畢業後一般醫學訓練住院醫師對訓練課程之觀點調查分析

呂碧鴻; 鄭逸如; 王長偉; 高美英; 陳秀蓉

doi:10.6145/jme.200912_13(4).0007

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P268 - 274

医药卫生 > 医药总论
社会科学 > 教育学

DOI： 10.6145/jme

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毕业後一般医学训練住院医师对训練课程之观点调查分析

Analysis of the Viewpoint of First Postgraduate Year Residents towards General Medicine Training

呂碧鸿(Bee-Horng Lue) ；郑逸如(Yih-Ru Cheng) ；王长伟(Chang-Wei Wang) ；高美英(Meei-Ying Kao) ；陈秀蓉(Hsiu-Jung Chen)

Journal of Medical Education ； 13 卷 4 期 (2009 / 12 / 01) ， P268 - 274

繁体中文 DOI： 10.6145/jme.200912_13(4).0007

一般医学训練；毕业後第一年住院医师；学习观点； first postgraduate year residents ； general medical training ； learning viewpoint

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摘要 │ 参考文献 (12) │ 国际计量

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Purpose: The aim of this study is to investigate the perceived learning effectiveness of first postgraduate year (PGY1) residents and their viewpoints on general medicine training. Methods: PGY1 residents in the academic year 2006 were the study subjects. The study was conducted from January to June 2007. The degree of helpfulness and the perceived stress levels of the students were assessed. The approach to this assessment of the training program involved open questioning. The dataset was analyzed by qualitative methods. Results: A total of 407 PGY1 residents were assessed to explore the helpfulness of five training modules. The results gave the following decending order of helpfulness: the holistic care training in a specialty field, the specialty related elective course, general practice training, the basic community medicine course and the community medicine related elective course. The perceived stress levels for these courses, also in decending order, were: the specialty related elective course, the holistic care training in a specialty field, general practice training, the community medicine related elective course and the basic community medicine course. A total of 467 residents filled out the open questionnaire. Residents believed that the general medicine training was able to promote their holistic care competency and helped them understand the medical care model and medical care behavior as well as helping their career planning. However, the less concrete the teaching material, any fluctuation in teaching quality, overlapping of a course with internship and overloading with administrative clerical work were identified as weaknesses by the residents. Some even complained that the one-year training period was over-long and should be shortened. Conclusion: PGY1 residents were found to center their interest on training in their specialty. The planning of the one-year course should be more precise and concrete in order to promote learning effectiveness.

参考文献 ( 12 ) 〈TOP〉

Lue BH,Kao MY,Chen HJ(2009).Analysis of job stress and satisfaction among first postgraduate year residents: a nationwide survey in Taiwan.J Med Eduaction,13,113-121.
连结：
(2003).Graduate Medical Education Directory 2002-2003.Chicago:American Medical Association.
Chu TS (Eds)(2009).Six Core Competencies in Residency Training.Taipei:Taiwan Association of Medical Education.
Hsieh BS(2004).Current status and perspectives of postgraduate general medicine training.Taiwan Joint Commission on Hospital Accreditation and Quality Improvement General Medicine Training Newsletter,1,3.
Hsieh BS(2003).General Medicine Education.Taipei:National Taiwan University College of Medicine.

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