一种看不见的病毒暴露了医学教育和研究中许多被低估的问题

L. Georgieva, Boryana Borisova
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引用次数: 1

摘要

在全球和国家面临压力悲剧的日子里,当我们认为是稳定的价值受到动摇时,我们的目光转向对过去的批判性反思。今天的现实比以往任何时候都更需要迫切的实践程序、限制等,更需要一个基于健全的哲学和分析的非常深刻和统一的概念和策略。以证据为基础的实际行动是我们今天的行为哲学。但我们有足够的证据吗?证据是什么?这是一个仍然没有明确答案的问题。医学有理由为自己取得的许多成就感到自豪。但今天,她的骄傲被她无力击败人类健康的微观无形敌人所掩盖。我们必须诚实:事实证明,在新的现代技术中,医学是强大的,但它无力对付一个无形的敌人,严重威胁着地球的健康。事实证明,医学对意外的准备不足——不仅是面对意外,而且是预测意外。医学是一门概率的艺术,它必须永远证明最可能的预测和最有效的行动。偶然的是,我们使用的方法主要来自20世纪中期,来自我们已经遗忘的经典流行病学。但现在我们已经不是20世纪了,媒体不断向我们暗示“社会距离”和“社会孤立”是命运之路。
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An Invisible Virus Has Made Visible Many Underestimated Problems in Medical Education and Research
In days of Global and national stress-tragedies, when what we considered to be a stable value is shaken, our eyes turn to a critical rethinking of the past. Today’s reality needs more than ever not only urgent practical procedures, restrictions, etc., but a very deep and unified concept and strategy based on sound philosophy and analyses. Evidence-based practical action is the philosophy of our behavior today. But do we have enough evidence and what are they? This is the question that still has no definite answers. Medicine is rightly proud of many of its achievements. But today, her pride is overshadowed by her inability to defeat a microscopic invisible enemy of human health. We must be honest: it turned out that medicine is strong in new modern technologies, but it is powerless to manage an invisible enemy, massively threatening the health of the Planet. It turned out that medicine is poorly prepared for surprises – not only to meet them, but also to anticipate them. Medicine is an art of probability and it must permanently prove the most probable predictions and the most effective actions. Now, by accident, the means used are mainly from the middle of the twentieth Century, from this classic epidemiology that we had forgotten. But now we are not the twentieth Century, and the media constantly suggests to us as fateful paths “social distance” and “social isolation”.
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