Look for one to rely on for medical humanity

Look for one to rely on for medical humanity
"Let the cultural and educational atmosphere of the medical college be stronger. " On the unveiling ceremony of Peking University medical science cultural and educational research institute, Han Qide, vice chairman of Standing Committee of the National People's Congress, has proposed such a hope to the medical humane education. Today, the whole society generally advocated cultural and educational spirit, the call to cultural and educational care of the medical field seems particularly loud. Regarded as " to allow the doctor " Growth field,medicine be undertaken not merely to last responsibility of medical knowledge and medical technology to be lasted universities and colleges, and the disappearance of essential respect of remedying the humane education. Recently, reporters interviewed medical science cultural and educational research institute president Professor Zhang DaQing in Peking University on the relevant topic. Specially invited guest Zhang DaQing Staff reporter Fu DongHong Reporter Yang guides refined Liu Lu The medical skill is the most beautiful and noblest in all technology Reporter: " cultural and educational care " , " medical humanity " Wait for nouns to already become the topic that the society discusses warmly. However, what is the cultural and educational spirit of medical science still opinions vary. As to this concept, how did you define? Zhang DaQing: Human nature value to people, cultural and educational spirit is that a kind of general and right mankind shows loving care for, is shown as the dignity and maintenance, pursue and the concern of human nature value to people,, to the high attention and love of different spiritual culture that the mankind leaves over, affirming and moulding to a kind of all-round developing ideal personality. Field of seeking medical advice and studying but the speech, the cultural and educational spirit of medical science mainly means that lets patients respected, let the life get care. Reach on relevant policies such as the public health,etc. specifically, it reflects as a principle, namely pay close attention to most people's interests, respect their choice. In fact, medical science and humanity are combined into a single unit. Being traced back to history can find, medical science has a traditional discipline of humanity most, the doctor is a job rich in human most touch. Ancient in China, medical science is known as " kindness " ,The doctor is praised as " The person of kind-heartedness " ; In the west, ancient Greek physician Hippocrates thinks" the medical skill is the most beautiful and noblest in all technology " . 2000, when Peking University and Beijing Medical University amalgamates, the medical department leader has already realized developing and importance of people's literature construction of traditional Chinese medicine of medical educational reform of contemporary medical science deeply. And Peking University establishes this move of cultural and educational research institute of medical science, demonstrates the active demand to the cultural and educational spirit of medical science of the society, this is a need of medical educational development too. " the highest doctrine of technology " Alienation reporter who brings medical science: Whether we can understand like this. Once, the other fields of cultural and educational spirit in the medical field reflected vividder, more directly. Later, the situation changed, medical science and humanity went far gradually. Until today, must call, must advocate. Zhang DaQing: It is really like this. I think, develop " the highest doctrine of technology " of rising in medical technology under the background rapidly ,It is a main reason to lead to the fact our cultural and educational tradition of medical science ruptures. Before the 20th century, medical technology made little progress, doctors relied on the limited medicine and experience tried to find out in practice, solve some problems in power for the patient. By the 20th century, this kind of situation changed fundamentally. Medical science has not only obtained and controlled even eliminated the weapon of disease but also known that handles the password of the life. Form in medical technology is developed at full speed " The highest doctrine of technology " ,Lock the imaginations to medical science of people in " can do, must do " Ambition in. People believe, all illness can be dispelled, all organs of the health can be changed like part of the machine. This has all exerted a deep influence on the doctor's behavior and relationship between doctors and patients. What we should see is, some " high technology " praised highly at present In fact neither sophisticated nor high-efficient, perhaps it is only costly. The American scholar's survey report reveals, half of hygiene funds of U.S.A. have been used in and can only survive to save on the patient of half a year. However, still there are 40 million people at present, among them over half is the children, lack the basic medical guarantee. Therefore, though hospitalization cost survives with the life for time to a certain extent and is directly proportional to, but might not improve life quality and health status effectively. People find in practice, rely on medical technology to lengthen the life and have the one that is deficient simply unconditionally. This kind breaks away from inclination that the patient treats disease, may cause the lopsided development of the medical treatment and health care. The alienation of medical science receives increasingly much criticism: The training clears up the person of the whole, technicalization has neglected people's psychology, the indifferent people's emotion of marketization. Educate doctor and reporter from the aspect of value but not tool aspect: Then, how is our country's present medical humane education state? Zhang DaQing: Generally speaking, the cultural and educational educational development of medical science is uneven, limited by discipline development more seriously. What the medical humane education is emphasized is from whole angle to understand the life, understand the health, understand medical science, and from " anything that medical science is really done " Such an angle comes analyzes the question. This brings requirement one layer deeper. Clinician's communicative skill does not break the rules, not violate ethics on reason well, in law, can't really proceed from the patient's interests to consider the question on behalf of the doctor. These are only skills, and to avoid the contradiction on the aspect of tool. Such a clinician is only a performer. So, we will educate the doctor from value aspects rather than tool aspect. The doctor that can be really responsible for patient is an ideal doctor. Know how to consider the condition, prognosis and long-term life quality synthetically, it is only the doing of a doctor with responsibility consciousness. In present medical science is grown, it is good that 20% possess this kind of consciousness. We should strengthen the education of cultural and educational medical science, because original medical structure of education pays close attention to medical humanity obviously it is not enough. The essence of cultural and educational social science is reviewed and criticized. And it is a practitioner of health care reform in the future that medical science of today is grown. We attempt to let the students realize the essence of medical science more voluntarily, more consciously through a new education way. According to students' growth background, they mostly come over from the exam-oriented education. And the question that the domain of health care appears at present, it is unable to find the answer in taking an entrance examination for the educational pattern, require the doctor to be from cultural and educational thinking and study the problem instead. I hope besides medical science foundation and clinical technology, they still can pay close attention to cultural and educational social science of medical science, especially know the importance of it during the hygiene reform, development and derivatized challenge of present medical technology, can put forward the view with insight. Exert an uplifting influence on a reporter more effectively than to have a class: From what respects is the cultural and educational research institute of medical science set about cutting these problems? Zhang DaQing: From the undergraduate, The education of the graduate student begins, whether natural focal point or graduate education. We have joined the content including spreading in course healthily in medical history, medical philosophy, medical ethics, medical psychology, medical sociology, medical science etc.. According to the intersection of course and difference of importance, set up, range from more than 10 periods to more than 30 at the lesson. I think medical humanity focuses on educating but not in teaching, exert an uplifting influence on and have imperceptibe results even more than on class. At present, we cooperate with the People's Hospital of Peking University, the form trying to be discussed with the case makes students realize the cultural and educational value of medical science while working in clinic consciously, for example until organ transplant, approaching one's end disease deal with, lead, teach doctor want, lead student consider demand and interests of patient consciously all. In addition, we will also organize some research, will offer basis on which the leading department will issue the relevant policy etc.. In fact as far back as 1978, a group of scholars began to pay close attention to medical humanity in our country, devoted to promoting the medical humane education. They have advanced the reform of cultural and educational social science, have also reached a common understanding gradually, namely form medical education in humanity social education of science and basic education of medical science, clinical education of medical science " Three major pillars " . Particularly, the subject of medical science is a clinician, so doctors must possess corresponding accomplishment: First, understand the basic sciences knowledge that the biological phenomena needs, second, clinical experience and knowledge, third, learn to deal with the problem in the middle of modern medical care. This is medical humane education that we take pains to emphasize and make every effort to specify today. At present, it is difficult for the medical humane education to still face some reality. Medical humanity is a discipline group, there was not such a discipline organizational system in medical education in the past. Take medical ethics as examples, classify according to discipline, there is ethics under philosophy, employ ethics under ethics, there is medical ethics under ethics to employ. Locate medical ethics under ethics, very easy to be flooded. And in fact, ethics research, medical history research and philosophy of medical science can form an academic community while studying. So, we appeal for setting up the interdiscipline taking problem as the core to study, really finding one to rely on for the development of literature of medical people. A great occasion of honoured guest's profile: Cultural and educational research institute president of medical science in Peking University, professor of research center of the medical history, medical history committee's director of Chinese Society of Science and Technology History, philosophical branch's Deputy Director of medical science of research association of the dialectics of nature of China.

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