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題名 | 建立國外大學中醫學系畢業生學歷甄試及實習制度之研究=Research to Establish a System for Accrediting Overseas Trained Chinese Medicine Graduates and Their Internship in Taiwan |
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作 者 | 高尚德; | 書刊名 | 中醫藥年報 |
卷期 | 光碟版1:2 2012.10[民101.10] |
頁次 | 頁386-428 |
專輯 | 中醫臨床教學及教育訓練 |
分類號 | 413.03 |
關鍵詞 | 中醫教育制度; 國外中醫畢業生中醫師甄試; 中醫實習制度; Chinese medicine education system; Chinese medicine accreditation; Chinese medicine internship system; |
語文 | 中文(Chinese) |
中文摘要 | 近二十餘年來傳統中醫學在世界各國蓬勃發展,各國都建立自己的傳統中國醫學教育制度,因為世界各國家醫學教育制度與訓練背景的差異,使得各國中醫的醫療專業與診療水準有極大的差異,近年來陸續有在國外接受中醫教育的中醫學畢業生及接受外國中醫教育之外籍人士至臺灣參與醫療訓練,執業或進修將返回國內,為了銜接在國內中醫的養成教育與在職訓練品質一致化,建立國外大學中醫學系畢業生甄試及國內實習制度已成為當前非常重要的課題。 本研究計畫即探討目前世界各國的中醫教育制度及中醫教育水準與中醫師訓練制度並與國內中醫高等教育作一比較,建立可行公正之甄試方案,供國內相關部門制定相關政策時參考。本研究採用文獻分析法及專家座談方式來研訂各項方案。 本計畫於相關文獻法規收集完備後,邀請國內中醫專家、大學教育師資、中醫師公會理監事、教學醫院中醫部資深醫師舉行專家專談會,提供高見,建立共識,並研擬「國外大學中醫學系畢業生學理甄試及國內實習制度問卷」內容並展開問卷調查與統計分析,本調查問卷寄發中醫師公會全國聯合會、五直轄市中醫師公會理監事、其他縣市中醫師公會事務理監事、大學中醫學系專兼任教師、重要教學醫院中醫部專任中醫師等。共寄出 626份問卷,回收 304份問卷,回收率為 48.56%,其中有僅填寫其他意見,未填寫一至五題選擇題 6份,填寫選擇題者共 298份。在回收 304份中,有填寫其他意見者共 69份。經整理分析後,本研究獲得以下結果:一、80.82%問卷調查者同意(含非常同意)修醫師法第4-1條。二、82.08%問卷調查者同意(含非常同意)國外大學中醫學系畢業生經華語文能力測驗達中等3級以上者為參加學歷甄試資格之一。三、86.48%問卷調查者同意(含非常同意)國外大學中醫學系畢業生學歷甄試之中醫學專業科目為中醫基礎醫學、中醫藥物學、中醫方劑學、中醫診斷學、中醫內科學、中醫外科學、中醫婦科學、針灸科學、中醫傷科學、中醫兒科學等十科。四、83.65%問卷調查者同意(含非常同意)國外大學中醫學系畢業生學歷甄試之現代醫學基礎科目為生理學、解剖學、病理學、組織學、藥理學、微生物及免疫學等六科。五、81.76%問卷調查者同意(含非常同意)國外大學中醫學系畢業生通過教育部甄試後,參與經教學醫院評鑑通過之醫院實習其名額依配額制實施。綜合以上結果,本研究建議應修改醫師法第 4-1調並建立完備嚴謹公平之國外大學中醫學系畢業生學理甄試及國內實習制度。 |
英文摘要 | Study in traditional Chinese medicine has been booming around the world over the last twenty years. However due to the differences in medical programs and training backgrounds, every country has established its own traditional Chinese medicine education system and there is enormous variation in the quality of professional Chinese medicine and level of clinical skills. Recently, many overseas trained Chinese medical graduates and foreigners who studied Chinese medicine have returned and come to Taiwan to participate clinical training, practice or attend continuous education. In order to standardize and sustain the level of our education system and professional training, it is very important to establish a system to accredit the overseas trained graduates and establish their internship system. This research aims to investigate and compare the current educational systems, standards and trainings in Chinese medicine of other countries with the Chinese medicine education in Taiwan, in addition to establish a fair accreditation system for overseas China Medical graduates. This will provide a reference to the government department when constituting the relevant policies. Literature analysis and expert discussions are utilized in this research. After reviewing and collecting all the related policies and literatures, experts, teaching personnel and senior physicians in Chinese Medicine, and committee members of Chinese medical associations were invited to participate several meetings to compromise and determine the questionnaire of “accreditation and internship system for overseas Chinese medical graduates”. The questionnaire had been sent to The National Union of Chinese Medicine Doctor’s Association, Director board of Chinese Medicine Physician’s Associations in Five municipalities, supervisors of Chinese Medicine Physician’s Association in other cities, teaching faculty of School of Chinese Medicine in other universities, Chinese Medical physicians in Department of Chinese Medicine of important teaching hospitals. Total 626 questionnaires had been delivered, and 304 questionnaires had been retrieved, the rate of questionnaires retrieval is 48.56%. Among these questionnaires, a total of 69 persons gave extra opinions on the questions. After calculation and analyzing the data, the following outcomes have been obtained in this research: 1. 80.82% of participants agree (includes very agree) to revise the article 4-1 in “Physician Act”. 2. 82.08% of participants agree (includes very agree) that only the Chinese Medical graduates from overseas universities have to obtain at least 3rd degree of Intermediate level in “Test of Chinese as Foreign Language” can be allowed to sit the accreditation. 3. 86.48% of participants agree (includes very agree) that the subjects of accreditation should include the ten professional subjects in Chinese Medicine. 4. 83.65% of participants agree (includes very agree) that the subjects of accreditation should include all the six required subjects in Medicines. 5. 81.76% of participants agree (includes very agree) that the Chinese Medical graduates can only be permitted to intern in teaching hospitals through distribution after passing the accreditation. As conclusions, our research suggests that the article 4-1 in “Physician Act” should be revised in order to establish a more thorough and fair accreditation and internship system for Chinese Medical graduates from overseas universities. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。