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고대구로병원의 의료윤리 집담회 (Medical Ethics Grand Round)의 경험

최윤선1, 홍명호1, 김옥주2,*
Youn Seon CHOI1, Myung Ho HONG1, Ock-Joo KIM2,*
Author Information & Copyright
1고려대학교 의료원 구로병원 가정의학과
2고려대학교 의과대학 의학교육학교실
1Department of Family Medicine, College of Medicine, Korea University
2Department of Medical Education, College of Medicine, Korea University
*교신저자: 김옥주, 고려대학교 의과대학 의학교육학교실. 서울 성북구 안암동 5가 126-1. Tel) 02-920-6172, E-mail) ockjoo_kim@hanmail.net

ⓒ Copyright 2002 The Korean Society for Medical Ethics. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: Dec 31, 2002

ABSTRACT

More than 80% of medical schools in Korea (33 medical schools out of 41) provide medical ethics courses as a core curriculum in Korea. However, few residency programs offer medical ethics education as a graduate medical education. Since resident years are a critical period of socialization and professionalization of becoming doctors, ethics education in graduate medical education is far more important than in undergraduate medical education. In 2002, faculty members of the Department of Family Medicine at Guro Hospital, one of the three Korea University Medical Centers, organized medical ethics grand rounds as a part of graduate medical education. Residents for themselves selected cases to be presented and discussed for the grand rounds. The goals of the grand round are to recognize ethical dimension of medical practice, to discuss ethical issues embedded in cases among professions involved in medical practice, and to reach reasonable decision making by interprofessional discussion and ethical reasoning. The grand rounds were open to those who participate in patient care: physicians, nurses, pastors, nuns, social workers, medical students, nursing students, hospital administrators, and members of hospital ethics committees. Usually 50 to 80 people attended the grand round and participated actively in the discussion. Our experience of medical ethics grand rounds shows that ethics grand rounds can be an effective and practical method of ethics education for residents. The motivation of residents was high since they dealt with their patient cases, wishing to solve ethically complicated problems in the cases. Although physicians' perspectives were rather dominant, the interprofessional approach was fruitful for the participants from various professionals.

Keywords: Medical Ethics Grand Round; Graduate Medical Education; Ethics Education; Resident Training


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