“教學門診”中被指導醫師學習需求之評估

A Survey of Trainees' Needs and Requirements during Ambulatory Care Education

林姵君(Pei-Chun Lin) ； 陳芸(Yun Chen) ； 朱樹勳(Shu-Hsun Chu)

《Journal of Medical Education》 11卷2期 (2007/06) Pp. 45-55

https://doi.org/10.6145/jme.200706_11(2).0005

摘要

本研究的目的在瞭解參與教學門診之被指導者之學習需求，以本院參與教學門診之住院醫師及實習醫學生為研究對象。研究方法採用結構式問卷，共回收有效問卷47份，回收率為95.9%。研究結果發現，被指導者最期望指導醫師於教學門診教導用藥原則(93.6%)、病史詢問(91.5%)、身體檢查(85.1%)及溝通技巧(85.1%)；期望的教學門診評量方式以口試(55.4%)與實際演練(53.2%)居多；認為擔任教學門診的老師應具備的教學特質需求，以表達能力佳(95.7%)、能於教學門診前告知病患此為教學門診(89.4%)、能回應我的問題(89.4%)以及能給予學習上的回饋(89.4%)比例較高。最影響被指導者參與教學門診之因素，則以臨床業務纏身(80.9%)所佔比例最高。被指導者普遍認為一個月參與教學門診2次最適切，教學方式可採用學生先看診的方式進行，並給予合理的執行病史詢問、理學檢查及病歷寫作之時間各10分鐘為宜。研究的結果，讓我們了解被指導者對教學門診學習需求，做為未來執行教學門診的參考，以提升被指導者於教學門診之學習成效，確保教學門診之教學品質。

關鍵字

教學門診 ； 被指導者的需求 ； 教學品質改善

並列摘要

The purpose of this study was to investigate our medical residents' and students' needs and requirements during ambulatory care education. The study was conducted using a structured questionnaire. The number of returned and effective questionnaires was 47, giving a response rate of 95.9% (47/49). The results revealed that, during ambulatory care education, most trainees expected to learn more on the principles of prescribing (93.6%), the skills involved in acquiring a medical history (91.5%), the skills involved in making a physical examination (85.1%) and various communication skills. With regard to the assessment methods used for ambulatory care education, oral examinations (55.4%) and real situation tests (53.2%) scored highest with the trainees. Moreover, the study found that most trainees expected the teaching physician to have good communication skills (95.7%), to introduce the patients taking part in the ambulatory care teaching clinic in a kind way at the start of the examination (89.4%), to be able to resolve the students' questions (89.4%) and to provide the students with adequate feedback on their input (89.4%). The problem that interfered most during ambulatory care education was being bogged down in clinical details and being unable to see the full picture (80.9%). Most of the trainees were happy with two ambulatory care teaching clinics per month and enjoyed the process of interviewing patients under the supervision of the teaching physician. It was believed that the appropriate time needed for a trainee to take a patient's history, perform a physical examination and to write the patient's notes was 10 minutes for each of these. This study investigate the overall trainees' needs and requirements during ambulatory care education at our hospital and provides an important reference point that will help us carry out future modifications to and improvements in the quality of the ambulatory care education.

並列關鍵字

ambulatory care education ； trainees' needs ； requirements ； quality improvement in medical education

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