Thompson Ann E
critical care medicine and pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15261, USA.
Acad Med. 2009 Feb;84(2):157-8. doi: 10.1097/ACM.0b013e318193ae85.
In this commentary, the author asks, can educators learn from being reminded of moments of poor judgment or inappropriate behavior in the history of medical education, or should these incidents not be revived and revisited? The question is posed in relation to the accompanying article in this issue by Halperin, which examines the publication of a medical textbook that featured pin-up style photos of women but not men. Both in the past and now, attitudes and behaviors can be found within medical education that have helped to sustain cultural misunderstanding and bias. It may be difficult to become aware of these attitudes and the ways they can infect teaching, thus detracting from good care of patients. A more recent example from the author's experience is discussed, regarding physician bias toward treating patients with HIV/AIDS. Readers are reminded that medicine not only exists in the context of social mores and customs, but helps create them. Examining the past can help to cultivate awareness of such inappropriate bias and generate strategies for resistance.
在这篇评论中,作者提出疑问:教育工作者能否从医学教育历史上判断失误或行为不当的时刻中吸取教训,或者这些事件是否不应被重新提起和审视?这个问题是针对本期哈珀林所撰写的相关文章提出的,该文章探讨了一本医学教科书的出版情况,书中有女性的性感照片,却没有男性的。无论是过去还是现在,医学教育中都存在一些态度和行为,它们助长了文化误解和偏见。可能很难意识到这些态度以及它们影响教学的方式,进而损害对患者的优质护理。作者结合自身经历讨论了一个更近的例子,即医生对治疗艾滋病毒/艾滋病患者的偏见。提醒读者,医学不仅存在于社会习俗和惯例的背景中,还会对其产生影响。审视过去有助于培养对这种不当偏见的认识,并制定抵制策略。