Between A Rock and A Hard Place: Values, ethics, and the physician-in-training скачать в хорошем качестве

Between A Rock and A Hard Place: Values, ethics, and the physician-in-training

The video consists of 4 four-minute vignettes of ethical issues faced by medical students: 1) Disclosure when doing a procedure for the first time (Spinal Tap). 2) Demonstrating respect when providing medical care as part of team (Kicking the Dog). 3) Advocating for a patient’s preferences at the end of life (Salvage Chemotherapy). 4) Balancing educational and family commitments (Phone Home). The ethical issues faced by medical students involve similar themes to those faced by other health care professionals about balancing their own interests and their perspectives of what is good for patients with patients’ perspectives of what is good for them. However, as trainees, these themes are further complicated by students’ own educational goals that will allow them to help other patients in the future, as well as by the organizational power structures that can limit students’ abilities to advocate for patients. Learning how to navigate these issues, including communication skills with patients and other team members, can be foundational for quality care and ethical integrity. This video was created in in 1984-1985 by Joseph Sachs and Benjamin Wilfond, as fourth-year medical students, for the American Medical Student Association (AMSA). Dr Sachs was the national coordinator of the AMSA Standing Committee on Medical Education, and Dr Wilfond was the national coordinator of the AMA Standing Committee on Bioethics. Sachs, a Stanford University medical student, directed and produced the video, as an MFA project. Wilfond, a student at New Jersey Medical School, conceived the vignettes based on his personal experiences, and did background research on the psychosocial aspects of medical training and drafted the scripts while doing a student internship at the Hastings Center. The video was written by Sachs and Wilfond and filmed at Stanford University. AMSA distributed the video to medical schools for about 20 years to introduce students to bioethics and to encourage them to consider the bioethical issues they confronted in their roles as learners in a complex medical care and educational environment.