不诚实行为:医学生在做出不道德的行为之前应三思而后行的原因

The BMJ Pub Date : 2024-11-22 DOI:10.1136/bmj.q2621
Daniel Sokol
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引用次数: 0

摘要

医生受到的不当行为诱惑很多,而且有据可查。其中包括将经济利益置于病人福祉之上、为减少工作量而偷工减料、为自保而掩盖错误、在沮丧时对病人和同事恶语相向,以及与病人发生不正当关系等。医科学生的不法行为虽然通常不那么引人注目,但却比比皆是。医学生大多成绩优异,习惯于成功,害怕失败。在医学院,他们往往有一个压倒一切的目标,那就是通过考试,获得医生资格。通过考试的愿望是如此强烈,以至于他们很容易受到诱惑,为了确保通过考试而做出错误的行为。仅以不诚实行为为例,我曾听医科学生讲过以下几件事......
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Acts of dishonesty: why medical students should think twice before acting unethically
The temptations of doctors to act inappropriately are many and well documented. They include, among others, the temptation to put financial gain before patient wellbeing, to cut corners to reduce workload, to cover up errors for self-preservation, to speak ill of patients and colleagues in moments of frustration, and to engage in improper relationships with patients. Far less discussed are the temptations towards wrongdoing of medical students which, although usually less dramatic in nature, are nonetheless rife. Medical students are for the most part high achieving students, accustomed to success and in fear of failure. At medical school, they tend to have one overriding goal, which is to pass their exams and qualify as doctors. The desire to pass is so intense that it leaves them prone to the temptation of wrongdoing in order to secure a pass. As an example, solely from the domain of dishonesty, I have had medical students tell me of the following …
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