The Significance and Management of Psoriasis*
The Significance and Management of Psoriasis*
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DOI：
10.1136/bmj.2.4892.823
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发表时间：
1954-10
影响因子：
--
通讯作者：
J. Ingram
中科院分区：
文献类型：
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作者：
J. Ingram
我很荣幸受邀为沃森·史密斯做第一次讲座，我也认识到自己的责任。沃森史密斯讲座可以在医学上的任何主题，包括皮肤病学，我相信这是唯一的讲座，这所大学进行具体的参考。它可能会被认为给皮肤科一些体面的外衣。在注意到医学的这个分支之后，我们可能会问自己，为什么皮肤在我们的医学课程和培训中，在医院和医疗实践所提供的设施中，以及在研究中没有更重要的意义。皮肤是整个有机体的一部分，其生理和病理过程清楚地显示在视图中，如果仔细观察是临床实践和研究的基础，这里是一个无法比拟的训练场。常识似乎敦促，不是为了皮肤病学作为一个专业，而是为了更好地和更容易地理解整个医学，医生在培训中应该认识到他的皮肤学科的基本原理。皮肤上不应该发生任何他不能用一般医学术语解释的事情，每一个医学问题都应该通过皮肤来解决，皮肤有很多东西要说。毫无疑问，这所学院将利用其在医学课程和医院住宿方面的影响力来改善皮肤病学的地位，因为与大多数其他国家相比，英国和英联邦的皮肤病学受到的重视和设施要少得多。为了病人的利益和学生的培训，我们必须重新调整对医学中一般和特殊问题的看法，这只是问题的一部分。有必要吸引有能力的人从事皮肤病学工作，并揭示隐藏在皮肤中的真理，这对整个医学都有重大意义。悉尼沃森史密斯是一个研究员，这所学院和皇家学院的内科医生爱丁堡，并向双方他延长他的generositry。他对自己的职业有很高的认识，深受病人和同事的爱戴。1907年，他在家乡邓迪开始了全科医生的工作，在第一次服役后，
I am honoured by the invitation to deliver the first Watson Smith Lecture, and I recognize my responsibility. The Watson Smith Lecture may be delivered upon any subject in medicine, including dermatology, and I believe this is the only lecture of this College which carries that specific reference. It may be thought to give dermatology some little cloak of respectability. Attention having been drawn to this branch of medicine, we might ask ourselves why the skin does not figure more significantly in our medical curriculum and training, in the facilities afforded for hospital and medical practice, and in research. The skin is the one part of the whole organism the physiological and pathological processes of which are clearly displayed to view, and, if careful observation is the basis of clinical practice and of research, here is a training-ground which cannot be equalled. Common sense would seem to urge that, not for the sake of dermatology as a specialty but for the better and easier understanding of medicine as a whole, the doctor in training should be taught to recognize the fundamentals of his subject in the skin. Nothing should happen in the skin which he cannot interpret in general medical terms, and every medical problem should be approached by way of the skin, which has so much to tell. This College will no doubt use its influence in deliberations on the medical curriculum and on hospital accommodation to improve the position of dermatology, which enjoys much less consideration and poorer facilities in.Britain and the Commonwealth than in most other countries. This is only part of the problem of the necessary reorientation of our views regarding the general and the special in medicine in the interests of the patient and for the training of students. It is necessary that men of ability should be attracted to work in dermatology and should reveal truths that lie hidden in the skin and that must bear significantly upon the whole of medicine. Sydney Watson Smith was a Fellow of this College and of the Royal College of Physicians of Edinburgh, and to both he extended his generositry. He had a high sense of his vocation and was beloved by patients and colleagues. Starting general practice in his home town of Dundee in 1907, he settled, after service in the first