Andre J
Center for Ethics and Humanities in the Life Sciences, Michigan State University, East Lansing.
J Med Ethics. 1992 Sep;18(3):148-52. doi: 10.1136/jme.18.3.148.
During medical training students and residents reconstruct their view of the world. Patients become bodies; both the faults and the virtues of the medical profession become exaggerated. This reconstruction has moral relevance: it is in part a moral blindness. The pain of medical training, together with its narrowness, contributes substantially to these faulty reconstructions. Possible improvements include teaching more social science, selecting chief residents and faculty for their attitudes, helping students acquire communication skills, and helping them deal with their own pain. Most importantly, clearer moral vision requires time and scope for reflection.
在医学培训期间，学生和住院医生会重塑他们对世界的看法。患者变成了躯体；医学职业的缺点和优点都被夸大了。这种重塑具有道德相关性：它在一定程度上是一种道德盲目。医学培训的痛苦及其狭隘性在很大程度上导致了这些错误的重塑。可能的改进措施包括教授更多的社会科学知识、根据态度挑选住院总医师和教员、帮助学生获得沟通技巧以及帮助他们应对自身的痛苦。最重要的是，更清晰的道德视野需要反思的时间和空间。
