Hektoen International

A Journal of Medical Humanities

Tag: Education

  • Reminiscences of a medical student in Australia

    Some years ago a tourist shown the shopping Galleria in Milan asked the guide why the ceiling paintings illustrating the world’s continents did not include Australia. The guide explained that Australia had yet to be invented. She was clearly misinformed in that the British had established the penal colony at Botany Bay some one hundred…

  • Medical teaching from ancient civilizations to the nineteenth century

    Patrick FiddesAustralia The perception that medicine’s contemporary teaching practices were introduced by innovative Modern Era1 physicians does not recognize the original contributions of ancient forefathers. Medicine’s earliest teaching records exist in ancient Sanskrit. They provide “detailed information concerning the training of doctors”2 in Akkadian where “the master’s interpretation of texts were preserved as [an] oral…

  • Unequal encounter: An initiation

    Hugh Tunstall-PedoeDundee, Scotland In October 1961, I started at Guy’s Hospital Medical School in London for three years of clinical training. I was at the very bottom of the clinical hierarchy and put straight onto a surgical ward as a first-year ward clerk responsible for clerking admissions, junior to the third-year senior dressers on the…

  • Musings from my first, on doctor-patient relationships

    Hugh Tunstall-PedoeDundee, Scotland It was my very first patient. I had started my clinical training at Guy’s Hospital medical school in 1961 in London by being put straight onto a surgical ward. The patient was a Bermondsey Cockney dock worker who had a benign tumour to be removed—a neurofibroma. I examined him and read it…

  • A migrant worker’s journey to becoming a brain surgeon

    Saahas KumbamuSt. Johns, Florida, United States A year ago my parents gifted me Becoming Dr. Q: My Journey from Migrant Farm Worker to Brain Surgeon,the autobiography of Dr. Alfredo Quiñones-Hinojosa, co-written by Mim Eichler Rivas. The book chronicles the remarkable journey of Dr. Q from Mexican migrant farm worker in Mendota, California to an esteemed…

  • On Hortons among history

    Avi OhryTel Aviv, Israel I believe I met Dr. Richard Horton, editor of The Lancet, in 1999 in Glasgow during the two-day symposium on Medicine & Literature on the 400-year anniversary of the Royal College of Physicians and Surgeons of Glasgow. On that occasion, I also met and chatted with Professor William Bryan Jennett CBE…

  • Medical Spanish at Mayo Clinic

    Lea DacyRochester, Minnesota, United States The anesthesiologist was thrilled when she asked a Spanish-speaking post-surgery patient to wiggle his toes, and he understood and complied. A medical secretary appropriately triaged a caller from Caracas. Other colleagues on their lunchbreaks were able to direct Spanish-speaking visitors to the nearest restroom or coffee shop. These Mayo Clinic…

  • Thomas Wakley (1795–1862) and The Lancet

    When in April 1820 five members of a radical group plotted to murder the British Prime Minister Lord Liverpool, they were sentenced to be hanged as well as publicly decapitated and dissected. An unknown man wearing a mask appeared in the square and carried out the task with such speed and dexterity that people thought…

  • The scorn of slow stitches

    Anthony GulottaBethesda, Maryland, United States As a third-year medical student on my first surgery rotation, I had been standing consecutively for almost three hours. Until now, I had stood silent, watching as the attending surgeon excised a gangrenous gallbladder. Then, my focus was rapidly disrupted. “Over here!” bellowed the surgeon. I was being called to suture for the very…

  • Somerset Maugham on studying medicine (abstracted and in parts paraphrased from Of Human Bondage)

    In 1897 Somerset Maugham (1874–1965) qualified as a physician but never practiced medicine and became a full-time writer.1 In his 1915 novel Of Human Bondage he drew on his experiences at St. Thomas’s Hospital to describe what it was like to be a medical student at that time. He first has his young protagonist practice…