del Pozo Pablo Rodríguez, Fins Joseph J
Division of Medical Ethics, Weill Medical College of Cornell University, 525 East 68th Street, F-173, New York, NY 10021, USA.
Acad Med. 2005 Feb;80(2):135-40. doi: 10.1097/00001888-200502000-00005.
The authors discuss their experience in implementing a Medical Ethics and Humanities course for premedical students at Weill Cornell Medical College in the Arabian Gulf emirate of Qatar. The course, first offered in 2003, is designed to prepare these students for the medical school curriculum to follow and to make global medical knowledge meaningful for their local context. Pedagogical challenges included the cross-cultural tensions that could emerge when introducing themes from Western medical ethics and humanities into this overwhelmingly Islamic context. The authors outline the response to this challenge and strategies to broaden student inquiry without engaging in indoctrination. This seminar-based course was designed around seven thematic areas of increasing biopsychosocial complexity, from nature and biology, to the patient, the physician, and the family, to broader questions of hospital care, the health care system, and the place of law in modern medicine. Readings from the literature of the Western and Arabic traditions were used, including selections by Hippocrates, Thomas, Kafka, Mahfouz, and Pellegrino. It is too early to know the ultimate impact of the course, but students demonstrated enthusiasm for ethics and the medical humanities and a willingness to consider new and novel ways of knowing. The authors anticipate that this grounding in the humanities will complement the students' work in the sciences and help further develop their nascent professional identities in an increasingly global medical community.
作者们讨论了他们在卡塔尔阿拉伯湾酋长国的威尔康乃尔医学院为医学预科学生开设医学伦理与人文课程的经验。该课程于2003年首次开设,旨在让这些学生为后续的医学院课程做好准备,并使全球医学知识在当地背景下具有实际意义。教学挑战包括将西方医学伦理与人文主题引入这个以伊斯兰教为主的环境时可能出现的跨文化紧张关系。作者们概述了应对这一挑战的措施以及在不进行灌输的情况下拓宽学生探究范围的策略。这门以研讨会为基础的课程围绕七个主题领域设计,这些领域的生物心理社会复杂性不断增加,从自然与生物学,到患者、医生和家庭,再到医院护理、医疗保健系统以及法律在现代医学中的地位等更广泛的问题。使用了来自西方和阿拉伯传统文献的读物,包括希波克拉底、托马斯、卡夫卡、马哈福兹和佩莱格里诺的选集。现在判断该课程的最终影响还为时过早,但学生们对伦理和医学人文表现出热情,并愿意考虑新的和新颖的认知方式。作者们预计,这种人文基础将补充学生在科学方面的学习,并有助于在日益全球化的医疗界进一步发展他们初步形成的专业身份。