GEORGE L. ENGEL, M.D.
The thesis is advanced that the behavioral sciences basic for the education of the physician may be derived by identifying attributes of medicine that have endured despite changing dogmas, differing social climates, and evolving scientific knowledge. These include the complementarity of a need for help and a desire to provide service, a justification for medicine as a profession; the consistency of the processes involved in the transition from health to illness to patienthood; the interpersonal encounter between the patient and the physician, the keystone of medical care; clinical observation, the basic method of data collection; clinical reasoning, judgment, and decision-making, the analytic procedures of the physician; and the contract between patient and physician, a social and interpersonal bond. The implications for medical education and for the development of effective health care systems are discussed.
Learn more about subscription options.
Register Now for a free account.
ENGEL GL. Enduring Attributes of Medicine Relevant for the Education of the Physician. Ann Intern Med. 1973;78:587-593. doi: 10.7326/0003-4819-78-4-587
Download citation file:
Published: Ann Intern Med. 1973;78(4):587-593.
Education and Training.
Results provided by:
Copyright © 2017 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only