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分析临床伦理咨询对外科教育的潜力:主题和上下文分析
Jennifer M Klasen1, Charlotte Wetterauer2, Suna Erdem-Sanchez1
1Clarunis University Digestive Health Care Centre Basel, Department of Visceral Surgery, St. Claraspital and University Hospital of Basel, Basel, Switzerland.
Swiss medical weekly
|October 14, 2025
概括
外科住院医生参与的临床伦理咨询不到一半,尽管他们面临着复杂的伦理困境. 将居民纳入伦理咨询可以提高他们的决策能力,并改善外科伦理教育.
科学领域:
- 医疗教育 医学教育
- 手术伦理学 手术伦理学
- 临床伦理咨询 临床伦理咨询
背景情况:
- 外科医生在实践中经常遇到道德上的挑战.
- 外科培训课程往往缺乏专门的伦理教育.
- 临床伦理咨询 (CEC) 为解决这些差距提供了一个潜在的资源.
研究的目的:
- 探索CEC在外科伦理教育中的相关性和作用.
- 分析在手术环境中遇到的伦理冲突的性质.
- 确定将CEC纳入外科培训的机会.
主要方法:
- 在巴塞尔大学医院和巴塞尔大学精神病诊所进行了2012-2021年CEC数据的回顾分析.
- 对38个与外科手术相关的CEC进行了主题和上下文分析.
- 在分析的咨询中确定教育重点.
主要成果:
- 359个中小学中38个 (10.6%) 涉及手术病例.
- 在这些相关的CEC中,外科住院医生只参加了17个 (45%).
- 关键的伦理主题包括患者的愿望,治疗计划,管理并发病症和家庭沟通.
结论:
- 手术中的伦理问题往往超越技术方面.
- 增加居民参与CEC对于加强伦理培训至关重要.
- 手术课程应整合CEC和跨学科讨论,以培养道德决策技能.
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