澳大利亚各州是否应制定法规,明确禁止医学生出于教育原因进行未经同意的私密检查?

IF 1.7 Q2 CRIMINOLOGY & PENOLOGY
N. Emmerich, Zoe Watkins
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引用次数: 0

摘要

虽然这种做法现在似乎相对少见,但在不久前,一些医生曾指导他们的学生在未事先征得昏迷病人知情同意的情况下对其进行私密检查。对这一问题的关注促使美国一些州立法明确禁止此类检查。我们考虑澳大利亚各州是否也应该这样做。我们注意到几乎没有实质性证据表明这种做法在澳大利亚仍在继续,因此我们认为制定专门法律缺乏正当理由;这种检查已经违反了现行的卫生法,该法禁止在未事先征得患者同意的情况下进行任何身体检查。此外,即使这种做法继续存在,额外的立法也无法解决更根本的问题,即认为这种做法在道德上可以接受的文化。因此,我们认为,包括学生组织在内的专业机构应发布正式的立场声明,不仅要明确拒绝此类检查,还要提供最佳实践指南。教学医院和医学院应就此事采取类似的政策,并确保在课程的相关阶段讨论这些政策。此类政策应确保问责制,规定明确的报告途径,对指导医学生进行此类检查的人规定明确的制裁措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Should Australian states enact statutes that explicitly ban unconsented intimate exams performed by medical students for educational reasons?
While the practice now seems to be relatively uncommon, in the recent past some medical doctors have instructed their students to perform intimate exams on unconscious patients without first securing their informed consent. Concern about the issue has led some American states to introduce legislation explicitly banning such exams. We consider if Australian states should do the same. Noting that there is little substantive evidence suggesting that the practice continues in Australia, we argue that the creation of specific laws lacks justification; such exams already contravene existing health law, which prohibits the conduct of any physical exam without first ensuring the patient’s consent. Furthermore, even if the practice continues, additional legislation will do little to address the more fundamental issue; a culture that considers the practice morally acceptable. We therefore argue that professional bodies, including student organisations, should issue formal position statements that not only reject such exams unequivocally, but also offer guidelines for best practice. Teaching hospitals and medical schools should adopt similar policies on the matter and ensure that these are discussed at relevant junctures in the curricula. Such policies should ensure accountability by setting out clear reporting lines that establish clear sanctions for those who instruct medical students to perform such exams.
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来源期刊
CiteScore
2.80
自引率
20.00%
发文量
49
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