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졸업 후 의학교육제도의 역사성 고찰

Taking into Account the History of Korean Graduate Medical Education

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During the Japanese colonial period in the Korean Peninsula, Chosun (ethnic Korean) physicians were trained in vocational clinical schools, but Japanese physicians in medical school. Therefore, the Japanese government treated the Japanese physicians as medical doctors but Chosun physicians as dealers or traders in clinical ser-vices. This colonial discriminatory policy became a habitual concept to Korean physicians. Because of these tra-ditional concepts regarding physicians, after the colonial period, the newly established Korean government also had the same concept of physicians. Therefore, in 1952, the Korean graduate medical education system was launched under a government clearance system with the claim of supporting medical specialties as clinical dealers or clinical businesspeople. During the last 60 years, this inappropriate customary concept and the un-suitable system have evolved into medical residency training education, and then into graduate medical education. Today graduate medical education has become inextricably linked to postdoctoral work in Korean hospitals.

Abstract

During the Japanese colonial period in the Korean Peninsula, Chosun (ethnic Korean) physicians were trained in vocational clinical schools, but Japanese physicians in medical school. Therefore, the Japanese government treated the Japanese physicians as medical doctors but Chosun physicians as dealers or traders in clinical ser-vices. This colonial discriminatory policy became a habitual concept to Korean physicians. Because of these tra-ditional concepts regarding physicians, after the colonial period, the newly established Korean government also had the same concept of physicians. Therefore, in 1952, the Korean graduate medical education system was launched under a government clearance system with the claim of supporting medical specialties as clinical dealers or clinical businesspeople. During the last 60 years, this inappropriate customary concept and the un-suitable system have evolved into medical residency training education, and then into graduate medical education. Today graduate medical education has become inextricably linked to postdoctoral work in Korean hospitals.

참고문헌 (9)

  1. Kim, Y. I., "Design of medical education curriculum in Korea and improvement of residency education", The National Academic of Science, Republic of Korea, 49(1), pp.143~189 (2010)
  2. A study on improvement of medical specialist system, "Kim, Y. M.", Korean Medical Association, ~ (1992)
  3. A study on improvement of graduate medical education and medical specialist system, "Lee, M. S.", Korean Academy of Medical Sciences, ~ (1995)
  4. Ministry of Health and Welfare, "Registered physician table, statistical yearbook of health and welfare", Ministry of Health and Welfare, ~ (1960)
  5. Medical education in the United States and Canada: a report to the Carnegie Foundation for the Advancement of Teaching, "Flexner, A.", Carnegie Foundation for the Advancement of Teaching, ~ (1910)
  6. Hunt, A. D., "Medical education, accreditation, and the nation’s health: reflections of an atypical dean" (1991), Michigan State University Press
  7. Ludmerer, K. M., "The history of calls for reform in graduate medical education and why we are still waiting for the right kind of change", Acad Med, 87(1), pp.34~40 (2012)
  8. Ludmerer, K. M., "Time to heal: American medical education from turn of the century to the era of managed care" (1999), Oxford University Press
  9. Stevens, R. A., "Graduate medical education : a continuing history", J Med Educ, 53(1), pp.1~18 (1978)

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