본문 바로가기
KERD
논문KCI 등재

의료윤리교육의 목적 및 과정에 대한 고찰

Medical Ethics Education: Its Objectives and Curriculum

2

조회

0

다운로드

9

인용

0

참고문헌

키워드

초록

Medical ethics has been integrated into the curriculum for medical education in Korea for over 30 years now. There have been many attempts to establish standards for the educational objectives and curriculum, including establishing learning outcomes and publishing medical ethics textbooks in Korean. However, this task is not easy for several reasons: the interdisciplinary nature of the subject, educators’ lack of experience, and the lack of a consensus on the criteria that would be effective educational goals. In this article, the author explores (1) the need for reflection on the education itself, (2) two perspectives of medical ethics education, (3) critical perspectives on the effectiveness of the current medical ethics education, and (4) the variety of modalities of medical ethics education. Further, the author proposes a way to teach medical ethics in Korea. The contents and means are closely related to the question of philosophy of medical education: “Should professional ethics education be ‘realistic’ or ‘idealistic’?” Ethics requires educators to be open to new learning experiences and to ethical development. Medical Ethics education should be relevant to everyday clinical experiences and, at the same time provide students and educators to critically review their ethical perspective through reflections.

Abstract

Medical ethics has been integrated into the curriculum for medical education in Korea for over 30 years now. There have been many attempts to establish standards for the educational objectives and curriculum, including establishing learning outcomes and publishing medical ethics textbooks in Korean. However, this task is not easy for several reasons: the interdisciplinary nature of the subject, educators’ lack of experience, and the lack of a consensus on the criteria that would be effective educational goals. In this article, the author explores (1) the need for reflection on the education itself, (2) two perspectives of medical ethics education, (3) critical perspectives on the effectiveness of the current medical ethics education, and (4) the variety of modalities of medical ethics education. Further, the author proposes a way to teach medical ethics in Korea. The contents and means are closely related to the question of philosophy of medical education: “Should professional ethics education be ‘realistic’ or ‘idealistic’?” Ethics requires educators to be open to new learning experiences and to ethical development. Medical Ethics education should be relevant to everyday clinical experiences and, at the same time provide students and educators to critically review their ethical perspective through reflections.

참고문헌 (53)

  1. Akabayashi, A., "The development of a brief and objective method for evaluating moral sensitivity and reasoning in medical students", BMC Med Ethics, 5, pp.E1~ (2004)
  2. Barilan, Y. M., "Deliberation at the hub of medical education : Beyond virtue ethics and codes of practice", Med Health Care Philos, 16(1), pp.3~12 (2013)
  3. Bissonette, R., "A data-generated basis for medical ethics education : Categorizing issues experienced by students during clinical training", Acad Med, 70(11), pp.1035~1037 (1995)
  4. Cheong, Y. S., "An examination of the effects of a newly implemented course in medical ethics on senoior medical students", Korean J Med Educ, 12(1), pp.97~105 (2000)
  5. Chowning, J. T., "Fostering critical thinking, reasoning, and argumentation skills through bioethics education", PLoS One, 7(5), pp.e36791~ (2012)
  6. Collier, R., "Professionalism: What is it?", CMAJ, 184(10), pp.1129~1130 (2012)
  7. Cox, D. J., "From interdisciplinary to integrated care of the child with autism : The essential role for a code of ethics", J Autism Dev Disord, 42(12), pp.2729~2738 (2012)
  8. Cowley, C., "Expertise, wisdom and moral philosophers : A response to Gesang", Bioethics, 26(6), pp.337~342 (2012)
  9. Donaldson, T. M., "Case-based seminars in medical ethics education : How medical students define and discuss moral problems", J Med Ethics, 36(12), pp.816~820 (2010)
  10. Doukas, D. J., "Perspective : Medical education in medical ethics and humanities as the foundation for developing medical professionalism", Acad Med, 87(3), pp.334~341 (2012)
  11. Downar, J., "Using standardized family members to teach communication skills and ethical principles to critical care trainees", Crit Care Med, 40(6), pp.1814~1819 (2012)
  12. DuBois, J. M., "Ethics education in U. S. medical schools : A study of syllabi", Acad Med, 77(5), pp.432~437 (2002)
  13. Feudtner, C., "Making the rounds : The ethical development of medical students in the context of clinical rotations", Hastings Cent Rep, 24(1), pp.6~12 (1994)
  14. Grob, C., "Educational responses to unethical healthcare practice", Nurs Stand, 26(41), pp.35~41 (2012)
  15. Gross, M. L., "Ethics education and physician morality", Soc Sci Med, 49(3), pp.329~342 (1999)
  16. Holden, M., "Professional identity formation in medical education : The convergence of multiple domains", HEC Forum, 24(4), pp.245~255 (2012)
  17. Howard, F., "The formal and informal surgical ethics curriculum : Views of resident and staff surgeons in Toronto", Am J Surg, 203(2), pp.258~265 (2012)
  18. Huddle, T. S., "Viewpoint: Teaching professionalism: Is medical morality a competency?", Acad Med, 80(10), pp.885~891 (2005)
  19. Itai, K., "How do bioethics teachers in Japan cope with ethical disagreement among healthcare university students in the classroom? : A survey on educators in charge", J Med Ethics, 32(5), pp.303~308 (2006)
  20. Jonsen, A. R., "Clinical ethics: A practical approach to ethical decisions in clinical medicine" (2010), McGraw-Hill
  21. Kern, D. E., "Curriculum development for medical education" (2010), Johns Hopkins University Press
  22. 김성수, "의료윤리교육의 효과 평가", Korean Journal of Medical Education, 20(1), pp.73~83 (2008), 한국의학교육학회
  23. Korean Association of Medical Colleges, "Learning outcomes of basic medical education: Clinical competency-centered" (2012), Academia
  24. Korean Society for Medical Ethics, "Medical ethics" (2011), Koonja
  25. 권혜미, "DIT를 이용한 의과대학 학생들의 학년별 도덕 판단력 발달 정도 : 인제 의대생을 대상으로", 생명윤리, 9(2), pp.57~77 (2008), 한국생명윤리학회
  26. 권복규, "우리나라 의료윤리 교육에 대한 비판적 고찰", 한국의료윤리학회지, 9(1), pp.60~72 (2006), 한국의료윤리학회
  27. 권복규, "한국 의과대학과 대학병원에서의 의학전문직업성의 의미", 대한의사협회지, 54(11), pp.1146~1153 (2011), 대한의사협회
  28. 권복규, "인터넷을 활용한 인턴 대상 의료윤리교육경험", 한국의료윤리학회지, 5(2), pp.129~141 (2002), 한국의료윤리학회
  29. Lin, C. F., "A comparison of problem-based learning and conventional teaching in nursing ethics education", Nurs Ethics, 17(3), pp.373~382 (2010)
  30. Lord, J. A., "A peer mentoring group for junior clinician educators : Four years’ experience", Acad Med, 87(3), pp.378~383 (2012)
  31. Manson, H. M., "The development of the CoRE-Values framework as an aid to ethical decision-making", Med Teach, 34(4), pp.e258~e268 (2012)
  32. Mattick, K., "Undergraduate ethics teaching : Revisiting the Consensus Statement", Med Educ, 40(4), pp.329~332 (2006)
  33. McCammon, S. D., "How virtue ethics informs medical professionalism", HEC Forum, 24(4), pp.257~272 (2012)
  34. McCullough, M., "Bringing drama into medical education", Lancet, 379(9815), pp.512~513 (2012)
  35. McDougall, R., "Combating junior doctors’"4am logic" : A challenge for medical ethics education", J Med Ethics, 35(3), pp.203~206 (2009)
  36. 맹광호, "한국의과대학에서의 의료윤리교육현황 분석", 한국의료윤리학회지, 6(1), pp.1~14 (2003), 한국의료윤리학회
  37. Miller, J., "BioCEP : A model educational program for cross-cultural bioethics", Camb Q Healthc Ethics, 21(3), pp.409~416 (2012)
  38. Olick, R. S., "It’s ethical, but is it legal? : Teaching ethics and law in the medical school curriculum", Anat Rec, 265(1), pp.5~9 (2001)
  39. Park, E. K., "Medical ethics education using"student symposium"", J Korean Med Ethics Educ, 5(2), pp.143~150 (2002)
  40. Park, M., "The relationship of ethics education to moral sensitivity and moral reasoning skills of nursing students", Nurs Ethics, 19(4), pp.568~580 (2012)
  41. Patenaude, J., "Changes in students’moral development during medical school : A cohort study", CMAJ, 168(7), pp.840~844 (2003)
  42. Rhodes, R., "Two concepts of medical ethics and their implications for medical ethics education", J Med Philos, 27(4), pp.493~508 (2002)
  43. Roff, S., "Helping medical students to find their moral compasses : Ethics teaching for second and third year undergraduates", J Med Ethics, 30(5), pp.487~489 (2004)
  44. Saito, Y., "Building medical ethics education to improve Japanese medical students’ attitudes toward respecting patients’ rights", Tohoku J Exp Med, 224(4), pp.307~315 (2011)
  45. Singer, P. A., "Strengthening the role of ethics in medical education", CMAJ, 168(7), pp.854~855 (2003)
  46. Sohn, M., "Clinical ethics", pp.364~367 (2005), Seoul National University Press
  47. Ten Have, H., "Broadening education in bioethics", Med Health Care Philos, 15(2), pp.99~101 (2012)
  48. Turban, J., "Teaching ethics: Are students getting the answers?", Med Educ, 46(5), pp.526~ (2012)
  49. Verkerk, M. A., "Reflective professionalism : Interpreting CanMEDS’"professionalism"", J Med Ethics, 33(11), pp.663~666 (2007)
  50. Verkerk, M., "Enhancing reflection : An interpersonal exercise in ethics education", Hastings Cent Rep, 34(6), pp.31~38 (2004)
  51. Weidema, F. C., "Enacting ethics : Bottom-up involvement in implementing moral case deliberation", Health Care Anal, 20(1), pp.1~19 (2012)
  52. Welbourn, R. B., "A model for teaching medical ethics", J Med Ethics, 11(1), pp.29~31 (1985)
  53. Zaikowski, L. A., "A three-tiered approach to enhance undergraduate education in bioethics", BioSci, 54(10), pp.942~949 (2004)

관련 논문AI추천

이 간행물의 다른 논문 (6건)