篇名 | 某區域教學醫院實施畢業後一般醫學訓練中社區醫學訓練之教學現況探討 |
---|---|
卷期 | 4:2 |
並列篇名 | Efficiency of Training Community Medicine within a Post-Graduate Medical Training Program |
作者 | 林慧卿 、 王琨 、 宋楷元 、 王志嘉 、 江維鏞 、 唐鴻舜 、 陳之凱 |
頁次 | 91-97 |
關鍵字 | 社區醫學訓練 、 畢業後一般醫學訓練 、 受訓醫師評量表 、 教師評量表 、 Community medicine training 、 Post-graduate medical training program 、 Clinical trainer evaluation sheet 、 Trainee doctor evaluation sheet |
出刊日期 | 200606 |
背景與目的:探討畢業後一般醫學訓練計畫中社區醫學訓練的教學施行狀況及評估臨床教師與受訓醫師滿意情形,以做為日後訓練的改善方針。方法:以92 年度在北部某區域醫院接受社區醫學訓練的第一年住院醫師和其臨床教師填寫「受訓醫師評量表」,「教師評量表」。結果:自92 年10 月至93 年05 月止,「教師評量表」實得有效問卷359 份、「受訓醫師評量表」實得有效問卷447 份。從「教師評量表」發現84.7%的臨床教師認為受訓醫師對於參與社區醫學訓練有興趣,僅有20.9%的臨床教師認為受訓醫師的社區醫學相關知識只維持在尚可甚至不足的程度。「受訓醫師評量表」發現只有17.4%的受訓醫師表示學習前一定會先行蒐集資料,19.2%的受訓醫師表示學習後會做詳細的教學記錄,但96.9%的受訓醫師覺得瞭解學習目標,91.5%的受訓醫師認為社區醫學的訓練對本身的臨床技能是有幫助的,說明了畢業後一般醫學訓練中社區醫學訓練的必要性。結論:受訓醫師對社區醫學訓練學習動機以及其社區醫學相關知識仍然不足,這是今後醫學教育仍需要加強的部份。
In this article, we explore the execution of and satisfaction with a community medicinetraining course within a post-graduate medical training program supported by the Taiwan JointCommission on Hospital Accreditation in 2003. From October 2003 to May 2004, 359 ClinicalTrainer Evaluation Sheets and 447 Trainee Doctor Evaluation Sheets were collected. Amongtrainers, 84.7% commented that the trainee doctors seemed to have interest in communitymedicine, while 20.9% claimed that the knowledge of trainee doctors was insufficient or barelyenough. However, only 17.4% of the trainee doctors had collected any related materials before thetraining course began, and only 19.2% made a detailed summary after the training courses. Amongthe trainee doctors, 96.9% claimed to know the goal of this program, and 91.5% said the trainingcourse was useful in the development of clinical skills. This proves the importance of communitymedicine in a post-graduate medical training course. In the future, trainees'motivation toward andknowledge related to preclinical and clinical medical education need to be improved.