Leadership in medicine: risks of ethical conflicts

А. Д. Доника (A.D. Donika), Е. В. Чернышкова (E.V.Chernyshkova), Е. А. Андриянова (E.A. Andriyanova), М. Е. Волчанский (M.E. Volchanskiy)


The article deals with the problem of ethical conflicts in medicine. The growth of legal conflicts in medical practice is largely conditioned by increase of ethical conflicts.As the leader of a medical staff is the central figure, we’ve conducted the research of his/her personal features with the aim to reveal risk factors of ethical conflicts. The carried out literature review of the mentioned problem defined that leadership in medicine has its own peculiarities, connected with specificity of activity, gender asymmetry of a professional sphere. Theresearch of role-playing features of a head in the medical staff was conducted on the example of physicians who performed leading duties with work experience in a senior post of 7±1,3 years. The research was carried out in the categorical field of sociology of medicine using methods of content-analysis, participant observation, sociological inquiry and interviewing, and psycho-diagnostic techniques (by Sinyavsky V.V. and Fedorishina B.A., Raygorodsky D.Y., Shubert, Boiko B.B., Snider M. etc.). The research results made it possible to determine ethical risk factors in 20-25% of leaders. It was concluded that there is a need to institute a bioethical methodical block to the system of continuing professional education of medical specialists, which can make it possible to form leader’s necessary ethical values and attitudes in conditions of educational sphere.

Key wordsleadership, ethical conflicts, personal features, medical staff, style of leadership, bioethics.


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