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Definition of the problem <p>The article presents a&#xa0;historical analysis and interpretation of the construct “History, Theory and Ethics of Medicine” (abbreviated as GTE in German) in German medical education. This construct, which was included in the new licensing regulations for physicians in 2002 and which led to an almost comprehensive institutionalization of GTE at German medical schools, has now disappeared from the drafts of new licensing regulations.</p> Arguments <p>This development provokes the question whether the disappearance reflects a&#xa0;fundamental feature of GTE: The question if, notwithstanding the university chairs and textbooks that have been established since 2002 under the label of GTE, its components showed an insufficient, if not absence of integration, especially the components of medical history and medical ethics. The question about an institutionalization without integration is explored here by presenting the historical genesis, the interpretation and the elaboration of the construct, not least through the analysis of contemporary sources of two protagonists of this process, the professional association for medical history and the academy for ethics in medicine.</p> Conclusion <p>Hereby, it becomes clear that, despite significant personnel overlap and repeated efforts to foster collaboration between medical history and medical ethics, the distinct disciplinary autonomy of each field ultimately prevailed, shaping the process of institutionalization.</p>

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GTE 2002–2020. Institutionalisierung ohne Integration?

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年8月4日

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  • Mathias Schütz,
  • Felix Sommer

摘要

Definition of the problem

The article presents a historical analysis and interpretation of the construct “History, Theory and Ethics of Medicine” (abbreviated as GTE in German) in German medical education. This construct, which was included in the new licensing regulations for physicians in 2002 and which led to an almost comprehensive institutionalization of GTE at German medical schools, has now disappeared from the drafts of new licensing regulations.

Arguments

This development provokes the question whether the disappearance reflects a fundamental feature of GTE: The question if, notwithstanding the university chairs and textbooks that have been established since 2002 under the label of GTE, its components showed an insufficient, if not absence of integration, especially the components of medical history and medical ethics. The question about an institutionalization without integration is explored here by presenting the historical genesis, the interpretation and the elaboration of the construct, not least through the analysis of contemporary sources of two protagonists of this process, the professional association for medical history and the academy for ethics in medicine.

Conclusion

Hereby, it becomes clear that, despite significant personnel overlap and repeated efforts to foster collaboration between medical history and medical ethics, the distinct disciplinary autonomy of each field ultimately prevailed, shaping the process of institutionalization.