Sir William Osler 1849 1919 The practice of

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永恆的醫界典範 Sir William Osler (1849 ~ 1919)

永恆的醫界典範 Sir William Osler (1849 ~ 1919)

The practice of medicine is an art, not a trade; a calling, not a

The practice of medicine is an art, not a trade; a calling, not a business; a calling in which your heart will be exercised equally with your head William Osler (1849 -1919) 「行醫是一種藝術、不是交易；是一種 召喚、不是生意；這種召喚源自於心靈 與智慧的共同運作」

威廉‧奧斯勒爵土(Sir William Osler)

威廉‧奧斯勒爵土(Sir William Osler)

良醫的特質 科學 科學瞭解 科學方法 實證（科學與技術） 人文 詮釋 洞察力 技術判斷 倫理 教養（適應力、個人 發展、遼闊見識） 人性判斷 臨床判斷

良醫的特質 科學 科學瞭解 科學方法 實證（科學與技術） 人文 詮釋 洞察力 技術判斷 倫理 教養（適應力、個人 發展、遼闊見識） 人性判斷 臨床判斷 Macnaughton J: The humanities in medical education: context, outcomes and structures. J Med Ethics: Medical Humanities 2000; 26: 23 -30

The humanities offer tools for wise application of biomedical knowledge and promotion of humane

The humanities offer tools for wise application of biomedical knowledge and promotion of humane medical care J Jill Gordon 2008

Professionalism

Professionalism

Medical Professionalism

Medical Professionalism

Attributes of a Physician Competence Commitment Confidentiality Altruism Integrity/Honesty Caring Compassion Insight Codes of

Attributes of a Physician Competence Commitment Confidentiality Altruism Integrity/Honesty Caring Compassion Insight Codes of ethics Openness Respect patient Morality / Ethical Behavior dignity/ Responsibility Autonomy Self-regulation associations institutions Responsibility to society Team work

Proto-professionalism: a model to describe influences on the development of professionalism that transforms a

Proto-professionalism: a model to describe influences on the development of professionalism that transforms a medical student to a mature professional Hilton SR & Slotnick HB: Proto-Professionalism: How professionalisation occurs across the continuum of medical education. Medical Education 2005; 39: 58 -65

~^O^~ 身教重於言教！ Hidden Curriculum

~^O^~ 身教重於言教！ Hidden Curriculum

照護病人的秘密 「就是關懷病人」 The secret of the care of the patient is in caring for

照護病人的秘密 「就是關懷病人」 The secret of the care of the patient is in caring for the patient (哈佛醫學院教授 Francis Peabody, 1927) To cure sometimes, To relieve often, To comfort always. Anonymous, 16 th century, France --對病人--有時我們能夠治癒，常常我們可以 紓解，但我們永遠可以安慰

感謝聆聽，敬請指教 mryang@csmu. edu. tw 04 -24730022 #11601

感謝聆聽，敬請指教 mryang@csmu. edu. tw 04 -24730022 #11601

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