Treating despite discomfort and self-doubt

Huijer, Marli; Andereck, William S.; Larkin, Gregory Luke; Kushner, Thomasine; Thomasma, David C.

doi:10.1017/cbo9781316036501.006

Cited by 3 publications

(3 citation statements)

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“…It has been noted previously that prisoners' drug use, lower social status, older age, and unconsciousness have contributed to supervisors' willingness to shift responsibility to trainees during surgery. 16 Private citizens can choose a surgeon and specify the involvement of trainees within a teaching hospital, whereas prisoners are generally not given an alternative. Nevertheless, the informed consent process should have the same elements: that the patient has the capacity to make a decision, that the patient has appropriate information to make a decision, and that the patient freely consents.…”

Section: Ethical Issues In Prisoner Carementioning

confidence: 99%

Caring for the Incarcerated: An Orthopedic Perspective

Munns¹,

Samora²,

Granger³

et al. 2013

Orthopedics

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Section: Ethical Issues In Prisoner Carementioning

confidence: 99%

Caring for the Incarcerated: An Orthopedic Perspective

Munns¹,

Samora²,

Granger³

et al. 2013

Orthopedics

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“…Huijer [21] stated that drug use, race, lower social status, older age, and unconsciousness of the patient appear to be factors that make it easier for supervisors to shift the responsibility for procedures to the intern or resident. These factors also make juniors more inclined to assume that responsibility.…”

Section: Patientsmentioning

confidence: 99%

Challenges of Teaching Surgery: Ethical Framework

Raja

Levin

2003

World j. surg.

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Surgeons, trainees, and patients may be uncomfortable with the secrecy that surrounds the process of teaching and learning surgical procedures. Well structured training programs use a system of graded responsibility, supervision, and evaluation to ensure skill development and patient safety. Patient outcomes are generally excellent in training institutions. Disclosure of the role of trainees and their contribution to care enhances trust.

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“…It seems to provide [an] ample opportunity for residents to learn to operate. However, this practice may teach trainees that patients from other cultures can be used for surgical training, thereby reinforcing the undesirable view that some patients are more valuable than others [8]. It also unfairly distributes the risk of training beginning surgeons to developing countries and contributes to the ethos of the global health inequity.…”

mentioning

confidence: 99%

Ethics of Surgical Training in Developing Countries

Ramsey¹,

Weijer

2007

World j. surg.

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The practice of surgical trainees operating in developing countries is gaining interest in the medical community. Although there has been little analysis about the ethical impact of these electives, there has been some concerns raised over the possible exploitation of trainees and their patients. An ethical review of this practice shows that care needs to be taken to prevent harm. Inexperienced surgeons learning surgical skills in developing countries engender greater risk of violating basic ethical principles. Advanced surgical trainees who have already achieved surgical competence are best qualified to satisfy these ethical issues. All training programs need to develop a structured ethical review for international electives to protect their trainees and their patients from harm.

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Treating despite discomfort and self-doubt

Cited by 3 publications

References 0 publications

Caring for the Incarcerated: An Orthopedic Perspective

Caring for the Incarcerated: An Orthopedic Perspective

Challenges of Teaching Surgery: Ethical Framework

Ethics of Surgical Training in Developing Countries

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