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Osler 百年纪念论文:今天,威廉·奥斯勒爵士会成为医学实习生和医生的榜样吗?

Osler Centenary Papers: Would Sir William Osler be a role model for medical trainees and physicians today?

机构信息

Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA

出版信息

Postgrad Med J. 2019 Dec;95(1130):664-668. doi: 10.1136/postgradmedj-2019-136646.

Abstract

If Sir William Osler were alive and practising as one of our contemporary colleagues, would he be viewed as a role model by medical trainees and other physicians? Recently published literature has sought to define clinical excellence; this characterisation of physician performance establishes a context in which role models in medicine can be appraised. Building on this framework, we present rich anecdotes and quotes from Sir William Osler himself, his colleagues, and his students to consider whether Osler would have been regarded as a role model for clinical excellence today. This paper illustrates convincingly that William Osler indeed personified clinical excellence and would have been appreciated as a consummate role model if he were alive and on a medical school's faculty today. However, a century has passed since his death, and he is not sufficiently visible today to serve as a role model to modern medical trainees and physicians. Moreover, we speculate that Osler himself would not have wanted to be a role model for today's trainees, as he emphasised that medicine is best learned from teachers at the bedside-a place where he cannot be. Reanimating Osler through rich stories and inspiring quotes, and translating his example of clinical excellence into modern clinical practice, can remind us all to carry Oslerian virtues with us in our professional work.

摘要

如果威廉·奥斯勒爵士(Sir William Osler)还在世并作为我们当代同事中的一员行医,他会被医学实习生和其他医生视为榜样吗?最近发表的文献试图定义临床卓越;这种对医生表现的描述为评估医学领域的榜样提供了一个背景。在此框架的基础上,我们呈现了丰富的轶事和引用,来自威廉·奥斯勒爵士本人、他的同事和他的学生,以探讨今天是否会将奥斯勒视为临床卓越的榜样。本文令人信服地表明,威廉·奥斯勒确实体现了临床卓越,如果他今天还在世并在医学院任教,他将被视为完美的榜样。然而,自从他去世已经过去了一个世纪,他今天的知名度不够高,无法成为现代医学实习生和医生的榜样。此外,我们推测奥斯勒本人也不会希望成为当今受训者的榜样,因为他强调医学最好是从床边的老师那里学习——而他无法出现在那里。通过丰富的故事和鼓舞人心的引语再现奥斯勒,并将他的临床卓越典范转化为现代临床实践,可以提醒我们所有人在专业工作中牢记奥斯勒的美德。

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