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Ophthalmology's future in the next decade: a historical and comparative perspective.

机译:未来十年眼科的未来:历史和比较的观点。

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PURPOSE: To gain a historical and comparative perspective about the future of ophthalmology within the profession of medicine. METHODS: A literature search is made of disciplines other than medicine (history, sociology, philosophy, economics, and ethics) in order to assess factors responsible for survival and healthiness of a profession. The "learned" professions (medicine, law, and theology) are assessed. Other "professional" careers valued by society (sports and classical music) are reviewed. RESULTS: From the perspective of other disciplines, the future of ophthalmology is seen as vulnerable and fragile. Survival of professions, be they classically or economically defined, is linked to societal needs, a profession's unique commitment and ability to provide services to society, and the profession's maintenance of knowledge as well as skill-based services. Historical evidence has shown erosion of a profession's power consequent to capitalist influences, government influences, access of skills by less trained individuals, and elitist posturing by a profession. Comparative evidence has shown societal acceptance of an escalation of salaries for designated superstars, increasing roles and influence of managerial personnel, and trivialization of values other than economic ones. CONCLUSION: Attention to historical and comparative trends by individual ophthalmologists as well as associations representing ophthalmologists is mandatory if ophthalmology as we know it is to survive within the profession of medicine.
机译:目的:获得有关医学界眼科的未来的历史和比较观点。方法:对医学以外的其他学科(历史,社会学,哲学,经济学和伦理学)进行文献检索,以评估影响职业生存和健康的因素。对“学到的”专业(医学,法律和神学)进行评估。回顾了社会重视的其他“专业”职业(体育和古典音乐)。结果:从其他学科的角度来看,眼科的未来被认为是脆弱和脆弱的。无论从经典还是从经济学的角度来看,职业的生存都与社会需求,一个职业对社会提供服务的独特承诺和能力以及该职业对知识以及基于技能的服务的维护有关。历史证据表明,由于资本主义的影响,政府的影响,训练有素的个人获得技能以及职业的高贵姿态,该行业的权力受到侵蚀。比较证据表明,社会接受指定超级巨星的薪水上涨,管理人员的作用和影响力的增加以及除经济价值之外的其他价值琐事。结论:如果我们知道眼科学要在医学界生存,那么个人眼科医生以及代表眼科医生的协会必须注意历史和比较趋势。

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