fa علوم انسانی پزشکی؛ مطالعه‌ی چالش‌های آموزش میان‌رشته‌ای در علوم پزشکی در ایران عمومى General پژوهشی Original <strong><span style="color:black;"><span style="font-family:B Roya;"><span style="font-size:12.0pt;">مقدمه:</span></span></span></strong><strong><span style="color:black;"><span style="font-family:B Lotus;"> <em>به</em></span></span></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">همان نسبت که علوم انسانی توانسته پایگاه مناسبی در تبیین موضوعات سلامت باشد، پزشکی و موضوعات مرتبط با آن نیز محمل مهم توسعه</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">ی علوم انسانی مدرن بوده است. هدف پژوهش حاضر، کشف دلایل و چالش</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">های توسعه</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">ی علوم انسانی پزشکی در نظام سلامت در ایران است. </span></span></em></strong><br> <strong><em><span style="letter-spacing:-.1pt;"><span style="color:black;"><span style="font-family:B Roya;"><span style="font-size:12.0pt;">روش کار:</span></span></span></span></em></strong><strong><em><span style="letter-spacing:-.1pt;"><span style="color:black;"><span style="font-family:B Lotus;"> در مطالعه</span></span></span></em></strong><strong><em><span dir="LTR" style="letter-spacing:-.1pt;"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="letter-spacing:-.1pt;"><span style="color:black;"><span style="font-family:B Lotus;">ی تحقیقی-اکتشافی حاضر از روش زاویه</span></span></span></em></strong><strong><em><span dir="LTR" style="letter-spacing:-.1pt;"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="letter-spacing:-.1pt;"><span style="color:black;"><span style="font-family:B Lotus;">بندی در جمع</span></span></span></em></strong><strong><em><span dir="LTR" style="letter-spacing:-.1pt;"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="letter-spacing:-.1pt;"><span style="color:black;"><span style="font-family:B Lotus;">آوری داده</span></span></span></em></strong><strong><em><span dir="LTR" style="letter-spacing:-.1pt;"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="letter-spacing:-.1pt;"><span style="color:black;"><span style="font-family:B Lotus;">ها استفاده شد. مشاهدات مشارکتی، گفتگوهای 12 جلسه توسعه</span></span></span></em></strong><strong><em><span dir="LTR" style="letter-spacing:-.1pt;"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="letter-spacing:-.1pt;"><span style="color:black;"><span style="font-family:B Lotus;">ی علوم میان</span></span></span></em></strong><strong><em><span dir="LTR" style="letter-spacing:-.1pt;"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="letter-spacing:-.1pt;"><span style="color:black;"><span style="font-family:B Lotus;">رشته</span></span></span></em></strong><strong><em><span dir="LTR" style="letter-spacing:-.1pt;"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="letter-spacing:-.1pt;"><span style="color:black;"><span style="font-family:B Lotus;">ای در منطقه</span></span></span></em></strong><strong><em><span dir="LTR" style="letter-spacing:-.1pt;"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="letter-spacing:-.1pt;"><span style="color:black;"><span style="font-family:B Lotus;">ی 5 آموزش پزشکی جنوب کشور، داده</span></span></span></em></strong><strong><em><span dir="LTR" style="letter-spacing:-.1pt;"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="letter-spacing:-.1pt;"><span style="color:black;"><span style="font-family:B Lotus;">های تحقیق حاضر را تشکیل داد. براساس نظریه</span></span></span></em></strong><strong><em><span dir="LTR" style="letter-spacing:-.1pt;"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="letter-spacing:-.1pt;"><span style="color:black;"><span style="font-family:B Lotus;">های بوردیو و فوکو، داده</span></span></span></em></strong><strong><em><span dir="LTR" style="letter-spacing:-.1pt;"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="letter-spacing:-.1pt;"><span style="color:black;"><span style="font-family:B Lotus;">ها به روش تحلیل محتوای کیفی هدایت</span></span></span></em></strong><strong><em><span dir="LTR" style="letter-spacing:-.1pt;"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="letter-spacing:-.1pt;"><span style="color:black;"><span style="font-family:B Lotus;">شده مورد تحلیل قرار گرفت.</span></span></span></em></strong><strong><span style="letter-spacing:-.1pt;"><span style="color:black;"><span style="font-family:B Lotus;"></span></span></span></strong><br> <strong><span style="color:black;"><span style="font-family:B Roya;"><span style="font-size:12.0pt;">یافته</span></span></span></strong><strong><span dir="LTR"><span style="color:black;"><span style="font-size:12.0pt;">‌</span></span></span></strong><strong><span style="color:black;"><span style="font-family:B Roya;"><span style="font-size:12.0pt;">ها:</span></span></span></strong><strong><span style="color:black;"><span style="font-family:B Lotus;"> <em>نتایج نشان داد که میدان آموزش پزشکی، تحت سلطه</em></span></span></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">ی دانش و قدرت گفتمان زیست</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">پزشکی قرار دارد. این گفتمان، مسلط، هژمونیک و غیریت</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">ساز است و ارتباطی با دیگر میدان</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">های دانش برقرار نمی</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">کند. سلطه</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">ی گفتمانی، میدان جدای دانش پزشکی، اخلاق مقاومت و پراکندگی گفتمانی، مقولات استخراج شده در تحقیق حاضر بود. باوجود سلطه</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">ی گفتمان زیست</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">پزشکی، گفتمان</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">های حاشیه</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">ای نیز نوعی مقاومت را دنبال می</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">کردند و اخلاق مقاومت توانسته</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">بود بخشی از اهداف خود را در کوتاه</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">مدت تحقق بخشد.</span></span></em></strong><br> <strong><span style="color:black;"><span style="font-family:B Roya;"><span style="font-size:12.0pt;">نتیجه</span></span></span></strong><strong><span dir="LTR"><span style="color:black;"><span style="font-size:12.0pt;">‌</span></span></span></strong><strong><span style="color:black;"><span style="font-family:B Roya;"><span style="font-size:12.0pt;">گیری<em>:</em></span></span></span></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;"> شکل</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">گیری علوم انسانی پزشکی در میدان آموزش پزشکی، به مقاومت و تداوم اخلاق مقاومت در سایر گفتمان</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">های نوظهور بستگی دارد. توسعه</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">ی علوم انسانی پزشکی یکی از نیازهای آموزش پزشکی در ایران است که پیش</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">نهاد می</span></span></em></strong><strong><em><span dir="LTR"><span style="color:black;">‌</span></span></em></strong><strong><em><span style="color:black;"><span style="font-family:B Lotus;">شود در سطوح سیاستی و فکری دنبال شود.</span></span></em></strong> <span style="color:#3498db;"><strong>Medical Humanities; Study on the Challenges of Interdisciplinary Training in Medical Sciences in Iran</strong></span><br> Ahmad Kalateh Sadati ¹, Kamran Bagheri Lankarani ²*<br> <em>¹</em><em>Ph.D., Department of Sociology, Yazd University, Yazd, Iran</em><br> <em>²</em><em>Distinguished Professor of Internal Medicine, Health Policy Research Center, Shiraz University of<br> Medical Sciences, Shiraz, Iran</em><br> <span style="color:#3498db;"><strong>Abstract</strong></span><br> <strong>Introduction:</strong> Medicine and related subjects are fundamental pillars of the development of modern humanities, as humanities have been able to provide a good basis for explaining health issues. The goal of this study was to explore the challenges facing medical humanities in Iran.<br> <strong>Methods:</strong> This exploratory research aimed to assess the challenges facing the development of medical humanities in Iran. This qualitative research used a triangulation method for data collection. The participants&rsquo; observations in one session for making disciplines in the Ministry of Health and 12 interdisciplinary science development discussions in the Southern Medical Education Region comprised the data of the present study. Based on Bourdieu and Foucault&rsquo;s theories, data were analyzed using the directed qualitative content analysis method.<br> <strong>Results:</strong> The study showed that the field of medical education is heavily dominated by the knowledge and power of biomedical discourse. This dominant, hegemonic, and non-homogeneous discourse takes the bulk of the field so that it does not communicate with other fields of knowledge. Nevertheless, marginal discourses also pursue a kind of resilience ethos and this resistance ethics has managed to fulfill part of its goals in the short term. The formation of medical humanities in the field of medical education depends on the resilience continuity of resistance morality in academic discourses.<br> <strong>Conclusion:</strong> The development of medical human medicine is one of the requirements of medical education in Iran, which is proposed to be pursued at the policy and intellectual levels.<br> <strong>Keywords:</strong> Medical Education; Interdisciplinary Studies; Medical Humanities; Iran <table border="0" cellpadding="0" cellspacing="0"> <tbody> <tr> <td style="width:720px;height:74px;"><span style="color:#3498db;"><strong>Please cite this article as follows:</strong></span><br> Kalateh Sadati, A, Bagheri Lankarani K. Medical humanities; Study on the Challenges of Interdisciplinary Training in Medical Sciences in Iran. Hakim Health Sys Res. 2019; 22(4): 298-307.</td> </tr> </tbody> </table> <br> *<strong>Corresponding Author: </strong>Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Building No. 2, Eighth Floor, School of Medicine, Zand Ave., Postal Code: 71348-45794, Shiraz, Iran. Tel/Fax: +98-7132309615, Email: lanakaran@sums.ac.ir آموزش پزشکی, مطالعات میان رشته ای, علوم انسانی, ایران Medical Education, Interdisciplinary Studies, Medical Humanities, Iran 298 307 http://hakim.tums.ac.ir/browse.php?a_code=A-10-1502-1&slc_lang=fa&sid=1 Ahmad Kalateh Sadati احمد کلاته ساداتی asadati@yazd.ac.ir No Yazd University بخش جامعه شناسی، دانشکده علوم اجتماعی، دانشگاه یزد Kamran Bagheri Lankarani کامران باقری لنکرانی lankaran@sums.ac.ir Yes Shiraz University of MEdical Sciences مرکز تحقیقات سیاسگذاری سلامت، دانشگاه علوم پزشکی شیراز