Student identification of ethical issues in a primary care setting.
*Education; *Ethics; *Primary Health Care; Confidentiality; Decision Making; Graduate; Health; Humans; Insurance; Medical; Medical/psychology; Morals; Ohio; Perception; Physician Impairment; Physician-Patient Relations; Students; Thinking
Ethical issues in the clinical arena have received significant attention during the past few decades. Limited focus has been directed toward ethical issues in the primary care office setting. A study was conducted to determine the ethical perspectives through critical review discussions between medical students and their preceptors during the PCP programme. Major ethical themes and percent of occurrence emerging from an analysis of the summaries of their discussions included decision-making (40%), professional standards (16%), locus of care (12%), community responsibility (10%), and confidentiality (10%). This study adds to the evidence that while the ethical issues prevalent in the primary care setting are less dramatic than those in a hospital, they are sufficiently frequent to warrant inclusion in the curriculum, enabling students to become more sensitive to their existence.
Homenko D F; Kohn M; Rickel T; Wilkinson M L
Medical education
1997
1997-01
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1111/j.1365-2923.1997.tb00041.x" target="_blank" rel="noreferrer noopener">10.1111/j.1365-2923.1997.tb00041.x</a>
Ethical principles contained in currently professed medical oaths.
*Codes of Ethics; *Ethics; *Hippocratic Oath; Beneficence; Bioethics and Professional Ethics; Confidentiality; Empirical Approach; Humans; Medical; Patient Advocacy; Personal Autonomy; Physician-Patient Relations; Social Justice; United States
This study analyzed the pledges received from all U.S. medical schools accredited in 1989 by the Liaison Committee on Medical Education of both the Association of American Medical Colleges and the American Medical Association to determine what pledges were affirmed and what ethical principles they contained. The Oath of Hippocrates was the most frequently affirmed pledge (the wording of which was used by 60 schools). Few oaths clearly demonstrated respect for patients' autonomy. The principle of veracity was not evident in any oath. However, nonmaleficence, beneficence, and justice were evident in half of the pledges, and confidentiality was included in three-fourths of them. The authors conclude that the medical oaths failed to address the changing doctor-patient relationship emerging in the 1990s, whereas they continued to affirm traditional principles of nonmaleficence and beneficence.
Dickstein E; Erlen J; Erlen J A
Academic medicine : journal of the Association of American Medical Colleges
1991
1991-10
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1097/00001888-199110000-00020" target="_blank" rel="noreferrer noopener">10.1097/00001888-199110000-00020</a>