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中醫之婦科臨床教學

Mentoring Program in Gynecological Traditional Chinese Medicine

本文另有預刊版本,請見:10.6200/TCMJ.202012/PP.0005

摘要


目的:本研究為了解受訓醫師在婦科訓練學習成效評估。方法:採回溯性研究設計,由臺北市立聯合醫院林森中醫昆明院區執行民國103年至106年中醫醫療機構負責醫師訓練計畫之檔案資料,選取受訓者與指導醫師個別討論內容涉及婦科議題的紀錄,以內容分析法,分析受訓醫師與指導醫師互動的關注要點。結果:本研究共23篇討論紀錄被選為分析文本。討論議題涉及女性生殖器官、生理特點、四診以及用藥反應等。資料顯示受訓者除了關注中醫臨床實務外,還有指導醫師的人文關懷。結論:中醫醫療機構負責醫師訓練計畫不僅是一門應用科學的技藝與思維之教學,亦是一門人文精神與實踐。未來可考慮將指導醫師的人文素養,列入此臨床教學策略的一環。

並列摘要


Objectives: This study addresses the concerns among trainee physicians during gynecological training. Methods: This study used a retrospective design. We selected and reviewed gynecology-related individual discussion records of the trainee physician and instructor physician between 2014 to 2017 at the Linsen Chinese Medicine and Kunming Branch of Taipei City Hospital. Content analysis was used to reveal the interacting concerns of the trainees and their mentors. Results: In total, 23 discussion records related to gynecology were retrieved. The concerns raised included female reproductive organs, physiological characteristics, the "4 diagnoses," and drug reactions. The results revealed that the trainees were concerned with practice-related issues and the humane care of the mentors. Conclusions: The Traditional Chinese Medicine Physicians Training Program Supervised by Chinese Medicine Institution is a teaching program encompassing humanity and practice besides the applied sciences and mind. We suggest including the humanistic literacy of mentors in clinical teaching.

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