讲故事和实践智慧在促进初级医生伦理教育中的基本作用

A. Paton, Ben Kotzee
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引用次数: 7

摘要

实践智慧是德性伦理学领域的一个重要概念,它在运用德性的人进行医学实践和伦理学理论化的思考中起着重要的作用。在本文中,我们探讨了讲故事和实践智慧如何在初级医生的医学伦理教育中发挥不可或缺的作用。采用定性方法,我们对一组初级医生进行了46次访谈,以探讨医生认为讲故事在他们的医学伦理实践中所起的作用,以及他们如何通过讲故事作为医学伦理教育的重要组成部分来获得实践智慧。通过对访谈的专题分析,我们讨论了讲故事的道德榜样和角色榜样在发展医学伦理教育中的关键作用,以及讲故事的角色榜样如何被认为是学习医学伦理的最有用的方法之一。最后,我们提出了一个论点,说明为什么实践智慧应该是医学伦理学培训的重要组成部分,重点是实践叙事在医学伦理学教学中应该发挥的重要作用。
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The fundamental role of storytelling and practical wisdom in facilitating the ethics education of junior doctors
Practical wisdom is a key concept in the field of virtue ethics, and it has played a significant role in the thinking of those who make use of virtue when theorising medical practice and ethics. In this article, we examine how storytelling and practical wisdom play integral roles in the medical ethics education of junior doctors. Using a qualitative approach, we conducted 46 interviews with a cohort of junior doctors to explore the role doctors feel phronesis has in their medical ethics practice and how they acquire practical wisdom through storytelling as an essential part of their medical ethics education. Through thematic analysis of the interviews, we discuss the key role storytelling about moral exemplars and role models plays in developing medical ethics education, and how telling stories about role models is considered to be one of the most useful ways to learn medical ethics. We finish by developing an argument for why practical wisdom should be an important part of medical ethics training, focusing on the important role that phronesis narratives should have in teaching medical ethics.
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