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MDs Often Keep Quiet About Incompetent Colleagues

Doctors like to think that they’ll turn in colleagues who are doing a particularly bad job. But it’s not so straightforward when physicians are faced with such a colleague, according to a study published in the Journal of the American Medical Association. [Catherine DesRoches et al, LSZB]

醫(yī)生們總以為要是自己的同事做事毛手毛腳，那是肯定會(huì)打他小報(bào)告的。不過(guò)《美國(guó)醫(yī)學(xué)會(huì)雜志》上的一項(xiàng)研究顯示，內(nèi)科醫(yī)師要是碰上這么一位，可就沒(méi)那么爽快了。

Researchers at Massachusetts General Hospital surveyed almost 2,000 physicians in a variety of fields around the country. About two-thirds said that they should and would report an impaired or incompetent colleague. Seventeen percent said they know of a physician who should be reported, and about 67 percent of that group did issue a complaint.

馬薩諸塞州總醫(yī)院的研究人員對(duì)全國(guó)各領(lǐng)域的近2000名內(nèi)科醫(yī)師進(jìn)行了調(diào)查。其中，約三分之二的人表示他們會(huì)檢舉不稱職的同事，這是應(yīng)該的。17%的人說(shuō)他們知道有這么個(gè)不稱職的醫(yī)師，他們中67%的人都對(duì)此抗議過(guò)。

Minority physicians or docs in small practices were less likely to blow the whistle than hospital staff. They thought it would do no good, someone else would deal with it, or that there would be retribution.

和大醫(yī)院的職工們相比，小醫(yī)院的小部分內(nèi)科醫(yī)師或者是醫(yī)生不太會(huì)告狀。他們覺(jué)得這樣做沒(méi)什么用處，會(huì)有人處理的，或者覺(jué)得這些人遲早會(huì)得到報(bào)應(yīng)的。

The researchers were particularly concerned that one-third of all docs surveyed didn’t think their incompetent colleagues should be reported. And that a third of physicians who actually saw someone perform poorly in fact did not say anything. The study authors urge more education on the subject, and protection and privacy for whistleblowers. All in keeping with the Hippocratic oath: first, do no harm.

在接受調(diào)查的醫(yī)生當(dāng)中，有三分之一的人認(rèn)為那些無(wú)能勝任的醫(yī)生沒(méi)必要被揭發(fā)，對(duì)此，馬薩諸塞州總醫(yī)院的研究人員尤為關(guān)注。三分之一的內(nèi)科醫(yī)師竟對(duì)同事做事粗枝大葉的事實(shí)視而不見(jiàn)。這項(xiàng)調(diào)查的發(fā)起者呼吁要加強(qiáng)這方面的教育，并對(duì)檢舉揭發(fā)者做好保護(hù)及保密工作。一切為了遵從希波克拉底的誓言：第一，不傷害他人。

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