醫學生社區醫學教育學習成效之評估

An Assessment of the Achievement with a Community Medicine Education Program

劉文俊(Wen-Jing Liu) ； 梁繼權(Kai-Kuen Leung) ； 王維典(Wei-Dean Wang) ； 邱泰源(Tai-Yuan Chiu) ； 陳慶餘(Ching-Yu Chen) ； 呂碧鴻(Bee-Horng Lue)

《Journal of Medical Education》 6卷4期 (2002/12) Pp. 425-433

https://doi.org/10.6145/jme.200212_6(4).0006

摘要

Community-oriented medical education has become a major part of the main curriculum for medical students in recent years. How to design an ad-equate community medicine program suitable for the environment in Taiwan is a very important issue. College of Medicine, National Taiwan University, started to offer a two-week community medicine program to their 5th grade medical students ten years ago, one of the rare examples in Taiwan. In this study, we evaluate the students' demand for and their satisfaction with this program by analyzing the pre-course learning objectives checkup results and post-course outcome evaluation results.
A total 136 students were included in the study. The learning objectives of this program are comprehensive and include most of the principal areas of community medicine such as primary health care, the health care system, health insurance, preventive medicine, public health, the doctor-patient relationship, community health assessment, long-term care, rural health care, health resource distribution, telemedicine, etc. When they assessed their requirements for this program, the medical students rated ”improving their ability to explanation disease to patients” ,”understanding the patient's interpretation of their illness” and ”learning how to carry out a home visit” as the highest ranking, and ”the application of information packages in the community” as the lowest. During the satisfaction assessment, no significant differences among the learning objectives were found except for ”the application of information packages in the community”. Although the overall demand for the community medicine program is slightly lower than for hospital learning courses (p＜0.05), a significantly higher satisfaction rating is found for the community medicine program (p＜0.05).
We concluded that our community medicine program is generally well accepted by the students and can be used as a reference for other medical schools as they develop new community programs.

關鍵字

社區醫學教育 ； 課程評估

並列摘要

Community-oriented medical education has become a major part of the main curriculum for medical students in recent years. How to design an ad-equate community medicine program suitable for the environment in Taiwan is a very important issue. College of Medicine, National Taiwan University, started to offer a two-week community medicine program to their 5th grade medical students ten years ago, one of the rare examples in Taiwan. In this study, we evaluate the students' demand for and their satisfaction with this program by analyzing the pre-course learning objectives checkup results and post-course outcome evaluation results.
A total 136 students were included in the study. The learning objectives of this program are comprehensive and include most of the principal areas of community medicine such as primary health care, the health care system, health insurance, preventive medicine, public health, the doctor-patient relationship, community health assessment, long-term care, rural health care, health resource distribution, telemedicine, etc. When they assessed their requirements for this program, the medical students rated ”improving their ability to explanation disease to patients” ,”understanding the patient's interpretation of their illness” and ”learning how to carry out a home visit” as the highest ranking, and ”the application of information packages in the community” as the lowest. During the satisfaction assessment, no significant differences among the learning objectives were found except for ”the application of information packages in the community”. Although the overall demand for the community medicine program is slightly lower than for hospital learning courses (p＜0.05), a significantly higher satisfaction rating is found for the community medicine program (p＜0.05).
We concluded that our community medicine program is generally well accepted by the students and can be used as a reference for other medical schools as they develop new community programs.

並列關鍵字

community-oriented medical education ； curriculum assessment

參考文獻

Habbick BE,Leeder SR(1996).Orienting medical education to community need: a review.Medical education.30,163-171.

謝博生(2000)。醫療與社會。台北:金名圖書。

Shipengrover JA,James PA(1999).Measuring instructional quality in community-oriented medical education: looking into the black box.Med Educ.33,846-853.

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呂碧鴻()。,未出版。