医学生对医师责任和伦理修养若干问题的认知  

Medical Students' Cognition of Physician's Obligation and Some Issues on Medical Ethics

作　　者：周勤[1] 陈杰[2] 王聪[3] 陈燕玲 许飞龙 郑会贤[5] 陈进[1] 

机构地区：[1]四川大学华西临床医学院,四川成都610041 [2]绵阳市中心医院,四川绵阳621000 [3]南京大学哲学系,江苏南京210000 [4]核工业416医院,四川成都610051 [5]自贡市妇幼保健院,四川自贡643000

出　　处：《医学与哲学（B）》2014年第1期93-96,F0003,共5页Medicine & Philosophy(B)

基　　金：美国中华基金会(CMB)医学教育研究与发展资助项目;项目编号:00721

摘　　要：为了探索以患者为中心的医学生医师职业精神教育,本研究调查了四川大学医学生对医师职业精神中的"伦理修养"("保密与尊重"和"知情同意")和"医师责任"两方面的认知,并将其与患者认知进行比较。笔者分析了医学生和患者认知差异,并对医学生医师职业精神的影响因素进行探讨。结果显示,医学生对医师职业精神的认识停留在比较肤浅的层面,未能发自内心地把患者的利益放在首位,最重视的仍然是临床技能的提高。研究提示医学生医师职业精神教育需要增强感染力和实践性。In order to explore the patient-centered medical professionalism education for medical students, we surveyed the medical students of Sichuan university on their cognition of medical professionalism in ＂medical ethics＂ （including ＂confidentiality and respect＂ and ＂informed consent＂） and ＂physician＇s obligation＂ two aspects. We analyzed the cognitive difference between medical students and patients as well as discussed the influencing factors on medical professionalism. The result indicated that medical students” understanding of medical professionalism was still superficial and failed to put the interest of patients at the first place from their inner heart. They cared more about the improvement of clinical skills. Our study suggested that more appealing and practical medical professionalism education is needed.

关 键 词：医学生 医师职业精神 医学教育 知情同意 

分 类 号：R052[医药卫生]