의과대학생의 도덕민감성과 도덕판단력의 비교 연구 = A Study of Comparison between Moral Sensitivity and Reasoning in Medical Students

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study is to investigate the trends and traits of moral sensitivity and reasoning over six years of medical school.
Methods: The participants in this study consisted of 217 first to sixth-year medical students of Sungkyunkwan University School of Medicine in Korea. Essay type questionnaire was used for evaluating moral sensitivity and the Korean-Defining Issues Test (KDIT) was used for evaluating moral reasoning.
Results: It was found that the medical students’ sensitivity of ‘public welfare’, ‘prospective result’ and ‘role-taking as a doctor’ was significantly higher than that of the pre-medical students’. Moral sensitivity increased in the 3rd and the 4th years but decreased in the 5th and the 6th years. Moral reasoning decreased in the 3rd and the 4th years but increased in the 5th and the 6th years. No correlation was observed between moral sensitivity and reasoning (r=0.033). Developmental trends of moral sensitivity and reasoning showed a significant difference in terms of year of medical school.
Conclusion: The results suggest that medical school curriculum tends to impct students moral sensitivity. This school has implemented the problem-based learning curriculum into the 3rd and the 4th years. It is necessary to consider the developmental state of the student’s morality when developing an effective medical ethics program.

목차 (Table of Contents)

• 서 론
• 대상 및 방법
• 결 과
• 고 찰
• 참 고 문 헌

참고문헌 (Reference)

1 문용린, "한국 청소년의 도덕성 발달 진단을 위한 연구: 도덕판단력 진단 검사(DIT)를 위한 표준화 연구" 1994

2 홍성훈, "인지발달론의 관점에서 본 전문직 도덕성 연구의 현황과 과제" 2001

3 홍성훈, "의료윤리 교육 프로그램의 개발 연구" 서울대학교 2000

4 문미희, "사범대 학생을 위한 인권교육 프로그램 개발 연구" 서울대학교 2004

5 문용린 역, "도덕성의 발달과 심리" 학지사 2004

6 이지혜, "도덕민감성 척도 개발 및 특성에 관한 연구" 서울대학교 2005

7 Bebeau, M.J.,, "The impact of a dental ethics curriculum on moral reasoning" 58 (58): 684-692, 1994

8 Akira, "The Development of brief and objective method for evaluating moral sensitivity and reasoning in medical students" 2004 : 5-, 2004

9 Self, D.J, "Study of the influence of veterinary medical education on the moral development of veterinary students" 198 (198): 782-787, 1991

10 Rest, "Morality, Handbook of Child Psychology" III : 1983

11 Benor, D.E, "Moral reasoning as a criterion for admission to medical school" 18 (18): 423-428, 1984

12 Philip, C.H, "Measuring the ethical sensitivity of medical students: a study at the University of Toronto" 1992

13 Bebeau, M.J, "Measuring dental students' ethical sensitivity" 49 (49): 225-235, 1985

14 DeWitt, C.B, "Maral Reasoning, Professionalism, and the Teaching of Ethics to Orthopaedic Surgeons" (378) : 97-103, 2000

15 Ronald, "Defining and assessing professional competence" 287 (287): 226-235, 2002

16 Ginsburg, "Context, Conflict, and Resolution: A New Conceptual Framework for Evaluating Professionalism" 75 (75): 2000

17 Begat, I, "Comparative study of perceptions of work environment and moral sensitivity among Japanese and Norwegian nurses" 6 (6): 193-200, 2004

18 Patenaude, J.N, "Changes in the components of moral reasoning during students' medical education: a pilot study" 37 (37): 822-829, 2003

19 Harvan, R.A, "An assessment of ethical sensitivity: implications for interdisciplinary education" 22 (22): 353-362, 1993

20 Bissonette, "A Data-Generated Basis for Medical Ethics Education:Categorizing Issues Experienced by Students during Cilnical Training" 70 (70): 1995