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 Project 、 entrustable professional activity 、 competency 、 medical education 、 anesthesiology 、 residency 、 TSCI |
出刊日期 | 201801 |
DOI | 10.6320/FJM.201801_22(1).0007 |
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。
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.