Perspective: Medical Professionalism and Medical Education Should Not Involve Commitments to Political Advocacy
Perspective: Medical Professionalism and Medical Education Should Not Involve Commitments to Political Advocacy
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DOI：
10.1097/acm.0b013e3182086efe
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发表时间：
2011-03-01
影响因子：
7.4
通讯作者：
Huddle, Thomas S.
中科院分区：
文献类型：
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作者：
Huddle, Thomas S.
越来越多的人认为政治倡导是医生的核心职业责任。作者认为这是一个错误。代表社会目标的倡导，即使是那些像改善人类健康这样无可例外的目标，也不可避免地具有政治性。作者认为，认为政治倡导是一种职业责任的说法是错误的，因为(1)公民美德超出了职业领域，(2)即使公民美德在职业上是强制性的，但公民参与对于这种美德是否必要尚不清楚，(3)医学职业不应要求其成员采取任何特定的政治立场。关于学术健康中心应该系统地促进宣传的主张也存在严重问题。尽管倡导可能与大学的核心研究和教育活动共存，但就其影响这些活动而言，倡导很可能会颠覆它们，因为倡导寻求的是变革而不是知识。官方的宣传努力将削弱大学对客观性和中立性的渴望。美国社会为其医学界带来了显着的成功和繁荣。只有当医生在专业工作中成功地为社会提供卓越的服务和奉献精神时，他们才值得获得这样的成功。强制性的专业宣传必须取代此类工作，但不能替代它。医学界应坚决抵制在其基本专业承诺中增加宣传的企图。
It is increasingly suggested that political advocacy is a core professional responsibility for physicians. The author argues that this is an error. Advocacy on behalf of societal goals, even those goals as unexceptionable as the betterment of human health, is inevitably political. Claims that political advocacy are a professional responsibility are mistaken, the author argues, because (1) civic virtues are outside the professional realm, (2) even if civic virtues were professionally obligatory, it is unclear that civic participation is necessary for such virtue, and (3) the profession of medicine ought not to require any particular political stance of its members. Claims that academic health centers should systematically foster advocacy are also deeply problematic. Although advocacy may coexist alongside the core university activities of research and education, insofar as it infects those activities, advocacy is likely to subvert them, as advocacy seeks change rather than knowledge. And official efforts on behalf of advocacy will undermine university aspirations to objectivity and neutrality. American society has conferred remarkable success and prosperity on its medical profession. Physicians are deserving of such success only insofar as they succeed in offering society excellence and dedication in professional work. Mandatory professional advocacy must displace such work but cannot substitute for it. The medical profession should steadfastly resist attempts to add advocacy to its essential professional commitments.