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
To begin with, the fact must be accepted that one cannot expect to
become a skilful practitioner of medicine in the four or five years
allotted to the medical curriculum. Medicine is not a trade to be
learned but a profession to be entered. It is an ever-widening field
that requires continued study and prolonged experience in close contact
with the sick. All that the medical school can hope to do is to supply
the foundations on which to build. When one considers the amazing
progress of science in its relation to medicine during the last thirty
years, and the enormous mass of scientific material which must be
made available to the modern physician, it is not surprising that the
schools have tended to concern themselves more and more with this
phase of the educational problem. And while they have been absorbed
in the difficult task of digesting and correlating new knowledge,
it has been easy to overlook the fact that the application of the
principles of science to the diagnosis and treatment of disease is
only one limited aspect of medical practice. The practice of medicine
in its broadest sense includes the whole relationship of the physician
with his patient. It is an art, based to an increasing extent on the
medical sciences, but comprising much that still remains outside the
realm of any science. The art of medicine and the science of medicine
are not antagonistic but supplementary to each other. There is no more
contradiction between the science of medicine and the art of medicine
than between the science of aeronautics and the art of flying. Good
practice presupposes an understanding of the sciences which contribute
to the structure of modern medicine, but it is obvious that sound
professional training should include a much broader equipment.
The problem that I wish to consider, therefore, is whether this
larger view of the profession cannot be approached even under the
conditions imposed by the present curriculum of a medical school. Can
the practitioner’s art be grafted on the main trunk of the fundamental
sciences in such a way that there may arise a symmetrical growth, like
an expanding tree, the leaves of which shall be for the “healing of the
nations”?
The physician who speaks of the care of patients is naturally thinking
about circumstances as they exist in the practice of medicine; but the
teacher who is attempting to train medical students is immediately
confronted by the fact that, even if he would, he cannot make the
conditions under which he has to teach clinical medicine exactly
similar to those of actual practice.
Public-domain text, read in full here on John Shaqi.
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