實證醫學基本核心能力指標架構之建置

Construction and Development of Evidence-Based Medicine Indicator Framework

林恩源(En-Yuan Lin) ； 陳建宇(Chien-Yu Chen) ； 鄭以樂(Yi-Leh Cheng) ； 吳建志(Chien-Chih Wu) ； 康以諾(Yi-No Kang)

《中榮醫教》 22期 (2018/03) Pp. 4-10

摘要

雖然實證醫學與實證健康照護越來越受到重視，但國內尚未有一套明確的實證醫學核心能力架構因應教學成果的評估。因此，本研究試圖透過專家共識技術，提出一份基本的實證醫學核心能力指標。本研究採用兩階段的方式發展並建置基本的實證醫學核心能力指標，第一階段是透過專家座談，透過開放性的討論，匯集實證醫學知能相關元素，直到資訊飽和為止。第二階段是將根據專家會議所彙整之基本的實證醫學核心能力指標初稿，發給專家委員進行得懷術（Delphi）專家問卷調查。結果顯示，基本的實證醫學核心能力指標架構可初步歸納為四大構面與九項指標。最後的修訂版本顯示，所有的指標都具有一定的適切性，且不因專家委員背景不同而有差異。然而，如何進一步分層，在每項能力指標下呈現出不同程度的能力表現，仍有待進一步的研究來處理。

關鍵字

實證醫學 ； 能力指標 ； 德懷術

並列摘要

Background and Objective　In Taiwan, there is no well-designed indicator framework for evidence-based medicine that is promoted in recent decades. Therefore, the purpose of this study is to develop an evidence-based medicine indicator framework that can help medical education in assessment of competency of evidence-based medicine. Method　This study developed evidence-based medicine indicator framework (EBMIF) through two steps. The first step was expert focus group that can openly generate relevant elements of evidence-based medicine competency. The second step was Delphi that can structure information and evaluate consensus among experts. Results　The result showed that EBMIF was established as four domains with nine indicators. The indicators were appropriate with expert consensus in the final version. Conclusion　The EBMIF was verified as an appropriate framework. However, quality level under each indicator needs further research in future.

並列關鍵字

Evidence-based medicine ； Competency milestone ； Delphi