“学界热”与“行业冷”：医学伦理学落地医疗实践之思

医学伦理学是医学人文教育的基础阵地，中国过去40年医学伦理学科建设有成绩也有不足。当前医学伦理学落地医疗实践成为问题的焦点。从伦理学界的热点问题出发，描述热中有冷、冷热交加的伦理现象：应用伦理热、科研伦理热、医学伦理热，分析现象背后的原因可能是伦理观念与意识不足，理论与实践脱节及实践深度与广度不够。以此为基点寻生根之径，知的层面要自上而下多层保障；行的层面要理论联系实践，要深化内化转化；最终达到知行合一，入脑入心入行，加速医学伦理学落地生根。

"Enthusiasm in Research" and "Apathy in Industry": Reflections on the Implementation of Medical Ethics in Healthcare Practices

Medical ethics is the foundation of medical humanities education, and the construction of the discipline in China has achieved both successes and shortcomings over the past 40 years. Currently, a focal point of concern is the implementation of medical ethics in healthcare practices. Starting from the hot issues in ethics field, this paper describes the phenomenon of a mixture of enthusiasm and apathy: the enthusiasm for applied ethics, research ethics, and medical ethics. The analysis suggests that the underlying reasons for this phenomenon may include insufficient ethical concepts and awareness, a disconnection between theory and practice, and inadequate depth and breadth in practical application. Based on this, the paper proposes a multi-level approach. At the level of knowledge, it is necessary to ensure multiple layers from top to bottom. At the level of practice, it is necessary to combine theory with practice and deepen internal transformation. The ultimate goal is to achieve a unity of knowledge and practice, thereby facilitating the effective implementation of medical ethics in healthcare.