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Ward Ethics: Dilemmas for Medical Students and Doctors in Training

Editat de Thomasine K. Kushner, David C. Thomasma
en Limba Engleză Paperback – 6 iun 2001

În peisajul literaturii de specialitate, Ward Ethics se poziționează ca o alternativă pragmatică la Case Files Medical Ethics and Professionalism pentru rezidenți, cu avantajul unei structuri centrate strict pe realitatea imediată a secției de spital. Dacă majoritatea manualelor de profil explorează dileme bioetice de anvergură care exced autoritatea unui medic aflat la început de drum, lucrarea editată de Thomasine K. Kushner și David C. Thomasma coboară discuția în arena cotidiană a stagiului clinic.

Notăm cu interes faptul că volumul nu se limitează la teorii abstracte, ci analizează peste 80 de cazuri concrete, de la abuzul de substanțe și conduita sexuală inadecvată, până la denunțarea practicilor neetice (whistleblowing) și gestionarea relațiilor tensionate cu superiorii ierarhici. Descoperim aici o abordare clinică precisă a responsabilității, unde accentul cade pe deciziile pe care un student sau un rezident le poate lua efectiv în timpul gărzii. Comparativ cu Professionalism in Medicine, care pune accent pe reflecție și mentorat, Ward Ethics funcționează ca un ghid de supraviețuire etică, oferind comentarii de la experți internaționali asupra unor situații precum reprezentarea greșită a cercetării sau erorile în efectuarea procedurilor medicale sub presiune.

Suntem de părere că rigoarea editorială impusă de Cambridge University Press transformă acest format de tip „studii de caz și comentarii” într-un instrument pedagogic esențial. Tonul este unul sobru, axat pe soluționarea conflictelor de valori care apar frecvent în interacțiunea cu pacienții și echipa medicală, oferind viitorilor medici reperele necesare pentru a naviga complexitatea morală a spitalului fără a-și compromite integritatea profesională.

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Specificații

ISBN-13: 9780521664523
ISBN-10: 0521664527
Pagini: 284
Ilustrații: 1 table
Dimensiuni: 191 x 247 x 18 mm
Greutate: 0.52 kg
Editura: Cambridge University Press
Colecția Cambridge University Press
Locul publicării:Cambridge, United Kingdom

De ce să citești această carte

Recomandăm Ward Ethics studenților și rezidenților care doresc să înțeleagă limitele responsabilității lor morale pe secție. Față de alte manuale teoretice, acesta oferă soluții pentru situații de „viață reală” — precum erorile colegilor sau presiunea autorității — pregătind cititorul pentru provocările etice concrete pe care le va întâlni chiar din prima zi de practică clinică.


Descriere scurtă

The existing literature in medical ethics does not serve the practical needs of medical students and trainees very well, as the dilemmas posed are generally beyond their direct control, and being a student or junior doctor brings its own set of ethical concerns. The editors have addressed this need by compiling a series of case studies from around the world and inviting an international team of leading ethicists and clinicians to comment on them. Over 80 actual cases cover the range of possible problems a medical trainee may encounter on the ward, from drug and alcohol abuse, whistleblowing and improper sexual conduct to performing procedures, handling authority, disclosure, blaming, personal responses to patients, and misrepresentation of research. The book will be an essential guide on how to cope with the ethical dilemmas of those embarking on medical careers.

Cuprins

Acknowledgements; About the editors; Prologue: breaking the silence; Letter to a young doctor Richard Selzer; Part I. On Caring for Patients: Introduction; Section I. Performing Procedures: 1. The responsibility of informing; 2. Treating despite discomfort and self doubt; 3. Blaming the patient; 4. Breaking the code: is a promise always a promise? 5. The newly dead; 6. Asking for help: who is listening?; Section II. Problems in Truthtelling: 7. Omissions: failing to come forward; 8. Commissions: deliberate deception; Section III. Setting Boundaries: 9. From professional to personal; 10. Losing empathy; 11. The limits of compassion; Part II. On Becoming a 'Team Player': Introduction; Section IV. Abuse and Mistreatment: 12. Psychological: subjected to humiliating and belittling behavior; 13. Physical abuse: actual physical harm; 14. Sexual abuse: sexist slurs and sexual advances; Section V. Argot, Jargon, and Questionable Humor: 15. Comedians: mordant humor and cynicism; 16. What's in a name?; Section VI. Making Waves: 17. Personal identity; 18. Duties to treat?; 19. Hierarchy and the dynamics of rank; 20. Conflicts of interest; Section VII. Perceiving Misconduct and Whistleblowing: 21. Abusing alcohol or drugs; 22. Mistreating patients; 23. Covering up; 24. Misrepresenting research; Epilogue: using this book; Glossary; Index.

Recenzii

'The book addresses a huge range of topics that will be familiar to many readers from performing procedures and the place of humour on the ward round to whistle blowing on colleagues - the list is exhaustive.' British Medical Journal
'The mode of writing adds appeal and immediacy to the text. Authors frequently tell stories of difficulties during their own training … which complement the stories of the students and residents … much of the advice is wise and helpful, and the writers avoid platitudinous suggestions about standing up for 'the right' in the face of instructions from seniors and teachers … a very commendable and very complex piece of work, whose breadth, thoroughness, wisdom and practicality make it readable and valuable. Kushner and Thomasma are to be congratulated for addressing such an important, and usually occult, field of ethics. In this undertaking, trainees and students have found a voice.' Journal of the Royal Society of Medicine
'… this book would be a useful read for almost anyone concerned about the state of modern medical education … the cases are well organized, and each chapter is followed by discussion questions … physicians and medical trainees will identify with the scenarios discussed in this book. One common thread throughout these disparate and sad tales is the failure to meet rather obvious ethical and legal standards of high quality care.' The Left Atrium
'… an excellent account of ethical issues in everyday clinical practice … Brilliant case studies … I would recommend it as a 'must' to anybody embarking on a medical career.' Nursing Ethics
'Ward Ethics is also very suitable for trainee doctors, if not all doctors, and I would recommend it to anyone with the slightest interest in medical ethics.' Journal of Medical Ethics
'I wish I had had access to a similar book to guide me at the time when I had to deal with these difficult, and sometimes unpleasant, situations. No doubt I would have made some wiser decisions.' Hong Kong Medical Journal
'Ward Ethics presents a well-organised and broad overview of ethical dilemmas faced by medical students and junior doctors … the book remains a major step in dealing with the problem frequently neglected in the past … Ward Ethics is an important step in addressing this problem at its conception.' Progress in Palliative Care
'… I think this book is excellent … this challenging book will improve the ward ethics of any reader.' Ethics & Medicine

Descriere

Over 80 actual cases, and expert commentaries, on the ethical problems medical trainees may encounter.