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DOI: 10.23888/humJ2023113297-310
THE IMPORTANCE OF MEDICAL HUMANITIES IN THE 21st CENTURY
McFarland Jonathan
Первый Московский государственный медицинский университет им. И. М. Сеченова (Сеченовский университет), Москва, Российская Федерация
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Definitions
TTiffilWI«lliiT?T?idf5Eh:hat explores contexts, experiences, and critical and conceptual issues in medicine and health care, while supporting professional identity!®
understanding the human condition of health and illness in order to create knowledgeable and sensitive health care providers, patients, and family caregivers" laBBBBBwilwl
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the Medical humanities?
" I was 43 years old, a successful physician, married to a wonderful woman and blessed with two fine sons -all of it assaulted by a rare heart disease of such catastrophic power that it did more than threaten my life. It nearly destroyed my family"
Goya, in gratitude to his friend Arrieta:forthe compassion and care with which he saved his life during the acute and dangerous illness he suffered towardsthe end of the year 1819 in his
seventy-third year
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What were those really important questions?
He believes that the biggest mistake that the Drs made were that they did NOT ask him the really important questions
What has the disease done to your life? What has it done to your family ? What has it done to your work? What has it done to your spirit?
EXISTENTIALQUESTIONS-QUESTIONS ARE ESSENTIAL TO MEDICINE
the Humanities in Medical education?
"Most physicians are not scientists; they have a different responsibility-to attempt to relieve distress and suffering and, to this end, to enable sick people to benefit from biomedical science while protecting them from its harms"
How medicine has exploited rationality at the expense of humanity; an essay t>y | lona Heath
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Medicine is primarily concerned NOT with
CASES
PEOPLE
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Restoring the balance
Medical Humanities attemptsto restorethe balance, to help re-humanize medicine.
But, it is NOT only patients who suffer from this dehumanization.
Nowadays, health care professionals risk becoming alienated from the ideals that drew them to medicine.
This leads to high rates of burnout, depression, impairment and even suicide.
Thus-the re-humanization of medicine involves enhancing, restoring, and attending
to the humanity of students and health professionals as well as patients
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Kopacz. D, Rehumaiiing Medicine Croydon, UK, Aym " ir ifi Books, 2013,
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¡Medical Students' Exposure to the Humanities Correlates with Positive Personal Qualities^ | Reduced Burnout: A Multi-Institutional U.S. Survey.
IfljonaS1, CraWBDorti C2. Smart Ga, Hameon R4. Tunkel AR5, Liou.KT*, Cerceo Er, Vpelter M8. Bemyei WL®, Fteteherg10. КаПпШ^ I + Author!
I Abstract
I background: Literature, music» theater, and visual arts pay an uncertain and limited role in medical education. One of the arguments I ofien advanced in favor of leaching the humanities refers to their capacity to foster traits toat not only Improve practice, bm might also I reduce physician bumoul-an increasing scourge in today's medicine. Yet research remains limited,
I OBJECTIVE: To test the hypothesis that medical students with higher exposure to the humanities would report higher levels of positive I physician qualities (e.g., wisdom, empathy, self-efficacy, emotional appraisal, spatial skills), while reporting lower levels of negative I qualities that are detnmentai to physician well-being (e.g., intolerance of ambiguity, physical fatigue, emotional exhaustion, and cognitive ¡weariness),
I DESIGN: An online survey.
I participants: All students enrolled at five U.S. medical schools during ttte 2014-2015 academic year were Invited by email to lake part I in our onHne survey.
I MAIN MEASURES: Students reported their exposure to the humanities (e.g., music, literature, theater, visual arts) and completed rating I scales measuring selected personal qualities.
I KEY RESULTS: in an, 7ЭЭ/ЗЮ7 medical students completed the survey (23.8%), Regression analyses revealed that exposure to the I humanities was significantly corrected with positive personal qualities, including empathy (p < 0,001), tolerance for ambiguity (p < 0.001), I wisdom (p < 0.001), emotional appraisal (p = 0.01), sen-efficacy (p = 0 02), and spatial skills (p=0.02). while it was significantly and I inversely correlated with some components of burnout (p - 0.01). Thus, all hypotheses were statistically significant, wilh effect sizes I ranging from 0.2 to 0.59.
I CONCLUSIONS: This study confirms the association between exposure to the humanities and both a higher level of students' positive I qualities and a lower level of adverse traits. These findings may carry implications for medical school recruitment and curriculum design, ["(Science and humanities arej twin berries on one stem, grievous damage has been done to both in regarding [them),,, in any other light I than complementer (William Osier, Br Med J, 19t9;2;1-7).
WORDS: ambiguity, burnout empathy; humanities; medical etkicaticr.. wisdom
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possible benefits FOR MEDICAL STUDENTS AND DOCTORS
Contribute to development of students' and clinicians' nihility to listen, interpret + communicate
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there are situations and condition s health care in which the art of medicine has not only meaningful, but also measurable, effects that belong in the domain of science
If that is the case, then compassion for patients belongs in the domain of evidence-based medicine. (pp64)
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Srrr Paradigm* in Healthcare
Maria Giulia Ma rini Jonathan McFarland Editors
Health Humanities for Quality of Care in Times ofCOVID-19
fi Springer
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СВЕДЕНИЯ ОБ АВТОРЕ:
МакфарландДжонатан- магистр лингвистики, доцент, Автономный Мадридский Университет;
старший преподаватель. Сеченовский Университет. ORCID:
E-mail:
INFORMATION ABOUT AUTHOR:
JonathanMcFarland-Masters in Linguistics, Associate Professor, Autonomous Madrid University; Senior Lecturer, SechenovUniversity, Moscow. ORCID: . E-mail:
Дата поступлений / Paper received; 12.05.2023
Дата получения исправленной версии / Paper revised: 07.07.2023
Дата принятия / Paper accepted: 01.09.2023
ДЛЯ ЦИТИРОВАНИЯ:
McFarland j. The Importance of Medical Humanities in the 2TA Century 11 Личность а меняющемся мире: здоровье, адаптация, развитие. 2023. Т. 11, №3 (42). С. 297-309. Доступно по: . Ссылка
активна на чч.мм.гггг. doi: 10.23888/humJ 2023113297-309
FOR CITATION:
McFarland J. The Importance of Medical Humanities in the 215t Century. Personality in a changing world: health, adaptation, development. 2023;ll(3):297-309. Available at: ^.Accessed: dd Month yyyy. doi:
10.23888/humJ2023113297-309
