Teaching and learning research ethics.
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The purpose of this article is to provide pharmacy educators with knowledge regarding the polygraph. These facts are valuable in training and counseling students and are prerequisite to making informed decisions as leaders in the profession. Businesses lose six-billion dollars annually to employee theft. One in four U.S. employers currently use the polygraph on employees, and pharmacists are frequently subject to the procedure. Several U.S. corporations report the lowest loss rates in the industry without resorting to the polygraph. They utilize traditional techniques of security, accounting, and personnel administration. Patterns of nonspecific autonomic responses modified by race, sociability, moral development, interpersonal climate, education, pain, and exercise level, indicate that the procedure is not valid. The procedure yields approximately 11 percent false positive and 2 percent false negative results. No licensure is required in 24 states, and 40 states allow employers to use the technique at will. NACDS and NARD support of the polygraph, while the APHA and the Retail Clerks Union oppose it.
The Government's decision to drastically and speedily increase the number of doctors in the country needs to be reviewed. The standard and quality of health care does not depend on the number of doctors, but on the improvement of the health care infrastructure. Increasing the number of government medical schools and increasing the intake of students should be done on a need-to basis, with the above perspective in mind. The selection criteria of candidates must not be compromised and the teaching staff must be adequate and experienced. The number of doctors should be gradually increased over the years in tandem with the development of the health care infrastructure and the deployment of doctors must be directed at providing equitable care to the people at all economic levels and geographic locations. The strength of academic staff in existing government medical schools must be upgraded to provide high level of teaching and research, perhaps reinforced with the recruitment of suitably qualified and experienced foreign teachers. The infrastructure of existing government medical schools must be upgraded to cater for the gradual increasing demand for more doctors as the country develops. The selection of candidates for the government medical schools must be based on merit and without undue emphasis on ethnic considerations, for it is only in the arena of fair competitiveness that excellence can be born. The considerations of merit in selection must include assessment of attitude, self-development, moral ethics and reasoning. If the above perspectives are fully appreciated, then there is really no requirement for private medical colleges in Malaysia.
Its obvious shortcomings aside, this study by H. Steven Moffic, John Coverdale, and Timothy Bayer is disquieting. It comes as no surprise that residents have lapses of cognitive recall. Every medical teacher knows this very well. What is worrisome is that their amnesia concerns the oldest, most revered, and most influential moral statement in the history of the profession... Purely apart from its content, the oath continues to have power as the solemnification of a physician's entry into the profession. It signifies a willingness to submit to a way of life that demands some suppression of self-interest. If studying the oath more explicitly reenforces this solemnification or strengthens the physician's dedication to the welfare of the patient, the effort will be worthwhile.
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...how do we train residents to employ ethical reasoning? This is a good question, not only for the problem of strikes, but also for all medical training. The best method is inductive, since that most closely parallels the clinical reasoning processes that define the reality of medical practice. The strengths of inductive reasoning are that it most closely matches the realities of practice, it arises from the particular circumstances of the case, and it leads to a casuistic conclusion that applies more directly than abstract reasoning models to the problem at hand. The weaknesses, though, require that inductive models include a check and balance.
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The question, "What is virtue and how can it be taught?" has been with us for quite a while. H. Steven Moffic, John Coverdale, and Timothy Bayer address it in a particular setting -- psychiatric practice -- with a particular group of students -- GY-III residents -- and employ a particular strategy -- a seminar... The course sounds like a good one -- wide ranging, open minded, and relevant to students' interests and experiences. I am less convinced than they are that education in ethics leads to moral behavior, but nonetheless I share their belief that it belongs in the curriculum... The authors are right to emphasize that ethical issues go beyond the doctor-patient relationship and include the profession-society interface as well.
I hope to persuade Hilde L. Nelson that she is wrong about an ethics of caring.... In conclusion, caring is an "ethics of attention," but it includes more than attention. 'Carers' must respond as well as attend. Much more needs to be done in describing caring responses, especially when social problems are involved. I agree with Nelson that an ethics or a moral orientation must deal with social problems. I also agree that, to date, most of us working on caring have written little on the subject. However, I do not agree that an ethics of caring is unable to address social problems. We have to work at showing that it can.
I read Hilde L. Nelson's article with great interest. To be "against caring" is tantamount to being against apple pie and motherhood. Caring as philosophy, theory, behavior, and ontology is pervasive in the literature of almost all socially interactive professions. Nelson's article raises common concerns about caring.... My difficulties with Nelson's argument against caring center around three issues: misunderstanding of caring in nursing practice, discomfort with ambiguity, and heroism as a replacement for the ethics of care....
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... Rowland is a social scientist and a radical feminist, and she has undertaken the task of making readers think twice about reproductive technologies. If a reader isn't thinking twice, it will not do to blame it on Rowland and the shortcomings of her book. She has a good deal to say that is extremely important and that needs to be considered by anyone who is interested in the moral issues, in general, and the issues for women and children, in particular, that are raised by the new and emerging reproductive technologies. Her book should be widely read. And it should generate the worries it is written to generate.
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[Mark] Johnson asks us to take seriously theory as an imaginative construction that offers, not an objective account of the world, but a dynamic, intersubjective construal of it....A common feature [of the four books discussed] is the conviction that moral universals are somehow bound up with dynamic processes that have their origin in the human form, not with disembodied rules or rational arguments per se.
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