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英国医学总会:道德的参照标准还是仲裁者?

The General Medical Council: frame of reference or arbiter of morals?

作者信息

Hill D

出版信息

J Med Ethics. 1977 Sep;3(3):110-4. doi: 10.1136/jme.3.3.110.

Abstract

Many members of the public think of the General Medical Council (GMC) as the body which tries doctors: the doctors' law courts, as it were. And, except in the more sober of newspapers and news reports, the 'offences ' which receive the most publicity are those concerning alleged improper relations between doctors and patients. Professor Sir Denis Hill, in the following paper, which he read in the spring of this year to the annual conference of the London Medical Group devoted to a discussion of human sexuality, chose to examine the whole function of the General Medical Council as a frame of moral reference for doctors. Judging allegations of professional misconduct by doctors is the function of the Council's Disciplinary Committee. Judging sexual misconduct forms only a small part of their work. The GMC's responsibility covers the whole notion of morals and morality as it concerns doctors in their professional work. Sir Denis Hill stresses the modern thinking that morality must be learned and that attitudes are always shifting as society alters its norms of what is moral conduct. That is not to say that all that was previously considered not to be moral has now become acceptable but rather that other concepts have entered the field of moral debate. Therefore the GMC must constantly review the frame of reference it offers to doctors and the public may be surprised to learn that that process is never static. Sir Denis Hill in this paper is speaking personally and not as a member of the General Medical Council or of any of that body's special committees.

摘要

许多公众认为英国医学总会(GMC)是审判医生的机构,可以说是医生的法庭。而且,除了较为严肃的报纸和新闻报道外,最受关注的“罪行”是那些涉及医生与患者之间不当关系的事件。丹尼斯·希尔爵士教授在今年春天向伦敦医学小组年度会议宣读的以下论文中,该会议专门讨论了人类性行为,他选择审视英国医学总会作为医生道德参照框架的整体职能。评判医生的职业不当行为指控是该委员会纪律委员会的职责。评判性行为不端只是他们工作的一小部分。英国医学总会的职责涵盖了与医生职业工作相关的整个道德观念。丹尼斯·希尔爵士强调现代观念,即道德必须习得,而且随着社会改变其道德行为规范,态度也在不断变化。这并不是说所有以前被认为不道德的事情现在都变得可以接受了,而是说其他观念已经进入了道德辩论领域。因此,英国医学总会必须不断审视它为医生提供的参照框架,公众可能会惊讶地发现这个过程从来不是静止不变的。丹尼斯·希尔爵士在本文中是个人发言,并非以英国医学总会成员或该机构任何特别委员会成员的身份发言。

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本文引用的文献

1
Sex and the physician-patient relationship.
Am J Psychiatry. 1974 Oct;131(10):1134-6. doi: 10.1176/ajp.131.10.1134.
2
Characteristics of "erotic" practitioners.
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