论加强临床医学伦理教育的实用性

Discussion on the Practicality of Strengthening Clinical Medical Ethics Education

为了实现中国卓越医生教育培养计划,满足临床实践的伦理需求,面向受教育者开展临床医学伦理教育至关重要。临床医学伦理教育是医学教育的重要组成部分,也是医者践行医学职业道德的必要且重要途径。从临床医学伦理的概念出发,论述临床医学伦理教育的含义、目标和内容;然后辨析它与既有医学伦理教育的实质性区别,表现为临床实践力、情境具化性、行动规范性;进而,通过总结和分析既有临床医学伦理教育的现状,发现它已显现实用性不足的弊端;最后在梳理既往对策的基础上,提出加强临床医学伦理教育实用性的策略,包括采取“时间—空间—师资”整合进路,以及建立“政府—机构—教师”三级责任体系。

To realize the education and training program of excellent doctors in China and meet the ethical requirements of clinical practice,it is crucial to carry out clinical medical ethics education for medical staff.Clinical medical ethics education is an important component of medical education and a necessary and important way for doctors to practice medical professional ethics.Starting from the concept of clinical medical ethics,this paper discussed the meaning,objectives,and content of clinical medical ethics education,and then distinguished its substantive differences from existing medical ethics education,which were manifested in clinical practice ability,situational embodiment,and action standardization.Furthermore,by summarizing and analyzing the current situation of clinical medical ethics education,it was found that it has shown its shortcomings in insufficient practicality.Finally,based on sorting out the previous countermeasures,this paper proposed strategies to strengthen the practicality of clinical medical ethics education,including adopting the integration approach of time-space-teacher and establishing a three-level responsibility system of government-institution-teacher.