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在医学中教导道德勇气和基于权利的领导力:跨学科的探索
1Internal Medicine Residency Program, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Teaching and learning in medicine
|July 3, 2024
概括
医疗培训往往缺乏道德和领导能力,导致道德侵蚀. 基于权利的教学,以军事方法为灵感,可以培养道德勇气,并更好地为复杂的临床挑战做好医学生和住院人员的准备.
科学领域:
- 医学教育 医学教育
- 生物伦理学生物伦理学
- 领导力研究 领导力研究
背景情况:
- 医学教育中的正式道德和领导力培训往往不足以解决临床复杂性.
- 这种差距可能会导致医学学生和住院医生之间的伦理侵蚀.
- 传统的医学伦理教育依赖于基于规则的方法,而不是充分开发自主道德代理人.
研究的目的:
- 探索基于权利的教学和军事道德教育模式在医疗培训中的应用.
- 确定培养医学学习者的道德勇气和基于权利的领导力的策略.
- 建议对医学伦理课程进行修改,以抵消伦理侵蚀.
主要方法:
- 医学和军事职业道德的比较分析.
- 探索基于权利的教学方法,使用道德哲学,军事历史和组织研究.
- 将发现与现实生活中的临床场景联系起来.
主要成果:
- 基于权利的教学方法将受训者视为自主道德行为者,重视他们的工作和道德选择.
- 军事教学方法提供了结构化的课程,用于培养道德勇气和领导力.
- 建议对医学伦理学课程进行六项具体的基于权利的修改.
结论:
- 整合基于权利的教学和受到军事启发的策略,可以增强医学学习者的道德勇气.
- 这些修改可以帮助缓解伦理侵蚀,改善医学生和住院医生的准备,结果和福祉.
- 转向以权利为基础的领导教育对于现代医学培训至关重要.
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