Mishra Sundeep
Professor of Cardiology, AIIMS, New Delhi.
Indian Heart J. 2015 Jul-Aug;67(4):289-92. doi: 10.1016/j.ihj.2015.07.002. Epub 2015 Aug 21.
Medical practice is currently at crossroads due to several ills that have crept into the profession. The malaise may have its genesis traced down right from the time of entrance into medical school due at least in part to inadequacy and lack of contemporariness in current medical curricula. There could be several limitations of the medical course at present. The first problem is that rapid technological advances in the practice of medicine have led to an exponential increase in the amount of information and skills that needs to be acquired by the student. Broadly it is a question of dropping vestigial knowledge and re-prioritization of education according to the requirement of the day. The second problem is the alienation of the prospective physician from the society. However, perhaps the most alarming problem is lack of inculcation of empathy, rather a steady decline in its level over the course of medical school. We discuss how these issues can be appropriately addressed in a new curriculum.
由于该行业出现的一些弊病,医疗实践目前正处于十字路口。这种弊病至少部分源于进入医学院之时,因为当前医学课程存在不足且缺乏时效性。目前医学课程可能存在若干局限性。第一个问题是医学实践中的快速技术进步导致学生需要掌握的信息量和技能呈指数级增长。从广义上讲,这是一个摒弃过时知识并根据当下需求重新确定教育重点的问题。第二个问题是未来的医生与社会疏远。然而,也许最令人担忧的问题是缺乏同理心的培养,实际上在医学院学习过程中同理心水平在稳步下降。我们讨论了如何在新课程中妥善解决这些问题。