Brenna Connor T A, Das Sunit
Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Division of Neurosurgery, University of Toronto, Toronto, ON, Canada.
Ann Med Surg (Lond). 2020 Jul 10;57:1-4. doi: 10.1016/j.amsu.2020.07.006. eCollection 2020 Sep.
Surgery and Medicine are broadly considered as the two fundamental paths that a physician's career can follow. But their convergence under the singular umbrella of doctoring is relatively recent in the context of medical history. Their co-existence within the structure of medical education and the healthcare system suggest that they bear great similarity to each other, when in reality several differences are intuitively recognizable between them. Here, we discuss recent evidence suggesting a discrepancy between these two streams in the work-hour policy preference of trainees. We argue that these differences betray a more radical divide between them, and one which illuminates an essential difference in the self-identification of surgical and non-surgical medical trainees. Additionally, these findings support a novel claim about the importance of uninterrupted relationships on the formation of professional identity among healthcare professionals. We suggest that the principal separation of surgical and non-surgical practice is significant enough to reconsider their dogmatic unification as well as warrant the adoption of unique rules and policies to govern each stream.
外科和内科大致被视为医生职业生涯可以遵循的两条基本路径。但在医学史的背景下,它们在“行医”这一单一范畴下的融合相对较新。它们在医学教育和医疗体系结构中的共存表明,二者彼此极为相似,而实际上,凭直觉就能识别出它们之间存在若干差异。在此,我们探讨近期证据,这些证据表明这两个领域的实习生在工作时长政策偏好上存在差异。我们认为,这些差异揭示了二者之间更为根本的分歧,这一分歧凸显了外科和非外科医学实习生自我认知的本质区别。此外,这些发现支持了一项关于不间断关系对医疗专业人员职业身份形成的重要性的新论断。我们认为,外科和非外科实践的主要区别足够显著,足以重新审视它们的教条式统一,也有必要采用独特的规则和政策来管理每个领域。