Abstract: Recently, the balance between value and necessity of ethical review of health professions education research has been debated. At present, there are large differences in how ethical review of research proposals for health professions education is organized. We present a framework that describes the organization of ethical review in health professions education research, based on the interpersonal circumplex model, also known as Leary’s Rose. The framework is based on the two main balances in ethical review of health professions education research, being the protectiveness for the subjects and how ethical review is organized and responsibilities are shared. The axis/balance of protectiveness ranges between the extremes “paternalistic protective” to “liberal permissive”. The axis/balance of organization and responsibility ranges between the extremes of “centralized” to “local/decentralized”. This model offers insight in the position of an ethical review board and shows the dynamics of the decisions for ethical approval and the consequences of the different approaches to the organization of ethical review of health professions education research.

Keywords: ethical review, health professions education research, ethical approval of health professions education research

中文翻译：

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玫瑰与平衡：卫生职业教育研究的建设性伦理学审查范式

摘要：最近，对卫生专业教育研究的道德审查的价值与必要性之间的平衡进行了辩论。目前，如何组织卫生专业教育研究建议的伦理审查存在很大差异。我们提出了一个框架，该框架基于人际环回模型（也称为Leary's Rose）描述了卫生专业教育研究中的道德审查组织。该框架基于卫生专业教育研究的伦理审查的两个主要平衡，即对受试者的保护以及伦理审查的组织方式和责任分担。保护性的轴/平衡介于“家长式保护”到“自由放任”之间。组织和责任的轴心/平衡范围介于“集中式”到“本地/分散式”之间。该模型提供了对道德审查委员会职位的洞察力，并显示了道德批准决定的动态以及卫生专业教育研究的道德审查组织的不同方法的后果。

关键词：伦理审查，卫生职业教育研究，卫生职业教育研究的伦理认可