Title |
How Should Resident Physicians Respond to Patients’ Discomfort and Students’ Moral Distress When Learning Procedures in Academic Medical Settings?
|
---|---|
Published in |
The AMA Journal of Ethic, June 2017
|
DOI | 10.1001/journalofethics.2017.19.6.ecas1-1706 |
Pubmed ID | |
Authors |
Bonnie M Miller |
Abstract |
In this scenario, a medical student, Lauren, experiences moral distress because she feels that learning to perform a procedure on a patient who requested not to be used for "practice" puts her own interests above the patient's. Lauren might also worry that the resident physician is misrepresenting her abilities. The resident physician could help alleviate Lauren's distress and align her interests with the patient's by more clearly explaining the training situation to the patient and seeking the patient's approval. Lauren might also manage the situation by assuring the patient of the resident's supervisory role. This article argues that trainees should have the opportunities to practice procedures and difficult conversations in simulated settings and that institutions should support a culture of "speaking up" to ensure patients' and learners' safety. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 17 | 37% |
United Kingdom | 2 | 4% |
Australia | 1 | 2% |
Curaçao | 1 | 2% |
Brazil | 1 | 2% |
Mexico | 1 | 2% |
Canada | 1 | 2% |
Unknown | 22 | 48% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 28 | 61% |
Practitioners (doctors, other healthcare professionals) | 11 | 24% |
Scientists | 7 | 15% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 53 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 12 | 23% |
Researcher | 6 | 11% |
Student > Master | 5 | 9% |
Lecturer | 3 | 6% |
Student > Doctoral Student | 3 | 6% |
Other | 10 | 19% |
Unknown | 14 | 26% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 17 | 32% |
Nursing and Health Professions | 6 | 11% |
Psychology | 4 | 8% |
Social Sciences | 2 | 4% |
Agricultural and Biological Sciences | 1 | 2% |
Other | 4 | 8% |
Unknown | 19 | 36% |