医学会のGlobal standard といわれる世界の名著といわれている"Harrison"といわれている"Principles of Internal Medicine" をひもといてみれば、Harrison 14e の本文の１ページ目！の"WHAT IS EXPECTED OF THE PHYSICIAN"の中に次のようなくだりがあります。

Yet skill in the most sophisticated application of laboratory technology and in the use of the latest therapeutic modality alone does not make a good physician. The ability to extract from a mass of contradictory physical signs and from the crowded computer printouts of laboratory data those items that are of crucial significance, to know in a difficult case whether to "treat" or to "watch," to determine when a clinical clue is worth pursuing or when to dismiss it as a "red herring," and to estimate in any given patient whether a proposed treatment entails a greater risk than the disease are all involved in the decisions that the clinician, skilled in the practice of medicine, must make many times each day. This combination of medical knowledge, intuition, and judgment defines the art of medicine. It is as necessary to the practice of medicine as is a sound scientific base. (Copyrightゥ 1998 McGraw-Hill. All rights reserved.)

『洗練されたlaboratory technologyの応用と、最新のtherapeutic modalityだけではgood physician にはなれないのである。』

そのすぐあとで、初版の編集者達がこう述べているという引用のなかでは、次のように述べています。

No greater opportunity, responsibility, or obligation can fall to the lot of a human being than to become a physician. In the care of the suffering he needs technical skill, scientific knowledge, and human understanding. He who uses these with courage, with humility, and with wisdom will provide a unique service for his fellow man, and will build an enduring edifice of character within himself. The physician should ask of his destiny no more than this; he should be content with no less. (Copyrightゥ 1998 McGraw-Hill. All rights reserved.)

つまり、２文目やんでいる人をケアする場合、医者が必要とするのは、専門技術の熟練であり、科学的な知識であり、そして、人間に対する理解である。３文目では医者は、勇気と謙遜と賢明さを持って、これらを用いれば、病む人にとって、唯一のサービスを提供でき、彼自身の中に人格の永続する大建築のようなものをうち立てるだろう。

私としては、Harrison は、医者は最新の技術を持ってるから、知識があるからと言って、それだけじゃだめなんだよというこの本だけでは足りないものがあるという「限界」を認めている部分だと思います。