四主题法在规培住院医师临床伦理学培训中的应用研究

摘要

当前我国医学教育对医学伦理学教育重视程度不够,且更偏向医德教育,导致医学毕业生进入临床后解决实际伦理问题的能力有所欠缺.东阳市人民医院在住院医师规范化培训中采用"四主题法"进行临床伦理学培训;并将培训分为三阶段,每个阶段都设有不同的培训内容和目标,通过理论授课和小组讨论方式实施培训.小组讨论时,由组长从临床实际中选择有伦理冲突的案例,然后组员应用四主题法进行分析讨论,梳理伦理冲突,给出伦理决策;这一学习过程有利于提高住院医师解决临床伦理问题的能力.%Due to the insufficient education of medical ethics and tending to medical moral educa-tion, the residents lack the ability to make ethical decisions. Therefore, we applied Four Topics method in the clinical ethics training of residents. The clinical ethics training was divided into three stages, and each stage had different training content and objectives. Dongyang People's Hospital adopted the form of lectures and panel discussions. During the group discussion, the group leader was in charge of case preparation, which came from clinical practice, and then all members applied the Four Topics method to analyze and discuss the ethical conflicts, and make the ethical decision. Through this process, residents' ability to solve ethical problems in clinical practice was enhanced.