전문직업성 배양을 위한 의학교육 = Enhancement of Professionalism in Medical Education

다국어 초록 (Multilingual Abstract)

The purpose of this article is to discuss the enhancement of medical professionalism and the artisan spirit proposed by Yu and to suggest curriculum content and methods to improve medical professionalism. Professionals are those who can share their knowledge with others and proceed under self-reflection on moral values and social expectations. The goal of medical education is to cultivate students to be good as well as to do well. To achieve this goal, educators should foster students to be good doctors for 99% of patients, rather than to be high performers for 1% of patients. There are two types of curriculum for medical professionalism: hidden and formative curricula. In these curricula, we doctors may be good role models for medical students. The curriculum contents and the methods for implementation that are based on accumulated experience can be embedded into education on professionalism. In addition, as suggested by Miller, how to evaluate medical professionalism based on a framework of clinical assessment must be discussed. Finally, it is suggested that the process of education on medical professionalism should be a kind of cultural movement to raise good doctors.

참고문헌 (Reference)

1 최보문, "현대 의학전문직업성: 역사적 배경, 개념변화, 선언문 비판" 대한의사협회 54 (54): 1124-1136, 2011

2 맹광호, "한국에서의 ‘의학전문직업성’ 교육: 과제와 전망" 한국의학교육학회 20 (20): 3-10, 2008

3 권복규, "한국 의과대학과 대학병원에서의 의학전문직업성의 의미" 대한의사협회 54 (54): 1146-1153, 2011

4 한순미, "중다목표관점에서의 성취목표와 자기조절 학습전략 사용간의 관계" 한국교육심리학회 17 (17): 291-312, 2003

5 김선, "의학전문작업성, 어떻게 평가할 것인가?" 한국의학교육학회 17 (17): 1-14, 2005

6 문태형, "유아교사의 성취목표성향과 교사효능감의 관계연구" 한국아동학회 26 (26): 21-34, 2005

7 유홍준, "우리시대의 장인정신을 말하다" 북노마드 2010

8 허예라, "우리나라 의과대학 입학생이 갖추어야 할 의학 전문직업성의 요소" 한국의학교육학회 18 (18): 299-308, 2006

9 Karnieli-Miller, O., "Which experiences in the hidden curriculum teach students about professionalism?" 86 (86): 369-377, 2011

10 Ross, L. F., "What is wrong with the Physician Charter on Professionalism" 36 (36): 17-19, 2006

11 Klemenc-Ketis, Z., "Using movies to teach professionalism to medical students" 11 : 60-, 2011

12 Burns, D. D., "The perfectionist’s script for self-defeat" 34-42, 1980

13 Wear, D., "The development of professionalism : curriculum matters" 75 (75): 602-611, 2000

14 Castellani, B., "The complexities of medical professionalism: a preliminary investigation, In Professionalism in medicine: critical perspectives" Springer 2006

15 Reiser, S. J., "The Charter on Medical Professionalism and the limits of medical power" 138 (138): 844-846, 2003

16 Cruess, R. L., "Teaching, learning and assessing professionalism at the post graduate level" Member of the FMEC PG consortium 2011

17 Ber, R., "Teaching professionalism with the aid of trigger films" 24 (24): 528-531, 2002

18 Meece, J. L., "Students’ goal orientations and cognitive engagement in classroom activities" 80 (80): 514-523, 1988

19 Doukas, D. J., "Professionalism: curriculum goals and meeting their challenges, In Professionalism in medicine: critical perspectives" Springer 2006

20 Wear, D., "Professionalism in medicine : critical perspectives" Springer 2006

21 Nierman, D. M., "Professionalism and the teaching of clinical medicine : perspectives of teachers and students" 69 (69): 410-411, 2002

22 Freidson, E., "Professionalism : the third logic" University of Chicago Press 2001

23 Rabow, M. W., "Professional formation : extending medicine’s lineage of service into the next century" 85 (85): 310-317, 2010

24 Gladwell, M., "Outliers : the story of success" Back Bay Books 2010

25 Accreditation Council for Graduate Medical Education, "Outcome project"

26 ABIM Foundation, American Board of Internal Medicine, "Medical professionalism in the new millennium: a physician charter" 136 (136): 243-246, 2002

27 Borgstrom, E., "Medical professionalism : conflicting values for tomorrow‘s doctors" 25 (25): 1330-1336, 2010

28 Pellegrino, E. D., "Humanism and the physician" University of Tennessee Press 1979

29 Gordon, J. J., "Humanising doctors: what can the medical humanities offer?" 189 (189): 420-421, 2008

30 Liaison Committee on Medical Education, "Functions and structure of a medical school: LCME accreditation standards"

31 Miettinen, O. S., "Elementary concepts of medicine: X. Being a good doctor: professionalism" 9 (9): 341-343, 2003

32 Passi, V., "Developing medical professionalism in future doctors : a systematic review" 1 : 19-29, 2010

33 Frost, R. O., "A comparison of two measures of perfectionism" 14 (14): 119-126, 1993

34 Lesser, C. S., "A behavioral and systems view of professionalism" 304 (304): 2732-2737, 2010

35 김선, "21세기의 의학 전문직업성: 어떻게 가르칠 것인가?" 15 (15): 171-186, 2003