台灣當前醫學人文課程之實施現況與推展困境

The Practices and Dilemmas of Medical Humanities Curriculum in Taiwan

10.6145/jme.200412_8(4).0004

高美英(Meei-Ying Kao)；呂碧鴻(Bee-Horng Lue)；褚齡霙(Ling-In Chuu)

醫學人文 ； 醫學人文課程 ； 通識課程 ； 醫學教育 ； medical humanities ； medical humanities curriculum ； liberal education ； medical education

Journal of Medical Education

8卷4期（2004 / 12 / 01）

392 - 403

繁體中文

為了詳盡呈現和比較台灣正在全面進行的醫學人文課程改革之實施與內涵，以及各校在實施如此重大變革時所面臨的問題與困境，本研究採用深入訪談的方式，針對全國十一所醫學院校的課程主要決策和執行者，以及相關之專家學者，總計32位進行面對面的訪談，以探討與比較目前台灣各醫學院校之醫學人文相關課程，包括實施內涵與過程中所面臨的相關問題子。此外為了希望對當前臺灣的醫學人文教育課程有深入而全面的瞭解和比較，也進行了醫學人文課程實施之調查，搜集所有醫學院校醫學系91學年度上下學期的開課課表，並加以分析。研究的結果發現在課程方面，從各校所開的課程中可以歸類為由醫學系特別為醫學生所開設，與醫學相關的非醫學專業課程，以及一般通識課程。在第一及第二部分課程的分類上，有不少重疊的灰色地帶。而各校在雅行醫學人文課程時，遭過到不少的困難，不同的學校所面臨的困境也不盡相同。根據受訪者所提出的問題，約略可以分為老師和學生兩方面。在老師方面，主要的問題是師資不足和老師認同兩者。而在學生方面，主要的問題則包括對醫學人文課程的認同不夠、缺乏主動學習的精神，和學生人數太多等。

The medical humanities curriculum is newly developed in Taiwan and so there were many difficulties to be faced by the decision makers. In order to explore and compare the practices and content of the current medical humanities curriculum within Taiwan's medical education, in-depth interviews were conducted during this study. A total of thirty-one specialists and scholars, who have participated in related medical education committees or who have the power to make important decisions regarding the curriculum of medical schools, were interviewed. In addition, this study also collected and analyzed the detailed course information of all eleven schools of medicine within local universities. The course information was summarized from Internet sites and from interviewees. The findings of this study show that the courses offered to students within medical schools can be grouped into two categories: firstly. the medical humanities courses', which are especially for medical students and, secondly, 'liberal education', which is required for all university students. However, the difference between these two categories is somewhat vague in some colleges. It was found that almost every medical school had experienced difficulties when the newly introduced medical humanities curriculum was launched. These difficulties originate from both instructors and students. The instructors who are able to teach these kinds of course are significantly insufficient in number. Complaints from the instructors who teach basic or clinical medicine are also rising. On the other hand, most of the students lack active learning motivation and the classes are often overcrowded with students. (Full text in Chinese)

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