台灣地區醫師繼續教育實施之探討

Study on Implementation of Physicians' Continuing Medical Education in Taiwan

王俊文(Jiunn-Wen Wang) ； 葉德豐(Te-Feng Yeh)

《台灣公共衛生雜誌》 26卷2期 (2007/04) Pp. 140-148

https://doi.org/10.6288/TJPH2007-26-02-06

摘要

目標：2001年醫師法修正後，台灣正式邁向由國家管制的強制性醫學繼續教育制度。本研究之目的乃從教育提供者與接受者的觀點，來評估醫師繼續教育課程內容與成效之差異。方法：本研究對象分為繼續教育接受者及提供者，採自填式結構性問卷，調查其對繼續教育內容之看法與實施成效滿意度。問卷調查以郵寄方式為主，接受者部分採分層隨機抽樣發放問卷600份，提供者部分採全體抽樣發放問卷300份，最後回收結果，接受者部分的有效問卷為403份、提供者則為182份，回收率分別為67.2%與60.7%。結果：在繼續教育辦理方式、動機及成效方面，除少數無顯著差異外，繼續教育提供者之同意程度均顯著高於繼續教育接受者。而在整體實施的滿意度方面二者呈現無顯著差異，但平均分數僅70分左右。結論：醫師繼續教育提供者與接受者間有很大的差異，顯示台灣辦理醫師繼續教育之單位於教育需求的評估並未妥善執行，因而造成許多教育課程流於形式。而提供者與接受者皆最偏好於短時間之專題演講方式，顯示目前的醫師繼續教育制度仍是零碎的，甚至於僅是應付學分的取得。主管機關必須思考如何提供醫師參與較長時間、且具有連慣性與互動性的繼續教育課程。

關鍵字

醫師繼續教育 ； 提供者 ； 接受者 ； 醫師

並列摘要

Objectives: After implementing ”The Physician Law” in 2001, Taiwan launched a mandatory continuing medical education (CME) system for physicians. The purpose of this study was to explore the perspectives of providers and receivers toward the CME system's contents and performance. Methods: Study samples were divided into CME providers and receivers. Subjects were surveyed by a mailed structured questionnaire to evaluate their perspectives and levels of satisfaction regarding the CME system. The questionnaire covered three major factor domains, including program holding pattern, participating motivation, and program effectiveness. A stratified sampling method was used. Six hundred providers and three hundred receivers were selected; validated response rates were 67.2% (403) and 60.7% (182), respectively. Results: CME providers showed significantly higher agreement in most factor domains than did CME receivers except for program holding pattern, purpose, and effectiveness. Overall satisfaction between the two sampled groups was unanimous but the average score was just about 70 over 100. Conclusions: Few factors between CME providers and CME receivers were undisputed. Most factors showed significant differences between the two groups, revealing that the CME system is not conducted appropriately and practically. Most CME providers and receivers favored short-period-pattern seminars but not systematic series courses. Consequently, CME system authorities should design and conduct more appropriate systematic-series with providing connected and interactive continuing education programs for physicians.

並列關鍵字

continuing medical education ； providers ； receivers ； physicians

參考文獻

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