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首页> 外文期刊>Advances in Health Sciences Education >An ethical justification and policy for making commitments during computerized residency application processes: The US matching program as a laboratory for needed reform
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An ethical justification and policy for making commitments during computerized residency application processes: The US matching program as a laboratory for needed reform

机译：在计算机化居留申请过程中做出承诺的道德依据和政策：美国的配套计划作为需要进行改革的实验室

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The US National Residency Matching Program (NRMP) is a computerized, national system for matching residency applicants to programs. Similar systems exist in Canada, Australia, and New Zealand, and the need for such a program will probably make itself felt in the European Union soon. NRMP is an important laboratory for the ethical challenges that computerized matching programs create, especially its current prohibition of making commitments by both applicants and residency programs. Nonetheless, it would be denial to suppose that commitments are not being made and that there is no dishonesty when commitments are made. We analyze the current NRMP no-commitment policy by reference to Plato’s retelling of the myth of the Ring of Gyges, which makes its wearer physically invisible and therefore ethically unaccountable. Because applicants and programs complete their preference-lists in secret, the matching process inadvertently slips a Ring of Gyges on the fingers of both parties. As a result, making false commitments promotes the rational self-interest of both parties. To strengthen the professional integrity of the matching process, we argue that NRMP should abandon its no-commitment policy and adopt a new paradigm: sanctioning honest, non-contingent, accountable, one-party, and documented commitments. Computerized residency matching systems in other countries should consider the NRMP a laboratory and develop policies about making commitments that promote professionalism in the residency application process.
机译：美国国家居住权匹配计划（NRMP）是一个计算机化的国家系统，用于将居住申请人与计划进行匹配。加拿大，澳大利亚和新西兰也存在类似的系统，对此类程序的需求可能很快就会在欧盟中体现出来。 NRMP是应对计算机匹配程序所带来的道德挑战的重要实验室，尤其是目前禁止申请人和居住程序做出承诺的实验室。但是，可以否认的是，没有做出承诺，并且在做出承诺时不存在不诚实行为。我们参考柏拉图对“环之戒”神话的重述来分析当前的NRMP不承诺政策，这使佩戴者在身体上不可见，因此在道德上不负责任。由于申请人和程序秘密地完成了他们的偏好列表，因此匹配过程无意间在双方的手指上留下了“吉环”。结果，做出错误的承诺会促进双方的理性自我利益。为了增强匹配过程的专业完整性，我们认为NRMP应该放弃其不承诺政策，并采用新的范式：制裁诚实，非临时性，负责任，单方和书面承诺。其他国家/地区的计算机化居住权匹配系统应将NRMP视为实验室，并制定有关做出承诺的政策，以促进在居住权申请过程中的专业精神。

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