Cultural Considerations of Reform and Evolution of Medical Education

10.6145/jme201715

Shih-Li Tsai；Fen-Yu Tseng；Tzong-Shinn Chu；Ming-Been Lee；Bor-Shen Hsieh；Shan-Chwen Chang

culture ； reform and evolution ； medical education ； CIPP model ； small-group tutorial

Journal of Medical Education

21卷4期（2017 / 12 / 01）

137 - 147

英文

Background: The most important task in education is reshaping the neural circuits in the brain. Through the process of deep emotional internalization, profound experience, repeated research to reshape our brains would break through existed frameworks and establish an education model that fits our own culture. Purpose: To find out practical ways to develop teaching and learning methods with regard to international recommendations and to local cultural context. Methods: By applying the CIPP model (Context, Input, Process and Product approach), a series of reforms in Taiwan medical education were reviewed in different aspects. Results: In Context session, Taiwan medical education history was reviewed to present the background of the evolution. The Input session described that how Taiwanese medical educators learned from recent reforms and evolutions in Western medical teaching and learning methods to extract their ＂essence＂ into the traditional system. The Process session introduced that how to blend western essence with the unique characteristics of East Asian educational culture and what obstacles were conquered. And the Product session addresses the outcome of Taiwanese medical education system evolution and reform in terms of different stages. Conclusion: From our experience, we demonstrated the practical ways to integrate cultural values and needs of medical students and teachers in developing our own teaching and learning methods.

1. Flexner A: Medical Education in the United States and Canada. New York: Carnegie Foundation for the Advancement of Teaching, 1910.
2. National Taiwan University College of Medicine attached to a hospital - Taiwan's University Hospital's Forgotten Love. Taipei: National Taiwan University School of medicine now has been attached to a hospital, 1995..
3. National Taiwan University College of Medicine attached to a hospital - Taiwan's University Hospital's Forgotten Love. Taipei: National Taiwan University School of medicine now has been attached to a hospital..
4. Colvin, RB,Wetzel, MS(1989).Pathology in the new pathway of medical education at Harvard medical school.Am J Clin Pathol,92,S23-30.
5. Dolmans, DH,De Grave, W,Wolfhagen, IH(2005).Problem-based learning: future challenges for educational practice and research.Med Educ,39,732-41.
6. Dolmans, DH,Ginns, P(2005).A short questionnaire to evaluate the effectiveness of tutors in PBL: validity and reliability.Med Teach,27,534-8.
7. Evenson, D.(Ed.),Hmelo, C.(Ed.)(2000).Problem-based Learning: A Research Perspective on Learning Interactions.London:Lawrence Erlbaum Associates.
8. Gwee, MCE(2011).Medical and health care professional education in the 21st century: institutional, national and global perspectives.Med Educ,45,25-8.
9. Ho, WW,Chen, WJ,Ho, CK(2011).Evaluation of the suicide prevention program in Kaohsiung City, Taiwan using the CIPP evaluation model.Community Ment Health J,47,542-50.
10. Leung, KK,Lee, MB,Lue, BH(2001).The implementation of problem-based learning at National Taiwan University College of Medicine.J Med Educ (Taiwan),5,273-80.
11. Leung, KK,Lee, YJ,Lue, BH(1998).Evaluation of teaching styles among small group tutors.J Med Educ (Taiwan),2,18-26.
12. Leung, KK,Wang, WD(2008).Validation of the Tutotest in a hybrid Problem-based Learning curriculum.Adv Health Sci Educ,13,469-77.
13. Leung, KK,Wang, WD,Chen, CY(1997).Evaluation of the faculty development program.J Med Educ (Taiwan),1,436-43.
14. Leung, KK,Wang, WD,Chen, CY(1997).Evaluation of medical education reform at National Taiwan University College of Medicine.J Med Educ (Taiwan),1,21-30.
15. Liang, JQ.McMaster University Professor Gives a Special Speech to Remember about Medical Education.Medical Education Newsletter Issue,13
16. National Taiwan University College of Medicine(1998).Special Issue to Commemorate the Renovation of Hall 2. Medical Education's Past and Future.Taipei:National Taiwan University College of Medicine.
17. Neufeld, V,Barrows, H(1974).The "McMaster philosophy": an approach to medical education.J Med Educ,49,1040-50.
18. Painvin, C,Neufeld, V,Norman, G(1979).The "Triple Jump" exercise-A structured measure of problem solving and self directed learning.Proceedings of the Eighteenth Annual Conference on Research in Medical Education,Washington, D.C.:
19. Wetzel, MS(1997).Report on Visit to National Taiwan University College of Medicine.J Med Educ (Taiwan),1,91-6.
20. Xie, B(1994).A Discussion about Education Reform.Maple News Review,11,2.
21. Xie, B(2001).Modern Medicine in Taiwan: Taiwan Medical Association: 100 Years of Evidence.Taipei:National Taiwan University College of Medicine.
22. Xie, B(1997).Medical Education: Ideals and Practice.Taipei:National Taiwan University College of Medicine.

1. Yen-Lin Chiu,Wei-Chung Hsu,Mong-Wei Lin,Jeng-Yi Shieh,Huey-Ling Chen,Chiun Hsu,Chia-Ter Chao,Chao-Chi Ho(2020)。Deriving and Validating an Instrument for Assessing Students' Perspectives on a Completely Digital Problem-based Learning Curriculum during COVID-19。醫學教育，24(4)，183-194。
2. (2023)。Exploring Teaching Perspectives: A Comparative Analysis of Physician Tutors in Small-Group Tutorials (SGT) and Clinical Shadowing (CS) Settings。醫學教育，27(4)，258-268。