An Analysis of Candidate Ethical Justifications for Allowing Inexperienced Physicians-in-Training to Perform Invasive Procedures
Yale University School of Medicine, New Haven, Connecticut, USA
Address correspondence to: Mark R. Mercurio, M.D., M.A., Department of Pediatrics, Yale University School of Medicine, 333 Cedar Street, PO Box 208064, New Haven, CT 06520-8064, USA. E-mail: mark.mercurio{at}yale.edu
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Abstract |
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Allowing relatively inexperienced physicians-in-training to perform invasive medical procedures is a widely accepted practice, generally felt to be justified by the need to train future generations of physicians. The ethical justification of this practice, however, is rarely if ever explored in any depth. This essay examines the moral issues associated with this practice, in the setting of a specific clinical scenario involving the emergency intubation of a critically ill newborn. The practice is ultimately shown to be justified based not only on the needs of society and future patients but also on the best interests of the patient being treated. However, several important qualifications need to be satisfied in order for this practice to be ethically permissible. The arguments and qualifications presented can be extended to clinical situations beyond the specific scenario discussed and are relevant to a wide range of medical and surgical settings.
Keywords: clinical training, ethics, medical education, physician-in-training, resident