Shooner C
McGill University.
CMAJ. 1997 Feb 15;156(4):535-8.
Is it ethical for medicine to use patients as learning tools for medical students if these patients have not been given a chance to provide truly informed consent? Dr. Caroline Shooner raises this question in the following article, which claimed second prize in CMAJ's 1996 Logie Medical Ethics Essay Contest. She considers the case of a patient whose trust was shaken when a medical student performed a chest-tube insertion. Shooner concludes that psychologic harm could have been avoided had the patient's right to informed consent been respected. She also argues that few patients will turn down a chance to help students learn if the request is made properly and openly.
如果患者没有机会提供真正知情同意,医学将患者用作医学生的学习工具是否符合伦理道德?卡罗琳·舒纳博士在以下文章中提出了这个问题,该文章在1996年加拿大医学协会的洛吉医学伦理征文比赛中获得二等奖。她考虑了这样一个案例:一名医学生进行胸腔插管时,患者的信任受到了动摇。舒纳得出结论,如果患者的知情同意权得到尊重,心理伤害本可以避免。她还认为,如果请求恰当且公开,很少有患者会拒绝帮助学生学习的机会。