Parker M
University of Queensland, Australia.
J Med Ethics. 1995 Oct;21(5):305-10. doi: 10.1136/jme.21.5.305.
Autonomy has been the central principle underpinning changes which have affected the practice of medicine in recent years. Medical education is undergoing changes as well, many of which are underpinned, at least implicitly, by increasing concern for autonomy. Some universities have embarked on graduate courses which utilize problem-based learning (PBL) techniques to teach all areas, including medical ethics. I argue that PBL is a desirable method for teaching and learning in medical ethics. It is desirable because the nature of ethical enquiry is highly compatible with the learning processes which characterize PBL. But it is also desirable because it should help keep open the question of what autonomy really is, and how it should operate within the sphere of medical practice and medical education.
自主性一直是近年来影响医学实践变革的核心原则。医学教育也在经历变革，其中许多变革至少在隐含层面上是出于对自主性日益增长的关注。一些大学已开设研究生课程，采用基于问题的学习（PBL）技巧来教授包括医学伦理学在内的所有领域。我认为PBL是医学伦理学教学的理想方法。它之所以理想，是因为伦理探究的本质与PBL所特有的学习过程高度契合。但它之所以理想，还因为它应有助于使自主性究竟是什么以及它应如何在医学实践和医学教育领域发挥作用这一问题保持开放。
