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2020 ; 95
(10
): 1488-1491
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Teaching Professional Formation in Response to the COVID-19 Pandemic
#MMPMID33006868
McCullough LB
; Coverdale J
; Chervenak FA
Acad Med
2020[Oct]; 95
(10
): 1488-1491
PMID33006868
show ga
In response to the COVID-19 pandemic, the Association of American Medical
Colleges has called for a temporary suspension of clinical teaching activities
for medical students. Planning for the continued involvement of learners in
patient care during this pandemic should include teaching learners professional
formation. The authors provide an ethical framework to guide such teaching, based
on the ethical principle of beneficence and the professional virtues of courage
and self-sacrifice from professional ethics in medicine. The authors show that
these concepts support the conclusion that learners are ethically obligated to
accept reasonable, but not unreasonable, risk. Based on this ethical framework,
the authors provide an account of the process of teaching professional formation
that medical educators and academic leaders should implement. Medical educators
and academic leaders should embrace the opportunity that the COVID-19 pandemic
presents for teaching professional formation. Learners should acquire the
conceptual vocabulary of professional formation. Learners should recognize that
risk of infection from patients is unavoidable. Learners should become aware of
established ethical standards for professional responsibility during epidemics
from the history of medicine. Learners should master understandable fear. Medical
educators and academic leaders should ensure that didactic teaching of
professional formation continues when it becomes justified to end learners'
participation in the processes of patient care; topics should include the
professionally responsible management of scarce medical resources. The COVID-19
pandemic will not be the last major infectious disease that puts learners at
risk. Professional ethics in medicine provides powerful conceptual tools that can
be used as an ethical framework to guide medical educators to teach learners, who
will bear leadership responsibilities in responses to future pandemics,
professional formation.
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