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臺灣醫學

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篇名 臺灣麻醉專科導入可信賴專業活動於里程碑計畫
卷期 22:1
並列篇名 Implementation of Competency-Based Medical Education with a Local Context in a Taiwan Emergency Medicine Residency Training Program
作者 陳建宇唐功培林峰盛程毅君戴裕庭周致丞
頁次 062-070
關鍵字 里程碑計晝可信賴專業活動勝任能力醫學教育麻醉住院醫師Milestone Projectentrustable professional activitycompetencymedical educationanesthesiologyresidencyTSCI
出刊日期 201801
DOI 10.6320/FJM.201801_22(1).0007

中文摘要

本文旨在介紹CBME在臺灣麻醉專科領域之先期導入歷程,分三方面說明近期CBME在不同機構 中所採取之路徑,(一)「臺灣麻醉專科milestone指標在地化建置」:邀請全國專家代表經由三次驗證歷程, 透過德懷術問卷形塑共識,獲得在地化增修之麻醉科milestone指標。(二)「單一機構執行shift-based milestone之先導研究」:經由簡化、雲端化的創新設計,嘗試在日常工作中融入milestones評核。(三)「全 國milestone-based EPAs之藍圖」:首創涵蓋25項milestones次核心能力之EPAs,使評量更貼近臨床。以 上教學介入策略皆為降低CBME推動之阻力,經由探索其背景脈絡,檢視推動之初期成果,並在其所遭 遇之困境中反思下一階之策略與方向,為確保麻醉專科醫師訓練品質與病人安全嚴格把關。

英文摘要

This article introduced the preliminary outcomes of three approaches adopted for CBME implementation in the field of Anesthesiology in Taiwan. First, a three-round Delphi national survey has been carried out for shaping consensus and developing a local version of Milestone indicators. Second, a simplified, cloud-based milestone has been merged to anesthetic work shift. Third, all 25 Anesthesiology subcompetencies have been deliberately covered by 6 EPAs for evaluating an anesthesiologist’s clinical competence. The aforementioned three contextually derived strategies aim at minimizing resistance to change, ensuring quality of resident training and patient safety.

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