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題名 | 臺灣地區家庭醫學科住院醫師之診療處理訓練現況調查=An Investigation on the Procedure Training in Family Medicine Residencyh Programs in Taiwan |
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作者 | 陳完任; 黃國晉; 李龍騰; 梁繼權; 陳慶餘; | 書刊名 | 中華民國家庭醫學雜誌 |
卷期 | 7:3 1997.09[民86.09] |
頁次 | 頁113-120 |
分類號 | 419.55 |
關鍵詞 | 家庭醫學科; 住院醫師; 訓練; Procedure; Family medicine; Training; |
語文 | 中文(Chinese) |
中文摘要 | 本研究主要目的在於調查臺灣地區家庭醫學專科醫師診療處置訓練之現況, 並探 討這些項目是否應列為其專科訓練時必要的內容。於民國八十六年五、六月間對臺灣地區提 供家庭醫學專科醫師訓練的 65 間教學醫院之家庭醫學科主任,進行自填式問卷調查,共回 收問卷 54 份,回收率 83.1 %。結果發現:(1) 醫院有提供訓練之診療處置項目比率依次 為肛門指診( 100 %)、腹部超音波檢查( 100 %)、健兒門診( 98.1 %)、子宮頸抹 片檢查( 98.1 %)、居家照護( 98.1 %)、眼底鏡檢查( 92.6 %)、喉嚨細菌培養( 90.7 %)及產前檢查( 90.7 %).... 等;(2) 受訪之家庭醫學科主任認為應列為家庭醫 師服務範圍的項目,依次為健兒門診( 100 %)、子宮頸抹片檢查( 100 % )、居家照護 ( 100 %)、 肛門指診( 100 %)、 腹部超音波檢查( 98.1 %)、 喉嚨細菌培養( 98.1 %)、眼壓檢查( 94.4 %)及眼底鏡檢查( 90.7 %).... 等;(3) 上消化道內視 鏡、鼻咽喉內視鏡、陰道鏡、運動心電圖及鼓室聽力圖檢查等,大部分的醫院並沒有提供訓 練課程,且大部分的主任亦不認為應列為家庭醫師服務之範圍。研究顯示,臺灣地區家庭醫 學專科訓練中各醫院所認為之診療處置項目不同,在考慮各種條件後,家庭醫學專科之訓練 應訂定並提供更明確及實用的診斷處置訓練課程及其核心內容,讓接受過專科訓練後之家庭 醫師在基層醫療執業時,更能實踐提供方便、持續及周全的醫療服務之理念。 |
英文摘要 | Practicing procedures are important for the family physicians. The purpose of this study is to investigate the current status of the procedure training provided by varied family residency programs in Taiwan. A list of close-ended questionnaire was mailed to the directors of the family medicine departments in the board-training hospitals. The responsive rate was 83.1%. The results revealed that: (1) rectodigital examination (100%), abdominal sonography (100%), well-baby clinic (98.1%), Pap smear examination (98.1%), home care (98.1%) , fundoscopy (92.6%) , throat swab culture (90.7%), and prenatal examination (90.7%) were the most common training procedures provided by the training programs; (2) the main training procedures supposed to be included in the family practices were Pap smear examination (100%), rectodigital examination (100%), home care (100%), well-baby clinic (100%), abdominal sonography (98.1%), throat swab culture (98.1%) tonometry (94.4%), and fundoscopy (90.7%); (3) most of the family medicine residency training programs didn't provide the following training procedures: panedoscopy, nasopharyngoscopy, colposcopy, exercise EKG, and tympanography. The respondents also did not think that these procedures should be included in the family practices. The results of the study indicate that the directors may have different opinions over the adequacy of the procedure training. The core contents of the procedure training in family practice should be clearly defined in order to encourage their residents to attain the comprehensiveness in their future practice. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。