Korean Journal of Medical Ethics
The Korean Society for Medical Ethics
Article

하버드 의과대학의 의료윤리교육

김옥주1, 구영모2, 황상익3,*
Ock-Joo KIM1, Young-Mo KOO2, Sang-lk HWANG3,*
1서울대학교 의과대학 의사학교실 및 미국 하버드 대학교 과학사학과
2서울대학교 의과대학 의사학교실 및 서울대학교 철학사상연구소
3서울대학교 의파대학 의사학교실
1Department of History of Medicine and Medical Humanities, Seoul National University College of Medicine ; Department of History of Science. Harvard University
2Department of History of Medicine and Medical Humanities, Seoul National University College of Medicine ; Institute of Philosophy, Seoul National University
3Department of History of Medicine and Medical Humanities, Seoul National University College of Medicine
*책임저자(email : hwangsi@plaza.snu.ac.kr)

ⓒ Copyright 1999 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: Nov 25, 1999

ABSTRACT

At Harvard Medical School, various kinds of medical ethics education are offered to medical students to enhance their ethical sensitivity and sensibility. This paper reports one of the medical ethics courses, Moral Aspects of Dilemmas in Medical Practice. This course shares the same perspectives and contexts as those of medical education reformation beginning in the mid-1980s at Harvard. Using small group discussions, seminars, tutorials, the medical ethics course adopts student-centered, problem-based education. The course aims at helping students to recognize moral dimension of medical practice, to develop systematic moral reasoning, and to learn how to respect patients and colleagues. While professors and guest-lecturers stimulate and guide the classroom discussion, the students take an active role in the discussion. Various methods are employed for the class including case studies, narratives of patients and medical professionals, role plays, video watching, and lectures (although minimized). This course also conveys different methodology and theories of medical ethics such as casuistry, literature and ethics, principlism, virtue ethics, communitarian ethics, and ethics of care. Personal interviews with medical students who finished the course revealed that in general the students were satisfied with the contents and methods of the course. The students said that they learned ethical issues in contemporary medicine and how to deal with ethical dilemmas. Some students wanted to learn more about medical ethics and to participate in ethics committee in the future.

Keywords: 의료윤리학; 의료윤리교육; 하버드 의과대학
Keywords: Medical Ethics; Medical Ethics Education; Harvard Medical School