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The Art of Medicine

The Art of Medicine. 楊仁宏教授 中山醫學大學醫學系 Email: pblosce@hotmail.com TEL: 24730022~11601. Medicine is a science, but it is an art as well. Medicine is an art, but above all, it is a science. Medicine is a science. Medicine is an art. Science.

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The Art of Medicine

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  1. The Art of Medicine 楊仁宏教授 中山醫學大學醫學系 Email: pblosce@hotmail.com TEL: 24730022~11601 jh

  2. Medicine is a science, but it is an art as well. jh

  3. Medicine is an art, but above all, it is a science. jh

  4. Medicine is a science. Medicine is an art. jh

  5. Science • According to Webster's New Collegiate Dictionary, the definition of science is • "knowledge attained through study or practice," or • "knowledge covering general truths of the operation of general laws, esp. as obtained and tested through scientific method [and] concerned with the physical world." jh

  6. “Science“ : Francis Bacon (16th century philosopher) • "Science is the pursuit of knowledge and understanding of the natural and social world following a systematic methodology based on evidence." The first "official definition of science” 2006 the Science Council, UK jh

  7. Scientific methodology • Objective observation: Measurement and data (not necessarily using mathematics as a tool) • Evidence • Experiment and/or observation as benchmarks for testing hypotheses • Induction:  reasoning to establish general rules or conclusions drawn from facts or examples • Repetition • Critical analysis • Verification and testing: critical exposure to scrutiny, peer review and assessment jh

  8. Fields of science are commonly classified along two major lines:    - Natural sciences, the study of the natural world, and    - Social sciences, the systematic study of human behavior and society. jh

  9. Medicine Human Complexity Uncertainty jh

  10. Phronesis: practical wisdom Aristotle says that phronesis is not simply a skill, however, as it involves not only the ability to decide how to achieve a certain end, but also the ability to reflect upon and determine that end http://en.wikipedia.org/wiki/Phronesis jh

  11. The Art of Observation jh

  12. Two principles of observation Dr. Braverman • One needs to concentrate on viewing and not simply give a glance. • Secondly, one needs to observe what is there and not what one thinks is there. jh

  13. The Art of Observation an example Kindly provided by: Irwin M. Braverman MDProfessor of DermatologyYale Medical School jh

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  15. 人難免犯錯 jh 2007 08 31 15

  16. Doctors and Guns Number of physicians in the US: 700,000. Accidental deaths caused by physicians per year: 120,000. Accidental deaths per physician.... 0.171 (U.S. Dept. of Health & Human Services)Number of gun owners in the US: 80,000,000. Number of accidental gun deaths per year:1,500 (all age groups) . Accidental deaths per gun owner: 0.0000188 (Benton County News Tribune, Nov. 17, 1999; provided by Prof. CW Lai) jh

  17. Doctors and Guns (cont.) Statistically, doctors are approximately 9,000 times more dangerous than gun owners."Remember, Not everyone has a gun, but everyone has at least one Doctor." Please alert your friends to this alarming threat. We must ban doctors before this gets out of hand. (Benton County News Tribune, Nov. 17, 1999; provided by Prof. CW Lai) jh

  18. “Medicine is learned by the bedside and not in the classroom. " 威廉‧奧斯勒爵土(Sir William Osler) jh 2020/1/2 jh 18

  19. The Physician Has Two Roles Healer Professional Cruess & Cruess To cure sometimes, to relieve often, to comfort always jh 2020/1/2 jh 19

  20. 科學 人文 科學瞭解 科學方法 證明（科學與技術） 論理 教養（適應力、個人發展、寬闊觀） 詮釋 洞察力 技術判斷 人性判斷 臨床判斷 良醫的特質 Macnaughton J: Medical Humanities 2000; 26:23-30 jh

  21. 謝謝聆聽Q & A jh

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