Koch Tom
Department of Geography (Medical), University of British Columbia, Vancouver, Canada.
Alton Medical Centre, 1302 Queen St. W, Toronto, ON, Canada.
HEC Forum. 2019 Sep;31(3):219-232. doi: 10.1007/s10730-019-09372-w.
For more than two decades, classes on "professionalism" have been the dominant platform for the non-technical socialization of medical students. It thus subsumes elements of previous foundation courses in bioethics and "medicine and society" in defining the appropriate relation between practitioners, patients, and society-at-large. Despite its importance, there is, however, no clear definition of what "professionalism" entails or the manner in which it serves various purported goals. This essay reviews, first, the historical role of the vocational practitioner in society, and second, the introduction of "professionalism" as a newly constituted, core value in teaching. The structure of the paper is as an archaeology, a Foucauldian term for an investigation of seemingly separate but related antecedent contexts and ideas whose result is a perspective or point of view. The goal thus is an attempt to precisely locate "professionalism" within the greater history of medicine and its contemporary role in medical socialization.
二十多年来，“职业精神”课程一直是医学生非技术层面社会化的主要平台。因此，在界定从业者、患者与整个社会之间的适当关系时，它涵盖了先前生物伦理学基础课程以及“医学与社会”课程的内容。尽管其很重要，但对于“职业精神”的内涵或其实现各种所谓目标的方式，却没有明确的定义。本文首先回顾职业从业者在社会中的历史角色，其次回顾“职业精神”作为一种新构建的核心价值观在教学中的引入。本文的结构类似于一种考古学，“考古学”是福柯式的术语，用于调查看似相互独立但又相关的先前背景和观念，其结果是一种视角或观点。因此，目标是试图在医学的更广泛历史及其在医学社会化中的当代作用中准确界定“职业精神”。
