Ofri Danielle
D. Ofri is associate professor, Department of Medicine, New York University School of Medicine, and attending physician, Bellevue Hospital, New York, New York.
Acad Med. 2017 Dec;92(12):1657-1658. doi: 10.1097/ACM.0000000000001983.
While medical students often fear the avalanche of knowledge they are required to learn during training, it is learning to translate that knowledge into wisdom that is the greatest challenge of becoming a doctor. Part of that challenge is learning to tolerate ambiguity and uncertainty, a difficult feat for doctors who are taught to question anything that is not evidence based or peer reviewed. The medical humanities specialize in this ambiguity and uncertainty, which are hallmarks of actual clinical practice but rarely addressed in medical education. The humanities also force reflection and contemplation-skills that are crucial to thoughtful decision making and to personal wellness. Beyond that, the humanities add a dose of joy and beauty to a training process that is notoriously frugal in these departments. Well integrated, the humanities can be the key to transforming medical knowledge into clinical wisdom.
虽然医学生常常害怕在培训期间需要学习的大量知识,但学会将这些知识转化为智慧才是成为一名医生面临的最大挑战。这项挑战的一部分在于学会容忍模糊性和不确定性,这对于那些被教导要质疑任何缺乏循证依据或同行评审的事物的医生来说是一项艰巨的任务。医学人文学科专门研究这种模糊性和不确定性,它们是实际临床实践的标志,但在医学教育中却很少被提及。人文学科还促使人们进行反思和沉思,这些技能对于深思熟虑的决策和个人健康至关重要。除此之外,人文学科为这个在这些方面向来缺乏的培训过程增添了一份喜悦和美好。如果能很好地融合,人文学科可能是将医学知识转化为临床智慧的关键。