Marchalik Daniel
D. Marchalik is director, Literature and Medicine Track, Georgetown University School of Medicine, Washington, DC; ORCID: http://orcid.org/0000-0002-6912-1252.
Acad Med. 2017 Dec;92(12):1665-1667. doi: 10.1097/ACM.0000000000001986.
The rapid explosion of medical knowledge of the 19th and 20th centuries required a transformation in medical education, which, to that point, had been marked by low educational standards. To combat the lack of regulation, the 1910 Flexner Report recommended sweeping reforms. By 1930, students hoping to enroll in a medical school would need to complete courses in chemistry, physics, and biology, leaving little room for the liberal arts.Medicine is once again changing. The impact of artificial intelligence is being felt across all medical fields, and the nature of physicians' jobs in the new landscape of intelligent machines will inevitably also have to change. What will the role of new physicians be? And how should medical education be amended to meet those needs?In 2017, the Georgetown University School of Medicine graduated the first group of students from its Literature and Medicine Track-the first U.S. medical school track dedicated to the study of literature. This Invited Commentary explores the work done in, and the scholarship resulting from, this novel educational program and suggests ways in which literature could be used to prepare future doctors for the evolving demands of the medical field.
19世纪和20世纪医学知识的迅速激增要求医学教育进行变革，在此之前，医学教育一直以低教育标准为特征。为应对缺乏规范的问题，1910年的《弗莱克斯纳报告》建议进行全面改革。到1930年，希望进入医学院就读的学生需要完成化学、物理和生物学课程，留给文科的空间很小。医学再次发生变化。人工智能的影响在所有医学领域都能感受到，在智能机器的新环境下，医生工作的性质也必然会发生变化。新医生将扮演什么角色？医学教育应如何修订以满足这些需求？2017年，乔治敦大学医学院毕业了第一批文学与医学方向的学生——这是美国第一所专注于文学研究的医学院方向。这篇特邀评论探讨了这个新颖教育项目所开展的工作以及由此产生的学术成果，并提出了利用文学为未来医生应对医学领域不断变化的需求做好准备的方法。
