Teaching OB/GYN residents bioethics within a Catholic healthcare context.

IF 0.5 4区 医学 Q3 LAW
Issues in Law & Medicine Pub Date : 2017-01-01
Andrew Steele
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引用次数: 0

Abstract

Residents entering training in the specialty of Obstetrics and Gynecology (OB/GYN) often have misconceptions as to what medical interventions Roman Catholic healthcare institutions prohibit, and why certain restrictions are placed on the provision of reproductive health options that are otherwise legally available to women. The Ethical and Religious Directives for Catholic Healthcare Services, produced by the United States Conference of Catholic Bishops seeks to provide a stable framework upon which reproductive health decisions can be based. However, Catholic healthcare ethics may conflict with secular bioethical assertions that place a premium on autonomous patient choice. Residents training in part or whole at a Catholic institution may feel frustration at what they perceive to be a conflict with current secular ethics paradigms-such as access to abortion, contraception, sterilization, and assisted reproductive technologies. The recent adoption of Clinical Competencies by the Accreditation Council for Graduate Medical Education (ACGME), directs that residents shall be trained to function within the framework of their larger healthcare system ("Systems-based Practice"). This article will first, clarify areas of conflict and convergence between Catholic and secular reproductive ethics, which are unique to OB/GYN training. Next, using the ACGME's new Clinical Competency in Systems-Based practice as a model, a rationale for incorporating Catholic Healthcare ethics into an ethics curriculum for OB/GYN residents will be discussed. Finally, guidelines for faculty tackling the problem of how to teach Catholic Healthcare ethics will be described. Incorporating the rich tradition of Catholic healthcare ethics into the educational curriculum of OB/GYN residency fulfills training requirements while exposing young physicians to a rational decision-making framework in bioethics.

在天主教医疗保健背景下教授妇产科住院医生生物伦理学。
进入妇产科专业培训的住院医师往往对罗马天主教保健机构禁止哪些医疗干预措施,以及为什么对提供妇女可以合法获得的生殖健康选择施加某些限制存在误解。美国天主教主教会议制定的《天主教保健服务伦理和宗教指示》力求提供一个稳定的框架,以供作出生殖健康决定。然而,天主教的医疗伦理可能与世俗的生物伦理主张相冲突,后者重视病人的自主选择。在天主教机构接受部分或全部培训的住院医生可能会感到沮丧,因为他们认为这与当前的世俗伦理范式相冲突,比如堕胎、避孕、绝育和辅助生殖技术。研究生医学教育认证委员会(ACGME)最近采用了临床能力,指导住院医生应在其更大的医疗保健系统框架内进行培训(“基于系统的实践”)。本文将首先澄清天主教和世俗生殖伦理之间的冲突和趋同领域,这是妇产科培训所独有的。接下来,将以ACGME的新系统实践临床能力为模型,讨论将天主教医疗伦理纳入妇产科住院医师伦理课程的基本原理。最后,指导方针的教师解决如何教天主教医疗伦理的问题将被描述。将天主教医疗伦理的丰富传统纳入妇产科住院医师的教育课程,既满足了培训要求,又使年轻医生接触到生物伦理的理性决策框架。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Issues in Law & Medicine
Issues in Law & Medicine Medicine-Health Policy
CiteScore
0.70
自引率
0.00%
发文量
0
期刊介绍: Issues in Law & Medicine is a peer reviewed professional journal published semiannually. Founded in 1985, ILM is co-sponsored by the National Legal Center for the Medically Dependent & Disabled, Inc. and the Watson Bowes Research Institute. Issues is devoted to providing technical and informational assistance to attorneys, health care professionals, educators and administrators on legal, medical, and ethical issues arising from health care decisions. Its subscribers include law libraries, medical libraries, university libraries, court libraries, attorneys, physicians, university professors and other scholars, primarily in the U.S. and Canada, but also in Austria, Australia, Belgium, Brazil, Italy, The Netherlands, New Zealand, Japan, Russia, South Korea, Spain, Taiwan, and the United Kingdom.
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