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Medical misconduct in Hong Kong: Implications for medical education around the world

机译:香港的医疗不端行为:对世界医学教育的启示

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Context Medical educators emphasise responses to medical misconduct, but little is known about medical misconduct and its implications for medical education. This article investigates the nature of medical malpractice in Hong Kong and offers guidance for the inclusion of a curriculum to prevent the occurrence of medical misconduct in medical education around the world. Methods A comprehensive review of judgements made by the Medical Council of Hong Kong during the period from July 2008 to December 2010 was conducted. Each of the 40 cases of inquiry related to medical misconduct were summarised and analysed according to 14 factors. Results Of the 40 cases, nearly half involved only one or two charges. The Council found the defendants guilty of professional misconduct on 148 of 169 charges, and ordered the following four types of penalty: removal order, suspension, warning letter, and reprimand. Cases are grouped into three categories involving: improper documentation, inappropriate management or prescription of drugs, and failure to interact appropriately with patients. The relevant ethical codes or legislation for each category are illustrated. Conclusions Various types of medical misconduct unquestionably caused suffering to the patients involved, their families and society. Hence, it is crucial for medical educators to teach students about the importance of medical ethics and the prevention of misconduct.
机译:背景医学教育者强调对医学不端行为的反应,但对医学不端行为及其对医学教育的影响知之甚少。本文研究了香港医疗事故的性质,并为在世界各地的医学教育中防止发生医疗不当行为的课程提供了指导。方法对香港医务委员会在2008年7月至2010年12月期间所作的判决进行全面审查。根据14个因素对40例涉及医疗不当行为的询问案件进行了总结和分析。结果40例病例中,近一半只涉及一两项指控。理事会在169项指控中的148项中认定被告犯有专业不当行为,并下达以下四种处罚:遣返令,停职,警告信和谴责。病例可分为三类,包括:不当的文件记录,不当的药物管理或处方以及与患者的不适当互动。说明了每个类别的相关道德规范或法律。结论各种医疗不当行为无疑会给相关患者,他们的家庭和社会造成痛苦。因此,对医学教育者而言,至关重要的是,向学生讲授医学伦理学的重要性和防止不端行为。

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