【摘要】 医学伦理学与医师专业精神的历史发展轨迹都本源于医学，基础都是医学。二者不是同时出现的。在很长时期内，医学伦理学是以医师的个人品德的面貌面世的，医学的宗旨和使命，是通过医师的执业动机与态度表现的，两者的使命和主旨内涵是同一的。但医学伦理学不能等同于医师专业精神，作为谋生手段的职业性能和发展医学的历史使命同时也蕴藏于医师专业精神中。两者的差异处理不当可能造成医学伦理学与医师专业精神的矛盾和纠葛。医学伦理学旨在“言”，医师专业精神旨在“行”，医学伦理学有赖于忠于医学职业操守的医生的实践。“言”与“行”的统一，好医学目标的实现，是两者的理想归宿。更多还原

【Abstract】 The historical development trajectory of medical ethics and medical professionalism are rooted in medicine, sharing a foundational basis in the field. The two did not emerge simultaneously. For a long time, medical ethics was manifested through doctor’s personal morality. The purpose and mission of medicine were expressed through doctor’s professional motivation and attitude. The mission and main connotation of the two were aligned. However, medical ethics cannot be equated with medical professionalism. As a means of personal planning, the professional performance and the historical mission of developing medicine are also contained in medical professionalism. Improper handling of the differences between the two may lead to contradictions and entanglements between medical ethics and medical professionalism. While medical ethics focuses on "words", medical professionalism focuses on "deeds", with medical ethics relying on physicians’ adherence to professional ethics in practice. The unity of words and deeds and the realization of noble medical goals represent the ideal destination for both.更多还原