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History and Future of the Korean Medical Education System

우리나라 의사양성체제의 역사와 미래

  • Ahn, Duck-Sun (Department of Medical Humanities, Korea University College of Medicine) ;
  • Han, Hee-Jin (Department of Medical Humanities, Korea University College of Medicine)
  • 안덕선 (고려대학교 의과대학 의인문학교실) ;
  • 한희진 (고려대학교 의과대학 의인문학교실)
  • Received : 2018.06.22
  • Accepted : 2018.06.26
  • Published : 2018.06.30

Abstract

Western medicine was first introduced to Korea by Christian missionaries and then by the Japanese in the late 19th century without its historical, philosophical, cultural, social, political, and economic values being communicated. Specifically, during the Japanese colonial era, only ideologically 'degenerated' medicine was taught to Koreans and the main orthodox stream of medicine was inaccessible. Hence, Korean medical education not only focuses on basic and clinical medicine, but also inherited hierarchical discrimination and structural violence. After Korea's liberation from Japan and the Korean war, the Korean medical education system was predominantly influenced by Americans and the Western medical education system was adopted by Korea beginning in the 1980s. During this time, ethical problems arose in Korean medical society and highlighted a need for medical humanities education to address them. For Korean medical students who are notably lacking humanistic and social culture, medical humanities education should be emphasized in the curriculum. In the Fourth Industrial Revolution, human physicians may only be distinguishable from robot physicians by ethical consciousness; consequentially, the Korean government should invest more of its public funds to develop and establish a medical humanities program in medical colleges. Such an improved medical education system in Korea is expected to foster talented physicians who are also respectable people.

Keywords

References

  1. World Federation for Medical Education. Standards [Internet]. London: World Federation for Medical Education [cited 2018 Jun 21]. Available from: http://wfme.org/standards/.
  2. Skochelak SE, Hawkins RE, Lawson LE, Starr SR, Borkan JM, Gonzalo JD, et al. Health systems science. Philadelphia (PA): Elsevier; 2016.
  3. Park HW. The early history of modern medical education in Korea. Seoul: Cheongnyeonuisa; 2008.
  4. Han YR. Development of higher education in Korea during Japanese occupation, 1910-1945 [unpublished dissertation]. New York (NY): Teachers College, Columbia University; 1952.
  5. Lee S. The emergence of the modern university in Korea. High Educ. 1989;18(1):87-116. https://doi.org/10.1007/BF00138962
  6. Yeo IS, Lee HS, Kim SS, Shin KH, Park YH, Park YJ. History of medicine in Korea. Seoul: Korean Medical Association; 2012. p. 307-308.
  7. U.S. Foreign Operations Administration. The Minnesota Project (1954-1962): University of Minnesota and Seoul National University. Washington (DC): U.S. Foreign Operations Administration; [1954].
  8. China Medical Board. China Medical Board: 100 years of philanthropy for health: 1914-2014. Bangkok: China Medical Board: 2014.
  9. The 2030 Agenda for Sustainable Development and the SDGs [Internet]. Brussels: European Commission; 2017 [cited 2018 Jun 21]. Available from: http://ec.europa.eu/environment/sustainable-development/SDGs/index_ en.htm.
  10. World Health Organization. Global strategy on human resources for health: Workforce 2030 [Internet]. Geneva: World Health Organization [cited 2018 Jun 21]. Available from: http://www.who.int/hrh/resources/pub_globstrathrh-2030/en/.
  11. Schwab K. The fourth industrial revolution. New York (NY): Crown Business; 2017.
  12. Canguilhem G. Power and limits of rationality in medicine. In: Canguilhem G, editor. Studies of history and philosophy of sciences. 7th ed. Paris: Vrin; 1994. p. 400.
  13. Beauchamp TL, Childress JF. Principles of biomedical ethics. 7th ed. New York (NY): Oxford University Press; 2012.
  14. Cabanis PJ. Overview on revolutions and reform of medicine. In: Lehec C, Cazeneuve J, editors. Philosophical works of Cabanis. Paris: University Press of France; 1956. p. 75.