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Volume 12 Issue 2
May  2021
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LI Ji, YOU Wen, LIU Shuang, RUAN Ge-chong, XU Tian-ming, ZHANG Run-feng, ZHANG Xin-qing, QIAN Jia-ming. Clarify and Resolve Ethical Issues in the Teaching of Clinical Practice Based on the Four-topics Theory——An Example of Patients' Refusal to the Practice of Medical Students[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(2): 282-286. DOI: 10.12290/xhyxzz.20200135
Citation: LI Ji, YOU Wen, LIU Shuang, RUAN Ge-chong, XU Tian-ming, ZHANG Run-feng, ZHANG Xin-qing, QIAN Jia-ming. Clarify and Resolve Ethical Issues in the Teaching of Clinical Practice Based on the Four-topics Theory——An Example of Patients' Refusal to the Practice of Medical Students[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(2): 282-286. DOI: 10.12290/xhyxzz.20200135
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Clarify and Resolve Ethical Issues in the Teaching of Clinical Practice Based on the Four-topics Theory——An Example of Patients' Refusal to the Practice of Medical Students

  • 1.

    Department of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

  • 2.

    School of Clinical Medicine, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

  • 3.

    School of Humanities and Social Sciences, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

Funds: 

Education Reform Projects of Peking Union Medical College 2017zlgc0110

More Information
  • Corresponding author:

    QIAN Jia-ming  Tel: 86-10-69155019 E-mail: qianjiaming1957@126.com

  • Received Date: May 17, 2020
  • Accepted Date: June 21, 2020
  • Available Online: January 31, 2020
  • Issue Publish Date: May 29, 2021
    Graphical Abstract
    • Abstract
  • This article addressed the ethical issues during teaching medical students the clinical practice, which focused on the conflict between the best interest of patients and the obligation to accept practice of medical students. It firstly evaluated the ethical issue based on the "four topics", which included medical indications, patients' preferences, quality of life, and contextual features to clarify the core clinical ethical problem. Then it provided suggestions based on the viewpoints in literature as well as the authors' own experiences, including respecting patients' autonomy and right of informed consent, and improving physician-patient communica- tion. Based on the above discussion, this article provided some insights into how to solve this kind of ethical problem for mentors and medical students.
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    • References (14)
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