi: 10.1111/j.1365-2923.1995.tb02815.x.
This article concerns medical education about the ethics of professional duties and treatment of HIV-infected patients. The issue at hand is not whether medical students have a duty to treat HIV-infected patients, since it is a matter of consensus that they do. Medical schools have reasserted that risks are inherent in medicine, and that medical school admission should be based on the willingness to accept some risks, in addition to intelligence and personal skills. Those who wish to avoid risks are free to enter other professions. While it is imperative to assert a duty to treat, this requires thoughtful explanation to match the understandably high anxiety levels of many medical students.
本文涉及有关职业道德以及治疗艾滋病毒感染患者的医学教育。当前的问题并非医学生是否有义务治疗艾滋病毒感染患者,因为大家对此已达成共识。医学院校重申,医学本身就存在固有风险,医学院招生除了考虑智力和个人技能外,还应基于接受一定风险的意愿。那些希望规避风险的人可以自由选择其他职业。虽然必须明确治疗的义务,但这需要进行深入细致的解释,以应对许多医学生理所当然的高度焦虑情绪。