了解医学学生对在麻醉下进行盆腔检查的明确知情同意的担忧
Benjamin E Zuchelkowski1, Soukaina Eljamri1, Natalie G Stern1
1Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Journal of surgical education
|October 16, 2023
概括
许多医学学生认为,在麻醉下进行骨盆检查的明确同意是不必要的,理由是隐含的患者同意和教育需求. 这种观点影响了医学培训中的知情同意讨论.
科学领域:
- 医学教育 医学教育
- 患者的同意 患者的同意
- 妇科手术 妇科手术
背景情况:
- 医学学生参与诸如麻醉下盆腔检查 (EUA) 等程序是教育的组成部分.
- 关于学生参与的知情同意的现有指导方针对于盆腔EUA的明确同意缺乏明确性.
- 关于获得盆腔EUA的明确同意的必要性和方法的辩论仍在继续.
研究的目的:
- 调查那些不支持骨盆EUA的明确知情同意的医学学生的观点.
- 了解学生反对这些程序的明确同意背后的推理.
主要方法:
- 匿名在线问卷分发给匹兹堡大学医学院的第三年和第四年医学学生.
- 包括定量和定性部分,使用混合的诱导和演编码进行定性分析.
- 专注于学生谁已经完成了他们的产科和妇科核心职员.
主要成果:
- 在201名受访学生中,有50名学生不赞成盆腔EUA的明确知情同意.
- 关键主题包括在教学医院对隐性患者同意的信念,将盆腔EUA视为必要的外科第一步,并将其与其他手术进行比较.
- 学生们还表示担心限制教育机会,并认为对患者没有伤害.
结论:
- 医学学生对盆腔EUA明确同意的观点揭示了需要批判性评估的理由.
- 调查结果强调需要检查患者对学生参与的认识,并应用创伤知情护理原则.
- 建议加强患者与医生的沟通,标准化学习者参与框架和课程调整.
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