• Title/Summary/Keyword: Medical ethics

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Elements of Natural Ethics - Focusing on Korean Medicine Ethics - (자연 윤리학 구성의 제 요소 - 한의사 윤리를 중심으로 -)

  • Ahn, Young-soo;Kim, Min-joo;Oh, Jung-myung;Min, Yu-ri;Lyu, Jeong-ah
    • Journal of Korean Medical classics
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    • v.33 no.2
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    • pp.13-32
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    • 2020
  • Objectives : To define an everyday ethics for students and doctors of Korean Medicine, people who desire treatment, cultivation and healing through Korean Medical means by determining its conditions and characteristics. Ways of constructing its contents fit for contemporary society were discussed. Methods The threefold Heaven-Earth-Human theory, Yinyang theory, circulation of the Five Phases along with contents of classics such as 『Huangdineijing(黃帝內經)』, 『Guanzi(管子)』, 『Zhongyong(中庸)』, 『Daxue(大學)』, 『Beijiqianjinyaofang(備急千金要方)』, 『Donguibogam(東醫寶鑑)』 were newly interpreted or quoted for explanation. Results : The elements that construct natural ethics and Natural Ethics were established as following: the natural perspective of Nature and People, natural sustainability as fundamental principle, co-existence and initiative circulation as fundamental rules, education and cultivation of lay people, and professional character and competence. Conclusions : The authors suggest a reconstruction of the inherent philosophy, ethics, principle, rule, life guidelines of Korean Medicine within the framework of "natural ethics" and "Natural Ethics" as a prior task for better integration of traditional KM into contemporary society.

Application to the Dilemma Discussion Program: Ethics and Character Education for Medical Students (의과대학 윤리·인성 교육을 위한 딜레마 토론의 활용)

  • Hong, Sung-Hoon
    • Korean Medical Education Review
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    • v.11 no.2
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    • pp.3-14
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    • 2009
  • The current medical practices in Korea have raised many new ethical issues. The current education system in medical colleges, however, is finding it difficult to cope with these rapidly arising medical issues. Many educators, therefore, became much more concerned about the importance of ethics and character education in medical colleges, but teaching methods or educational programs centered around the same have not yet been developed. Dilemma discussion is regarded as an available teaching method but is not frequently used in medical education. In this respect, this study aims to apply dilemma discussion programs to ethics and character education for medical students. It was discovered that dilemma discussion is an effective instructional method for enhancing the moral reasoning ability of medical students. According to $Rest^{\circ}{\phi}s$ theoretical framework, however, a dilemma discussion program focuses on two components of morality: moral judgment and moral sensitivity. Moral judgment and moral sensitivity are major components in predicting moral behaviors. Therefore, the target of dilemma discussion programs is to focus on these two components. It is reasonable to integrate moral judgment with moral sensitivity for ethics and character education in medical schools.

Background of Revised Medical Law Article 57 (Revision of Medical Advertising Review System), - The Social Ethics and Public Value of Advertising (개정의료법 57조(의료광고 사전심의제도 개정)의 배경, - 광고의 사회적 윤리성과 공익적 가치)

  • Cho, EunHee
    • Korea Journal of Hospital Management
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    • v.24 no.1
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    • pp.77-80
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    • 2019
  • The medical advertising review system which was revised and implemented on September 28, 2018, was revived. In this paper, we examine the implications of social ethics and public value of advertising under 4 perspectives of advertising, present the direction of future medical advertising, and suggest the meaning and expected effect of the preliminary medical advertising review system.

A Study on the Korean Medical Students' Perception of Medical Ethics Education Using Flipped Learning (플립러닝을 활용한 의료윤리학 교육에 대한 한의대생의 인식과 경험)

  • Park, Sunju;Choi, Eunji;Kim, Song-Yi
    • Journal of Society of Preventive Korean Medicine
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    • v.22 no.2
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    • pp.1-12
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    • 2018
  • Objectives : Recently, the interest on medical education in flipped learning has been growing. Competency-based curriculum is also required through changes in teaching methods within the Korean medicine education. In this study, flipped learning method was applied to 'medical ethics' class to examine the perception and experience of flipped learning from the Korean medical student's perspectives. Methods : The study was conducted on 15 preparatory course freshmen students who took the 'medical ethics' course, in the second semester of the year 2017 at 'A' University. The study was proceded in two steps; 1) fill-in the questionnaire twice (before and after the class), and 2) in-depth interview with semi-structured questionnaire. The $1^{st}$ questionnaire in the first step was consisted of 'Experience on flipped learning before the class', 'Which section of the flipped learning class do participants have expectation', 'Interest and expectation on flipped learning'. In the $2^{nd}$ questionnare, the participants were asked 'Which section of the flipped learning section that the learning effect was maximized', 'Association between 'flipped learning' method and 'Medical ethics' course' with 5-point Likert scale and frequency. Results : The results showed that flipped learning method works very effectively in the 'medical ethics' course (63.6%). After the flipped learning class, the participants showed positive change in a attitude of the class (72.7%). However, this teaching method might be inappropriate for participants who had difficulties in pre-learning or a passive attitude and lecture-centered instruction (LCI) classes. Conclusions : Though applying flipped learning method to the 'Medical Ethics' was effective, to make pre-learning better, the instructors should prepare countermeasures for passive participants, help interact well among the participants, and plan a lesson thoroughly for changing LCI classes to student-centerd instruction(SCI).

A comparative study on the consciousness of bio-medical ethics of nursing and non-nursing students (간호과와 비 간호과 학생의 생명의료윤리 의식 비교)

  • Cho, Mee-Kyung
    • Journal of Digital Convergence
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    • v.11 no.4
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    • pp.311-320
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    • 2013
  • The purpose of this study was to identify consciousness of bio-medical ethics of nursing and non-nursing students. The total mean scores of consciousness of bio-medical ethics between nursing(3.04/4) and non-nursing(2.88/4) were significantly different(t=6.79, p<.001). There were statistically significant differences between two groups in sub-categories of consciousness of bio-medical ethics: right to life of fetus, prenatal diagnosis of fetus, right to life of newborn, euthanasia, organ transplantation, brain death. The major predicting factors for consciousness of bio-medical ethics were experience of studying for biomedical ethics over 1 semester, experience of conflict for biomedical ethic problem, and ethical attitude in nursing department. Study results indicate that appropriate and various teaching-learning method for education of each department is deeded according to move up into a higher class with consciousness of bio-medical ethics, ability of decision making, critical thinking.

Medical Narrative Texts and Medical Ethics (의료 서사와 의료 윤리)

  • Choi, Sung-Min
    • Journal of Popular Narrative
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    • v.26 no.3
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    • pp.291-323
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    • 2020
  • In this paper, I review Pellegrino's Reader, The Philosophy of Medicine Reborn. Pellegrino has emphasized the humanities' reflection on the ethics of medicine. He insists that medical ethics should be re-established as modern society changes. This paper, based on Pellegrino's view, noted the problematic situation in literature and popular narrative texts. Indeed, I wanted to see what answer medical ethics could provide for us. Medical personnel had a philosophical dilemma or a conflict between reality and ethics. Pellegrino argues that medical personnel, above all, need to sympathize with the patient's pain and respond to their needs through interaction with them. This may seem like a very legitimate declaration. But a physician in literary texts and popular narrative texts is often exposed to this ethical dilemma. Through Lee Cheongjun's novel, we can reflect on how a medical personnel could lead a patient to a state of "goodness". And through medical dramas, we can grasp what ethical behaviors the public demands from a medical personnel. Now that the world is suffering from COVID-19, medical workers are in a great trouble, but at the same time, they are respected by the public and are also enhancing their value as ethical beings. Now that medical care has become an everyday narrative, medical ethics is becoming a prerequisite for living. This paper attempted to recognize the importance of medical ethics and to review the ethical issues embodied in medical narratives.

The effects of ethical decision making factors on vocational ethics and job satisfaction of firefighters (윤리적 의사결정 영향요인이 소방공무원의 직업윤리의식과 직무만족에 미치는 영향)

  • Choi, Bo-Ram;Kim, Jin-Hyeon
    • The Korean Journal of Emergency Medical Services
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    • v.22 no.1
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    • pp.61-72
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    • 2018
  • Purpose: The purpose of the study was to analyze the effects of ethical decision making factors on vocational ethics and job satisfaction of firefighters and to provide basic data to promote appropriate vocational ethics and improve job satisfaction. Methods: A self-reported questionnaire was filled out by firefighters in D metropolitan area from May 7 to 15, 2017. A total of 410 data were analyzed using SPSS 24.0 program. Results: Among influential factors of ethical decision making, "ethical environment of organization"(${\beta}=.266$), "coworkers' influence" (${\beta}=.216$), and "managers' ethical competence" (${\beta}=.148$), 'compensation and punishment'(${\beta}=.097$) had a positive effect on vocational ethics, while "coworkers' influence" (${\beta}=.281$), "ethical environment of organization" (${\beta}=.274$), and "managers' ethical competence" (${\beta}=.143$) had a positive effect on job satisfaction. Vocational ethics was found to have a significantly positive effect on job satisfaction (B=.657, t=8.802, p=.000). Conclusion: It is necessary to promote vocational ethics for improvement of firefighters' job satisfaction, and appropriate ethics education should be provided. It is important to actively manage the factors affecting ethical decision making.

Bioethical Perception between Nursing Students and Medical Students (의료계열 대학생들의 생명 윤리 의식)

  • Ahn, Hye-Young;Cho, Byung-Sun;Choi, Sook-Heui;Choi, Won;Go, Yu-Mee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.14 no.1
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    • pp.98-107
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    • 2008
  • Purpose: The purpose of this study was to provide basic data which is necessary for educating nursing and medical students for establishing a desirable sense of ethics values Method: In this descriptive research, a total of 140 nursing students and 124 medical students were selected. The tools used for data analysis were descriptive statistics, t-test, one-way ANOVA, and Scheffe test by using SPSS/WIN 12.0 version. Result: When the differences in the consciousness of biomedical ethics of nursing and medical students were compared, statistically significant differences were found in the category of brain death (t=-3.26, p=.001). Statistically significant differences were found in the general characteristics of religion (F=3.05, p=.018), and participation in religious activity (F=3.34, p=.006). Statistically significant differences were found in the characteristics related to the subjects' ethical values such as satisfaction level of a nurse/doctor (F=7.39, p=.000) occupation, the experience of A Patient's Bill of Rights (F=2.97, p=.020), the intention to attend biomedical ethics (F=5.61, p=.000), and the possibility of increasing ethical problems according to the development in the field of medical science (F=7.92, p=.000). Conclusion: An effort should be made to overcome the differences in the perception of biomedical ethics between nursing students and medical students. Moreover, when investigating the course of an integrated education for the establishment of a desirable sense of biomedical ethics, an alternative plan that could promote ethical values must be considered so that the significant variables can promote bioethical perception.

A Study on Oriental Medical Doctors' Ethic with The Way of The Oriental Medicine Philosophy (한의사(韓醫師) 윤리(倫理)에 대(對)한 한의철학적(韓醫哲學的) 연구(硏究))

  • Ha, Hong-Gi;Baik, You-Sang;Kim, Soo-Joong;Jeong, Chang-Hyun
    • Journal of Korean Medical classics
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    • v.20 no.4
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    • pp.127-149
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    • 2007
  • The environment surrounding oriental medical' doctors made change in accordance with changes of the society to make change of the doctors' ethics. In particular, some of practitioners made light of patients to let people distrust all of the medical professions. To improve such a situation, oriental medical doctors' ethics should be examined historically and philosophically. This study examined the literatures of Oriental medicine on oriental medical doctors' ethics to investigate difference of medical ethics between the Western medicine and the Oriental medicine and to suggest a way promoting oriental medical doctors' ethical consciousness. The ethics of the literatures of Oriental medicine might be classified into the two, in other words, 'medical technology' and 'mental attitude'. 'Medical technology' laid emphasis upon not only a lot of researches on Oriental medicine but also doing best to give patients medical treatment carefully. 'Mental attitude' laid emphasis upon keeping 'humanity(仁心)' thinking much of patients not to pursue excessive profits. To recover ethical consciousness, not only 'reinforced school education' but also 'reinforced legal regulation' was required. And, oriental medical doctors, nongovernmental organizations, common people and other social members were demanded to make efforts together to elevate oriental medical doctors' ethical consciousness.

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