The Holocaust, medicine and becoming a physician: the crucial role of education

The Holocaust, medicine and becoming a physician: the crucial role of education
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大屠杀、医学和成为一名医生:教育的关键作用

DOI:
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发表时间:
2019
影响因子:
4.5
通讯作者:
P. Weindling
P. Weindling
中科院分区:
医学4区
文献类型:
--
作者:
S. Reis;H. S. Wald;P. Weindling

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了解医疗保健专业人员和科学家,他们的社会和学术机构的道德原则的放弃,以杀人的意识形态产生根本的关注和全球影响,为现在和未来的医疗保健专业人员的教育和实践。医学最坏的情况在此时此地提出了令人深感不安但又至关重要的问题:大屠杀,人类有史以来最大的罪恶之一,如果没有医生,他们的社会和科学界的共谋,会发生吗?医生怎么会变成杀手?还会发生吗我们通过2017年5月7日至11日在以色列加利利举行的第二届大屠杀期间及之后的医学国际学者研讨会的透镜来反思这些问题,并为医疗保健行业提供当代全球经验教训。在简要的历史背景之后,得出了大屠杀中医学史的含义,包括1)意识到等级制度,服从和权力的结合构成了医学中滥用权力的风险因素,2)大屠杀及以后的医学学习和教学是支持专业身份形成的强大平台。因此,这段历史理想地可以帮助学习者“装备”一个道德指南针,用于导航医疗实践的未来和固有的道德挑战,如偏见,辅助生殖,资源分配,获得有效的知情同意,生命结束护理,以及基因组学和技术扩展的挑战。会议最后发表了《加利利宣言》,该宣言由历史学家、卫生保健专业教育工作者和伦理学家组成的国际跨专业社区撰写并签署。本文件所载的《宣言》(http://english.wgalil.ac.il/category/Declaration)呼吁在所有保健专业教育中列入关于大屠杀中保健专业历史及其影响的课程。
Learning about the abandonment of moral principles of healthcare professionals and scientists, their societies and academic institutions, to a murderous ideology yields fundamental concerns and global implications for present and future healthcare professionals’ education and practice. Medicine’s worst-case scenario raises deeply disturbing yet essential questions in the here and now: Could the Holocaust, one of the greatest evils ever perpetrated on humankind, have occurred without the complicity of physicians, their societies, and the scientific profession community? How did healers become killers? Can it happen again?We reflect here on those queries through the lens of the Second International Scholars Workshop on Medicine during the Holocaust and Beyond held in the Galilee, Israel on May 7–11, 2017 and derive contemporary global lessons for the healthcare professions. Following a brief historical background, implications of the history of medicine in the Holocaust are drawn including 1) awareness that the combination of hierarchy, obedience, and power constitutes a risk factor for abuse of power in medicine and 2) learning and teaching about medicine in the Holocaust and beyond is a powerful platform for supporting professional identity formation. As such, this history ideally can help “equip” learners with a moral compass for navigating the future of medical practice and inherent ethical challenges such as prejudice, assisted reproduction, resource allocation, obtaining valid informed consent, end of life care, and challenges of genomics and technology expansion. Curriculum modules are available and studies on impact on students’ attitudes and behavior are emerging.The conference culminated with the launch of the Galilee Declaration, composed and signed by an international, inter-professional community of historians, healthcare professions educators, and ethicists. The Declaration included herein (http://english.wgalil.ac.il/category/Declaration) calls for curricula on history of healthcare professions in the Holocaust and its implications to be included in all healthcare professions education.
医学人文学科的共同目标和独特优势:部分之和能否大于整体?
DOI: 10.1097/acm.0000000000001991
发表时间: 2017
期刊: Academic medicine : journal of the Association of American Medical Colleges
影响因子: --
作者:
Greene,JeremyA;Jones,DavidS
通讯作者: Jones,DavidS