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认知谦逊与虚拟现实相遇:用新工具传授古老的理念。

Epistemic humility meets virtual reality: teaching an old ideal with novel tools.

作者信息

Starke Georg, Sobieska Alexander, Knochel Kathrin, Buyx Alena

机构信息

Institute for History and Ethics of Medicine, Technical University of Munich, Munich, Germany

College of Humanities, EPFL, Lausanne, Switzerland.

出版信息

J Med Ethics. 2025 Apr 25. doi: 10.1136/jme-2024-110591.

Abstract

The pace of scientific advancements in medicine, driven by artificial intelligence as much as by novel biotechnologies, demands an ever-faster update of professional knowledge from physicians and collaboration in interdisciplinary teams. At the same time, the increased heterogeneity of patients' lifeworlds in socially and culturally diverse societies requires healthcare professionals to consider diverging personal and cultural perspectives in their treatment recommendations. Both developments require conveying to students a professional virtue that can be summarised as -a teaching process which, we argue, can and should be supported by novel technologies. By embedding students in realistic scenarios, virtual reality can play a crucial role in teaching medical students a stance of epistemic humility. Such stance implies acknowledging the limitations of one's knowledge as well as taking individual patients' perspectives and experiences seriously. In this sense, epistemic humility can also provide a crucial step towards tackling epistemic injustice and biases in medicine. We discuss how teaching epistemic humility with virtual reality tools can succeed and suggest the development of novel teaching tools that make use of this technology to immersively enable moral growth. Our paper thereby contributes to the emerging field of digital bioethics, calls for more work in the area of experimental bioethics and informs ongoing debates on how medical ethics teaching can prepare future physicians for the challenges of tomorrow's practice of medicine.

摘要

医学领域的科学进步步伐,既受人工智能驱动,也受新型生物技术推动,这要求医生不断更快地更新专业知识,并在跨学科团队中开展协作。与此同时,在社会和文化多元的社会中,患者生活世界的异质性增加,这要求医疗专业人员在治疗建议中考虑不同的个人和文化观点。这两种发展趋势都需要向学生传授一种专业美德,这种美德可以概括为——我们认为,这一教学过程能够且应该得到新技术的支持。通过将学生置身于现实场景中,虚拟现实在教导医学生认识谦逊态度方面可以发挥关键作用。这种态度意味着承认自己知识的局限性,并认真对待个体患者的观点和经历。从这个意义上说,认识谦逊也可以为解决医学中的认识不公正和偏见提供关键一步。我们讨论了如何通过虚拟现实工具成功教授认识谦逊,并建议开发利用该技术沉浸式促进道德成长的新型教学工具。我们的论文因此为新兴的数字生物伦理学领域做出了贡献,呼吁在实验生物伦理学领域开展更多工作,并为正在进行的关于医学伦理教学如何让未来医生为应对明天的医学实践挑战做好准备的辩论提供信息。

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