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医学:科学还是艺术?

Medicine: science or art?

作者信息

Panda S C

机构信息

Assistant Professor, Department of Community Medicine, V.S.S. Medical College, Burla, Orissa. Also, Editor, Journal of Community Medicine. Email:

出版信息

Mens Sana Monogr. 2006 Jan;4(1):127-38. doi: 10.4103/0973-1229.27610.

Abstract

Debate over the status of medicine as an Art or Science continues. The aim of this paper is to discuss the meaning of Art and Science in terms of medicine, and to find out to what extent they have their roots in the field of medical practice. What is analysed is whether medicine is an "art based on science"; or, the "art of medicine" has lost its sheen (what with the rapid advancements of science in course of time, which has made present day medicine more sophisticated). What is also analysed is whether the "science of medicine" is a pure one, or merely applied science; or the element of science in it is full of uncertainty, simply because what is accepted as "scientific" today is discarded by medical practitioners tomorrow in the light of newer evidence. The paper also briefly touches upon how, in the field of present medical education, the introduction of medical humanities or humanistic education has the potential to swing the pendulum of medicine more towards the lost "art of medicine".The paper concludes by saying that the art and science of medicine are complementary. For successful practice, a doctor has to be an artist armed with basic scientific knowledge in medicine.

摘要

关于医学究竟是一门艺术还是一门科学的争论仍在继续。本文旨在探讨艺术和科学在医学范畴内的含义,并探究它们在医学实践领域的扎根程度。分析的内容包括:医学是一门“基于科学的艺术”,还是随着时间推移科学的快速发展(这使得当今医学更为复杂),“医学艺术”已失去其光彩。此外还分析了“医学科学”是一门纯粹的科学,还是仅仅是应用科学;或者其中的科学元素充满不确定性,仅仅是因为今天被视为“科学”的东西,明天可能会被医学从业者根据新的证据而摒弃。本文还简要提及在当前医学教育领域,医学人文或人文教育的引入如何有可能使医学的钟摆更多地摆向失落的“医学艺术”。本文的结论是,医学的艺术和科学是相辅相成的。为了成功行医,医生必须是一位具备医学基础知识的艺术家。

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