學習歷程檔案於醫學生臨床教育之初期使用經驗

蔡淳娟; 邱文達; 王先震; 連吉時; 粟發滿; 郭雲鼎; 徐明義

doi:10.6145/jme.200803_12(1).0002

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P8 - 19

医药卫生 > 医药总论
社会科学 > 教育学

DOI： 10.6145/jme

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学习历程档案於医学生临床教育之初期使用经验

The Use of Internship Clinical Education Portfolios: Preliminary Experience

蔡淳娟(Tsuen-Chiuan Tsai) ；邱文达(Wen-Ta Chiu) ；王先震(Hsian-Jenn Wang) ；连吉时(Gi-Shih Lien) ；粟发满(Fat-Moon Suk) ；郭云鼎(Yung-Ting Kuo) ；徐明义(Ming-I Shu)

Journal of Medical Education ； 12 卷 1 期 (2008 / 03 / 01) ， P8 - 19

繁体中文 DOI： 10.6145/jme.200803_12(1).0002

学习历程档案测验；学习护照；成果导向教育；自我导向学习； learning portfolio ； passport ； outcome-based education ； self-directed learning

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摘要 │ 参考文献 (10) │ 被引用文献 (5) │ 国际计量

摘要〈TOP〉

Physicians' clinical competency greatly impacts on the quality of medical care. However, it is a great challenge to teach and assess comprehensively clinical competency, especially the ability to reflect and to self-directed learning. A learning portfolio is an instrument used to accumulate and assess a student's learning process and their achievements, through reflection and in terms of their planned learning. To date, no studies have reported on the use of such portfolios in Taiwan. Purpose: The aim of this study was to develop a learning portfolio that would facilitate students to reflect and learn. The portfolio would report the perceptions of the students, teachers, and staff toward teaching, the assessment values and the feasibility of a portfolio. The reasons for the various opinions were also explored. Methods; During the second half of 2007, interns its the Department of Internal Medicine, Surgery, Pediatrics and OBS/GYN at Taipei Medical University WanFang Hospital used a portfolio to assist their learning. Questionnaires about the Portfolios were distributed to the students, teachers and staff. Results: Data from 57 interns, 21 teachers and 3 staff were analyzed. Regarding the learning values when the portfolio and passport were compared, students perceived no difference, with teachers believed the portfolio was better than the passport for the items ”helping memory”, ”enhancing organization, ”planning to learn”, ”recognizing weaknesses and 'understanding students' opinion”. In terms of assessment, students thought that there was no difference between the portfolio and passport, and some suggested that the portfolio created a problem due to its size. Both teachers and staff thought the portfolio was better than the passport as an assessment, although not significantly. Many subjects gave a positive feedback, and the negative responses were in the area of ”paper work” and ”inadequate preparation for implementation”. In conclusion, this research suggests that implementing a portfolio system would be a useful improvement. The successful use of portfolios will facilitate the physicians' ability to reflect and self-direct their own learning, as well as helping other ACGME clinical competencies. Overall, portfolios should improve medical education in terms of clinical competencies.

并列摘要〈TOP〉

参考文献 ( 10 ) 〈TOP〉

(2005).The accreditation council for graduate medical education, tire ACGME outcome project.
Carraccio C.,Englander R(2004).Evaluating competence using a portfolio: a literature review and web-based application to the ACGME competencies.Teach Learn Med,16(4),381-387.
Doman T,Maredia N,Hosie L(2003).A web-based presentation of an undergraduate clinical skills curriculum.Med Educ,37(6),500-508.
Duque G.,Finkelstein A,Roberts A(2006).Learning while evaluating: the use of an electronic evaluation portfolio in a geriatric medicine clerkship.BMC Med Educ,6,4.
Hodges B(2006).Medical education and the maintenance of incompetence.Med Teach,28(8),690-696.

被引用文献 ( 5 ) 〈TOP〉

Wang, Min-Fen,Ho, Ming-Jung,Chiu, Yu-Ting(2012).Using Portfolios in Medical Education: A Content Analysis of Presentations at the Association for Medical Education in Europe Conferences 2009-2011.医学教育,16(2),86-96.
蔡淑芳、林丽英(2013)。护理临床教师对二年期护理师训练成效之评价。医务管理期刊，14(3)，196-213。
陈惠锦、张瑛瑛、何崇萍、王素秋(2016)。提升护理人员第四阶段学习护照完成率改善方案。荣总护理，33(3)，267-274。
郑怡娟,黄立琪,陈庆如,张瑜珊(2015)。卫生教育的新策略－学习档案。护理杂志，62(6)，105-111。
(2012)。「台湾医学教育实习」的成绩评量方式应用在「国小教育实习」之可行性研究。教育资料与研究，106，143-178。

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