一兼三顧，腹肚、佛祖、父母攏有顧：「醫用台語課程史」對台灣專業語言課程規劃的啟發

A Pragmatic Approach to Dialect Maintenance: A Survey of the Course Development of ＂Taiwanese for Medical Purposes＂ and its Implications for the Curriculum Planning of Professional Language Courses in Taiwan

蔡美慧(Mei-Hui Tsai)

《台語研究》 7卷2期 (2015/09) Pp. 28-71

https://doi.org/10.6621/JTV.2015.0702.02

摘要

高等教育目的之一是為著銜接學習者將來職場所需要ê專業能力佮素養，譬喻，醫師為老年病人服務所需要ê專業台語。本文對醫用台語課程史、台語溝通人口、醫療需求三个角度，來探討台灣十二間醫學院專業語言課程ê設計，是毋是會當滿足台語溝通人口ê醫療需求？本文根據現有資料庫佮統計，發現如下：醫用台語課上無佇88學年佇高醫就開始開課，到101學年為止，全台先後總共有20門醫用台語相關課程佇八間醫學院開課（67%），開課數量總共140堂課。2010年全台袂曉華語ê成年人大概是135萬人，其中80萬是65歲以上，而且遍佈全台ê高齡人口是醫療需求主體。因此，對北部無機會接受醫用台語課程訓練ê醫學生來講（43%），in將來ê實習抑是執業可能會造成影響，這是第一層隱憂。另外，南部二間醫學院醫用台語課ê總體課開課量是北中南三區上低（15%），但是南部ê台語醫療需求量，卻是三區上懸，供需之間差距大，是第二層隱憂。因此，欲按怎兼顧上層制度性需求（國際化）、基層實務性需求（學習、實習、執業）佮專業性人本需求（以病人ê母語為病人服務），是當前醫學教育專業語言課程重要ê挑戰。三者兼顧ê設計，會當順紲帶動母語ê維護，由醫師輩ê社會菁英來引導，社會意義真深遠。

關鍵字

醫學專業語言課程 ； 需求評估 ； 課程設計 ； 醫用台語

並列摘要

This study examined whether the development of the local language course 'Taiwanese for Medical Purposes' (TMP) meets medical students’ needs for their future practice in Taiwan. The issue was explored from three aspects: the course history of TMP, the population of Taiwanese speakers, and their medical needs. My findings include the following. TMP courses were initiated in 1999, and by 2013, twenty different TMP courses have been developed by eight medical schools. The population of non-Mandarin adult speakers in Taiwan was estimated at about 1.35 million (in 2010), with 800,000 being 65 year-old or older, the age group with the greatest medical needs. Further analysis demonstrates two concerns that call for medical educators' attention. While elderly non-Mandarin speakers live all over Taiwan, the lack of any TMP courses in three schools in northern Taiwan might result in language difficulties in the students’ future practice. The imbalance between the greatest need for medical care among the elderly in southern Taiwan and the lowest supply of TMP courses in this area is the second concern. This report concludes that: the promotion of TMP courses will not only help students' needs for their future practice, and enable them to be more patient-centered, but will also boost dialect vitality.

並列關鍵字

language course for medical purpose ； needs assessment ； curriculum design ； medical Taiwanese

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