Doctoral Dissertation Research: Transmitting Diagnostic Skills in Tibetan Medicine: Embodied Practices for Indigenous Categories of Cancer

博士论文研究：传播藏医学诊断技能：本土癌症类别的具体实践

• 批准号: 1225734
• 负责人: Carol Worthman
• 金额: $ 1.5万
• 依托单位: Emory University
• 依托单位国家: 美国
• 项目类别: Standard Grant
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-08-01 至 2015-07-31
• 项目状态: 已结题
• 来源: https://www.nsf.gov/awardsearch/showAward?AWD_ID=1225734&HistoricalAwards=false
• 关键词: Doctoral; Dissertation; Research; Transmitting; Diagnostic

Emory University doctoral candidate Tawni L. Tidwell, supervised by Dr. Carol M. Worthman, will investigate biocultural understandings of how humans create and teach complex knowledge systems. The focus of the research will be on how medical knowledge and epistemologies are conceptualized, transmitted, and then enacted in practical skill. Using Tibetan medicine as a case study, she will examine how diagnosis is formally transmitted, cultivated, and clinically deployed, in this 2,000 year-old text-based, orally-instructed, and practically-implemented non-Western system. What are the learning processes and related sociocultural structure that support such a system in its enactment of diagnostic skill? What do these processes tell us about the transmission of complex knowledge systems more generally?As the first western student in Men-Tsee-Khang, the premier Tibetan medical school, Tidwell will undertake her investigation with Tibetan medical student peers, faculty, and a group of expert physicians. She will document how diagnostic skills are transmitted, cultivated and applied, with particular regard to a Tibetan medical illness category called dres-nad. The focus on dres-nad is strategic because dres-nads and biomedical cancers are the illness categories in which the Tibetan medical and western biomedical systems most closely overlap. As such, this overlap opens a space in which to elucidate the distinctive features of the two systems of diagnosis and care. Through class participant-observation, student and faculty interviews, and expert physician clinical observations, Tidwell will look at these processes, influences and methods of how situated knowledge of the body interacts with knowledge practice systems to develop skill development and further such skills toward expertise with specific regard to dres-nad. This research will provide insight into the transmission of complex systems of knowledge by illuminating medical education in a sophisticated, rigorous and systematic non-Western medical system. The study will facilitate international research collaborations and partnerships. Funding this research also supports the education of a graduate student.

由Carol M. Worthman博士监督的埃默里大学博士候选人Tawni L. Tidwell将调查对人类如何创造和教授复杂知识系统的生物文化理解。这项研究的重点将放在医学知识和认识论如何概念化，传播，然后以实用技能制定。 她将使用藏族医学作为案例研究，将研究在这个具有2,000年历史的基于文本的，口头教学且实际上实现的非西方系统中，如何正式传播，培养和临床部署诊断。支持这种系统的诊断技能的学习过程和相关的社会文化结构是什么？这些过程如何更普遍地告诉我们有关复杂知识系统的传播？作为Men-Tsee-Khang的第一位西方学生，Tidwell是藏族总理的藏医学医学院，将与藏族医学专业的同龄人，教职员工和一群专家医生进行调查。她将记录诊断技能如何传播，培养和应用，特别是关于藏族医学疾病类别DRES-NAD。 对DRES-NAD的关注是战略性的，因为Dres-Nad和生物医学癌是藏族医学和西方生物医学系统最紧密重叠的疾病类别。 因此，这种重叠为阐明两个诊断和护理系统的独特特征提供了一个空间。 通过课堂参与者观察，学生和教师访谈以及专家医师的临床观察，Tidwell将研究这些过程，影响和方法，即对身体的位置知识如何与知识实践系统相互作用，以发展技能的发展以及进一步的专业知识，以实现特定的DRES-NAD。这项研究将通过在复杂，严格和系统的非西方医学系统中照亮医学教育来洞悉复杂知识系统的传播。该研究将促进国际研究合作和伙伴关系。资助这项研究还支持研究生的教育。