AMICOR Medicina

This Blog, is one of a set of AMICOR instruments of communication, where I use to refer relevant material I select for myself, making it also available for my colleagues and friends. The main blog address is http://amicor.blogspot.com This one is specific for medical education. To see more information on compliance with the Health On The Net Foundation's initiative (HONCode) visit http://achutti.blogspot.com

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Coordinator of the list AMICOR. Friends and colleagues, mostly from Brazil. The AMICOR list is where I use to post relevant scientific material I find surfing in the INTERNET. Also references sent by other member of the list.

Friday, December 29, 2006

What stays constant at the heart of medicine -- Cook 333 (7582): 1281 -- BMJ

What stays constant at the heart of medicine -- Cook 333 (7582): 1281 -- BMJ: "There is no one division of medicine by which we know and another by which we act

The expression 'the science and art of medicine' is much misunderstood. Too often the parts of medicine termed as its 'art' seem to amount to no more than good communication skills or to what was once called a good bedside manner. No doubt patients feel better, and perhaps even do better, when they think their doctor cares about them. But stories also abound of well dressed doctors with smooth manners but little knowledge who have gained—and sometimes abused—the trust of their patients.

While the historical record is replete with such examples, and almost every practitioner will be able to call others to mind, it is the fictional creations of writers such as Molière, Shaw, and Cronin that have most amused and scandalised us. To provide a counterweight to such social frauds, all kinds of programmes and regulations have been introduced to make competence and knowledge more important to professional advancement than manners, social graces, and public regard.

But to identify the art of medicine with 'artfulness' is to fall into a set of modern confusions. It is now common to think of art as something done by artists and the arts as a different field of activity than science, sometimes even "