An ethical paradox: the effect of unethical conduct on medical students' values.
| Autor: | Satterwhite RC; Georgia Institute of Technology and Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA., Satterwhite WM 3rd, Enarson C |
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| Jazyk: | angličtina |
| Zdroj: | Journal of medical ethics [J Med Ethics] 2000 Dec; Vol. 26 (6), pp. 462-5. |
| DOI: | 10.1136/jme.26.6.462 |
| Abstrakt: | Objective: To report the ethical development of medical students across four years of education at one medical school. Design and Setting: A questionnaire was distributed to all four classes at the Wake Forest University School of Medicine during the Spring of 1996. Participants: Three hundred and three students provided demographic information as well as information concerning their ethical development both as current medical students and future interns. Main Measurements: Results were analyzed using cross-tabulations, correlations, and analysis of variance. Results: Results suggested that the observation of and participation in unethical conduct may have disparaging effects on medical students' codes of ethics with 35% of the total sample (24% of first years rising to 55% of fourth years) stating that derogatory comments made by residents/attendings, either in the patient's presence or absence, were "sometimes" or "often" appropriate. However, approximately 70% of the sample contended that their personal code of ethics had not changed since beginning medical school and would not change as a resident. Conclusions: Results may represent an internal struggle that detracts from the medical school experience, both as a person and as a doctor. Our goal as educators is to alter the educational environment so that acceptance of such behaviour is not considered part of becoming a physician. |
| Databáze: | MEDLINE |
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