The Education of Surgeons in the Humanities
摘要
The traditional and necessary focus of surgical training has been technical skills and knowledge, with little or no emphasis on the humanities. There has been a growing recognition that incorporating the humanities into surgical education can enhance the development of a well-rounded and empathetic surgeon. The value of knowledge based on the ethical principles found in the study of the humanities is a core educational requirement of the Accreditation Council for Graduate Medical Education (ACGME): the resident must “demonstrate a commitment to professionalism, and adhere to ethical principles, and demonstrate competence and compassion, integrity, and respect for others” and “be responsive to patient needs that may supersede self-interest.” These requirements alone would seem to suggest the integration of the humanities into the surgeon’s education. The study of the humanities provides a framework for understanding human experience, including the social, cultural, and ethical dimensions of medicine. By studying literature, history, philosophy, and arts, surgeons can gain empathy, a deeper understanding of the human condition, and appreciation of the diverse perspectives of their patients, thereby treating the whole patient, rather than only a part of the body. This chapter addresses the benefits of and the barriers to a surgeon’s education in the humanities and suggests tools to implement and monitor this education. Also included are examples of how a humanities-sensitive surgeon might practice in the clinic and operating room.