培養醫學生在醫療體系下行醫能力的新課程

鄭希彥; 陳偉德; 黃俊寅; 陳祖裕; 李采娟

doi:10.6145/jme.201106_15(2).0004

山西大学，您好！

感谢采购，人社期刊库｜人社论文库，期间：2025/01/01~2025/12/31

感谢试用，科学期刊库｜科学论文库，期间：2024/10/20~2025/01/20

浏览高级检索

关闭
检索检索高级检索出版物检索
浏览期刊主题浏览核心期刊浏览期刊拼音浏览

关闭

查询符号(半角)	查询符号意义说明
空格	表示为「AND」两个查询词之交集
双引号 ( " " )	片语以双引号标示开始及结束，而且只寻找出现顺序相同的字词，例： " image process "
?	表示一个字母切截，输入两个?表两个字母，依此类推，例：输入「Appl?」，查得结果应为appl e , appl y … ( 常用于英文字查询 )
*	表示不限字母切截，由0~n. 例：输入「appl*」，查得结果应为appl e , appl es , appl y , appl ied , appl ication … ( 常用于英文字查询 )
AND、OR、NOT	布尔逻辑组合关键字，用来扩大或缩小查询范围的技巧。 (1) AND ：缩小查询范围 (2) OR ：扩大查询范围(3) NOT：排除不相关的范围

DOI 是数位物件识别码（ D igital O bject I dentifier ）的简称，
为物件在网路上的唯一识别码，可用于永久连结并引用目标物件。

使用DOI作为永久连结

每个DOI号前面加上「 http://dx.doi.org/ 」便成为永久网址。
如以DOI号为 10.5297/ser.1201.002 的文献为例，此文献的永久连结便是： http://dx.doi.org/ 10.5297/ser.1201.002 。
日后不论出版单位如何更动此文献位置，永久连结所指向的位置皆会即时更新，不再错失重要的研究。

引用含有DOI的文献

有DOI的文献在引用时皆应同时引用DOI。若使用APA、Chicago以外未规范DOI的引用格式，可引用DOI永久连结。

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。如想对DOI的使用与概念有进一步了解，请参考（）。

ACI:

数据来源：Academic Citation Index，简称ACI

台湾最大的引用文献资料库，目前收录台湾与港澳地区所出版的人文学、社会学领域学术期刊之书目资料与参考文献，总期刊量超过690种，每年定期公布收录期刊的影响指数(Impact Factor)等指标给大众，并提供专家学者与学术单位实用的计量与分析功能。

五年影响指数（5-Year Impact Factor）：某一期刊前五年所出版的文章在当年度的平均被引用次数。

公式：（前五年发表论文在统计年的被引用次数）÷（前五年论文产出论文总篇数）

例如：A期刊2017年之五年影响指数

(A期刊2012-2016年发表论文在2017年的被引总次数)/(A期刊2012-2016年发表的论文总数)

什么是预刊文章？

为提供读者最前线之学术资讯，于期刊文献获同意刊登后、纸本印制完成前，率先于网路线上发表之文章即为预刊文章。预刊文章尚未有卷期、页次及出版日期资讯，但可藉由DOI号识别。 DOI号是文献的数位身份证字号，不论预刊或正式出版皆不会改变，读者可点击DOI连结，或于DOI号前面加上「 http://dx.doi.org/ 」连结到文献目前最新版本。

如何引用预刊文章？

请使用预刊文章的线上发表日期及DOI号来引用该篇文献。

引用范例(视不同引文格式规范可能有所差异)：

作者姓名。文章篇名。期刊名称。 YYYY/MM/DD线上预先发表。

doi:DOI 号

来源数据

P96 - 105

医药卫生 > 医药总论
社会科学 > 教育学

DOI： 10.6145/jme

书目管理工具

相关连结

问题回报

全文下载

培养医学生在医疗体系下行医能力的新课程

A Novel Course for Fostering Systems-Based Practice Competency among Medical Students

郑希彦(Shi-Yann Cheng) ；陈伟德(Walter Chen) ；黄俊寅(Chu-Yin Huang) ；陈祖裕(Cho-Yu Chan) ；李采娟(Tsai-Chung Li)

Journal of Medical Education ； 15 卷 2 期 (2011 / 06 / 01) ， P96 - 105

繁体中文 DOI： 10.6145/jme.201106_15(2).0004

称职能力；医疗体系下行医能力；医学生；临床轮训课程； general competency ； systems-based practice ； medical student ； clinical rotation course

0 个人觉得这篇文章赞

摘要 │ 参考文献 (29) │ 被引用文献 (2) │ 国际计量

摘要〈TOP〉

Objective: According to the Outcome Project proposed by the Accreditation Council for Graduate Medical Education (ACGME) in 1999, six general competencies are identified as requirements for physicians as part of competency-based education. Although the ACGME proposal was only applied to residents and fellows, the six competencies have also been adapted as education objectives during undergraduate medical education. Studies have showed that the training course and evaluation tool for ”systems-based practice” (SBP) are the most difficult to set up among the six competencies. The aims of this study were to design a novel SBP course and evaluate the outcomes in terms of reaction, learning and behavior with the Kirkpatrick's model. Methods: The 2-week SBP course included rotation among twelve blocks made up of nursing, pharmacy, radiology, laboratory-related work, registration, medical records, insurance, accounting, personnel/general affairs/medical service, administration, social work and integration block. The learning content in each block included ”the most important issue for each unit that most physicians do not know” along with the routine operation of various units. The contents used diverse methods including lectures, case workshops, case discussions and common questions/answers. The participants were 6th grade medical students, who formed groups of six or seven students. They took turns to participate in each SBP course. A ”Block Feedback Sheet” was introduced to assess the reactions of the medical students (Level 1 of Kirkpatrick's model). The assessment of the students' learning (Level 2) consisted of pre-test scores, post-test scores, the students' performance scores given by their block teachers and the student's participation in discussions during the reflection/feedback block. Furthermore, a preliminary assessment of behavior change (Level 3) was made based on submitted reports regarding students' commitment to behavior change and their desire to apply the content of the SBP course later in practice. Results: A total of 91 students took the SBP courses given by China Medical University Beigang Hospital during the 2009 academic year. Students' feedback on various block courses gave a satisfaction rating of 4.4±0.7 (Likert scale: 5 strongly agree; 1 strongly disagree) overall. When the learning outcome was assessed, the objective pre-test and post-test scores were 81.2±5.4 and 88.5±5.7, respectively, based on 40 multiple choice questions (one out of four answers is correct), which is an improvement of 7.2±7.0 (p＜0.00l, 95% confidence interval 5.8-8.7). Furthermore, the mean subjective score from the twelve blocks teachers was 83.4±13.0 and the mean participation score for the reflection/feedback block was 88.3±2.3. Finally, the mean preliminary assessment for commitment to behavior change at a later point was 88.4±3.4. Conclusion: The course does indeed successfully provide medical students with initial experiences in systems-based practice based on assessment at three levels, namely reaction, learning and behavior.

并列摘要〈TOP〉

参考文献 ( 29 ) 〈TOP〉

American Board of Medical Specialties Maintenance of Certification (MOC) Competencies and Criteria 2007. Available at: [http://www.abms.org/Maintenance_of_ Certification/MOC_competencies.aspx] Accessed on 2 Oct.,2007
Accreditation Council for Graduate Educatin:ACGME Outcomes Project 2005. Available at: [http://www.acgme.org/outcome/] Accessed on 30Mar., 2005
Batalden, P.,Leach, D.,Swing, S.(2002).General competencies and accreditation in graduate medical education.Health Aff,21,103-111.
Colbert, C.Y.,Ogden, P.E.,Lowe, D.(2010).Students learn systems-based care and facilitate system change as stakeholders in a free clinic experience.Adv Health Sci Educ Theory Pract,15,533-545.
Delphin, E.,Davidson, M.(2008).Teaching and evaluating group competency in systems-based practice in anesthesiology.Anesth Analg,106,1837-1843.

被引用文献 ( 2 ) 〈TOP〉

国际计量

〈TOP〉

E-mail ：

文章公开取用时，将寄通知信至您填写的信箱地址