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Challenges of Teaching Surgery: Ethical Framework

  • World Progress in Surgery
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Abstract

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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References

  1. A Gawande (2002) Education of Knife: Complications Metropolitan Books New York

    Google Scholar 

  2. ED Pellegrino DC Thomasma (1993) Fidelity to trust The Virtues in Medical Practice Oxford University Press New York

    Google Scholar 

  3. D King SJ Benbow J Elizabeth et al. (1992) ArticleTitleAttitudes of elderly patients to medical students Med. Educ. 26 360–363 Occurrence Handle1:STN:280:ByyD283isFc%3D Occurrence Handle1435374

    CAS  PubMed  Google Scholar 

  4. FG Lawton CWE Redman DM Luesley (1990) ArticleTitlePatient consent for gynecological examination Br. J. Hosp. Med. 44 326–329 Occurrence Handle1:STN:280:By6C3MzotVw%3D Occurrence Handle2275995

    CAS  PubMed  Google Scholar 

  5. Supreme Court of Canada (1991) Meyer Estate v. Rogers 2 OR (3d) 356 (Gen Div)

  6. PC Hébert B Hoffmaster KC Glass et al. (1999) Truth telling P Singer (Eds) Bioethics at the Bedside: A Clinician’s Guide Canadian Medical Association Ottawa 47–54

    Google Scholar 

  7. E Etchells G Sharpe MM Burgess et al. (1999) Disclosure P Singer (Eds) Bioethics at the Bedside: A Clinician’s Guide Canadian Medical Association Ottawa 9–16

    Google Scholar 

  8. AR Jonsen M Siegler WJ Winsdale (1998) Clinical Ethics EditionNumber4th edition Macmillan New York

    Google Scholar 

  9. PH Richardson P Curzen P Fonagy (1986) ArticleTitlePatients’ attitudes to student doctors Med. Educ. 20 314–317 Occurrence Handle1:STN:280:BimA3M%2FjvFI%3D Occurrence Handle3747877

    CAS  PubMed  Google Scholar 

  10. NL York DA DaRossa SJ Markwell et al. (1995) ArticleTitlePatients’ attitudes toward the involvement of medical students in their care Am. J. Surg. 169 421–423 Occurrence Handle10.1016/S0002-9610(99)80189-5 Occurrence Handle1:STN:280:ByqB3cfpvF0%3D Occurrence Handle7694982

    Article  CAS  PubMed  Google Scholar 

  11. SL Carney KR Mitchell (1986) ArticleTitleSatisfaction of patients with medical students’ clinical skills J. Med. Educ. 61 374–379 Occurrence Handle1:STN:280:BimB3c%2FgvFE%3D Occurrence Handle3701812

    CAS  PubMed  Google Scholar 

  12. AT Goodwin I Birdi TPJ Ramesh et al. (2001) ArticleTitleEffect of surgical training on outcome and hospital costs in coronary surgery Heart 85 454–457 Occurrence Handle10.1136/heart.85.4.454 Occurrence Handle1:STN:280:DC%2BD3M3msFKhsg%3D%3D Occurrence Handle11250976

    Article  CAS  PubMed  Google Scholar 

  13. RJF Baskett KJ Buth JF Leagare et al. (2002) ArticleTitleIs it safe to train Residents to perform Cardiac surgery? Ann. Thorac. Surg. 74 1043–1048 Occurrence Handle10.1016/S0003-4975(02)03679-2 Occurrence Handle12400743

    Article  PubMed  Google Scholar 

  14. KW Coates TJ Kuehl CG Bachofen et al. (2001) ArticleTitleAnalysis of surgical complications and patient outcomes in a residency training program Am. J. Obstet. Gynecol. 184 1380–1385 Occurrence Handle10.1067/mob.2001.115045 Occurrence Handle1:STN:280:DC%2BD3MzksV2gsA%3D%3D Occurrence Handle11408856

    Article  CAS  PubMed  Google Scholar 

  15. AM Paisley KK Madhavan S Paterson-Brown et al. (1999) ArticleTitleRole of the surgical trainee in upper gastrointestinal resectional surgery Ann. R. Coll. Surg. Engl. 81 40–45 Occurrence Handle1:STN:280:DyaK1M3lslGgtg%3D%3D Occurrence Handle10325684

    CAS  PubMed  Google Scholar 

  16. RP Corey RJ Olson (1998) ArticleTitleSurgical outcomes of cataract extraction performed by phacoemulsification J. Cataract Refract. Surg. 24 66–72 Occurrence Handle1:STN:280:DyaK1c7ls1Sjtw%3D%3D Occurrence Handle9494901

    CAS  PubMed  Google Scholar 

  17. RA Marston AG Cobb G Bentley (1996) ArticleTitleStanmore compared with Charnley total hip replacement. A prospective study of 413 arthoplasties J. Bone Joint Surg. Br. 78 178–184 Occurrence Handle1:STN:280:BymB3cbksVY%3D Occurrence Handle8666620

    CAS  PubMed  Google Scholar 

  18. JS Thompson LF Rikkers MD Omaha (1994) ArticleTitlePractice environment and residents operative experience Am. J. Surg. 167 418–422 Occurrence Handle1:STN:280:ByuB3svksFQ%3D Occurrence Handle8179087

    CAS  PubMed  Google Scholar 

  19. MF Mckneally (1999) ArticleTitleDisclosure, surgery, bioethics for clinicians Ann. R. Coll. Physicians Surg. Can. Suppl. 75

    Google Scholar 

  20. MF Mckneally (1999) ArticleTitleTruth telling, surgery, bioethics for clinicians Ann. R. Coll. Physicians Surg. Can. Suppl. 70

    Google Scholar 

  21. M Huijer (2001) Treating despite discomfort and doubt TK Kushner DC Thomasma (Eds) Dilemmas for Medical Students and Doctors in Training Cambridge University Press Cambridge, UK

    Google Scholar 

  22. MM Bottrell H Alpert RL Fischbach et al. (2000) ArticleTitleHospital informed consent for procedure forms: facilitating quality patient–physician interaction Arch. Surg. 135 26–33 Occurrence Handle1:STN:280:DC%2BD3c7gtVaqug%3D%3D Occurrence Handle10636343

    CAS  PubMed  Google Scholar 

  23. C Schooner (1997) ArticleTitleThe ethics of learning from patients Can. Med. Assoc. J. 156 535–538

    Google Scholar 

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Correspondence to Alex V. Levin M.D., M.H.Sc..

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Raja, A., Levin, A. Challenges of Teaching Surgery: Ethical Framework. World J. Surg. 27, 948–951 (2003). https://doi.org/10.1007/s00268-003-7085-6

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  • DOI: https://doi.org/10.1007/s00268-003-7085-6

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