Influences of Education on the Attitudes of Medical Students toward Traditional Korean Medicine

한의학 교육이 의대생의 한의학에 대한 태도에 미치는 영향

  • Sohn, Kyeongjin (Department of Korean Medicine, School of Korean Medicine, Pusan National University) ;
  • Cho, Imhak (Department of Korean Medicine, School of Korean Medicine, Pusan National University) ;
  • Lee, Junghyun (Department of Korean Medicine, School of Korean Medicine, Pusan National University) ;
  • Lim, Junghwa (Department of Neuropsychiatry, School of Korean Medicine, Pusan National University) ;
  • Yun, Youngju (Department of Integrative Medicine, School of Korean Medicine, Pusan National University)
  • 손경진 (부산대학교 한의학전문대학원 한의학과) ;
  • 조임학 (부산대학교 한의학전문대학원 한의학과) ;
  • 이정현 (부산대학교 한의학전문대학원 한의학과) ;
  • 임정화 (부산대학교 한의학전문대학원 한방신경정신과) ;
  • 윤영주 (부산대학교 한의학전문대학원 동서협진의학)
  • Received : 2015.02.24
  • Accepted : 2015.04.03
  • Published : 2015.04.30

Abstract

Objective : This study aims to figure out what the medical students' attitudes toward traditional Korean medicine (TKM) are and how TKM education affects them. Method : We performed content analysis on 283 assignments submitted by senior students who took a 'TKM and complementary alternative medicine (CAM)' course in a medical school in 2010 and 2011. The assignment was to write an report after reviewing a research article about 'TKM or CAM' or interviewing a person engaging in a related field. Results : 193(68.2%) students chose a article review and 90(31.8%) students chose an interview. Significantly more students chose TKM topic in interview group than in article review group(p=0.021). Most frequent questions in interview are as follows; 'comparison of TKM and western medicine'(15.7%), 'education in TKM school'(8.8%), and 'TKM and evidence based medicine'(8.8%). Among students who expressed their attitudes toward TKM, 52.4% of them showed positive attitudes before entering medical school, however, 54.6% of them showed negative attitudes in medical school years. Among students who indicated attitude change before and after the TKM course, 35.9% of them changed positively. Conclusion : TKM education might have positive effects on medical students' attitude toward TKM. It is necessary to expand TKM education and introduce effective education stategy in order to alleviate medical students' misunderstanding and prejudice against TKM.

Keywords

References

  1. Wetzel MS, Eisenberg DM, Kaptchuk TJ. Courses involving complementary and alternative medicine at US medical schools. JAMA. 1998:280:784-787. https://doi.org/10.1001/jama.280.9.784
  2. American Association of Medical Colleges. U.S. medical schools teaching selected topics: 2008 LCME Part II Annual Medical School Questionnaire, http://services.aamc.org/currdir/section2/04_05hottopics.pdf. Accessed January 10, 2009.
  3. Varga O, Marton S, Molnar P. Status of complementary and alternative medicine in European medical schools. Forsch Komplementmed. 2006:13:41-45. https://doi.org/10.1159/000090216
  4. Kim DY, Park WB, Kang HC, Kim MJ, Park KH, Min BI, Suh DJ, Lee HW, Jung SP, Chun MS, Lee SN, Complementary and alternative medicine in the undergraduate medical curriculum: A survey of Korean medical schools. J Altern Complement Med. 2012:18(9):870-874. https://doi.org/10.1089/acm.2011.0179
  5. National Center for Complementary and Integrated Health(NCCIH). Complementary, Alternative, or Integrative Health: What's In a Name? https://nccih.nih.gov/health/whati scam. Accessed February 3, 2015.
  6. 이응세. 한방의료 이용실태 및 개선방안 연구. 한국한의학연구원. 1999.
  7. 한경연, 구현경, 윤영주. 한양방 협진을 위한 한의학 교육에 대한 의사 한의사의 인식조사. 대한한의학회지. 2013:34(1):160-169.
  8. Lie D, Boker J. Comparative survey of CAM attitudes, use, and information-seeking behavior among medical students, residents & faculty. BMC Med Educ. 2006:6:58. https://doi.org/10.1186/1472-6920-6-58
  9. Cook DA, Gelula MH, Lee MC, Bauer BA, Dupras DM, Schwart A. A Web-Based Course on Complementary Medicine for Medical Students and Residents Improves Knowledge and Changes Attitudes. Teach Learn Med: An International Journal. 2012:19(3):230-238.
  10. 허남우, 정승아, 김선재, 목나래, 박해원, 신현규. 의대생들의 한의학에 진단 및 치료에 대한 인식조사. 대한예방한의학회지 2013:17(1):107-116.
  11. Natalie Taylor, Anona Blackwell. Complementary and Alternative Medicine Familiarization: What's happening in medical Schools in Wales? Evid Based Complement Alternat Med. 2010:7(2):265-269. https://doi.org/10.1093/ecam/nem185
  12. Nicolao M, Tauber MG, Marian F, Heusser P. Complementary medicine courses in Swiss medical schools: Actual status and students' experiences. Swiss Med Wkly. 2010:140(3-4): 44-51.
  13. Loh KP, Ghorab H, Clarke E, Conroy R, Barlow J. Medical students' knowledge, perceptions, interset in complementary medicine. J Altern Complement Med. 2013:19(4):360-366. https://doi.org/10.1089/acm.2012.0014
  14. 이은주, 박한솔, 이소영, 배다정, 이탁근, 신현규. 대학 부속병원 근무 의사들의 한의학에 대한 인식. 동의생리병리학회지 2002:26(5):773-777.
  15. 김숙경, 문소영, 김범수, 윤영주. 한의학에 대한 의사들의 인식과 태도 변화에 관한 체계적 문헌 고찰. 대한예방한의학회지. 2013:17(3):31-46.
  16. 민현주, 류지선, 윤영주, 한양방협진에 대한 의사들의 인식변화. 대한예방한의학회지. 2012:16(1):15-29.
  17. 정인숙, 임병묵, 이원철, 한양방협진에 대한 의.한의.간호대생의 태도비교. 대한예방한의학회지. 2010:14(1):25-35.
  18. Lie D, Shapiro J, Pardee S, Najm W. A focus Group Study of Medical Students' Views of an Integrated Complementary and Alternative Medicine (CAM) Curriculum: Students Teaching Teachers. Med Educ Online. 2008:13:1-13.
  19. 이순남. 국내 의과대학 보완의학 교육 실태와 교육과정 개발현황. KAMC 의학교육정책포럼자료집. (사)한국의과대학.의학전문대학원장협회. 2010.10.22.
  20. 전민호. 미국과 캐나다의 보완대체의학 교육현황과 향후 의과대학내 교육과정 도입방안. 대한보완대체의학회지. 2005:2(2):237-262.
  21. Quartey NK, Ma PH, Chung VC, Griffiths SM, Complementary and alternative medicine education for medical profession: systematic review. Evid Based Complement Alternat Med. 2012:2012:656812.