Doctor's introspection
"Conscience is the bottom line, and love is infinite"
"As a medical worker, my understanding of medical humanities is: conscience+love." At the forum, Wang Jianan, dean of the Second Affiliated Hospital of Zhejiang University School of Medicine, said, "Conscience is the bottom line and love is infinite."
What is conscience? In Wang Jianan's view, conscience is always reminding yourself not to do things that hurt patients, even if it is only a small matter. "For example, as doctors, we should not discuss the patient's condition in public. ".I often hear a doctor show off in the elevator" What a big lump he removed yesterday "... Don't do that! Respect for patients is the most important thing. "
In the 1990s, when Wang Jianan went to Hong Kong for further study, he found that doctors in Hong Kong paid special attention to wearing ties when making rounds. "I just went to, not used to it. When making rounds, the teacher always looks at me and says,' You'd better go back to the dormitory and get a tie to wear.' I didn't understand it at first, but later I learned that they thought it reflected the doctor's respect for the patient, and it was also a kind of self-discipline of the doctor-wearing a tie was to remind myself that you are a doctor and everything you do is responsible for the patient. "
Wang Jianan believes that daily details can "test" doctors' conscience and love. He took teaching rounds as an example: in the past rounds, doctors often directly analyzed the mortality rate and stroke rate at the bedside, regardless of the patient's feelings-if the patient is psychologically fragile, can it be tolerated? These seemingly trivial things are related to the medical experience and need the attention of doctors. In addition, heating the receiver, heating the coupling agent, putting a cushion on the seat and giving the family a blanket ... it is these small things that make the hospital no longer cold and terrible in the eyes of patients.
Wang Jianan can't forget the experience of going to a hospital in Taiwan Province one year. A dean said, "I'll take you to a place." "See what?" He asked. "Look at life and death." The dean replied. Wang Jianan was taken to the morgue of that hospital: clean and tidy, accompanied by light music. "It feels so good!" Wang Jianan was shocked. "Why can't we do this? We really can't cure many diseases at present. We can't cure all the patients, but we can send the patients the last journey with sincerity, and the patients' families can understand and see our seriousness. This is also an important aspect of easing the relationship between doctors and patients. "
Hospital practice
Warmth, tenderness, temperature
If the doctor's humanistic care is "focusing on small things", then the hospital's humanistic care is "step by step". "It is our exploration and practice to provide warmth for employees, make patients feel warm and transmit temperature to the society." Wang Xin, secretary of the Party Committee of Zhongshan Hospital affiliated to Fudan University, said.
"Let the hospital become a warm home. Only employees can feel the warmth and pass it on to patients. " Wang Xin believes that with the rapid development of hospitals, medical staff are under increasing pressure. Who will take care of their psychological problems? Who will solve their worries? Therefore, since 2009, Zhongshan Hospital has established "balint Group" to relieve the psychological pressure of medical staff and even managers, which has been gradually recognized by hospital staff. "We also set up a' reading room' and a' sound file', hoping to make employees feel more warm in a limited space." Wang Xin said, "It is more important to start with their difficulties and let them really feel the care of the hospital. For example, in order to solve the problem of dual-employee children entering the park in winter and summer vacations, the hospital opened a nursing class in winter and summer vacations, and asked teachers to take over the class, so that employees could work with peace of mind. For 30 years, we have always adhered to this initiative. "
On the basis of warm staff, Zhongshan Hospital builds a warm service brand-"the core is to make patients feel warm". Wang Xin said that Zhongshan Hospital has an East Campus and a West Campus. The emergency department is in the east, the outpatient department is in the west, and there are many people in the corridor. Some patients fell in the corridor and had a sudden myocardial infarction. In order to communicate well between the outpatient department and the emergency department, they set up a seamless rescue station in the corridor between the two campuses, which won valuable rescue time for many patients.
At the same time, as a "national team", Zhongshan Hospital also pays attention to transmitting temperature to the society. "We advocate the spirit of dedication and mutual assistance: where there are difficulties, there are us!" Wang Xin said that from June to July this year, the hospital sent 1 1 medical teams to undertake various tasks throughout the country. Tibet, Xinjiang, Yunnan, Qinghai ... There are "Zhongshan people" all over the country, and they all have the feelings of "Zhongshan people"-warmth.
medical education
"Humanities+Professional Education and Value Orientation"
The sustainable development of hospitals can not be separated from a large number of high-level medical talents with medical humanistic qualities. With the change of medical model, it is becoming more and more important to comfort patients' body and mind. It is also the professional requirement of doctors to respect patients' right to choose, know and privacy in diagnosis and treatment and clinical decision-making. Therefore, Gui Yonghao, executive vice president of Fudan University, said: "With the development of the times, the medical education model must be changed."
"Humanity has always been an important core of medicine. Medical humanities education is a cross-practice of medicine and humanities, which plays an important role in the development of medical history, medical philosophy, medical ethics, medical sociology, medical law and other disciplines. " He believes that when people need medical treatment, they need more care and care. By combining with humanistic care, hard theoretical knowledge can be transformed into soft medical practice. "Therefore, we urgently need to integrate medical humanities education into the whole process of medical development. The focus of medical education has changed from' professional education and ability orientation' to' humanities+professional education and values orientation'. We must strengthen the construction of the medical education system to adapt it to the development needs of the times-to return the medical humanistic spirit to the core of medical education. "
Gui Yonghao introduced that at present, Shanghai Medical College of Fudan University explores: paying attention to the cultivation of professionalism and professionalism in undergraduate education, and adding medical humanities education and ethics courses; In postgraduate education, according to the characteristics of academic and professional training, it is emphasized that medical humanities education has its own emphasis; Medical education and continuing education after graduation should focus on the construction of medical ethics and promote the construction of medical humanities in the whole process. "In addition to the traditional' first class', we create a' second class', that is, we hold a series of humanities and medical activities, such as special exchanges and special lectures, through colleges and other forms. In addition, we have also opened up a' third classroom', that is, relying on long-term accumulated clinical brand projects, such as the action plan for children's medical experience in affiliated hospitals, to continuously enrich and expand the connotation of medical humanities education. " Gui Yonghao said, "We hope to build a medical humanities education system with Fudan characteristics, provide a model for the whole country to learn from and replicate, and plant a tree of humanistic spirit in the hearts of all medical students."
Medical reflection
"The medical humanities in China are facing two special tensions."
So why do we need medical humanities? In this regard, Han Qide, honorary chairman of China Association for Science and Technology and academician of Chinese Academy of Sciences, summed up two special features of the development of traditional medicine and modern medicine-two special tensions of medical humanities in China.
"First, China's traditional medicine has always been dominant, while modern medicine has almost followed the track of western developed countries and has risen rapidly. Traditional medicine and modern medicine are mutually exclusive, because they are completely different systems, but they can learn from each other. The combination of traditional Chinese and western medicine is the combination of modern science and traditional Chinese medicine practice theory. In China, there is a very appropriate tension between traditional medicine and modern medicine, which is not only a technical tension, but also a tension between modern science and traditional philosophy. It should be said that it is a tension between medical humanities and a special landscape among medical humanities in China.
"Second, modern medicine in our country and modern medicine in western countries have gone through different paths. Western countries have developed modern science first, and then medical science. After three or four hundred years, modern technology has made a leap. In our country, traditional medicine still dominates for a long time. /kloc-in the past 0/00 years, especially in the past 40 years of reform and opening up, modern medicine has suddenly entered our lives and become the mainstream of ordinary people's medical treatment. In such a short period of time, what problems will be brought if the medical treatment mode and medical cognition are changed? I remember in the 1970s, when we treated farmers, the patients at that time were satisfied as long as they could see a doctor. They have a very touching saying: "A doctor can see a disease, but he can't save his life." Now it has become' the doctor must save his life when he sees the disease'. Our expectation of modern science is higher than that of the west, and our understanding of death also stems from the great impact brought by the rapid development. With the rapid development of modern medicine, there is also a tension between our expectation and reality, which is rare in the world. "
Han Qide believes that China's medical humanities are facing these two kinds of special tensions, so we must understand from a historical perspective, look at life and death from a humanistic perspective, see what medicine can bring, and see where we come from and where we go.
"There are two words in the doctor's school song: I am glad that my illness is getting heavier and the doctor is getting better and better; You can be afraid if you are afraid. When the doctor is well, you will be ill. These two sentences reflect profound philosophy and medical humanistic spirit. " Han Qide said, "We should see that medical technology is getting better and better, but diseases are getting more and more serious.' Medicine' will never catch up with' diseases'-no matter how developed medicine is, we can't live forever and solve all diseases. Therefore, we must strengthen the construction of medical humanities, better combine modern science with traditional medicine, and make greater contributions to human health. "
(Source: Health News, special correspondent Song,)