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手术中的直觉可以习得吗?

[Can intuition in surgery by learned?].

作者信息

Zühlke H

机构信息

Abteilung für Chirurgie und Gefässchirurgie, Paul-Gerhardt-Stiftung, Evangelisches Krankenhaus Wittenberg.

出版信息

Zentralbl Chir. 1999;124 Suppl 3:55-63.

Abstract

Intuition, even at the end of the 20th century, has decisive significance in the field of medicine. Intuition within the medical field is understood to be a type of thinking based on experience, but without conscious recourse to its situations and thought processes; rather, it represents an act without reflection and one determining our medical actions to some extent. It is a cognitive process, an intuitive gain in recognition on the basis of experiential values called up from memory. Intuition is a combination of knowledge, ability, endurance, intellectual abilities, and discoursive methods of recognition, in short, the abilities of an expert. To become an expert, one must go through the stations of surgical training. In these the knowledge is imparted, which leads via decision-making to diagnosis and therapy. Intuition in the sense of the definition as experiential thinking cannot be learnt, but it can be schooled. The prerequisites for this are analytic thinking, expert knowledge, and metacognitive knowledge.

摘要

即使在20世纪末,直觉在医学领域也具有决定性意义。医学领域的直觉被理解为一种基于经验的思维方式,但无需有意识地回顾其情境和思维过程;相反,它代表着一种未经反思的行为,在某种程度上决定着我们的医疗行动。它是一个认知过程,是基于从记忆中唤起的经验值而获得的直觉认知。直觉是知识、能力、耐力、智力以及识别性话语方法的结合,简而言之,是专家的能力。要成为一名专家,必须经历外科培训的各个阶段。在这些阶段中传授的知识,通过决策导向诊断和治疗。从作为经验性思维的定义意义上讲,直觉无法习得,但可以培养。其前提条件是分析性思维、专业知识和元认知知识。

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