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Table 2 Responses to questions on the perception of general ethical conflicts

From: Perception of and attitude toward ethical issues among Korean occupational physicians

Item

All subjects

P value

Specialist

P value

Resident

P value

Specialist

Resident

〉10 years

≤10 years

3rd & 4th-year

1st & 2nd-year

(N = 80)

(N = 71)

(N = 35)

(N = 45)

(N = 30)

(N = 41)

n (%)

n (%)

n (%)

n (%)

n (%)

n (%)

Have you ever struggled with ethical problems during work?

  

0.000

  

0.693*

  

0.322

 Yes

73 (91.3)

45 (63.4)

 

31 (88.6)

42 (93.3)

 

21 (70.0)

24 (58.5)

 

 No

7 (8.7)

26 (36.6)

 

4 (11.4)

3 (6.7)

 

9 (30.0)

17 (41.5)

 

Have you ever felt the necessity of systematic education and training regarding ethical decision-making during work?

  

0.016

  

0.5*

  

0.065

 Yes

70 (87.5)

51 (71.8)

 

32 (91.4)

38 (84.4)

 

25 (83.3)

26 (63.4)

 

 No

10 (12.5)

20 (28.2)

 

3 (8.6)

7 (15.6)

 

5 (16.7)

15 (36.6)

 

Do you think that an occupational physician has to have a higher sense of ethics than any other doctor?

  

0.024

  

0.487

  

0.271

 Yes

61 (76.3)

42 (59.2)

 

28 (80.0)

33 (73.3)

 

20 (66.7)

22 (53.7)

 

 No

19 (23.7)

29 (40.8)

 

7 (20.0)

12 (26.7)

 

10 (33.3)

19 (46.3)

 

Do you think it is necessary to have an ethical code for occupational physicians? a

  

0.459

  

0.745

  

0.918

 Yes

64 (81.0)

54 (76.1)

 

29 (82.9)

35 (80.0)

 

23 (76.7)

31 (75.6)

 

 No

15 (19.0)

17 (23.9)

 

6 (17.1)

9 (20.0)

 

7 (23.3)

10 (24.4)

 

What is the area with the most frequent ethical conflict on your work? b

 Decision of general health examination

0 (0)

4 (5.6)

 

0 (0)

0 (0)

 

0 (0)

4 (9.8)

 

 Decision of occupational health examination

34 (43.6)

27 (38.0)

 

17 (50.0)

17 (38.6)

 

12 (40.0)

15 (36.5)

 

 Evaluation for work relatedness

21 (27.0)

33 (46.5)

 

9 (26.4)

12 (27.3)

 

15 (50.0)

18 (43.9)

 

 Industrial healthcare management

12 (15.4)

2 (2.9)

 

4 (11.8)

8 (18.2)

 

2 (6.7)

0 (0)

 

 Etc.

11 (14.0)

5 (7.0)

 

4 (11.8)

7 (15.9)

 

1 (3.3)

4 (9.8)

 

What is the most frequent object of ethical conflict on your work?

 Employee

32 (40.0)

34 (47.9)

 

13 (37.1)

19 (42.2)

 

16 (53.3)

18 (43.9)

 

 Employer

31 (38.8)

18 (25.4)

 

15 (42.9)

16 (35.6)

 

12 (40.1)

6 (14.6)

 

 Government

1 (1.1)

2 (2.7)

 

1 (2.9)

0 (0)

 

0 (0)

2 (4.9)

 

 Doctor colleague

4 (5.0)

6 (8.5)

 

1 (2.9)

3 (6.7)

 

1 (3.3)

5 (12.2)

 

 Paramedics

3 (3.8)

3 (4.2)

 

1 (2.9)

2 (4.4)

 

1 (3.3)

2 (4.9)

 

 Etc.

9 (11.3)

8 (11.3)

 

4 (11.3)

5 (11.1)

 

0 (0)

8 (19.5)

 

How do you resolve an ethical conflict that occurs at work? c

 Consult with other doctor colleagues

29 (40.3)

39 (54.9)

 

8 (25.8)

21 (51.2)

 

12 (40.0)

27 (65.9)

 

 Resolve with personal belief

34 (47.2)

19 (26.8)

 

17 (54.8)

17 (41.5)

 

8 (26.7)

11 (26.8)

 

 Consult with healthcare specialist

3 (4.2)

5 (7.0)

 

3 (9.7)

0 (0)

 

4 (13.3)

1 (2.4)

 

 Consult with the chief of the related department

0 (0)

6 (8.5)

 

0 (0)

0 (0)

 

6 (20.0)

0 (0)

 

 Refer to the ethical code

2 (2.7)

2 (2.8)

 

2 (6.4)

0 (0)

 

0 (0)

2 (4.9)

 

 Etc.

4 (5.6)

0 (0)

 

1 (3.3)

3 (7.3)

 

0 (0)

0 (0)

 
  1. *P-values by Fisher’s exact test (other p-values were calculated by chi-squared test)
  2. aOne non-responding specialist with ≤10 years’ experience was excluded from the analysis
  3. bOne multiple-responding specialist with ≤10 years’ experience and one multiple-responding specialist with >10 years’ experience were excluded from the analysis
  4. cFour non-responding specialists with ≤10 years’ experience, three non-responding specialists >10 years’ experience, and one multiple-responding specialist with >10 years’ experience were excluded from the analysis