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
By what members of the staff should active research be carried on?
The strictly clinical group, engaged largely in outside practice,
should be encouraged, but, of course, one cannot expect that they
will produce much, as they do not have the time or the sense of
leisure that is necessary for research. If any of them produce an
occasional clinical study, they are to be congratulated. This must not
be considered to be their field. The younger members of the hospital
staff, residents and assistants, should all take part in some research
problem, but as they are apt to be almost wholly untrained they
can be regarded only as extra hands at the beginning. They receive
a training that is of utmost value to them personally, particularly
if they are, as they should be, under the personal supervision of an
experienced investigator; but one cannot anticipate that they will
make important contributions. Experience has made it clear to me that
one of our common errors is to expect too much of these men, in that
we allow them to work too independently both for the good of their
own training and for their productiveness. With rare exceptions few
men are qualified, either technically or intellectually, to carry on
clinical research of any great importance until they have had several
years of experience in laboratory work and in the study of disease
in the wards. This means that it is only the older members of the
medical staff who may be expected to undertake continuous problems
of any particular significance and it accentuates the importance of
providing adequate salaries for assistants who are five or ten years
out of school. These are the men who can plan for prolonged periods of
time devoted to one problem, and they will also be the men to guide
and train the recent graduates. Of course, even among the selected
groups of older members of the staff there will be few who will produce
research that is important in itself, for in any field high grade
investigators are unusual. In general, one can only expect good solid
research of a more or less routine character. Such work is, however,
not to be depreciated, as it plays an important part in keeping up the
tone of the clinic and in the long run advance in our knowledge of
disease probably depends as much on this type of conscientious, honest
investigation as on the gifted researches of brilliant geniuses.
Public-domain text, read in full here on John Shaqi.
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