Erde Edmund L
Family Medicine, UMDNJ/SOM, 42 East Laurel Road, Stratford, NJ 08084, USA.
J Med Philos. 2008 Feb;33(1):6-26. doi: 10.1093/jmp/jhm003.
Medical educators invoke professionalism as a core competency in curricula. This paper criticizes classic definitions. It also identifies some negative traits of medicine as a profession. The call to professionalism is naive nostalgia. Straightforward didactics in professionalism cannot do the desired work in medical education. The most we can say is that students should adopt the good aspects of professionalism and the profession should stop being some of what it has been. This is a platitude. If the notion is to be more than shallow, each student and practitioner will have to engage in much dialogue, reflection and refinement over many years.
医学教育工作者将职业素养作为课程中的一项核心能力。本文批判了经典定义，还指出了医学作为一门职业的一些负面特征。对职业素养的呼吁是一种天真的怀旧之情。在医学教育中，关于职业素养的直接教学无法达到预期效果。我们最多只能说，学生应该汲取职业素养的积极方面，而医学职业应该摒弃一些过去的不良之处。这只是陈词滥调。如果这个概念不想流于表面，每位学生和从业者都必须在多年间进行大量的对话、反思和完善。
