Three Visions of Doctoring: A Gadamerian Dialogue

Autor/inn/en	Chin-Yee, Benjamin; Messinger, Atara; Young, L. Trevor
Titel	Three Visions of Doctoring: A Gadamerian Dialogue
Quelle	In: Advances in Health Sciences Education, 24 (2019) 2, S.403-412 (10 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Chin-Yee, Benjamin)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1382-4996
DOI	10.1007/s10459-018-9824-3
Schlagwörter	Medicine; Philosophy; Medical Services; Physician Patient Relationship; Medical Students; Physicians; Theory Practice Relationship; Evidence Based Practice; Individualized Programs + Suchen Sie Ihr Suchwort? Medizin; Philosophie; Arzt; Arzt-Patient-Beziehung; Physician; Doctor; Theorie-Praxis-Beziehung; Individualisierte Ausbildung
Abstract	Medicine in the twenty-first century faces an 'identity crisis,' as it grapples with the emergence of various 'ways of knowing,' from evidence-based and translational medicine, to narrative-based and personalized medicine. While each of these approaches has uniquely contributed to the advancement of patient care, this pluralism is not without tension. Evidence-based medicine is not necessary individualized; personalized medicine may be individualized but is not necessarily person-centered. As novel technologies and big data continue to proliferate today, the focus of medical practice is shifting away from the dialogic encounter between doctor and patient, threatening the loss of humanism that many view as integral to medicine's identity. As medical trainees, we struggle to synthesize medicine's diverse and evolving 'ways of knowing' and to create a vision of doctoring that integrates new forms of medical knowledge into the provision of person-centered care. In search of answers, we turned to twentieth-century philosopher Hans-Georg Gadamer, whose unique outlook on "health" and "healing," we believe, offers a way forward in navigating medicine's 'messy pluralism.' Drawing inspiration from Gadamer's emphasis on dialogue and 'practical wisdom' ("phronesis"), we initiated a dialogue with the dean of our medical school to address the question of how medical trainees and practicing clinicians alike can work to create a more harmonious pluralism in medicine today. We propose that implementing a pluralistic approach ultimately entails 'bridging' the current divide between scientific theory and the practical art of healing, and involves an iterative and dialogic process of asking questions and seeking answers. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01