Abstract：
:The goals of medical ethics education comprise several dimensions: legal duties to secure informed consent, tell the truth and protect confidentiality; objective competencies that include an understanding of DNR regulations and surrogate decision-making procedures; discursive moral skills such as moral sensitivity, reciprocity and moral development that combine into the capacity for moral dialogue and debate; and finally, behavioural goals that challenge moral education to nurture a more humane, sensitive and communicative physician. Part one of this paper describes each of these goals, together with some of the inherent difficulties affecting implementation. Part two presents survey data from medical ethics instructors (n = 126) who were asked about the importance of each goal and their ability to successfully achieve each aim. While each goal is highly rated, only those goals associated with legal duties and objective competencies are thought to be achieved with any degree of relative success. Goals associated with character transformation, unique to medical ethics education, are among the most difficult to achieve. Additional empirical data corroborate these impressions. Moreover, it is not clear that medical ethics education has much to do with good care. Empirical data are scarce and the conceptual relationship between ethics and care remains highly problematic. Part three offers a number of divergent interpretations of care and concludes that they have little to do with medical ethics. There is no reason to expect that medical competence should be affected by moral competence. Medical ethics therefore might then be viewed as an educational enhancement: unnecessary for healthy doctoring but desirable among a small percentage of the profession who maintain an interest in ethical problems.
journal_name
J Eval Clin Practjournal_title
Journal of evaluation in clinical practiceauthors
Gross MLdoi
10.1046/j.1365-2753.2001.00277.xsubject
Has Abstractpub_date
2001-11-01 00:00:00pages
387-97issue
4eissn
1356-1294issn
1365-2753pii
277journal_volume
7pub_type
杂志文章abstract：:It is important to improve our understanding about what might be the specific characteristics of mental disorders to strengthen the scientific credibility of psychiatry and to clarify its position among other medical and nonmedical sciences. On the other hand, this issue has diagnostic, research, therapeutic, legal, f...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章,评审
doi：10.1111/jep.12766
更新日期：2017-10-01 00:00:00
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journal_title：Journal of evaluation in clinical practice
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journal_title：Journal of evaluation in clinical practice
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abstract：RATIONALE, AIMS AND OBJECTIVES:A national guideline was proposed to enable shared care in hearing complaints and therefore to change patient flows. In this study the effect of this guideline is evaluated. METHODS:From a total of 3500 patients with hearing complaints, consulting the Ear Nose and Throat Department of a ...
journal_title：Journal of evaluation in clinical practice
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journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
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journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
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journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章,评审
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更新日期：1996-05-01 00:00:00
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journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章,随机对照试验
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journal_title：Journal of evaluation in clinical practice
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doi：10.1111/j.1365-2753.2012.01820.x
更新日期：2013-04-01 00:00:00
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journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1046/j.1365-2753.2000.00264.x
更新日期：2000-08-01 00:00:00
abstract：OBJECTIVE:The study aims to identify key enablers fostering clinical risk management (CRM) in hospitals to guide health care in this vital area of patient safety. METHOD:A cross-sectional survey was conducted at the national level in 324 Swiss hospitals in 2007-2008 to assess the relationship between key elements and ...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/j.1365-2753.2012.01836.x
更新日期：2013-04-01 00:00:00
abstract：:Evidence-based health care (EBHC), previously evidence-based medicine (EBM), is considered by many to have modernized health care and brought it from an authority-based past to a more rationalist, scientific grounding. But recent concerns and criticisms pose serious challenges and urge us to look at the fundamentals o...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
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更新日期：2017-10-01 00:00:00
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journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/jep.12179
更新日期：2014-08-01 00:00:00
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journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章,随机对照试验
doi：10.1111/jep.12505
更新日期：2016-06-01 00:00:00
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journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/j.1365-2753.2008.00980.x
更新日期：2009-02-01 00:00:00
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journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章,评审
doi：10.1111/j.1365-2753.2007.00931.x
更新日期：2008-10-01 00:00:00
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journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/j.1365-2753.2006.00685.x
更新日期：2007-04-01 00:00:00
abstract：RATIONALE, AIMS AND OBJECTIVES:Patients can play an important role in reducing health care harm. Finding strategies to encourage patients to take on an active role in issues related to the quality and safety of their care is therefore essential. The aim of this study was to examine patients' and health care professiona...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/j.1365-2753.2011.01688.x
更新日期：2012-08-01 00:00:00
abstract：:Patient non-adherence is a common and important concern in clinical medicine. Some cases of patient non-adherence are cases in which the patient disagrees with the physician's recommended treatment based on particular reasons. Drawing upon science and technology studies literature, specifically the discussion by Colli...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/jep.12561
更新日期：2016-08-01 00:00:00
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journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/jep.13289
更新日期：2020-04-01 00:00:00
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journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/j.1365-2753.2011.01728.x
更新日期：2011-10-01 00:00:00
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journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/jep.12741
更新日期：2018-02-01 00:00:00
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journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章,随机对照试验
doi：10.1111/jep.12539
更新日期：2016-10-01 00:00:00
abstract：:A system approach termed P4 medicine has recently been proposed in the field of oncology. This approach has been advanced as an extension of what is usually called 'personalized' or 'genomic medicine'. P4 medicine creates effective predictive, personalized, preventive and participatory models to treat patients. In ord...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/j.1365-2753.2011.01709.x
更新日期：2011-08-01 00:00:00
abstract：RATIONALE, AIMS AND OBJECTIVES:The spontaneous reporting of adverse drug reactions (ADRs) through the yellow card and made concrete by the knowledge and attitudes of doctors, has been rousing a great deal of bibliographical interest in recent years. However, there does not seem to be any actual revision in the theme on...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章,评审
doi：10.1111/j.1365-2753.2003.00456.x
更新日期：2004-11-01 00:00:00
abstract：OBJECTIVES:To determine IMR trends and regional variations among 47 prefectures in Japan and to identify associated population-based factors. METHODS:We conducted an ecological study of infant mortality rate (IMR) by analyzing publicly available data from the Ministry of Health, Labour and Welfare of Japan. Outcome me...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/j.1365-2753.2012.01862.x
更新日期：2013-10-01 00:00:00
abstract：RATIONALE, AIMS AND OBJECTIVES:To evaluate asthma management and control in primary care clinics so as to design improvements based on guideline-directed outcomes. METHODS:In this study, all medical records of asthma-diagnosed patients (children as well as adults, entire lifespan, asthma-related visits or not) were re...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/j.1365-2753.2011.01803.x
更新日期：2013-04-01 00:00:00
abstract：:The types of diseases, or categories of suffering, referred to as medically unexplained symptoms or syndromes (MUS) are the focus for the following commentary. Such cases seem to invite reflection. The very nature of such complex patterns of disease and suffering raises a number of fundamental epistemological and onto...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/jep.12430
更新日期：2016-08-01 00:00:00
abstract：AIM:To find out whether a successful multifaceted implementation approach of a local evidence-based guideline on postoperative body temperature measurements (BTM) was persistent over time, and which factors influenced long-term adherence. METHODS:Mixed methods analysis. Patient records were retrospectively examined to...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/j.1365-2753.2011.01687.x
更新日期：2012-08-01 00:00:00
abstract：RATIONALE:The ADAPTE framework was established to enhance efficiency in guideline development and to facilitate adaptation of high-quality clinical practice guidelines for a local context. It offers guideline developers a systematic methodology for guideline adaptation; however, the feasibility and usability of the pro...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/jep.12097
更新日期：2014-04-01 00:00:00
