畢業後一般醫學訓練社區醫療實務之學習意向調查

Learning Willingness Assessment of Postgraduate Year Residents for a Community Medicine Program

楊慎絢(Sun-Shen Yang) ； 何清幼(Chin-Yu Ho) ； 莊美幸(Mei-Hsing Chuang) ； 陳碧雲(Pi-Yun Chen)

《北市醫學雜誌》 4卷8期 (2007/08) Pp. 680-689

https://doi.org/10.6200/TCMJ.2007.4.8.05

摘要

Background and Purpose: The postgraduate year residency program (PGY) was developed as a one year training course in Taiwan since July 2006, including one month of training in community medicine followed by a further month of training in practice. This study investigated the pre-course learning willingness of PGY residents, in order to plan the practice program. Methods: Firstly, the PGY residents expressed their learning willingness. Secondly, an instrument was developed, including a community health issue, followed by 5 choices. The PGY residents were asked to allocate one hundred points to these 5 items, which covered the area from prevention to chronic care. The results of the allocated points are compared between PGY residents with different levels of learning willingness. Results: There were 41 residents, 33 males and 8 females, with a mean age of 27.0 (± 2.0) years, who had applied to join the community medicine practice program in a local hospital during 2006. The PGY residents (n=21) who selected ”community health development” as their practice domain regarded community health promotion as a critical factor that affects health, with an allocated score of 25.67 (± 8.22) points, while ”acute care” was allocated 16.48 (±6.30) points. Comparing the results of the others (n=20) with the allocated scores of 17.00 (±6.99) and 23.15 (±7.07) points respectively, all revealed significant differences (p＜.01). Conclusion: Based on this limited survey of PGY residents in a local hospital, the result of this study was applied to develop a community medicine practice program that was more suited to the current needs. According to the pre-course learning willingness of PGY residents, the directors arranged training courses, including the development of a healthy city and the coalition of resources in the country.

關鍵字

畢業後一般醫學訓練計畫 ； 社區醫療實務 ； 整合性照護

並列摘要

Background and Purpose: The postgraduate year residency program (PGY) was developed as a one year training course in Taiwan since July 2006, including one month of training in community medicine followed by a further month of training in practice. This study investigated the pre-course learning willingness of PGY residents, in order to plan the practice program. Methods: Firstly, the PGY residents expressed their learning willingness. Secondly, an instrument was developed, including a community health issue, followed by 5 choices. The PGY residents were asked to allocate one hundred points to these 5 items, which covered the area from prevention to chronic care. The results of the allocated points are compared between PGY residents with different levels of learning willingness. Results: There were 41 residents, 33 males and 8 females, with a mean age of 27.0 (± 2.0) years, who had applied to join the community medicine practice program in a local hospital during 2006. The PGY residents (n=21) who selected ”community health development” as their practice domain regarded community health promotion as a critical factor that affects health, with an allocated score of 25.67 (± 8.22) points, while ”acute care” was allocated 16.48 (±6.30) points. Comparing the results of the others (n=20) with the allocated scores of 17.00 (±6.99) and 23.15 (±7.07) points respectively, all revealed significant differences (p＜.01). Conclusion: Based on this limited survey of PGY residents in a local hospital, the result of this study was applied to develop a community medicine practice program that was more suited to the current needs. According to the pre-course learning willingness of PGY residents, the directors arranged training courses, including the development of a healthy city and the coalition of resources in the country.

並列關鍵字

postgraduate year residency program ； community medicine practice ； integrated delivery system