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美国卫生系统科学教育介绍及其批判。

Introduction of America's Health Systems Science Education and Its Criticism.

机构信息

Associate Professor, Department of Humanities and Social Sciences in Medicine, College of Medicine, Inje University.

出版信息

Uisahak. 2022 Dec;31(3):519-546. doi: 10.13081/kjmh.2022.31.519.

Abstract

Recently, Korean medical education circles have proposed a fullscale introduction of America's health systems science to replace the existing medical humanities education in Korea. The so-called Flexner education system, formed in the early 20th century, was centered on basic and clinical sciences. America's health systems science education was introduced to supplement the system. The full-scale introduction of health systems science has been promoted, mainly by the Korean Association of Medical Colleges. However, it does not fit into the current circumstance of Korean medical education circles. It is deemed that there are political reasons behind the push - the alignment of interests between the medical education circles and the government. This study first examined the social and cultural circumstances behind the emergence of health systems science in America, focusing on pragmatism, a native American ideology, to critique the background of the introduction of the American system. It also discussed the negative aspects of pragmatism in American medical education in the cases of American educators Ralph Tyler and Abraham Flexner. Then, it specifically examined the background and reasons for introducing America's health systems science to Korea and discussed the problems of directly introducing the health systems science to Korea without any adaptation process through a comparative analysis with existing medical humanities. Finally, it suggested a more desirable adaptation form of health systems science that can be considered for its implementation in Korea.

摘要

最近,韩国医学教育界提出全面引入美国的健康系统科学,以取代韩国现有的医学人文学科教育。这种所谓的 Flexner 教育体系形成于 20 世纪初,以基础和临床医学为中心。引入美国的健康系统科学教育是为了补充这个体系。韩国医学院协会主要推动了健康系统科学的全面引入。然而,它并不符合韩国医学教育界的现状。有人认为,推动这一进程的背后有政治原因,即医学教育界和政府之间的利益一致。本研究首先考察了美国健康系统科学出现的社会和文化背景,重点关注美国本土思想实用主义,以批判美国系统引入的背景。还讨论了美国医学教育中实用主义的负面因素,案例是美国教育家拉尔夫·泰勒和亚伯拉罕·弗莱克斯纳。然后,具体考察了向韩国引入美国健康系统科学的背景和原因,并通过与现有医学人文学科的比较分析,讨论了在没有任何适应过程的情况下直接向韩国引入健康系统科学所存在的问题。最后,提出了一种更理想的健康系统科学适应形式,可以考虑将其引入韩国。

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