國內某醫學中心實施“教學門診”後指導醫師滿意度調查研究

本研究以九十一年三月至當年十二月間曾於本院中開設教學门診的指導醫師为研究對象，共計55位。以結構式問卷評估指導醫師的滿意度，問卷内容包括：個人基本資料、對教學制度評估、自評教學成效與評估學生學习成效等四項，問卷共回收46份，回收率为8%。其中有25位(53.2%)指導醫師對於醫院所推行的教學门診制度感到滿意，也有24位(52.2%)指導醫師對行政單位協助解決問題的滿意度为中等。有28人(60.9%)對教學门診每次補助3000元感到滿意，同時有35人(76.1%)表示即使未来無補助金額時，其仍願意開設教學门診，且有22人(52.4%)認为可用教職升等来取代金額補助。另指導醫師最常使用的教學方式以『「學生先診療，再由老師指導」與「學生跟在老師旁由老師一邊看診、一邊指導」等两種方式並行』为最多數，佔45.7%，有八成以上認为可用實況演練来做为學习成效的評量方式，只有4.3%的老師認为應用「筆試」来進行學习成果評估。指導醫師最常教授的内容以病史詢問、身體檢查为最多（91.5%，43人）；且其中有97.6%認为身體檢查是學生參加教學门診後應具有的技巧。由研究結果得知，大部分的指導醫師均認为教學门診制度確能對學生臨床技能的教育有所助益，故應賡續推行。

關鍵字

教學門診；教師滿意度；臨床醫學教育

並列摘要

Since 2002, the Department of Health has subsidized the academic hospitals of Taiwan to engage in ambulatory care education. This study was performed from March to December 2002 and targeted 55 instructing physicians who at the time were engaged in ambulatory care education at this hospital. A structured questionnaire was used to evaluate faculty (instructing physicians) satisfaction and this was divided into four parts: basic personal information, evaluation of education mode, self-evaluation of education results and evaluation of students' learning results. The overall response rate was 84% with 46of the questionnaires being returned. Of those who responded, 25 (53.2%) were satisfied with the ambulatory care education mode implemented by the hospital, while 24 (52.2%) showed moderate satisfaction with the government assistance. Twenty eight (60.9%) were satisfied with the 3,000 dollar subsidy given for each session and 35 (76.1%) indicated that even if the subsidy was no longer available, they would still be willing to engage in ambulatory care education. Twenty two (52.4%) thought that the subsidy could be replaced by a teaching promotion system. The teaching method used the most (45.7%) by instructing physicians consisted of a combination of letting students perform diagnosis and treatment, giving remarks afterwards, letting the students join the instructing physician while the latter examined the patient and at the same time commented on his actions. More than 80% were of the opinion that learning results could be evaluated during practical application by the students, while only 4.3% felt that a written examination was required. The skills taught by most instructing physicians included medical history taking and physical examination (91.5%, 43), and of these physicians 97.6% believed physical examination to e a basic skill that should be possessed by students after having participated in ambulatory care education. The study found that most instructing physicians believed ambulatory care education can indeed serve to teach clinical skills and should therefore be continued. Although most physicians were satisfied with their own teaching method and content, whether it had the desired result and met the requirements of students during clinical practice needs to be further investigated.