客觀結構式臨床測驗應用與針灸臨床訓練之探討：實例分析

The Application of objective structured clinical examination on clinical training of acupuncture

陳瑩陵(Ying-Ling Chen) ； 侯俊成(Mark C. Hou) ； 王哲彥(Zhe-Yan Wang) ； 張順昌(Shun-Chang Chang) ； 林素卿(Su-Ching Lin)

《中醫藥雜誌》 30卷2期 (2019/12) Pp. 73-82

https://doi.org/10.3966/241139642019123002005

摘要

近年中醫教育開始發展並納入中醫客觀結構式臨床測驗（Objective Structured Clinical Examination，簡稱OSCE）於臨床能力評核與訓練，透過臨床情境的模擬，以更有效地評核受訓學員的中醫臨床能力，進而提升病人安全，改善中醫醫療品質。本研究旨在探討OSCE於針灸臨床訓練的運用與效益。本研究以回溯方式進行資料蒐集與分析，選取彰化基督教醫院中醫部於2013年6月至2016年5月期間所舉行OSCE的針灸考站相關資料，包括：針灸科試題教案分析、考生的匿名座談回饋與問卷分析。研究期間針灸試題發展共計9例，所有參與考生共49人（包括中醫實習醫學生37人／第一年住院醫師12人）。研究結果顯示，受訓學員肯定中醫OSCE對於針灸臨床工作的實用性。由於針灸屬侵入性治療，無法於標準化病人身上施作，本研究建議未來需要根據針灸臨床情境需要，進一步開發合適的針灸擬真模具；並且必須透過反覆測試，俾使教案試題臻於完善。期盼本研究能提供未來中醫OSCE發展之參考，促進中醫臨床教育的變革與成熟。

關鍵字

中醫教育 ； 客觀結構式臨床測驗 ； 針灸 ； 病人安全

並列摘要

The education of Traditional Chinese medicine (TCM) has been developed and incorporated into the Objective Structured Clinical Examination (OSCE) for clinical skill assessment and training. Through the simulation of clinical situations, the clinical skill of TCM students is more effectively evaluated. This study aimed to explore the application and benefits of OSCE in acupuncture clinical training. In this study, data collection and analysis were conducted in a retrospective manner. Relevant materials of the acupuncture examination station of OSCE held by the Chinese Medicine Department of Changhua Christian Hospital from June 2013 to May 2016 were selected, including: analysis of the teaching plan of the acupuncture examination and the anonymous feedback and questionnaire of the candidates. During the study period, a total of 9 acupuncture test questions were developed, and all of the participating candidates were 49 (including 37 students and 12 first-year residents). The results of the study showed that the trainees confirmed the practicality of TCM OSCE for acupuncture clinical work. Because acupuncture is an invasive treatment and cannot be applied to standardized patients, this study suggests that in the future, it is necessary to further develop appropriate acupuncture simulations according to the clinical situation of acupuncture; and it is necessary to pass the repeated tests to make the teaching test questions perfect. It is hoped that this study can provide reference for the future development of TCM OSCE and promote the transformation and maturity of TCM clinical education.

並列關鍵字

education of traditional Chinese medicine (TCM) ； objective structured clinical examination (OSCE) ； acupuncture ； patient safety

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