| Moral angst for surgical residents: a qualitative study. | |
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MedLine Citation:
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PMID: 20096822 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The ethical dilemmas that residents experience throughout their training have not been explored qualitatively from surgical residents' perspectives. METHODS: Grounded theory methodology was used. All University of Toronto surgical, otolaryngology, and obstetrics and gynecology residents were invited to participate. Twenty-eight face-to-face interviews were conducted. Interviews were transcribed and analyzed by 3 reviewers. RESULTS: Five encompassing themes emerged: (1) residents prefer operating with another resident while the staff watches; (2) residents felt that patients were rarely well informed about their role; (3) residents develop good relationships with patients; (4) residents felt ethically obliged to disclose intraoperative errors; and (5) residents experience ethical distress in certain teaching circumstances. CONCLUSIONS: Residents encounter ethical dilemmas leading to moral angst during their surgical training and need to feel safe to discuss these openly. Staff and residents should work together to establish optimal communication and teaching situations. |
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Authors:
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Eva Knifed; Aunshu Goyal; Mark Bernstein |
Publication Detail:
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Type: Journal Article Date: 2010-01-22 |
Journal Detail:
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Title: American journal of surgery Volume: 199 ISSN: 1879-1883 ISO Abbreviation: Am. J. Surg. Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-04-02 Completed Date: 2010-04-19 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370473 Medline TA: Am J Surg Country: United States |
Other Details:
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Languages: eng Pagination: 571-6 Citation Subset: AIM; IM |
Copyright Information:
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Copyright 2010 Elsevier Inc. All rights reserved. |
Affiliation:
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Division of Neurosurgery, University of Toronto, Toronto, Ontario, Canada. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Attitude of Health Personnel* Clinical Competence Female Gynecology / education Humans Internship and Residency* / ethics Interprofessional Relations Male Medical Errors / ethics Moral Obligations* Narration Obstetrics / education Ontario Otolaryngology / education Physician-Patient Relations* / ethics Qualitative Research Research Design Sample Size Specialties, Surgical / education*, ethics* Students, Medical* / psychology Teaching / methods Truth Disclosure / ethics |
| Comments/Corrections | |
Comment In:
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Am J Surg. 2010 Apr;199(4):577-9
[PMID:
20359577
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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