目的:本文回顧了醫學人文正式進入我國醫學教育課程的源流,以質性研究的方法探討近十年的推動情形,並提出醫學人文的未來展望,期許醫學教育能更臻完善。方法:以近十年來推動醫學人文教育的相關人物為對象,進行深入訪談,訪談期間為2007年11月15日至2007年12月5日。結果:受訪者皆肯定醫學人文的引入能使醫學教育涵蓋的更加全面,然而釐清醫學人文的定義及其在醫學教育中的定位是當前首要課題。溝通平台的缺乏,臨床與研究的排擠,都是不利於教師投入教育工作的因素,而系統性的醫學人文師資培育仍亟需加強。小班教學的方式普遍受到認同,但在教材制訂及教學方法上建議多方採納人文社會領域學者、國外經驗,並主動邀請學習者參與課程規劃,方能與時俱進。
Aim: This study reviews the introduction of the medical humanities into Taiwanese medical education. We applied a qualitative methodology to study the development of medical humanities education over the past decade with the purpose of identifying future directions that will help to improve medical education. Methods: We conducted in-depth interviews with important figures in medical humanities education between November and December 2007. Results: The interviewers all agreed that the introduction of medical humanities education had made medical education more holistic. However, they felt that it was important to clarify the definition and status of medical humanities education. A lack of discussion platforms and the competing demands of clinical and research duties were felt to be barriers to devoting time to education. Thus, there was felt to be a need to develop medical humanities faculty members more systematically. Small group teaching was regarded as the ideal teaching methods by all the interviewed persons. In terms of teaching materials and methods, it was felt that scholars from the humanities, social sciences, and abroad could be consulted. In addition, it was believed that student participation in curriculum development should be encouraged in order to meet the needs of a new generation.