Friday, January 25, 2013

Be a good doctor pretty difficult

Be a good doctor, pretty difficult
Leaderette: A lot of regard one's own the intersection of job and ideal as by one kind doctor making from doctor, but a simple one " It is good " But the word has rather complicated intension. Then, in eyes of Wu Jieping of everybody medical, how could become a good doctor? What is the good doctor's evaluation criterion? November 15, sponsored together by professional committee of the medical education of higher 39 IEEE Education Society IEEE of China, the association of medical education of Chinese Medical Association, association of medical education of Beijing " The thought seminar of Wu Jieping's medical education " Held in Beijing. At the meeting, medical education expert two question the above air one's own views, quite enlightening meaning. " the advanced person of medical technology, require the doctor to have high-level sense of responsibility " Zhou DongHai ( Chief person in charge of subject for research of Wu Jieping's medical education thought) : Support oneself after will study medicine, the intersection of Wu Jieping and " finish doctor " Professor As the goal of one's own life. He thinks, for a good doctor, " none of noble medical ethics, consummate medical skill, the service three of artistry can be dispensed with " . What is meant by noble medical ethics? The explanation that he provides is two " Responsible for extremely " ,Namely" the doctor should be responsible for patient extremely, because the patient entrusts one's own health even life to the doctor; The doctor should be responsible for society extremely, because the patient is a person of the society, remove the patient's agony, solved patient's family, relatives and friends' agony and the burdens of office and country " . He still points out very pointedly: "The advanced person of medical technology, require the doctor to have high-level sense of responsibility. " The consummate medical skill is " basic training of requiring the doctor to already know medical theory and method solidly, absorb the new development of medical science in time again, and is summarizing the experience constantly, use knowledge and technology accurately skillfully " . In order to realize this goal, the doctor should also have scientific spirit, make sure to be following after progress constantly. The service of artistry " requires the doctor to understand the patient's psychology and need, proceed from the reality and serve patient " . This and the hospital recommended at present" Cultural and educational care " The idea is exactly the same. Even different patients suffer from the same disease, because everybody's artistic appreciation, experience, gender, family's condition are different, it, to disease and view, hope and worried and also different of making a diagnosis, the same treatment will produce different results. Just like Professor Wu Jieping emphasized, " the doctor's speech and deportment is influencing patients constantly " . While the doctor observed the patient, the patient is observing a doctor too, the patient will be very favorable to the implementation of medical treatment and improvement of result to the doctor's confidence. Whether so, could offer the service of artistry to patient from the angle of patient, thus achieve the goal of promoting the medical result, it is the difference of general doctor and good doctor. We can say, " three standards " of the good doctor's ,Require, train objective that medical education should realize hard too to medical Cai Cheng of talent actually. In other words, it can be considered to be the society " gold standard " to medical education and medical talent's quality evaluation too . " whom the doctor faced is biological attribute and concrete persons of the social attribute " Jia MingYan ( Beijing association's Deputy Chairman of medical education) : In the article published in 1996, Professor Wu Jieping explained" cured people " deeply With " cure the desease " Relation. People have biological attribute and social attribute, and the present medical education basically regards biology person on as the target. The teaching of Western medicine, make medical science grow from a few years after the school study to graduate, it is nearly totally the artificial foundation on which with biology. But in fact, the person on simple biological attribute does not exist, it is with " disease " to regard biology person on as the target For the target. Medical science is to know, safeguard and promote human health, prevent and treat disease, scientific knowledge system and practice activity of promoting the organism to recover. It has both attribute of natural science and attribute of social science, unifies the distinct characteristic that is medical science in science and technology and harmony of the cultural and educational spirit. Human-oriented spirit, namely sympathize with patients, cares about patient, everything and regards patient as the centre, have reflected the essence of medical science. Just as sage of the past spoke, " medicine is the kindness " , " benevolence person's lover " . However, while science and technology is progressive constantly and commodity economy is being developed constantly, because of multi-type, the ones that have already weakened cultural and educational spirit in medical science, technology has been the highest, chased economic benefits are leant to. How to turn back to agree more on, return to medical essence, the challenge that become medical care and the medical education faces together. As far back as 1977, U.S.A.'s psychosis and clinical practice professor Engel appealed for creating the new mode which surmounts the biomedical mode. He has proposed the defect of the biomedical mode clearly: This kind of mode can well think disease by can deviate from the normal oning the biological variable of measurement explain, leave the leeway in for the society, psychology of disease and behavioral in its framing. So, he has proposed the living beings - psychology - social medical mode and got extensive approval gradually. But even to this day, the transition of the medical mode is still far from getting satisfactory realization. Should change current situation, the ones that should be solved first are an idea and problem of perception. Professor Wu Jieping emphasizes constantly, " whom the doctor faced is biological attribute and concrete persons of the social attribute " . Thus, the medical worker only realizes people's social attribute and social attribute of the medical science deeply, could fulfil the duty better, take on one's own social role well. Professor Wu Jieping understands and sympathizes with patient and his relative very much. Few people know, he once moved 6 operations of size, cured the disease Damien 10 times more than in hospital, it is 0.67 meters long that the operation scar on him adds up to. Just because of this, he can realize the patient's agony and relatives' mood deeply. For a long time, there is cultural and educational course lacking, weak state of humane education in the medical education of our country, this is a technical staff of hygiene in generally an important reason with shortcoming compared with the ability structure of knowledge structures. I think, medicine should change course structure and training mode while studying the universities and colleges, make cultural and educational knowledge, cultural and educational spirit become the important component of the moral goal, there are clear and concrete requirement and class hour to guarantee, the traditional political and ideological education relying mainly on ideology can not replace cultural and educational ethics of medical science and is educated. " train students' competition consciousness and encourage students to move the brain as well as touch it " Gao Qian ( President of medical college of Nanjing University) : In July of 2003, Professor Wu Jieping emphasized in the speech of the medical college of Nanjing University again: "Medical science is health service, there is no person on biology in actual life, all persons on sociology. Train students to pay attention to philosophy to study, study materialist dialectics, improve the patriotism level constantly. " Teach in medical science Train students' medical ethics and must emphasize students' cultural and educational accomplishment while breeding. In this way, the doctor is really human-oriented when curing the disease for the patient, care about the patient, responsible for the patient's health. On the other hand, the devotion, cooperation spirit, patriotism spirit, humanistic spirit that there should be in the doctor's self- ethical training, and inherent accomplishment such as the sophisticated handling problem artistic means, all need to set up progressively by education of humanism. Under the guidance of this thought, the reform in education of the medical college of Nanjing University has been adhering to the two-way infiltration of natural science and social science all the time, thus have much a characteristic one to take shape " Medicine of unity and coherence in writing is combined " Cultivation way. First of all, we have set up natural science foundation and interface of the modern medical science, lead students to form in reasonable department's public basic course with a view to knowing the mode of thinking with essential things, improve ability and innovative consciousness that students are good at thinking, good at questioning, good at absorbing knowledge. Secondly, set up the interface of humanities and modern medical education. Nanjing University is the national university student's cutural dynamics educational base, require all students to get requested and stipulate cutural dynamics course of the credit. In optional course, contain it from the traditional calligraphy to so extensive a content of the intellectual property right. The medical college has grown and specially offered some cultural and educational character building education courses and lectures to medical science, include " Study outline in health " , " doctors and patients communicate and study " When. Activity of teaching through the, we hope students can meet medical research to practise and transform from the single and biological mode into living beings, the psychology, society, comprehensive mode of environment gradually, thus strengthen the understanding of loftiness with professional medical essence and doctor, purify soul, improve the ideological level, establish noble medical ethics. It is developed and advanced constantly by itself that medical, so, a good doctor will be accepting the new things constantly, also there should be spirit of innovation. Professor Wu Jieping once proposed the clear requirement for the medical college of Nanjing University: "Train students' competition consciousness, encourage students to move the brain as well as touch it. " Should say, these standards are exactly it is essential for the high quality, high-quality medical talent. (staff reporter Yan � puts in order)

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