History lessons in medical education: A current necessity?
Kapil Sugand,
1,
* David Metcalfe,
2
Donna Arya
1
and Kash Akhtar
1
1
Charing Cross Hospital, Imperial College London (UK), London, and
2
University Hospitals Coventry & Warwickshire,
University of Warwick, Coventry, UK.
Aim: To explore and discuss the necessity of integrating the history of medicine within the medical
curriculum.
Methods: International peer-reviewed academic journals, PubMed and MedLine databases and secondary
sources were explored to review historical events that revolutionalized the practice of medicine, surgery,
pharmaceuticals and robotics, among others.
Results: Numerous case studies have been presented in chronological order, which have made a sustain-
able impact on clinical practice. The profiles of pioneers and the historical events that led to a chain reaction
of advancement in the history of medicine have been discussed, with a view to their impact on future
achievements. History should still play an integral role within undergraduate and postgraduate medical
education.
Key words: education, history of medicine, medical curriculum.
Introduction
The study of history is a cornerstone of primary and
secondary education worldwide, but plays only a
minor part in undergraduate education. There is not
a single mention of it within any medical education
frameworks. Physicians and the public are currently
occupied looking forward at the development of
robotic surgery, nanotechnology and stem cell
therapy, yet no one should forget the significant con-
tributions from our predecessors. This article presents
an account of those doctors that revolutionized
surgery to show how these led to major advances still
considered as the pinnacle of contemporary medical
sciences.
Those who cannot remember the past are
condemned to repeat it. (George Santayana,
1863–1952)
The most important lesson of history is that ignoring
the past will delay future progress. History might
belong to the humanities, but there is nevertheless a
scientific approach to its content, especially in the
context of biomedical sciences. Interpreting history
requires lateral thinking, analytical skills and a dash of
imagination. The history of medicine has repeatedly
shown that true pioneers had the courage to challenge
traditional medical beliefs and practice.
History used to be a cornerstone of medical study
until only a decade or so ago. As the international
medical curriculum continues to expand to encom-
pass communication skills, professional development
and law and ethics, the study of history is itself becom-
ing a thing of the past. So why, if at all, is it still
significant today?
We briefly discuss three historical partnerships that
led to perhaps the most profound discoveries made in
medical sciences. In each case, the individuals con-
cerned were motivated or inspired by their own study
of the history of medicine. These stories show that
the current generation of doctors and scholars must
appreciate the role of their predecessors if they too
aspire to leave their intellectual footprint on medical
science.
Galen and Hippocrates: logical treatments
versus divine cures
Galen is one of the most distinguished doctors in the
history of medicine. He was heralded as a talented
second-century physician, surgeon and anatomist for
his animal dissections and work on gladiators. His
work went on to conquer both Medieval European,
Christian and Islamic medical traditions for nearly
1300 years.
*Author to whom all correspondence should be addressed.
Email: ks704@imperial.ac.uk
Received 7 April 2012; accepted 8 August 2012.
Surgical Practice
doi:10.1111/1744-1633.12003 Review Article
© 2012 The Authors
Surgical Practice © 2012 College of Surgeons of Hong Kong Surgical Practice (2013) 17, 18–21