Doctor and patient : $b Papers on the relationship of the physician to men and institutions — John Shaqi
Doctor and patient : $b Papers on the relationship of the physician to men and institutionsPeabody, Francis Weld
Science
Doctor and patient : $b Papers on the relationship of the physician to men and institutions
Peabody, Francis Weld
Medicine; Medicine -- Practice; Physicians
which belongs to the pioneer and which urges him beyond our present
confines.
In these two fields, therefore, in research and in the application to
practice of specialized knowledge or complex technical procedures, the
expert is absolutely necessary, but the number of men actually needed
to satisfy the demands is relatively small and, in the natural course
of events, there will always be enough doctors whose intellectual
interests direct them to intensive study. The lay public, therefore,
need have little anxiety about having sufficient specialists to serve
them. The important problem for the public is whether they still have
need of encouraging the development of general practitioners. Here is
the crux of the situation! Is an attitude which is bound to result
in a progressive increase in the number of specialists, at the cost
of a progressive decrease both in the number and quality of general
practitioners, one which will ultimately be of general benefit?
In the light of the development of modern medicine, is the general
practitioner an essential factor in preserving and promoting health
or is he a makeshift necessary only in communities too small or too
poor to support a competent corps of specialists? Can the public get
along without the general practitioner? To those who are in a position
to see the helpless flounderings of the unfortunates who pass from
specialist to specialist the answer is very clear. Never was the
sound general practitioner more important than he is today. Never
was the public in need of wise, broadly trained advisers so much as
it needs them today to guide them through the complicated maze of
modern medicine. The extraordinary development of medical science,
with its consequent diversity of medical specialism and the increasing
limitations in the extent of special fields--the very factors, indeed,
which are creating specialists, in themselves create a new demand, not
for men who are experts along narrow lines, but for men who are in
touch with many lines. The advantages to be derived from advice and
treatment by specialists are entirely obvious, but the disadvantages
are by no means always so clearly understood. They are inherent in
the training, however, for depth is not often combined with breadth,
and the enthusiasm which makes one an expert in a limited field is
frequently the very factor which prevents him from viewing a situation
as a whole. The training of the specialist is in its essence intensive,
and he can detect the slightest abnormality in the organ or system
which constitutes his field, but man is not merely an aggregation of
organs or of systems--he is first of all a human being whose proper
care involves an appreciation of his body as a whole, together with
the circumstances of his life. Many a sick person, after visiting a
series of experts, and being treated for the abnormalities which each
discovered in his own sphere, remains an invalid because none of his
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