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Ethical dilemmas of a freshly graduated rural clinician in Kerala, India: a personal reflection. | LitMetric

Ethical dilemmas of a freshly graduated rural clinician in Kerala, India: a personal reflection.

Indian J Med Ethics

Post Graduate Resident, Dept. of Radiology, St. John's Medical College, Bengaluru, Karnataka, 560 034 INDIA.

Published: November 2022

AI Article Synopsis

  • Freshly graduated doctors play a crucial role in India's rural healthcare system, facing unique ethical challenges that differ from those experienced in urban training environments.
  • These ethical dilemmas include managing end-of-life decisions, delivering bad news, navigating doctor-patient conflicts, and providing support to families of terminally ill patients.
  • The decisions made by these young clinicians are often shaped by their educational background and limited real-world clinical experience, as reflected by the author's personal experiences as a resident medical officer in a rural hospital in Kerala.

Article Abstract

Freshly graduated doctors are the lesser-known workhorses of the rural healthcare system in India. These rural clinicians confront numerous ethical dilemmas in their day-to-day life, which are quite different from the ethical issues they may have encountered during their medical training and internship at a tertiary care hospital. These include taking end of life decisions, breaking bad news, conflicts in the doctor-patient relationship, declaration of death, and counselling of patients or family attendants of terminally ill patients. Yet, the decisions they make during such challenging situations are often influenced by their undergraduate training and limited clinical exposure. This is a personal reflection on the ethical dilemmas that I faced as a young medical graduate, appointed as the resident medical officer of a rural hospital in Kerala, and how they influenced me in my early stages of clinical practice.

Download full-text PDF

Source
http://dx.doi.org/10.20529/IJME.2022.032DOI Listing

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