McHugh P R
Department of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Ann Intern Med. 1987 Dec;107(6):914-8. doi: 10.7326/0003-4819-107-6-914.
William Osler steered medical education towards knowledge of the natural history of disease and the biological sciences that explain its course and characteristic symptoms. A psychiatric education is now ready to move from a pre-Oslerian period, where the emphasis has been on teaching therapy, to a post-Oslerian discipline, where teaching focuses on distinctions in the presentation of psychiatric disorders and the basic sciences that can illuminate the causes and pathologic mechanisms behind abnormal human behaviors. Educational programs based on such ideas eliminate the denominationalism that has characterized psychiatry and make it more obviously a subdiscipline of medicine.
威廉·奥斯勒将医学教育导向对疾病自然史以及解释其病程和特征性症状的生物科学的了解。现在,精神病学教育正准备从一个强调治疗教学的前奥斯勒时代,转向一个后奥斯勒时代的学科,在后一时代,教学重点在于精神疾病表现的差异以及能够阐明人类异常行为背后的原因和病理机制的基础科学。基于此类理念的教育项目消除了精神病学所特有的宗派主义,使其更明显地成为医学的一个子学科。