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題名 | 醫科畢業生自覺對臨床實習成效之探討=Medical Graduates' Perceptions of Their Own Learning Efficiency during Internship |
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作者 | 謝正源; 張博彥; 張聖原; 廖仁; 洪啟賦; 王如娥; 高森永; 何善台; | 書刊名 | 醫學教育 |
卷期 | 7:4 2003.12[民92.12] |
頁次 | 頁373-381 |
分類號 | 410.3 |
關鍵詞 | 臨床實習; 實習成效; 學生認知; Medical internship; Clinical ability; Medical graduates; |
語文 | 中文(Chinese) |
中文摘要 | 本計劃係針對目前七年醫學教育應屆醫科畢業生於軍中服役的軍(N=304),對臨床實習的看法進行調查研究。本研究從學生認知方面,以設計問卷調查醫科畢業生自覺學習成果(包含專業知識提升、臨床能力提升、醫病關係處理能力、團隊合作及整體評量方面等)與對臨床實習教育(含實習醫院、教學者、臨床實習時間)之看法,對自己臨床能力提昇是否有所助益。結果發現在自覺認知部份,對於臨床實習有助於提升「專業知識」、「病史蒐集能力」、「身體檢查能力」、「臨床技巧」、「臨床診斷能力」、「與團隊合作能力」、「專業成長」、「成為好醫師」等之看法均有八成以上之受訪者表示同意。然而在臨床實習有助於「通過國家考試」、「將基礎與臨床課程之知識應用於臨床實務」及「選擇醫師行業是正確的」、「臨床實習的收穫符合預期」方面僅約有五成受訪者表示同意。此外在調查整體醫科畢業生對實習醫院的看法中,發現對實習醫院課程安排的內容感到滿意的僅有48.1%,有15%表示不滿意,顯示教學醫院之臨床實習課程尚有很大改善空間。而調查對醫學生學習之主要幫助者,主要為住院醫師(74.8%),其次為住院總醫師(13.5%),然而主治醫師(8.4%)不到一成,及科部主任為0%,此點與臨床教學本應由主治醫師負主要權責之觀念相去甚遠,亦反映國內目前臨床教學之現況,值得醫學教育界特別注意。 |
英文摘要 | A questionnaire was designed to investigate graduates' perceptions of their own learning results (knowledge, clinical performance, physician-patient relationship, team work, and an overall evaluation) during the internship, to elucidate their views on internship (with respect to the teaching hospitals, clinical tutors, and the length of internships), and whether or not internships were helpful in raising the level of their clinical abilities. This survey found that in the area of self-perception, over 80% of respondents felt that clinical internships had helped to improve "professional knowledge", "ability to collectmedical histories", "ability to conduct a physical examination", "clinical skills", " clinical diagnostic ability", "team work ability", "professional development", and "to be a good doctor". However, the survey also showed that only about 50% of those surveyed agreed that clinical internshipswere "helpful in passing the national examination", "applying knowledge from basic and clinical sciences to clinical practice", in deciding that "a career in medicine was a correct choice", and that "the benefits of a clinical In addition, in terms of the overall views of graduates on the clinical internship system, this study found that the satisfaction level with the content of the present curriculumat teaching hospitals was only 48.1%, with 15%expressing dissatisfaction. This indicates that there is a great deal of room for improvement in this curriculum. A survey of medical students to determine who they believed were of most assistance in their clinical practice found that the majority were residents (74.8%); the next most helpful were chief residents. Attending physicians received less than ten percent (8.4%), and department or section heads received 0%. This is quite inconsistent with the concept that clinical instruction should come from attending physicians, but it does reflect the current conditions of clinical instruction in Taiwan today, and is worth special attention from medical educators. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。