Kottow M, Alvarez C, Santander P, Urrutia P, Cumsille F, Roa A
Centro de Estudios Bioéticos y Humanísticos, Facultad de Medicina, Universidad de Chile, Santiago de Chile.
Rev Med Chil. 1993 Apr;121(4):379-84.
The aim of this work was to explore the attitude changes towards ethico-medical issues in medical students as they went through medical school. A personal standardized questionnaire containing 14 closed and direct questions was applied to 27 freshmen, 38 interns and 14 post graduates. The most outstanding differences in ethical attitudes occurred between first year students and the older groups. The younger students adhered to ethical principles, valued justice towards patients and moral integrity in physicians. The older students and post graduates emphasized the professional role of physicians and preferred institutional ethical regulations over public control. They also considered more valuable therapeutic efficiency and paternal attitudes towards patients as well as social prestige and economical rewards. We conclude that there is a progressive erosion of humanistic principles along the medical studies, that are substituted by a model of professional competence, social recognition and internal ethical control.
这项工作的目的是探究医学生在医学院学习过程中对伦理医学问题的态度变化。一份包含14个封闭式直接问题的个人标准化问卷被应用于27名大一新生、38名实习生和14名研究生。伦理态度最显著的差异出现在一年级学生和年龄较大的群体之间。较年轻的学生坚持伦理原则,重视对患者的公正以及医生的道德操守。年龄较大的学生和研究生强调医生的职业角色,相较于公众监督,他们更倾向于机构伦理规范。他们还认为治疗效果、对患者的家长式态度以及社会声望和经济回报更有价值。我们得出结论,在医学学习过程中人文原则逐渐受到侵蚀,取而代之的是专业能力、社会认可和内部伦理控制的模式。