Introduction of the Taiwanese Medical System[中文+英文]

課程訓練部 醫學六 丁鵬升 製作

台灣的醫學教育體制介紹

醫學教育制度概述：

        台灣的醫學系教育始於1897，至今已逾一百年。一直以來制度大致上是七年制，理想上前兩年為大學教育，三四年級為基礎醫學，五六年級為臨床醫學，七年級擔任實習醫師。並非全台灣的醫學系都是以這樣的制度施行，例如有一些醫學系會有一年半或兩年的實習。於西元2013年入學的新生將會改成6+2制度，因為如此一來最後會有兩年的實習時間，希望可以訓練出更能做一級照護的醫師。

里程碑：

1994全面施行小班教學與問題導向教學

1999醫學院評鑑委員會成立，以標準化全台醫學教育

2007開始推行醫學專業素養，開始效法美國ACGME的六大核心能力

2011開始推行在第二階段國家考試前進行標準化臨床考試(OSCE)，各醫學系前後開始建立臨床技能中心來增進問診能力及各種醫療行為之練習

2013全台灣醫學系標準化為6+2制度，加強學士後醫學訓練

台灣大學醫學院近來的醫學教育改變

l   楓城利他獎的建立，鼓勵助人精神

l   醫學專業素養作文比賽

l   評分方式由百分制改為等第制

l   住院醫師申請審核條件降低成績比重

l   精簡課程並空出時間讓學生能培養多元能力

l   鼓勵學生公共事務參與

Introduction of the Taiwanese Medical System

Overview of Medical Education in Taiwan:

        Taiwan’s medical education began in 1897 and is over 100 years old now.  It has had a 7 year curriculum, during which ideally the first two years are undergraduate liberal arts education, the third and fourth years are basic medical science education, the fifth and sixth years are clinical science, and the seventh year is an intern doctor.  Students graduate with a Doctor of Medicine (MD) degree.  Starting from the year 2013, incoming students will have a 6+2 year curriculum, in which the first 6 years are oriented similarly as before and the last two years are Post Graduate Years; this change aims to increase primary care capabilities of medical school graduates.

Milestones:

1994: Small group teaching and Problem Based Learning curriculum were implemented nationwide

1999: The Taiwan Medical Accreditation Council was established and aims to standardize medical education in Taiwan

2007: Medical Professionalism and the Accreditation Council for Graduate Medical Institutions (ACGME) six core abilities were emphasized in clinical settings

2011: The Objective Structured Clinical Exam (OSCE) will be a requirement for the second step of Taiwan’s medical licensing exam.  Clinical skill centers were established by medical schools nationwide to improve patient contact abilities and adeptness in medical procedures

2013: Change to the 6+2 year program to improve primary care capabilities

Changes in Medical Education at NTUCM

l   Altruism award for undergraduates

l   Professionalism essay contest

l   Grading system: from percentage scoring to grade point scale

l   Residency application lowers emphasis on academic performance

l   Streamline formal curriculum and reduce formal curriculum hour to release time for students to develop broad competences

l   Encourage student participation in public affairs