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
man who does the laboratory work and who presumably has a less intimate
knowledge of the clinical condition of the patient. The clinician
himself should be able to appraise the laboratory findings if the
patient is to derive the greatest benefit.
It is frequently alleged that many of our medical schools and teaching
hospitals are producing “laboratory men” instead of clinicians. If it
is true that the graduates of these institutions enter the practice
of medicine handicapped by their dependence on the laboratory, then
the system of training is wrong or--what seems more probable--it is
imperfectly carried out. When schools and hospitals do their full
duty their graduates will have had an opportunity to study disease
intensively, checking and controlling their bedside observations by a
variety of exact laboratory investigations. Such an experience will
enable them to correlate the clinical manifestations of disease with
the underlying physiological processes, so that they can subsequently
understand and interpret disease without recourse to all the laboratory
procedures which were necessary in their student days. They will
enter practice trained so thoroughly in a limited number of simple
technical methods that they will not hesitate to use them, and they
will understand all of their significance. They will also know when
more complicated tests are indicated and how to interpret the results.
In spite of the extraordinary influence which the laboratory has had on
the development of medical science there is as yet no cause for the
physician to feel that he cannot keep up with the requirements of the
best modern practice. All of the more important elements are easily
within his grasp. The need in clinical medicine continues to be, not
for men trained in many laboratory methods but for men well grounded in
a few methods--not for better technicians, but for better clinicians.
THE SOUL OF THE CLINIC
[Note.--During the latter days of his life Dr. Peabody set down on
paper in a letter to Dr. Warfield T. Longscope[1] his conception
of the relationship and responsibility of the Medical Chief to his
Clinic. Though he felt that it was not entirely complete in certain
details, he finished the first draft and wrote the last sentence
the day before his death. His friends felt that the letter was
too valuable to remain as a private possession, and it was made
available to the medical profession. The document was published,
as it was written, a letter to an intimate friend in answer to
sympathetic correspondence and discussion.--Ed.]
[1] Professor of Medicine and Physician-in-Chief, the Johns Hopkins
Hospital.
Dear Warfield:
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