[Training PhD students in ethics and research integrity in France in 2018]. / Formation à l'éthique et à l'intégrité scientifique au sein des écoles doctorales françaises - Un premier état des lieux en 2018.

Since 2016, the national framework for doctoral studies in France states that doctoral schools from the French universities should ensure that every doctoral student receives a training in research ethics and integrity. The doctoral schools can organize the training at their convenience. We have conducted a study among all French doctoral schools about the modalities of this training in 2018. Our inquiry shows that the doctoral schools are well engaged in this effort of training on the whole territory, and are on the verge of reinforcing it. Overall, our inquiry shows a general awareness by the doctoral schools of the importance of these topics for tomorrow research.

The 2015 AANS Presidential Address: Neurosurgery's founding principles.

These are turbulent times for American neurosurgery. It is important to look ahead and prepare for the future but it is also important to look back-for it is memory and tradition that prevent the tyranny of the present. It is impossible to know where we are going if we don't remember where we were. In this paper I want to discuss the founding principles of neurosurgery-the principles that have allowed neurosurgery to prosper in its first century-and to stress the importance of adhering to these principles in times of change. I also want to talk to you about how the American Association of Neurological Surgeons (AANS) is helping neurosurgeons honor our founding principles, while preparing neurosurgery for its second century.

Broadening engineering education: bringing the community in : commentary on "social responsibility in French engineering education: a historical and sociological analysis".

Two issues of particular interest in the Irish context are (1) the motivation for broadening engineering education to include the humanities, and an emphasis on social responsibility and (2) the process by which broadening can take place. Greater community engagement, arising from a socially-driven model of engineering education, is necessary if engineering practice is to move beyond its present captivity by corporate interests.

A Calvinist account of nursing ethics.

A relatively small but intellectually robust strand in the Christian religion is the Reformed tradition. Especially, its Calvinist sensibilities inform this Protestant stance towards human culture in general and vocations in particular. Correspondingly, there are some small but robust contributions to academic discourse in nursing ethics. So far there has been no attempt to bring those together as a distinct approach. This article suggests such a Reformed Christian, especially Calvinist, account of nursing ethics. Central to the Reformed perspective is the notion that God is sovereign over all of creation and culture and hence that there can be no religiously or morally neutral area in human life. Consequently, nursing is not seen as professional to the extent it is based on research evidence or theoretical models, but to the extent it serves the ultimate purpose of the practice of care. In the Reformed view, this purpose is fostering the well-being of human beings in need as intrinsically valuable. Nurses are professionals who accept this responsibility, that is, the whole of expectations holding for personal qualities, conduct and outcomes, required to serve the purpose of care. As this is a moral purpose, succeeding or failing to live up to these expectations is the source of moral issues in nursing.

Social responsibility in French engineering education: a historical and sociological analysis.

In France, some institutions seem to call for the engineer's sense of social responsibility. However, this call is scarcely heard. Still, engineering students have been given the opportunity to gain a general education through courses in literature, law, economics, since the nineteenth century. But, such courses have long been offered only in the top ranked engineering schools. In this paper, we intend to show that the wish to increase engineering students' social responsibility is an old concern. We also aim at highlighting some macro social factors which shaped the answer to the call for social responsibility in the French engineering "Grandes Ecoles". In the first part, we provide an overview of the scarce attention given to the engineering curriculum in the scholarly literature in France. In the second part, we analyse one century of discourses about the definition of the "complete engineer" and the consequent role of non technical education. In the third part, we focus on the characteristics of the corpus which has been institutionalized. Our main finding is that despite the many changes which occurred in engineering education during one century, the "other formation" remains grounded on a non academic "way of knowing", and aims at increasing the reputation of the schools, more than enhancing engineering students' social awareness.

Profesionalización, vocación y ética de enfermería / Professionalism, dedication and motivation, and ethics in nursing

La profesionalización, en enfermería, es un proceso social complejo; proviene del latín professio; significa profesar, es decir, ejercer una ciencia o un arte de forma voluntaria; se refiere también a una ideología o actividad asociada que se encuentra en diversos grupos de profesionales en los que sus integrantes aspiran a un estatus social. El estatus facilita el desarrollo, el crecimiento y la evolución de la profesión, consolidando el concepto de profesionalización o de ocupación, según cada contexto. El crecimiento de la enfermería, en este proceso, presenta factores económicos, políticos y culturales, en los que existe un nivel de crecimiento de acuerdo a criterios generales como el estatus, la vocación y la ética de cada profesional de enfermería.

Professionalisation in nursing, is a complex social process ; It comes from the Latin professio ; means profess , that is, exercise science or an art voluntarily ; also it refers to an ideology or associated activity found in various professional groups in which its members aspire to a social status. The status facilitates the development , growth and evolution of the profession , consolidating the concept of professional or occupation , depending on the context. The growth of nursing, in this process, has economic, political and cultural factors , in which there is a level of growth according to general criteria such as status , vocation and ethics of each nurse .

Moral erosion: how can medical professionals safeguard against the slippery slope?

The extensive participation of German physicians in the atrocities of the Holocaust raises many questions concerning the potential for moral erosion in medicine. What circumstances and methods of rationalisation allowed doctors to turn from healers into accomplices of genocide? Are physicians still vulnerable to corruption of their guiding principles and, if so, what can be done to prevent this process from occurring? With these thoughts in mind, the author reflects on his experiences participating in the Fellowships at Auschwitz for the Study of Professional Ethics program and offers a medical student's perspective on the ethical issues encountered in clinical training and the practice of medicine.

Lessons to be learned from the history of anatomical teaching in the United States: the example of the University of Michigan.

Although traditional departments of anatomy are vanishing from medical school rosters, anatomical education still remains an important part of the professional training of physicians. It is of some interest to examine whether history can teach us anything about how to reform modern anatomy. Are there lessons to be learned from the history of anatomical teaching in the United States that can help in the formulation of contents and purposes of a new anatomy? This question is explored by a review of US anatomical teaching with special reference to Franklin Paine Mall and the University of Michigan Medical School. An historical perspective reveals that there is a tradition of US anatomical teaching and research that is characterized by a zeal for reform and innovation, scientific endeavor, and active, student-driven learning. Further, there is a tradition of high standards in anatomical teaching through the teachers' engagement in scientific anatomy and of adaptability to new requirements. These traditional strengths can inform the innovation of modern anatomy in terms of its two duties--its duty to anatomy as a science and its duty toward anatomical education.

Teaching engineering ethics by conceptual design: the somatic marker hypothesis.

In 1998, a lead researcher at a Midwestern university submitted as his own a document that had 64 instances of strings of 10 or more words that were identical to a consultant's masters thesis and replicated a data chart, all of whose 16 entries were identical to three and four significant figures. He was fired because his actions were wrong. Curiously, he was completely unable to see that his actions were wrong. This phenomenon is discussed in light of recent advances in neuroscience and used to argue for a change in the standard way engineering ethics is taught. I argue that engineering ethics is better taught in the form of a design course in order to maximize "somatic" learning.

Gentleman surgeon.

The gentleman surgeon is the individual who demonstrates that he/she cares, respects, and helps all of those involved in the profession, from the practicing surgeon, fellow resident, student, operating room personnel, and floor nurse to patients in treatment. Surgeons who care, help, and respect others in their daily activities are worthy to be considered a gentleman surgeon. From the example of surgical pioneers who practiced the principles of the gentleman surgeon to the surgeon of tomorrow, we review those important characteristics associated with the humanistic approach to becoming a gentleman surgeon, that is the surgeon who cares, respects, and helps.

The 'Brain Drain' of physicians: historical antecedents to an ethical debate, c. 1960-79.

Many western industrialized countries are currently suffering from a crisis in health human resources, one that involves a debate over the recruitment and licensing of foreign-trained doctors and nurses. The intense public policy interest in foreign-trained medical personnel, however, is not new. During the 1960s, western countries revised their immigration policies to focus on highly-trained professionals. During the following decade, hundreds of thousands of health care practitioners migrated from poorer jurisdictions to western industrialized countries to solve what were then deemed to be national doctor and nursing 'shortages' in the developed world. Migration plummeted in the 1980s and 1990s only to re-emerge in the last decade as an important debate in global health care policy and ethics. This paper will examine the historical antecedents to this ethical debate. It will trace the early articulation of the idea of a 'brain drain', one that emerged from the loss of NHS doctors to other western jurisdictions in the 1950s and 1960s. Only over time did the discussion turn to the 'manpower' losses of 'third world countries', but the inability to track physician migration, amongst other variables, muted any concerted ethical debate. By contrast, the last decade's literature has witnessed a dramatically different ethical framework, informed by globalization, the rise of South Africa as a source donor country, and the ongoing catastrophe of the AIDS epidemic. Unlike the literature of the early 1970s, recent scholarship has focussed on a new framework of global ethics.

Commentary on effects of exposure to industry influence on ACOEM.

With the assistance of colleagues of like kidney, the authors of an article in this issue have drafted a damning indictment of what purports to be a learned society, as well as casting opprobrium on American Industry and its medical and scientific henchmen. In this they have not been inhibited by a legal system that imperils authors who dare call a knave a knave.