Branch William T
Department of Medicine, and director, Division of General Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Acad Med. 2006 May;81(5):463-7. doi: 10.1097/01.ACM.0000222260.40019.48.
Respect is a core value of medical professionalism. Respect for patients often manifests itself as an attitude, of which the physician is only partially self-aware. To teach respect means bringing it fully into consciousness. Physicians then should strive to make respect an inner quality, beyond being a behavior. The author illustrates the depth of feeling involved in respecting another person by citing passages from Let Us Now Praise Famous Men, James Agee's classic book that describes Depression-era tenant farmers. However, major barriers inhibit teaching of respect in clinical settings. The author proposes that synergies can be achieved that overcome the barriers by combining the effective modeling of respect in bedside teaching with formal teaching exercises involving patients and deep critical reflection using narratives wherein learners describe their experiences in patient care.
尊重是医学职业精神的核心价值观。对患者的尊重通常表现为一种态度,而医生对此只有部分自我意识。教授尊重意味着将其完全带入意识之中。医生应努力使尊重成为一种内在品质,而非仅仅是一种行为。作者通过引用詹姆斯·艾吉的经典著作《让我们现在赞美名人》中的段落来说明尊重他人所涉及的情感深度,该书描述了大萧条时期的佃农。然而,在临床环境中教授尊重存在重大障碍。作者提出,通过将床边教学中尊重的有效示范与涉及患者的正式教学练习以及使用学习者描述其患者护理经历的叙事进行深入批判性反思相结合,可以实现协同效应,从而克服这些障碍。