Medical Humanities – vector of transformation of medical education
https://doi.org/10.20913/2618-7515-2024-4-3
Abstract
Introduction. The article deals with the humanitarization of medical education as a way to overcome the contradictions between the biomedical paradigm of modern medicine, medical education and the need to develop a patient-centered approach.
Purpose setting. The aim of the article is to substantiate the necessity to include Medical Humanities in modern medical education, which implies specifying the understanding of Medical Humanities and clarifying the consequences of abandoning the dominant objectivist paradigm in medical education.
Methodology and methods of the study. To achieve the task, the general scientific methods of historical reconstruction, comparative analysis, some methods of comparativist analysis, elements of inductive reasoning, as well as the analysis of legal documents are used.
Results. It is determined that digitalization in the field of medicine strengthens the biomedical paradigm, which does not always correlate with the patient-centered approach, as well as with the change of the general theoretical paradigm of the concept of human. It is substantiated that the way out of this situation is the inclusion of Medical humanities in the training of medical workers. The necessity of this is connected with the revision of «doctor-patient» relationship, formation of professional identity of a medical worker, formation of «compassionate values» of «enlightened doctor», development of necessary cognitive skills and many others.
Conclusion. The inclusion and expansion of Medical Humanities in medical education builds skills for a patient-centered approach and thus minimizes the negative effects of the biomedical paradigm of modern medicine.
About the Author
E. V. BarbashinaRussian Federation
Evelina V. Barbashina, doctor of philosophical sciences, head of the department, professor
department of philosophy; graduate school department
630075; 6 Medkadry Str.; 630090; 8 Nikolaeva Str.; Novosibirsk
References
1. Evans M. Reflections on the humanities in medical education. Medical Education, 2002, vol. 36, no. 6, pp. 508–513. doi: 10.1046/j.1365-2923.2002.01225.x
2. Grebenjuk A. Ju. Top 10 digital solutions in medicine and healthcare. HSE ISSEK, 2002. URL: https://issek.hse.ru/news/691544400.html (accessed 11. 15. 2024). (In Russ.).
3. Zabolotnaya N. V., Gatilova I. N., Zabolotny A. T. Digitalization of health: achievements and prospects for development. Ekonomiks. Informatiks, 2020, vol. 47, no. 2, pp. 380–389. (In Russ.).
4. The State program of the Russian Federation «Development of healthcare». URL: https://minzdrav.gov.ru/ministry/programms/health/info (accessed 11.15.2024). (In Russ.).
5. On approval of the concept of predicative, preventive and personalized medicine: Order of the Ministry of health of the Russian Federation No. 186 dated April 24, 2018. URL: https://www.garant.ru/products/ipo/prime/doc/71847662/ (accessed 11. 15. 2024). (In Russ.).
6. Dana C. L. Medicine and the humanities. Annals of medical history, 1922, vol. 4, no. 1, pp. 328–335.
7. Peabody F. W. The care of the patient. JAMA, 1927, vol. 88, no. 12, pp. 877–882. DOI: 10.1001/jama.1984.03350060057032
8. Sarton G. Humanism versus Grammar. Isis, 1936, vol. 25, no. 1, pp. 6–8.
9. Mukhamedova Z. M. Integration of the humanities into the medical education: problems and prospects. Journal of Health Development, 2019, vol. 1, no. 30, pp. 38–45. (In Russ.).
10. Stempsey W. E. Medical humanities and philosophy: is the universe expanding or contracting? Medicine, Health Care and Philosophy, 2007, vol. 10, pp. 373–383. doi: 10.1007/s11019-007-9080-4
11. Barbashina E. V. Transformation of «narrative» in socio-humanitarian cognition. Siberian Philisophical Journal, 2023, vol. 21, no. 2, pp. 71–80. doi: 10.25205/2541-7517-2023-21-2-71-80 (In Russ.).
12. Holmgren L., Fuks A., Boudreau D., Sparks T., Kreiswirth M. Terminology and praxis: clarifying the scope of narrative in medicine. Literature and Medicine, 2011, vol. 29, pp. 246–273. doi: 10.1353/lm.2011.0323
13. Mihal’chenko D. V., Firsova I. V., Sedova N. N. A sociological portrait of a medical service. Volgograd, Izdatel’stvo VolgGMU, 2011, p. 5. (In Russ.).
14. Beskaravajnaja T. Almost 40 % of Russians reported satisfaction with medical care in the CHI system. Medvestnik, 2023. URL: https://medvestnik.ru/content/news/Ob-udovletvorennosti-medicinskoi-pomoshu-v-sisteme-OMS-soobshili-pochti-40-rossiyan.html (accessed 11. 15. 2024). (In Russ.).
15. Verducci S. A conceptual history of empathy and a question it raises for moral education. Educational Theory, 2000, vol. 50, no. 1, pp. 63–80. doi: 10.1111/j.1741–5446.2000.00063.x
16. Goetz J. L., Keltner D., Simon-Thomas E. Compassion: an evolutionary analysis and empirical review. Psychological Bulletin, 2010, vol. 136, pp. 351–374.
17. Proctor R. E. Defining the humanities: how rediscovering a tradition can improve our schools. Bloomington, Indiana University Press, 1988, 272 p.
18. Shapiro J. Whither (Whether) medical humanities? The future of humanities and arts in medical education. Journal for learning through the arts, 2012, vol. 8, no. 1. doi: 10.21977/D98111796
19. Schwarz A. W., Abramson J. S., Wojnowich I., Accordino R., Ronan E. J., Rifkin M. R. Evaluating the impact of the humanities in medical education. Mount Sinai Journal of Medicine, 2009, vol. 76, pp. 372–380. doi: 10.1002/msj.20126
Supplementary files
For citation: Barbashina E.V. Medical Humanities – vector of transformation of medical education. Professional education in the modern world. 2024;14(4):578-584. https://doi.org/10.20913/2618-7515-2024-4-3
Refbacks
- There are currently no refbacks.