Why doctors need humanities: Include this to make Doctor’s more human
Medicine is defined as the art and science of healing. Today
globally, science has largely overridden the art part of healing. In India, entrance
to medical schools is based entirely on tests based on scientific facts and
concepts with a little of logical/ critical thinking – areas handled by the
left side of the brain.
Our medical curriculum requires hours of drudgery in trying
to remember facts and figures. Almost no medical school in India lays any
emphasis on art in medical curriculum. The right side of the brain is concerned
with fine arts including imagery poetry and drawing. As someone said “medical
school attracts those who are of left brain, but then proceeds to atrophy what
is left of their right brain”.
Unlike physics or chemistry, medicine is not a pure science. Medicine
is largely an applied science and it requires certain skills that are developed
by observation, practice and experience – similar to the arts more than
science. It can be said that medicine is science when it is used to study
disease but becomes an art when it is used to practice healing.
While medicine has a long and distinguished history of caring
and comforting, the scientific basis of medicine is recent. That medicine is a
science is nevertheless the popular belief and this has been reinforced by the
advent of ‘evidence-based medicine’. Scientific truths are not true for all
time, unlike truths in the field of the arts. In art there is no right or wrong
but only a perspective or a point of view, whereas in medicine one being right
or wrong is life determining.
Ideas on causation, diagnosis and management of diseases
change with passage of time and advent of new technology or understanding. Even
in a given time, one medical practitioner may have a genuinely different option
of diagnosis and treatment about a particular case with respect to another
colleague based on his or her expertise and experience.
With progress of science and its application, there has been
a rapid decline in the human element of health care provision. The current
technological advances have worsened this divide. The art of clinical medicine
is dying in present day set-up with high-tech gadgets. The recent upsurge of
doctors being abused and manhandled especially in casualties and emergencies is
a consequence of this.
This is occurring not because of their lack of scientific
knowledge but is related to their insensitive behavior which emanates from
their ignorance as well as inability to handle the emotional distress of sick
individuas and their near and dear ones. Doctors should not allow scientific
medicine to blunt their humanity, ignore ethics and the need for empathy.
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