臺灣麻醉專科導入可信賴專業活動於里程碑計畫

本文旨在介紹CBME在臺灣麻醉專科領域之先期導入歷程，分三方面說明近期CBME在不同機構中所採取之路徑，（一）「臺灣麻醉專科milestone指標在地化建置」：邀請全國專家代表經由三次驗證歷程，透過德懷術問卷形塑共識，獲得在地化增修之麻醉科milestone指標。（二）「單一機構執行shift-based milestone之先導研究」：經由簡化、雲端化的創新設計，嘗試在日常工作中融入milestones評核。（三）「全國milestone-based EPAs之藍圖」：首創涵蓋25項milestones次核心能力之EPAs，使評量更貼近臨床。以上教學介入策略皆為降低CBME推動之阻力，經由探索其背景脈絡，檢視推動之初期成果，並在其所遭遇之困境中反思下一階之策略與方向，為確保麻醉專科醫師訓練品質與病人安全嚴格把關。

關鍵字

里程碑計畫；可信賴專業活動；勝任能力；醫學教育；麻醉；住院醫師

並列摘要

This article introduced the preliminary outcomes of three approaches adopted for CBME implementation in the field of Anesthesiology in Taiwan. First, a three-round Delphi national survey has been carried out for shaping consensus and developing a local version of Milestone indicators. Second, a simplified, cloud-based milestone has been merged to anesthetic work shift. Third, all 25 Anesthesiology subcompetencies have been deliberately covered by 6 EPAs for evaluating an anesthesiologist’s clinical competence. The aforementioned three contextually derived strategies aim at minimizing resistance to change, ensuring quality of resident training and patient safety.

並列關鍵字

Milestone Project ； entrustable professional activity ； competency ； medical education ； anesthesiology ； residency

參考文獻

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被引用紀錄

江金英、簡麗瑜、林秋子、彭沛語、賀倫惠、蕭政廷、林慧玲（2021）。可信賴專業活動在新進臨床護理師培訓期的應用。長庚護理，32(2)，41-50。https://doi.org/10.6386/CGN.202106_32(2).0004

張雯雯、張芸甄、林盈秀、胡文郁（2022）。臨床教師執行可信賴專業活動於畢業後學員評量與回饋。台灣醫學，26(6)，740-749。https://doi.org/10.6320/FJM.202211_26(6).0013

劉梨榛、賴維淑（2022）。可信賴專業活動之概念分析。領導護理，23(3)，48-58。https://doi.org/10.29494/LN.202209_23(3).0004

延伸閱讀

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Shen, C. Y., Lin, C. C., Liu, Y. Y., Huang, C. C., Chen, H. T., Yang, H. W., Su, P. H., Yu, T. H., Cheng, Y. J., & Tsai, W. (2018). A Preliminary Study of Simulation in Emergency Medicine Training in A Taiwanese Teaching Hospital. Journal of Medical Education, 22(1), 1-8. https://doi.org/10.6145/jme201801

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臺灣麻醉專科導入可信賴專業活動於里程碑計畫

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