Viniegra-Velázquez Leonardo
>Unidad de Investigación en Medicina Basada en Evidencias, Hospital Infantil de México Federico Gómez, Ciudad de México, México.
Bol Med Hosp Infant Mex. 2018;75(6):327-337. doi: 10.24875/BMHIM.18000080.
This essay defines the current moment as a civilizatory collapse, consequence of the dominance of limitless profit interests, which has been possible due to the insensitivity and permissiveness of most of the population in the face of extreme social and ecosystemic degradations. In the background of such "anesthesia" there is the predominant education and its key role in the reproduction of prevalent social ideas and practices and in the perpetuation of degrading traits: individualism, exclusionary specialization, passivity, competitiveness, consumerism and vulnerability to media manipulation. With this intellective and interpretive framework, the concept of deep and creative critique was updated in order to deepen the critique of medical education, allowing for the differentiation and contrast of two radically different types of education. Firstly, the passive education, reproductive of the degrading traits of universal validity, whose core is the idea of knowledge comparable to a cumulative rote learning of heteronomous and unrelated information, and by an implicit pedagogy focused on facilitating the consumption and uncritical assimilation of established truths. Secondly, the participatory education (proposal to overcome the passive), where knowledge is the elaboration and re-elaboration of students with the essential mediation of critique. The students construct and reconstruct their own versions of themselves and their context; the implicit pedagogy is condensed in infecting enthusiasm to understand who we are and where we are, and procure conducive environments for critique and the elaboration of a progressively penetrating and liberating knowledge that has shown its feasibility in specific situations.
本文将当前时刻定义为一种文明的崩溃,这是无限利润利益占主导的结果,而这种情况之所以可能,是因为大多数人面对极端的社会和生态退化时表现出麻木不仁与宽容放任。在这种“麻木状态”的背后,是占主导地位的教育及其在盛行的社会观念和实践的再生产以及退化特征的延续中所起的关键作用:个人主义、排他性专业化、被动性、竞争性、消费主义以及易受媒体操纵。基于这个理解和解释框架,深度和创造性批判的概念得以更新,以便深化对医学教育的批判,从而区分和对比两种截然不同的教育类型。首先是被动教育,它复制具有普遍有效性的退化特征,其核心是将知识等同于对异质且不相关信息的累积死记硬背,并且通过一种隐性教学法来促进对既定真理的消费和不加批判的吸收。其次是参与式教育(克服被动性的提议),在这种教育中,知识是学生在批判的关键中介作用下进行的精心阐述和反复阐述。学生构建并重构他们对自身及自身所处环境的认知;隐性教学法体现在激发理解我们是谁以及我们身处何方的热情,并营造有利于批判以及精心阐述一种在特定情境中已证明其可行性的、日益深刻且解放性的知识的环境。