Investigation of Legal Cognition in Emergency Medicine and Exploration and Practice of Legal Education in Emergency Settings
Objective To investigate the legal consciousness of emergency physicians through a medical case,and to explore its role in medical disputes and improving legal consciousness through legal teaching.Methods A total of 112 low-to mid-career physicians and physicians in training and refresher training working in the General Hospital of Tianjin Medical University from January to July 2022 were selected to be surveyed with a questionnaire that included the basic information of the respondents,their hypothetical dispositions and attitudes toward a medical case,their knowledge of and reactions to laws and regulations,and changes in their attitudes toward the incident after going through legal teaching.Results In this survey,9 physicians were willing to try to give the patient a positive disposition,18 physicians were unable to make a determination,and the remaining 85 physicians favored referral.For this medical case,almost all physicians(108)believed that the medical unit was not at fault and some(16)believed that the responsible physician was at fault.After legal teaching,the rate of physicians'disposition significantly increased(9 vs.52),with a statistically significant difference(P<0.001),the proportion of those who recommended referral significantly decreased(85 vs.36),with a statistically significant difference(P<0.001),and the proportion of those who were unable to decide on the disposition conversely increased,but the difference was not statistically significant(P>0.05).Significantly improved mastery of relevant laws and regulations(10 vs.98),the difference was statistically significant(P<0.001),that the incident in the first physician there is a significant increase in significant fault(16 vs.78),the difference was statistically significant(P<0.001),the difference in the hospital's recognition of whether there is a fault was not statistically significant(P>0.05).Conclusion The legal consciousness of emergency medical staff is weak.The legal consciousness of emergency medical staff can be improved and the clinical coping ability can be improved significantly after legal teaching.
medical disputeslawteachingresearchexplorationpractice