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
What is to be expected of the chief in the way of research? One
hears a great deal about research ability as a qualification for the
professor of medicine and about the necessity of his carrying on
research personally while he occupies the position. Capacity for high
grade research is so rare a quality in itself that it will always be
almost impossible to find it combined with the other qualifications
demanded of a professor of medicine. Ability to do good, conscientious,
independent work, interest in stimulating and assisting others to carry
on research, and an appreciation of the rôle that research plays in the
medical clinic are more important than great personal research genius.
The professor must keep in close touch with the work of his staff,
guiding where he can, suggesting and encouraging, and he should always
try to keep up some independent work if only for his own intellectual
satisfaction, so that he may set an example to the staff and may have
some little field in which he excels his assistants. Even if he had
great ability as an investigator he could not expect to accomplish
much, as the multifarious demands on his time make it almost impossible
to obtain the sense of leisure which thoughtful work requires. Indeed,
I feel that if a man really has this rare gift he ought not to be the
head of a department of medicine lest his talent be wasted.
One may reasonably question whether the large proportion of the budget
of the department of medicine that is devoted to research and the
great stress that has been laid on research ability in the selection
of teachers is entirely justified, when one considers that much of the
research output is of a routine nature and that really significant
research is unusual. My personal feeling is that it is justified,
although I think the pendulum has swung too far in the matter of
choice of professors. Here there is a very unfortunate tendency to pay
too little attention to broad clinical experience, something that
is acquired only by many years of hard work and too much attention
to research ability, or, what is worse, to the possible development
of research ability in some promising young man. The publication of
a number of good papers does not really indicate any marked capacity
for investigation, and such papers certainly offer limited evidence
of ability to run a department of medicine. Even in the preclinical
laboratories and research institutes the proportion of research that
is very noteworthy is not always particularly high, and, when one
considers all the other functions required of the men in the department
of medicine, I think that we may be rather proud of what they are
accomplishing.
Public-domain text, read in full here on John Shaqi.
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