The Physician as Health Advocate: Translating the Quest for Social Responsibility Into Medical Education and Practice
The Physician as Health Advocate: Translating the Quest for Social Responsibility Into Medical Education and Practice
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DOI：
10.1097/acm.0b013e318226b43b
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发表时间：
2011-09-01
影响因子：
7.4
通讯作者：
Woollard, Robert
中科院分区：
文献类型：
--
作者：
Dharamsi, Shafik;Ho, Anita;Woollard, Robert
教育未来的医生具有社会责任感的需求日益增长。然而，尚不清楚在医学教育和实践中如何理解和履行社会责任，特别是在人们越来越希望通过公平和可持续的提供系统来改善卫生保健的背景下。作者进行概念分析，探讨社会责任的实践哲学理解及其对医学教育和实践的启示。其目的是为课程发展、专业实践和进一步的社会责任研究提供信息。解释社会责任的特定方式可以加强或限制社会责任在整个医学教育和实践过程中的表现。医生在社会中的地位与一种道德责任感密切相关，这种责任感与医生在社会中公认的职业特征、履行这一角色的能力以及这些专业人员因未能按照这一角色适当行事而被要求承担责任的情况密切相关。对社会责任的要求是一种道德承诺和义务，在几个世纪以来，在社会中发展了“职业”的概念以及随之而来的与社会的社会契约。注重培养未来医生社会责任的课程要求教学方法具有创新性、合作性、参与性和变革性。
There is a growing demand for educating future physicians to be socially responsible. It is not clear, however, how social responsibility is understood and acted on in medical education and practice, particularly within the context of a growing desire to improve health care through an equitable and sustainable delivery system. The authors conduct a concept analysis, exploring the practical philosophical understanding of social responsibility and its implications for medical education and practice. The aim is to inform curricular development, professional practice, and further research on social responsibility. The particular ways in which social responsibility is interpreted can either enhance or establish limits on how it will appear across the continuum of medical education and practice. A physician's place in society is closely tied to a moral sense of responsibility related to the agreed-on professional characteristics of physicianhood in society, the capacity to carry out that role, and the circumstances under which such professionals are called to account for failing to act appropriately according to that role. The requirement for social responsibility is a moral commitment and duty developed over centuries within societies that advanced the notion of a "profession" and the attendant social contract with society. A curriculum focused on developing social responsibility in future physicians will require pedagogical approaches that are innovative, collaborative, participatory, and transformative.