畢業後一般醫學訓練360度評量之執行

360度評量是衛生福利部醫師畢業後一般醫學訓練計畫（post-graduate year training簡稱PGY訓練）中必須完成的項目之一，評估者除了臨床教師外，還包括同儕、護理人員或其他醫事人員及病人，其目的是藉由自評與他評間的差距使受評者了解自己的優缺點，找到未來努力的方向進而自我成長；然而，360度評量的立意甚好，但就實務面而言，沒有確切的執行流程，也無從了解PGY學員接受評估後的反應。本文敘述某醫學中心致力於將執行流程標準化，並建立一套回饋討論機制，讓行政教育管理者得以了解PGY學員接受評估後的成果，視需要介入了解並輔導，真正落實360度評量的意義，幫助PGY學員成長。

關鍵字

畢業後一般醫學； 360度評量；多來源回饋；多評量者回饋

並列摘要

According to the Post-Graduate Year (PGY) training program conducted by the Ministry of Health and Welfare, ＂360-degree Evaluation＂ is one of the necessary assessment tools for PGY trainees. Many groups of assessors, including doctors (teachers), advisor, peers, nurses or other medical staff, and patients or their families, contribute to the assessment of PGY trainees. The benefit of 360-degree Evaluation is to identify the weak points of PGY performance by comprehensive observation, and to allow PGY trainees to make progress by themselves. However, there is no established flowchart for evaluation, and no management system to review the outcome of feedback. Here, the experience from one of the tertiary teaching hospitals in northern Taiwan is presented. We created a standardized flowchart system and a holistic evaluation system to survey the outcome of assessment in that teaching hospital. In this system, advisors and administrators would be involved to guide PGY trainees if necessary.

並列關鍵字

post-graduate year ； 360-degree evaluation ； multi-source feedback ； multi-rater feedback

參考文獻

劉玉菁、李玫陵：臺灣醫學教育之趨勢－談推動「一年期畢業後一般醫學訓練計畫」政府推動契機。醫療品質雜誌2010;4:4-7。

Tornow WW: Perception or reality: Is multi-perceptive measurement a mean or an end? Human Resource Management 1993;32:223-9.

Miller GE: The assessment of clinical skills/competence/performance. Acad Med 1990; 65(Suppl 9):63-7.

Probyn L, Lang C, Tomlinson G, et al: Multisource feedback and self-assessment of the communicator, collaborator, and professional CanMEDS roles for diagnostic radiology residents. Can Assoc Radio J 2014; 65:379-84.

Yama BA, Hodgins M, Boydell K, et al: A qualitative exploration: questioning multisource feedback in residency education. BMC Med Educ 2018;18:170.

國際替代計量

畢業後一般醫學訓練360度評量之執行

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