获得知情同意是否应该被视为可信任的专业活动? 从是否以及如何与会者委托外科学员的洞察力
概括
临床医生很少将知情同意授权给实习生,优先考虑伦理责任而不是居民能力. 这挑战了知情同意作为医学毕业生可信任的专业活动 (EPA) 的分类.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 患者的同意 患者的同意
背景情况:
- 知情同意是医学毕业生的核心可委托专业活动 (EPA).
- 居民通常在没有正式培训或能力评估的情况下获得知情同意.
- 参与医生关于将知情同意权授权给实习生的决策并未得到充分理解.
研究的目的:
- 了解主治医生如何决定将获得外科手术知情同意的任务委托给实习生.
- 探索与知情同意过程有关的医生态度,知识和经验.
主要方法:
- 在一所大学医疗保健系统的外科医生中进行了一项调查.
- 收集了关于当前委托实践,知识,经验和对知情同意的态度的数据.
- 总结统计和双变量分析用于分析数据.
主要成果:
- 68.2%的参与手术的外科医生从未将知情同意授权给实习生.
- 伦理责任 (84.1%) 和患者关系 (79.3%) 是保留同意责任的主要原因.
- 不到一半 (48.8%) 的人表示对学员能力的担忧,居民能力与信任度增加无关.
结论:
- 临床医生认为知情同意是一种伦理义务,通常不会委托给学员.
- 这种看法与居民的观点形成鲜明对比,并质疑知情同意作为EPA的地位.
- 居民能力并没有显著影响主治医生的决定,委托知情同意,质疑其EPA指定.
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