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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，那是肯定會打他小報告的。不過《美國醫(yī)學會雜志》上的一項研究顯示，內(nèi)科醫(yī)師要是碰上這么一位，可就沒那么爽快了。

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)院的研究人員對全國各領(lǐng)域的近2000名內(nèi)科醫(yī)師進行了調(diào)查。其中，約三分之二的人表示他們會檢舉不稱職的同事，這是應(yīng)該的。17%的人說他們知道有這么個不稱職的醫(yī)師，他們中67%的人都對此抗議過。

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)生不太會告狀。他們覺得這樣做沒什么用處，會有人處理的，或者覺得這些人遲早會得到報應(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)生當中，有三分之一的人認為那些無能勝任的醫(yī)生沒必要被揭發(fā)，對此，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)師竟對同事做事粗枝大葉的事實視而不見。這項調(diào)查的發(fā)起者呼吁要加強這方面的教育，并對檢舉揭發(fā)者做好保護及保密工作。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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