의사 수련제도의 역사적 기원 -프랑스 인턴 제도를 중심으로-

Abstract

The internship system first started in France in 1802. It was a product of the French Revolution. The French Revolution transformed not only the political system but also society as a whole, and medicine was transformed into hospital-based clinical medicine. Hospital-based clinical medicine required a corresponding medical education and training system, and the internship system emerged as a result. Surgeons and internists, who had previously existed as separate professions, were merged into a single profession. Surgeons had been working in hospitals long before the Revolution, seeing patients and using hospitals as teaching grounds. As a result, surgeons were able to be at the forefront of new medical advances during the Revolution, when the two professions merged and hospitals became the centre of medicine. Already familiar with the hospital environment, surgeons were able to develop a hospital-based clinical discipline, which enabled them to become the leading force behind the golden age of French medicine in the first half of the 19th century. The internship system, or hospital-based training, can be traced back to the early use of hospitals for surgical training.