【作者】 赵晓云；

【导师】 杨小明；

【作者基本信息】 山西大学 ， 科学技术史， 2019， 博士

【摘要】 西学东渐以来,中国传统数理化逐渐融入世界科学大潮,中医却因为其与中国文化密切相关呈现出不一样的发展路径,其与西医的对抗伴随着整个民国。山西医科大学前身产生于民国前期,最初是一所中医学校,后来却转型为西医教育机构。放眼全国这样的案例并不多见。同时,由于该校是国内唯一一所由省级官员创建的中医学校也是民初山西省创建的唯一一所公立医学校,所以对该校的医学教育转型进行研究无论在山西省内还是全国范围内均兼具稀缺性和典型性,该研究对于当前高等医学院校尤其是中医院校的管理改革有很重要的借鉴与指导意义。本文在语境论的指导下,吸收管理学中的治理理论和组织结构理论,采用内外史研究相结合的方法,将山西医科大学早期的发展(1919-1937)作为一个整体加以研究,发现其教育转型是多重因素作用的结果,在转型过程中该校从微观到宏观多层面都发生了转变。本文认为,山西医科大学早期的教育转型从外部因素看,是由于西医教育的全面渗透,教育行政部门的管理,军政事件的冲击以及新教育运动的影响。其中,西医教育全面渗透是外部主要原因。从内部因素看,是因为山西中医改进研究会开展中医研究效果不理想,学校内部集权与自治间的冲突,学生对中医教育的不认同。中医研究效果不理想是内部主要原因。这些内外因素交织在一起共同促成了山西医科大学早期的教育转型。山西医科大学早期的教育转型从不同层面进行,首先是微观层面的课程设置与教员组成的改变,随之而来的是中观层面办学理念的变化,最后是受外界影响较大的宏观层面的治理模式发生了变化。学校内部组织结构受以上多因素影响,先是在发展过程中不断进行微调,之后随着治理模式的变革发生了重大转变。中微观的改变比较温和,课程设置与教员组成从以中医为主转变为完全的西医属性;办学理念从“以西医促中医”的教育转变为完全西医教育。宏观层面的治理模式变革则比较激进,在学潮推动下从官员治校转向教员治校。内部组织结构的转变有两种方式,一种是与中微观变化有关的渐进转变,另一种是与治理模式转变有关的快速而彻底的变革。本研究填补了山西医学教育领域的空白,成为国内研究中西医教育关系的一个典型案例。更多还原

【Abstract】 Since the spread of western learning to the east,Chinese traditional mathematics,physics and chemistry have been gradually integrated into the world scientific tide,while traditional Chinese medicine(TCM)has shown a different development path because of its close relationship with Chinese culture,and its confrontation with western medicine has accompanied the whole republic of China.The predecessor of Shanxi Medical University was born in the early period of the republic of China,but was transformed into a western medicine education institution later.Such case is rare across the country.At the same time,because it is the only TCM school founded by provincial official and the only public medical school of Shanxi Province in early period of republic of China,so the study of medical education transformation of the school are both scarcity and typicality no matter in Shanxi Province or nationwide,the study for the current management reform of higher medical colleges especially of TCM colleges has very important reference and guidance significance.Under the guidance of Contextualism,this paper absorbs the governance theory and organization structure theory,combines study methods of internal and external history,studies the early(1919-1937)development of Shanxi Medical University,and found that the education transformation is the result of multiple factors,there are multidimensional changes from micro to macro level.This paper holds that the external factors in the early education transformation of Shanxi Medical University are the comprehensive penetration of western medicine education,the management of education administration,the impact of military and political events and the new education movement.Among them,western medicine education comprehensive penetration is the external main reason.From the perspective of internal factors,it is because of the unsatisfactory effect of TCM research carried by Shanxi TCM Research Association for Improvement,the conflictbetween centralization and autonomy inside the school,and students’ disapproval of TCM education.The main internal reason is the inapparent effect of TCM research.These internal and external factors contributed to the early education transformation of Shanxi Medical University.The education transformation in the early stage of Shanxi Medical University carried out at different levels.First,the curriculum setting and faculty composition changed at the micro level,followed by the change of educational philosophy at the middle level,and finally,the governance model at the macro level,which was greatly influenced by the outside world,changed.Influenced by the above factors,the internal organizational structure of the school fine-tuned constantly in the development process,and then changed significantly with the change of governance model.The changes of micro and medium level are relatively mild.Course setting and faculty composition transformed from TCM mainly to western medicine completely.The philosophy of running school changed from the education of "promoting TCM by western medicine" to complete western medicine education.At the macro level,the reform driven by the student agitation is rather radical,governance model changed from the official governance to the teacher governance.There are two ways to change the internal organizational structure: one is the gradual change related to the micro and medium changes,and the other is the rapid and thorough change related to the change of governance model.This study has filled the gap in the field of medical education in Shanxi Province and becomes a typical case of studying the relationship between TCM education and western medicine education in China.更多还原