Preview

Medical Journal

Advanced search

Dehumanisation of medical education. Part 2. What to do?

https://doi.org/10.51922/1818-426X.2026.2.154

Abstract

The article explores potential solutions to the issue of dehumanization in medical education. It has been noted that technological progress has given rise to new ethical challenges related to the medicalization, commercialization and overdiagnosis in medicine. This highlights the growing importance of a physician’s humanitarian training. However, a trend towards reducing the teaching of humanities is observed in medical education. The discrepancy between the vast spiritual and moral potential of humanitarian knowledge and its presence as a general educational “appendage” to specialized medical subjects has been indicated. The crucial feature of humanitarian knowledge – its ability to reflect the uniqueness and individuality of each person – remains unaddressed. None of the natural sciences are capable of completing this task. It has been emphasized that no universally recognized system of medico-humanitarian education exists. The most common practice is the integration of a complex of humanities disciplines Medical Humanities into medical education (literary studies, philosophy, history, sociology, anthropology, religious studies, ethics, aesthetics, painting, theater and music). The goal is to complement the scientific and technological advancements in medicine with a deep human understanding, to help future physicians develop empathy, communication skills, curiosity and a drive for new knowledge. Medical Humanities is integrated into the academic programs of the majority of medical schools and university medical departments across the USA, Canada, Europe and Australia. Competencies gained from studying disciplines within Medical Humanities have been characterized. The integration of humanities into medical education will help address the challenge of training physicians with a stable value system, a necessary set of general cultural and professional knowledge, skills and abilities, enabling them to responsibly and effectively perform their professional duties.

About the Author

Yu. K. Abayev
Belorussian State Medical University
Belarus

Minsk



References

1. Vasilev, A. P. Krizis sovremennoy meditsiny I vozmozhnye puti vykhoda iz nego [The crisis in modern medicine and potential ways out of it] / A. P. Vasilev, N. N. Streltsova // Sibirskiy meditsinskiy zhurnal. – 2015. – Vol. 30, № 4. – S. 66–72 [In Russian].

2. Kirilenko, E. I. Tema meditsiny v gumanitarnom diskurse / E. I. Kirilenko [The theme of medicine in humanitarian discourse] // Vestnik Tomskogo gosudarstvennogo universiteta. – 2008. – T. 316. – S. 52–59 [In Russian].

3. Litvinov, A. V. Meditsina v literaturno-khudozhestvennom prostranstve [Medicine in the literary and artistic sphere] / A. V. Litvinov. – М.: МEDpress-inform, 2012. – 272 s. [In Russian].

4. Litvinov, A. V. В. Meditsina kak simbioz zhizni I iskusstva [Medicine as a symbiosis of life and art] / A. V. Litvinov // Smolenskiy meditsinskiy almanakh. – 2015. – T. 2. – S. 80–84 [In Russian].

5. Mikhel, D. V. Lechenie I zabota: problemy razvitiya meditsiny v fokuse gumanitarno-meditsinskikh diskussiy [Treatment and care: challenges in medical development at the forefront of humanitarian-medical discussions] / D. V. Mikhel // Dialog so vremenem. – 2016. – № 5–7. – S. 259–281 [In Russian].

6. Sedova, N. N. Gumanitarnye problemy v meditsinskom obrazovanii sovremennoy Rossii. [Humanitarian challenges in medical education in modern Russia] / N. N. Sedova // Meditsinskaya Ehtika. – 2023. – T. 2. – S. 4–8 [In Russian].

7. Mukhamedova, Z. M. Integratsiya gumanitarnykh nauk v meditsinskoe obrazovanie: problemy I perspektivy [Integrating humanities into medical education: challenges and prospects] / Z. M. Mukhamedova // Journal of Health Development. – 2019. – T. 30, № 1. – S. 37–45 [In Russian].

8. Chumakov, V. I. Zadachi gumanitarnykh distsiplin v podgotovke studentov meditsinskogo vysshego uchebnogo zavedeniya (na primere istoricheskikh distsiplin). [The role of humanities in the training of medical university students (illustrated by historical disciplines)] / V. I. Chumakov // Kardiovaskularnaya terapiya I profilaktika. – 2023. – T. 22(2S). – S. 49–56 [In Russian]

9. Barbashina, Eh. V. Medical Humanities – vector transformatsii meditsinskogo obrazovaniya. [Medical Humanities: A vector for transforming medical education] / Eh. V. Barbashina // Professionalnoe obrazovanie v sovremennom mire. – 2024. – T. 14, № 4. – S. 578–584 [In Russian].

10. Gadaeva, P. I. Mezhdunarodny vzglyad na medical humanities v meditsinskom obrazovanii. [International views on medical humanities in medical education / P. I. Gadaeva // Vestnik nauki. – 2019. – T. 2, № 6. – S. 135–140 [In Russian].

11. Ahlzen, R. Scientific contribution Medical humanities – arts and humanistic science / R. Ahlzen // Medicine, Health Care and Philosophy. – 2007. – Vol. 10, № 4. – P. 385–393.

12. Banashek, A. Medical humanitarian courses are becoming mandatory conditions in many medical schools / A. Banashek // CMAJ. – 2011. – Vol. 183. – P. 441–442.

13. Emily, Y. L. The long-term impact of a comprehensive scholarly concentration program in biomedical ethics and medical humanities / Y. L. Emily, B. J. Neil, M. S. Bereknyei, Sh. Audrey // BMC Med Educ. – 2018. – Vol. 18. – P. 204.

14. Engel, G. L. The need for a new medical model: A challenge for biomedicine / G. L. Engel // Science. New Series. – 1977. – Vol. 196, № 4286. – P. 129–136.

15. Peyer, L. Meditsina I kultura. Kak lechat v SSHA, Anglii, Zapadnoy Germanii I Frantsii. Per. s angl. [What are the approaches to medical care in the USA, England, West Germany and France?] / L. Peyer. – Tomsk: Sibirskiy gos. med. un-t, 2012. – 369 s. [In Russian].

16. Batistatou, A. The introduction of medical humanities in the undergraduate curriculum of Greek medical schools: challenge and necessity / A. Batistatou, E. A. Doulis, D. Tiniakos [et al.] // Hippokratia. – 2010. – Vol. 14, № 4. – P. 241–243.

17. Fieschi, L. Medical humanities in healthcare education in Italy: a literature review / L. Fieschi, M. Matarese, E. Vellone [et al.] // Ann Ist Super Sanità. – 2013. – Vol. 49, № 1. – P. 56–64.

18. Hawkins, A. H. Humanity’s education at Pennsylvania State University College of Medicine, Hershey, Pennsylvania / A. H. Hawkins, J. O. Ballard, D. J. Hufford //Academic Medicine. – 2003. – Vol. 70, № 10. – P. 1001–1005.

19. Hudson, J. A. Medical Humanities at the University of Texas Medical Branch at Galveston / J. A. Hudson, R. Carson // Academic Medicine. – 2003. – Vol. 70, № 10. – P. 1006–1009.

20. Shah, N. M. Teaching of medical humanities in medical universities of Pakistan / N. Shah, S. M. Aly // J Pak Med Assoc. – 2015. – Vol. 65, № 4. – P. 414–417.

21. Atkinson, S. “The medical” and “health” in a critical medical humanities / S. Atkinson, B. Evans, A. Woods, R. Kearns // J Med Humanit. – 2015. – Vol. 36, № 1. – P. 71–81.

22. Downie, R. Medical humanities: some uses and problems / R. Downie // J. R. Coll Physicians Edinb. – 2016. – Vol. 46. – P. 288–294.

23. Gordon, J. Medical humanities: to cure sometimes, to relieve often, to comfort always / J. Gordon // Med J Aust. – 2005. – Vol. 182, № 1. – P. 5–8.

24. Faunce, A. T. The regulatory role of medical humanities / A. T. Faunce // Lancet. – 2003. – Vol. 362. – P. 1859.

25. Pfeiffer, S. Progress integrating Medical Humanities into medical education: A global overview / S. Pfeiffer, Y. Chen, D. Tsai // Curr. Opin. Psychiatry. – 2016. – Vol. 29, № 5. – P. 298–301.

26. Shapiro, J. Medical Humanities and their discontents: definitions, critiques and implications. / J. Shapiro, J. Coulehan, D. Wear, M. Montello // Acad. Med. – 2009. – Vol. 84, № 2. – P. 192–198.

27. Shapiro, J. Whither (Whether) Medical Humanities? The future of humanities and arts in medical education / J. Shapiro // Journal for Learning through the Arts. – 2012. – Vol. 8, № 1. – P.1–24.

28. Fuko, M. Rozhdenie kliniki. [The Genesis of the Clinic] / M. Fuko. – М.: Smysl, 1998. – 307 s. [In Russian].


Review

For citations:


Abayev Yu.K. Dehumanisation of medical education. Part 2. What to do? Medical Journal. 2026;(2):154-160. (In Russ.) https://doi.org/10.51922/1818-426X.2026.2.154

Views: 46

JATS XML


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1818-426X (Print)