Abstract:
This article was migrated. The article was marked as recommended. While the medical humanities have experienced a renaissance, they are still largely a peripheral component of medical education. This is troublesome because the humanities include a number of disciplines that are foundational in understanding medicine and how it should be practiced. Nonetheless, current medical culture makes it difficult to fully incorporate the humanities into curriculum. We therefore propose an incremental approach to shaping the medical culture that can easily be incorporated into daily teaching as opposed to designing additional classes and resources that must be added to existing educational structures. An example of this approach is reviewed here through teaching historical and ethical lessons surrounding Nazi eponyms. The use of names like Wegener provide brief opportunities for sidebars during clinical lectures to remind learners that empirical data do not provide ethical direction and that our medical history has included atrocities that remind us to practice conscientiously. We provide other examples that can be included in daily learning. This approach eschews the burdens associated with large curricular changes, such as student resistance/apathy and logistical barriers, and can be easily implemented. It also enables change to be gradual and through structures that have already been established, allowing learners to see the benefits of insights from the humanities in small, digestible segments. Through this approach, medical culture can be shaped towards a greater appreciation toward the medical humanities.
摘要:
本文已迁移。这篇文章被标记为推荐。虽然医学人文学科经历了复兴,它们在很大程度上仍然是医学教育的外围组成部分。这很麻烦,因为人文学科包括许多学科,这些学科是理解医学以及如何实践医学的基础。尽管如此,当前的医学文化使得人文课程难以充分融入。因此,我们提出了一种渐进的方法来塑造医学文化,可以轻松地将其纳入日常教学中,而不是设计必须添加到现有教育结构中的其他课程和资源。通过教授围绕纳粹地名的历史和道德课程,在这里回顾了这种方法的一个例子。Wegener等名称的使用为临床讲座期间的侧边栏提供了简短的机会,以提醒学习者经验数据不能提供道德指导,并且我们的病史包括暴行,提醒我们认真实践。我们提供了可以包含在日常学习中的其他示例。这种方法避免了与大课程变化相关的负担,如学生抵抗/冷漠和后勤障碍,并且可以很容易地实现。它还使变革能够是渐进的,并通过已经建立的结构,让学习者从小的人文学科中看到洞察力的好处,易消化段。通过这种方法,医学文化可以被塑造为对医学人文的更大欣赏。