의대가 죽어야 나라가 산다

미래플랫폼 윤인모 교수의 신간, 〈의대가 죽어야 나라가 산다〉를 출간

미래플랫폼 출판사는 2월 15일 윤인모 교수(서울성모병원 예방의학교실 외래교수)의 신간, 〈의대가 죽어야 나라가 산다〉를 출간했다.
〈의대가 죽어야 나라가 산다〉는 저자가 경험한 병원의 실제 에피소드와 경영에 직접 참여해 온 저자의 노하우와 철학이 담겨있는 에세이다.
이번 신간은 총 6장으로 구성되어 있다. 마지막장은 한국의료의 미래에 대한 실효성 있는 대안을 제시한다.

마지막 6장의 내용을 잠시 보자면 " 한국의 의료제도가 출범한 이래로 50년간 변화가 없다.
그러나 현재 제안되는 법안을 관찰해 보면 이러한 변화의 온도가 감지된다.
거의 50년 만에 공급 모델이 바뀌는 경험은 지금까지와는 다른 수준의 갈등과 고통이 수반될 것이다.
아마도 혁신의 가장 큰 장애물은 현재의 제도만이 의료제도라고 익숙해져 있는 사람들일 것이다.
고통도 가장 클 것이다."라고 저자는 현직 의사가 이야기하는 현재 의료제도의 현실을 과감하게 공개하였다.

이 변화와 고통은 몇 년 후를 위해 의대 입시를 준비하는 학생들에게 돌아갈 확률이 가장 크다.
그렇기 때문에 저자는 허상 속의 의대는 죽어야 한다라는 의미로 책의 제목을 지었다고 한다.
의대생들에게도 본인이 왜 의사가 되고 싶은지 신념과 목적이 명확해야 하지 않을까? 하는 물음표를 함께 던진다.
필수의료의 붕괴를 막기 위해 저자는 '사관학교형 의대'라는 모델을 이 책에서 정교하게 보여준다.

제1장 사회-성형외과 진료실의 고민
이런 사회문제로 병원만 어려울까. ··········································1
차라리 내 딸을 고소해 주세요. ·····················································3
부모들의 속앓이 ···················································································3
병원 속여 수술받기 ···············································································4
가정불화 원인 - 중고생 성형 ·································································6
중성반 결성 (중고생 성형 반대모임) ······················································7
성형외과의사가 미성년자 성형을 반대하는 이유 ···································7
해드려요, 말려드려요 ··········································································8
30만 유튜버의 애완용 블로그는 성형외과 갈취용 ························12
갑작스러운 예약 취소 증가 ··································································12
대화를 피하려는 고객 ·········································································17
비로소 밝혀지는 본캐 ·········································································20
이중생활이 들통난 후기 남 ··································································22
학교폭력과 닮은 인터넷 폭력 증가 회로 ·······································25
저 장애인 됐어요 ················································································25
인터넷 폭력 - 플랫폼은 공범죄, 방통위는 방조죄 ································28
외면당하는 성형외과 ···········································································29
학교폭력과 닮은꼴 - 외면속에 증가하는 인터넷 폭력 ···························31
법적 공방 2라운드 ··············································································32
악성 비방자가 원하는 것 - 소기업, 자영업자 매출을 줄여 벌주기 ·········33
검경(檢警)이 방관하는 근본적 이유 ·····················································34
자영업, 소상공인을 위한 제안 ·····························································35

제2장 고객-아! 눈높이 맞추기 어렵네.
오늘도 고객님께 적응 중 ······················································37
만족시킬 고객은 수술받을 사람뿐이 아니다. ································39
쌍꺼풀 1천만 원입니다. .............. 한쪽 눈에… ··························43
묘수 세 번 바둑 필패-정수의 중요성 ···················································43
편견을 깨야 존중이 생긴다 - 코끝보다 높은 모성애 ·····················47
의학은 인문학 - 수술은 진료의 일부일 뿐 ···································50
성형 - 외모의 개선 아니 그 이상의 가치 ······································53
잘 된 성형, 두배된 행복 ······································································53
자신감은 인생의 비타민 ······································································54

제3장 철학-우리 병원 존재 이유
경영은 존재 이유의 실행 ······················································57
미션은 북극성이다. ·····································································59
미션과 비전 ························································································59
why 미션 ···························································································59
미션의 설정 ························································································60
고객보다 고객의 얼굴을 더 잘 아는 병원 ······································62
고객의 얼굴에 대해 미학적 분석이 안되는 경우 ···································62
고객은 자기 얼굴을 잘 알고 있을까 ·····················································62
올바른 상담의 결과 ·············································································63
미션 수행에는 학습이 필요하다 ···························································64
병원의 온도를 변화시켜라
- 차가운 수술 동의서 vs 따뜻한 사후관리 안내문 ·····················66
수술 동의서 - 온도는 영하권 ·······························································66
좋은 담장이 좋은 이웃을 만든다. ························································68
수술 전에는 병원 편 수술 후에는 고객 편 ·····································70
수술 후에는 고객편 ·············································································70
심판말고 소통하라. 관리말고 소통하라. ·············································72
환자 개인의 시그니처 메뉴 - 덧셈보다는 뺄셈으로 찾아라. ··········74
성형외과 산수의 핵심 : 뺄셈 ·······························································74
성형외과 파레토의 법칙 ······································································76

제4장 성형외과-성형외과 사용법
의학(기술, 지식, 자세)과 미학으로 진료한다 ·························77
이벤트 성형 - 호갱 낚시 ······························································79
성형외과 의사 면접을 보자 - Beyond 호갱- ······························82
성형외과의사의 수술 권유기준 - 화룡점정(?龍點睛)을 찾아라 ···85

제5장 직원-고객 그 이상
: 경영학을 현장이라는 압축기에 넣었다.
기름기 빠지고 중요한 것만 남았다 ········································91
경영학 박사 자영업 하다 망하다. ·················································93
가수분해! 책 만으로는 안되더라. ························································93
가수분해가 잘 되면 ·············································································94
CEO의 E-새로운 개념: Entertainment ···································96
직장인의 업무 몰입도 ·········································································96
사장과 직원은 무엇을 교환하는가. ······················································97
유효기간이 지나가는 동기부여 ····························································98
사람을 발전시키는 Key point -흥(興)- ··············································99
신규직원 정착의 핵심- 직장내 착륙할 곳을 마련해 주자. ···········101
100세 시대 누구나 터득해야 하는 삶의 방법은? ························107
시드 머니만큼 시드 피플이 중요하다 ·········································111
정성 들여 교육했는데 사직 - 표정 관리 불능 순간 ·····················113
표정 관리가 안 되는 순간 ··································································113
그래도 다시 교육 ··············································································116
칭찬-질보다 양이다 ··································································117
인간이 저절로 터득하는 천부적인 능력 - 단점 잡아내기 ····················117
침묵은 Gold가 아니고 Cold(싸늘함) ·················································118
직원 빼가서 차린 가게가 오래 못 가는 이유 ·······························120
애벌레 둘이 만난 경우가 최악이다 ····················································120
화성에서 온 사장, 금성에서 온 직원 ··················································121
조직운영 기본 - 자극이 되면 선순환 안심이 되면 악순환 ··········124

제6장 미래-의대가 죽어야 나라가 산다
의대 개혁이 미래 한국의료 개혁 ·········································127
의사들의 걱정 - 한국은 의료계의 베네수엘라가 되는가? ············129
도입글 ······························································································129
의사들의 대화-우리가 아프면 누가 치료해주지? ·······························130
한국의 의료 서비스 공급 모델 ··················································135
한국의료의 모든 부작용의 원인
- 한국의료의 서비스 공급 모델
〈 (저가)보험진료+ (고가)비급여 진료 형태 〉 ························139
의료비 증가율 세계 최고 ···································································139
필수의료 붕괴는 예정된 수순 ····························································140
4차산업 의료도입 후진국 ··································································141
진정한 공공의료는 없다. ···································································142
무늬만 의료전달체계 ········································································142
한국은 대부분 전문의 - 민간의사 100% 국가의 부작용 ····················143
한국 의사 - 부자? (주요국 의사보다 평균 2배 더 벌고)
vs 삶의 질 최저?(5배 일하는 것) ···················································143
주요국과 다르게 한국 의사는 형사재판의 대상이 되고
이에 부작용이 심하게 나타난다. ····················································145
늘어나는 사교육비 낮아지는 출산율 ··················································146
현실을 알게 된 의사의 화학적 변화가 시작되고 있다. ·······················146
한국! 공급 모델의 문제인가 아니면 운영의 실패인가. ················149
한국과 유럽의 명확한 차이 ·······························································149
초기부터 두 가지 축 (민간과 공공)을 분리시켜 제도화한 유럽 ···········149
다른 주요국의 개혁 방향도 두 축으로 분리중 ····································151
한국 의료의 문제점 ···········································································152
개혁의 시기는 이미 늦었다. - 끓는 물속에 개구리 한국의료 ·······153
정책을 위한 정책 - 공공의대 ·····························································153
의과학자 양성을 위한 의대도 예외는 아니다. ····································154
의대 증원 - 수십 년간 논쟁만 지속 중 ···············································155
끓는 물속의 개구리 한국의료 ····························································156
우리에게는 사관학교형 의대가 필요하다. ··································158
필요한 전제조건 ···············································································159
사관학교형 의대를 둘러싼 이해 관계자 ·············································161

제언 ·································································································163

에필로그 ·············································································165

윤인모 저자는 가톨릭의과대학교를 졸업하고 서울성모병원에서 수련한 전문의, 동대학의 예방의학교실 외래교수이다. 동시에 사회복지학사(교육부), 경영학 석사(뉴욕 주립대), 경영학박사(서울과학 종합대학원)에서 학위도 취득하였다. 컨설팅사와 대기업 신사업부 고문, 건강보험심사평가원 미래위원회 위원, 연세대학교 보건대학원 겸임교수, 가천대학교 겸임교수, 보건복지인력개발원 의사 경영자 과정 주임교수, 대한 의사협회 상임 이사 활동을 하였다.
저서로서는 한국 헬스케어 산업의 미래 경쟁력(삼성경제연구소 2005), 대한민국 의료산업 세계의 강자를 꿈꿔라(서울경제경영 2010-문화관광부 우수학술도서(전-세종우수학술도서)), 리셋 for 미래 한국의료복지(서울경제경영- 2022 세종우수학술도서)등 다수의 저서가 있다.