Whatley Shawn D
Department of Community and Family Medicine, Southlake Regional Health Centre, University of Toronto, Newmarket, ON, Canada.
J Eval Clin Pract. 2014 Dec;20(6):961-4. doi: 10.1111/jep.12214. Epub 2014 Jul 5.
The character of medicine has changed over the last 100 years such that medicine is more interested in diseases than the people who suffer from them. Despite notable efforts to address this, the medical humanities do not challenge doctors' fundamental view of the world. Students adopt a metaphysic of physicalism during basic science training that gets carried into medical training. While necessary for medical science, physicalism is insufficient for clinical care. Physicalism offers no foundation for the sine qua non of medicine, the doctor-patient relationship. The character of medicine will not see a renewed interest in humanity until educators address the insufficiency of physicalism for clinical care, and clinicians partner with experts in the humanities to build a sui generis philosophy of medicine.
在过去的100年里，医学的性质发生了变化，以至于医学对疾病的关注超过了对患病之人的关注。尽管为解决这一问题做出了显著努力，但医学人文学科并未挑战医生对世界的基本看法。学生们在基础科学训练期间接受了物理主义的形而上学观念，并将其带入医学训练中。虽然物理主义对医学科学来说是必要的，但它对于临床护理来说是不够的。物理主义没有为医学的核心要素——医患关系提供基础。除非教育工作者解决物理主义在临床护理方面的不足，并且临床医生与人文领域的专家合作构建一种独特的医学哲学，否则医学的性质不会重新唤起对人性的关注。
