한,미 의과대학 과정에서의 정신의학 교육 현황 비교 -Cornell의대와 서울의대의 경우-
Psychiatric Education for the Medical Students in Korea and the United States

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서울대학교 의과대학
Seoul J Med 1980;21(2):194-202
1. Having had an opportunity to visit the Department
of Psychiatry, Cornell University Medical
School for 3 months in 1979~ 1980, the author hereby
presents some basic differences between Cornell and
the Seoul National University College of Medicine
in educational policies, plans of instruction and
faculty structure in the present status of psychiatric
education for the medical students, as follows:
(1) The numbers of medical students in each year class are 110 at Cornell University and 160 at the
Seoul National University.
(2) Cornell University has 78 full-time faculty
members and 185 additional volunteer faculty who
regularly involve in teaching while the Seoul Natio·
nal University has 5 in full-time and 17 in volunteer
faculty, and therefore the former has 15and 10 times
more faculty members than the latter has. In addition,
Cornell University has 308members as teaching
resource, who are fellows in teaching and research
and adjunctive professors while the Seoul National
University has none of those.
(3) Total hours assigned to psychiatric education
in 4 years of medical school period are 376 hours at
Cornell and 192 hours at the Seoul, and the percentages
of hours of psychiatric education in the whole
curriculum at Cornell is 6.8% in contrast to 3.9%
at the Seoul National University.
(4) Cornell University starts psychiatric education
in the first year of medical school while the other
starts in the second year.
(5) They, at Cornell, put more emphasis on behavioral
sciences, human development through life
cycle, communication skills and the doctor-patient
relationship, and a significant portion of teaching
is done in non-psychiatric settings as the goal of
education is to make primary care physicians, while
the Seoul National University puts more emphasis
on human development through life cycle and clinical
2. The following reasons seem to attribute to
relatively high emphasis on psychiatic education in
the United States in comparison to relatively low
status of it in Korea:
(1) The United States is the place of "melting-pot"
of various cultures, the degree of tension and conflicts
in each individual and in society is higher,
and more people seek psychiatric helps.
(2) The causality theory of dynamic psychiatry
and psychoanalysis is marc appealling to the American
culture which puts high values on "autonomy
and independence" in each individual.
(3) Loneliness, as a modern industrialized country,
more prevails in the United States.
(4) In Korea, there is relative lack of understanding of modern dynamic human psychology in general
population and in circles of medical authorities.
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College of Medicine/School of Medicine (의과대학/대학원)Dept. of Medicine (의학과)The Seoul Journal of MedicineThe Seoul Journal of Medicine Vol. 21 No.2 (1980)
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