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[以医学史、理论和伦理为例的“小学科”情况]

[The situation of the "small disciplines" using the example of the history, theory, and ethics of medicine].

作者信息

Schott H

机构信息

Medizinhistorisches Institut, Universität Bonn, Sigmund-Freud-Str. 25, 53105, Bonn, Deutschland.

出版信息

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2009 Sep;52(9):933-9. doi: 10.1007/s00103-009-0924-3.

Abstract

There is no clearly defined concept of the "small disciplines" (i.e., smaller fields of study). They have minor facilities and therefore they do not take center stage in a medical school with regard to research and education. Thus, in times of tight resources, the necessity of those disciplines is questioned. In particular, disciplines which cover the field of social medicine in a broader sense and which are not based on molecular medicine, respectively, do not belong to a clinical major discipline may be threatened with "extinction". This is probably not the case with "History, Theory, Ethics of Medicine" (German abbreviation: GTE) which was introduced by the Approbationsordnung für Arzte (license to practise medicine order) in 2002. It is now established in almost all of the German medical schools. The paper describes the contemporary, sometimes controversially discussed situation of GTE stressing its importance for medical education and the scientific self-conception of medicine. The medical humanities are an essential location for the critical self-reflection of medicine - indispensable for medical schools and in the end also medical care.

摘要

对于“小学科”(即较小的研究领域),没有明确界定的概念。它们设施简陋,因此在医学院的研究和教育方面不占据核心地位。所以,在资源紧张时期,这些学科存在的必要性受到质疑。特别是那些广义上涵盖社会医学领域且并非基于分子医学、分别不属于临床主要学科的学科,可能面临“灭绝”的威胁。2002年《医师执业许可令》引入的“医学史、理论、伦理学”(德语缩写:GTE)或许并非如此。如今它几乎在所有德国医学院都已确立。本文描述了GTE当前有时引发争议的讨论情况,强调了其对医学教育和医学科学自我认知的重要性。医学人文学科是医学进行批判性自我反思的重要场所——这对医学院乃至最终的医疗护理而言不可或缺。

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