Reformers in Medical Education and Practice

2000 ◽  
Vol 8 (1) ◽  
pp. 25-29 ◽  
Author(s):  
Martin A Entin

Background The standards of professional practice are constantly shifting to keep pace with acquired knowledge. When the standards fell short of professional expectations, when the practising physician became more concerned with financial gain than effective patient care, society needed a reformer to evaluate the process and to improve it. Study Design Individual physicians and scientists were selected from throughout the history of medicine until the end of the 18th century, who conformed to our definition of reformers, namely, a person who changed the structure or ideology of medical practice. Results This survey demonstrates that reforms are produced by persons whose minds possess analytical quality and critical judgment. Reformers have influenced the directions of medical practice and teaching. Conclusion The improvement in medical practice has been achieved through intuitive leaps, rejection of conventional practice, painstaking research or administrative restructuring.

2001 ◽  
Vol 9 (2) ◽  
pp. 59-68 ◽  
Author(s):  
Martin A Entin

Background Part I was published in Can J Plast Surg 2000;8(1):25–29. It established that standards of professional practice shift constantly. When a standard falls short of professional expectation or when a physician becomes more concerned with financial gain rather than patient care, society needs the action of a reformer. Part II continues the study and begins with the contribution of reformer John Hunter (1728–1793), and follows with the contributions of seven other reformers, concluding with Wilder Penfield (1891–1976). Study Design The reformers were physicians and scientists who were selected throughout the history of medicine: they conformed to our definition of reformers, namely, a person whose action changed the structure or ideology of medical practice. Results The present historical article shows that reforms are produced by people possessing critical judgement and analytical quality who influenced the direction of medical practice. Conclusion Reforms have been achieved through intuitive leaps, alterations of conventional practice, painstaking research or administrative restructuring.


2002 ◽  
Vol 10 (3) ◽  
pp. 103-108
Author(s):  
Martin A Entin

Background Part I (Can J Plast Surg 2000;8:25–29) established that standards of professional practice shift constantly. When a standard falls short of professional expectation, or when a physician becomes more concerned with financial gain than patient care, society needs the action of a reformer. Part II (Can J Plast Surg 2001;9:59–68) continued the study with the contribution of reformer John Hunter (1728–1793), followed with the contributions of seven other reformers, and concluded with Wilder Penfield (1891–1976). Part III extends this project through the greater part of the 20th century. Study Design Reformers were scientists who were selected because they conformed to the definition of ‘reformer’; namely, a person whose action restored, reshaped or changed the structure or ideology of medical practice. Results This survey demonstrated that the reforms were accomplished by scientists who possessed critical judgement and analytical qualities that enabled them to influence the direction of medical education and practice. Conclusion Reforms have been achieved through intuitive leaps, alterations of conventional practice, painstaking research and administrative restructuring.


2014 ◽  
Vol 3 ◽  
pp. 166-182
Author(s):  
Iryna Tsiborovska-Rymarovych

The article has as its object the elucidation of the history of the Vyshnivetsky Castle Library, definition of the content of its fund, its historical and cultural significance, correlation of the founder of the Library Mychailo Servaty Vyshnivetsky with the Book.The Vyshnivetsky Castle Library was formed in the Ukrainian historical region of Volyn’, in the Vyshnivets town – “family nest” of the old Ukrainian noble family of the Vyshnivetskies under the “Korybut” coat of arm. The founder of the Library was Prince Mychailo Servaty Vyshnivetsky (1680–1744) – Grand Hetman and Grand Chancellor of the Grand Duchy of Lithuania, Vilno Voievoda. He was a politician, an erudite and great bibliophile. In the 30th–40th of the 18th century the main Prince’s residence Vyshnivets became an important centre of magnate’s culture in Rich Pospolyta. M. S. Vyshnivetsky’s contemporaries from the noble class and clergy knew quite well about his library and really appreciated it. According to historical documents 5 periods are defined in the Library’s history. In the historical sources the first place is occupied by old-printed books of Library collection and 7 Library manuscript catalogues dating from 1745 up to the 1835 which give information about quantity and topical structures of Library collection.The Library is a historical and cultural symbol of the Enlightenment epoch. The Enlightenment and those particular concepts and cultural images pertaining to that epoch had their effect on the formation of Library’s fund. Its main features are as follow: comprehensive nature of the stock, predominance of French eighteenth century editions, presence of academic books and editions on orientalistics as well as works of the ideologues of the Enlightenment and new kinds of literature, which generated as a result of this movement – encyclopaedias, encyclopaedian dictionaries, almanacs, etc. Besides the universal nature of its stock books on history, social and political thought, fiction were dominating.The reconstruction of the history of Vyshnivetsky’s Library, the historical analysis of the provenances in its editions give us better understanding of the personality of its owners and in some cases their philanthropic activities, and a better ability to identify the role of this Library in the culture life of society in a certain epoch.


2021 ◽  
pp. 186-207
Author(s):  
Alexey I. Popovich ◽  

The literary topoi and allusions to the victim and sacrifice in the biblical and historical context at the same time played a great role for Andrey Kurbsky as a traditionalist and innovator writer in the embodiment of the complex author’s intention of the History of the Grand Prince of Moscow (the second half of the 16th century). The article notes that the writer distinguishes, as opposites, the axiology of sacrificial feat for power doer and persecuted heroes. The article reveals the diverse reception of the author’s interpretation by readers and scribes of History. Kurbsky’s contemporaries and readers of the late 17th — early 18th century had different attitudes toward Kurbsky’s definition of the personality of Ivan the Terrible who makes unrighteous victims and the characterization of people affected by him as new martyrs. The rich handwritten tradition of History, including as part of the Kurbsky Collections, contributed to the emergence of new reader’s interpretations based on literary topoi and allusions used by Kurbsky. The intellectuals of the ‘transitional’ period A.S. Matveev, Evfimy Chudovsky, A.I. Lyzlov, V.V. Golitsyn and others were involved in this process. Textological and typological comparisons of certain monuments and Kurbsky’s History contributed to a deeper understanding of the literary context of the time when the prince’s writings spread. The study also helped to determine which Kurbsky’s ideas about the victim and sacrifice remained relevant for members of different class groups, and which were leveled out and outdated in the text interpretation process.


2020 ◽  
pp. postgradmedj-2020-137804
Author(s):  
Philippe Charlier ◽  
Simon Donnell ◽  
Donatella Lippi ◽  
Andreas Nerlich ◽  
Victor Asensi ◽  
...  

What is the place of medico-historical cases in the professional practice of the disciplinary field of medicine and biology? How can these patients from the past be used for teaching and continuing medical education? How to justify their place in biomedical publications? In this article, we explain all the legitimacy of paleomedicine, and the need to intensify such research in the form of a well-individualised branch of paleopathology and the history of medicine.


Ritið ◽  
2018 ◽  
Vol 18 (3) ◽  
pp. 97-123
Author(s):  
Guðrún Þórhallsdóttir

This paper discusses the history of the nouns gleðimaður, which is known from Old as well as Modern icelandic, and gleðikona which first occurs in an 18th-century source. Other nominal compounds for men and women that have gleði- as their first member are also introduced. The meaning of these words is compared, as is their usage, in order to test the claim that the words for men normally have a neutral meaning (‘cheerful man, party animal’) but the words for women have a pejorative meaning (‘hussy, prostitute’). The nature of the changes in the history of the gleði-compounds is also discussed, e.g., to what extent borrowing from a foreign language has taken place. Lars-Gunnar Andersson’s categorization of the so-called “ugliness” of words is used for a more detailed definition of the semantic changes. Finally, we touch on the wish to reclaim the word gleðikona that has been observed in the last decades, i.e., to revive the practically forgotten meaning ‘cheerful woman, female party animal’.


2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Wenfei Liu

Abstract This paper departs from the definition of Slavistics and reviews the history of international Slavic studies, from its prehistory to its formal establishment as an independent discipline in the mid-18th century, and from the Pan-Slavic movement in the mid-19th century to the confrontation of Slavistics between the East and the West in the mid-20th century during the Cold War. The paper highlights the status quo of international Slavic studies and envisions the future development of Slavic studies in China.


2021 ◽  
Author(s):  
Jack Dowie ◽  
Mette Kjer Kaltoft

UNSTRUCTURED . The verdict of the UK Supreme court in the case of Bellman versus Boojum-Snark Integrated Care Trust (2025) will have profound implications for all medical practice, medical education and medical research, as well as the regulation of medicine and allied healthcare fields. Major changes will result from the judgment made in favour of Bellman’s negligence claim, reflecting an expanded and more precise definition of informed and preference-based consent, compared with that in Montgomery (2015) and also with the principles laid out in the UK GMC guidance on Decision Making and Consent (2020). (In case of doubt, this is a vision paper.)


2011 ◽  
Vol 27 (3) ◽  
pp. 189-194 ◽  
Author(s):  
Laurence B. McCullough

Using the ethical concepts of co-fiduciary responsibility in patient care and of preventive ethics, this article provides an ethical framework to guide physician and lay leaders of accountable care organizations. The concept of co-fiduciary responsibility is based on the ethical concept of medicine as a profession, which was introduced into the history of medical ethics in the 18th century. Co-fiduciary responsibility applies to everyone who influences the processes of patient care: physicians, organizational leaders, patients, and patients’ surrogates. A preventive ethics approach to co-fiduciary responsibility requires leaders of accountable care organizations to create organizational cultures of fiduciary professionalism that implement and support the following: improving quality based on candor and accountability, reasserting the physician’s professional role in the informed consent process, and constraining patients’ and surrogates’ autonomy. Sustainable organizational cultures of fiduciary professionalism will require commitment of organizational resources and constant vigilance over the intellectual and moral integrity of organizational culture.


2021 ◽  
Vol 15 (1) ◽  
pp. 317-324
Author(s):  
Anna Iacovou ◽  

On a certain way of using diminutive forms in 17th – early 18th century Russian. The author discusses suffixal appellative diminutive personal nouns which appeared in the etiquette formulations of Russian private correspondence dating from the 17th – early 18th century. The definition of the diminutives has been presented, with particular attention paid to the modification of the meaning of derivatives by isolating the suffixes in their structure. The same diminutive, when used to describe people, can have both a hypocoristic and a contemptuous meaning. Hypocoristic names, as a rule, define the recipient and his/her family members, while the contemptuous names describe the sender and their relatives. The most common suffixes are: -ка/-ко, -ок/-ек, -ишка/-ишко, -ушка/-ушко, -ошка, -онка, -ец, -ица. The history of the type of derivatives with the suffix -ишк- is particularly interesting. Keywords: diminutive noun, hypocoristic noun, suffix, derivative, appellative noun, epistolary etiquette, private correspondence


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