Cortas Chadi S, Talley Colin L
Columbia University College of Physicians and Surgeons, 630 West 168th Street, P&S 529, New York, New York 10032, USA.
J Hist Med Allied Sci. 2007 Jul;62(3):316-35. doi: 10.1093/jhmas/jrl047. Epub 2006 Nov 23.
The Surgeon General's 1964 report on smoking and health, which declared that cigarette smoking was a cause of lung cancer, is considered a landmark in the history of medicine and public health. This article examines the impact of the report on medical student education by reviewing how the relationship between smoking and lung cancer was presented in medical school textbooks and syllabi between 1964 and 1987, changes in hospital smoking regulations and doctors' attitudes toward smoking following the publication of the report, and medical students' smoking patterns and attitudes toward cigarette smoking in the years after 1964. Although it provided some advanced students with additional insight into mechanisms of pathogenesis related to smoking, the education that many medical students received seems to have been neither a primary influence on their smoking patterns nor an important source of their scientific understanding of the causal link between smoking and lung cancer for at least a decade following the publication of the Surgeon General's report.
美国卫生局局长1964年发布的关于吸烟与健康的报告宣称吸烟是肺癌的一个病因，该报告被视为医学和公共卫生史上的一个里程碑。本文通过回顾1964年至1987年间医学院校教科书和教学大纲中对吸烟与肺癌关系的阐述、该报告发布后医院吸烟规定的变化以及医生对吸烟的态度，以及1964年后医学生的吸烟模式和对吸烟的态度，来探讨该报告对医学生教育的影响。尽管该报告为一些高年级学生提供了关于吸烟相关发病机制的更多见解，但在该报告发布后的至少十年里，许多医学生接受的教育似乎既不是影响他们吸烟模式的主要因素，也不是他们对吸烟与肺癌因果关系科学理解的重要来源。
