연세대학교 의과대학 의학전문직업성 교육 경험의 반성적 고찰
Reflection on the Experience of Medical Professionalism Education at Yonsei University College of Medicine
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For decades medical educators have continually emphasized medical professionalism, which is reflective response to the challenges of a rapidly changing medical environment. This study aimed to review the experience of implementing medical professionalism education at Yonsei University College of Medicine (YUCM). YUCM introduced a new curriculum in 2004 designed by Curriculum Development Project 2004 (CDP2004), a project that was launched in 2001. CDP2004 reorganized lectures as organ-based integrated lectures, introduced an introductory course for clinical medicine and medical humanities courses for premedical and medical students. Problem-based learning (PBL), elective courses, and self-study sessions in the afternoon were implemented in order to equip students with a self-directed learning attitude as medical professionals. Professors were asked by the CDP2004 curriculum to spend more time on student education and to adopt new teaching methods. Experiences of the CDP2004 curriculum reveals 1) difficulty of motivating professors to be PBL tutors 2) students’ dissatisfaction with the medical humanities course (major critique was that the course was impractical and unrealistic),and 3) students’ optimistic understanding about their future role as medical professionals in influencing and helping people in spite of their perception of the general medical environment not as promising. To foster professionalism, the following are necessary in our experiences: 1) faculty development of medical humanities and medical professionalism, 2) establishment of an environment throughout the whole institution to support medical professionalism education and to integrate the concept into praxis, 3) emphasis on the fact that medical professionalism education is not contradictory to biophysical medical education.
Abstract
For decades medical educators have continually emphasized medical professionalism, which is reflective response to the challenges of a rapidly changing medical environment. This study aimed to review the experience of implementing medical professionalism education at Yonsei University College of Medicine (YUCM). YUCM introduced a new curriculum in 2004 designed by Curriculum Development Project 2004 (CDP2004), a project that was launched in 2001. CDP2004 reorganized lectures as organ-based integrated lectures, introduced an introductory course for clinical medicine and medical humanities courses for premedical and medical students. Problem-based learning (PBL), elective courses, and self-study sessions in the afternoon were implemented in order to equip students with a self-directed learning attitude as medical professionals. Professors were asked by the CDP2004 curriculum to spend more time on student education and to adopt new teaching methods. Experiences of the CDP2004 curriculum reveals 1) difficulty of motivating professors to be PBL tutors 2) students’ dissatisfaction with the medical humanities course (major critique was that the course was impractical and unrealistic),and 3) students’ optimistic understanding about their future role as medical professionals in influencing and helping people in spite of their perception of the general medical environment not as promising. To foster professionalism, the following are necessary in our experiences: 1) faculty development of medical humanities and medical professionalism, 2) establishment of an environment throughout the whole institution to support medical professionalism education and to integrate the concept into praxis, 3) emphasis on the fact that medical professionalism education is not contradictory to biophysical medical education.
참고문헌 (33)
- "대한의사협회 보도자료" (2012), 대한의사협회[URL]
- 맹광호, "우리나라 의과대학에서의 인문사회의학교육: 과제와 전망", Korean Journal of Medical Education, 19(1), pp.5~11 (2007), 한국의학교육학회
- 맹광호, "한국에서의 ‘의학전문직업성’ 교육: 과제와 전망", Korean Journal of Medical Education, 20(1), pp.3~10 (2008), 한국의학교육학회
- 방재범, "의학 전문직업성의 기초자질 함양을 위한 교육과정 평가 및 구성", Korean Journal of Medical Education, 20(2), pp.109~121 (2008), 한국의학교육학회
- 의사들도 할 말 있었다 : 의사파업에 대한 사회학적 분석, "송호근", 삼성경제연구소, ~ (2001)
- 안재희, "의료인문학 토론수업에 영향을 주는 토론자료의 특성 분석", Korean Journal of Medical Education, 23(4), pp.253~261 (2011), 한국의학교육학회
- 양은배, "기초의학 교육의 활성화 전략", Hanyang Medical Reviews, 32(1), pp.25~29 (2012)
- Curriculum Development Project 2004 최종보고서, "연세대학교 의과대학 CDP2004 위원회", 연세대학교의과대학, ~ (2002)
- Curriculum Development Project 2013 중간보고서, "연세대학교 의과대학 CDP2013사업단", 연세대학교의과대학, ~ (2012)
- 오승민, "인문사회의학" (2010), 청년의사
- 정철운, "우리나라 의과대학의 의학직업전문성 교육현황", Korean Journal of Medical Education, 16(3), pp.259~268 (2004), 한국의학교육학회
- American Board of Internal Medicine Foundation, American College of Physicians-American Society of Internal Medicine Foundation, European Federation of Internal Medicine, "Medical professionalism in the new millennium : a physician charter", Ann Intern Med, 136(3), pp.243~246 (2002)
- Amin, Z., "의학교육의 학생평가" (2012), 군자출판사
- Berman, L., "Attracting surgical clerks to surgical careers : role models, mentoring, and engagement in the operating room", J Am Coll Surg, 207(6), pp.793~800 (2008)
- Bourgeois, J. A., "The doctoring curriculum at the University of California, Davis School of Medicine: leadership and participant roles for psychiatry faculty", Acad Psychiatry, 32(3), pp.249~254 (2008)
- Bryan, C. S., "HIV", AIDS, ethics, and medical professionalism: where went the debate?, 2003, pp.114, 353~367
- Bryden, P., "Professing professionalism : are we our own worst enemy? Faculty members’ experiences of teaching and evaluating professionalism in medical education at one school", Acad Med, 85(6), pp.1025~1034 (2010)
- Canadian Medical Association, "Medical professionalism", CMA J, 167(5), pp.539~541 (2002)
- Cottingham, A. H., "Enhancing the informal curriculum of a medical school : a case study in organizational culture change", J Gen Intern Med, 23(6), pp.715~722 (2008)
- Cooke, M., "American medical education 100 years after the Flexner report", N Engl J Med, 355(13), pp.1339~1344 (2006)
- Duffy, F. D., "Self-assessment in lifelong learning and improving performance in practice : physician know thyself", JAMA, 296(9), pp.1137~1139 (2006)
- De Grave, W. S., "Profiles of effective tutors in problem-based learning : scaffolding student learning", Med Educ, 31(12), pp.901~906 (1999)
- Goldstein, E. A., "Professionalism in medical education : an institutional challenge", Acad Med, 81(10), pp.871~876 (2006)
- Irby, D. M., "Calls for reform of medical education by the Carnegie Foundation for the Advancement of Teaching : 1910 and 2010", Acad Med, 85(2), pp.220~227 (2010)
- Lucey, C., "Perspective : the problem with the problem of professionalism", Acad Med, 85(6), pp.1018~1024 (2010)
- Newton, B. W., "Is there hardening of the heart during medical school?", Acad Med, 83(3), pp.244~249 (2008)
- Passi V., "Developing medical professionalism in future doctors : a systematic review", Int J Med Educ, 1, pp.19~29 (2010)
- Rogers, D. A., "Using the hidden curriculum to teach professionalism during the surgery clerkship", J Surg Educ, 69(3), pp.423~427 (2012)
- Shapiro, J., "Medical humanities and their discontents : definitions, critiques, and implications", Acad Med, 84(2), pp.192~198 (2009)
- Shrank, W. H., "Fostering professionalism in medical education : a call for improved assessment and meaningful incentives", J Gen Intern Med, 19(8), pp.887~892 (2004)
- Stern, D. T., "The developing physician--becoming a professional", N Engl J Med, 355(17), pp.1797~1799 (2006)
- Suchman, A. L., "Toward an informal curriculum that teaches professionalism. Transforming the social environment of a medical school", J Gen Intern Med, 19(5 Pt 2), pp.501~504 (2004)
- Swick, H. M., "Toward a normative definition of medical professionalism", Acad Med, 75(6), pp.612~616 (2000)
