臨床技術訓練中心之創建與經營－台北榮民總醫院之經驗

A Clinical Skills Resources Center: The Experience at Taipei Veterans General Hospital

巫春蓮(Chun-Lien Wu) ； 楊惠文(Hui-Wen Yang) ； 程雅琳(Ya-Lin Chen) ； 陳祖裕(Cho-Yu Chan) ； 郭正典(Cheng-Deng Kuo) ； 陳震寰(Chen-Huan Chen) ； 陳素真(Su-Jen Chen) ； 何橈通(Low-Tone Ho)

《Journal of Medical Education》 10卷4期 (2006/12) Pp. 344-350

https://doi.org/10.6145/jme.200612_10(4).0009

摘要

台北榮民總醫院臨床技術訓練中心（以下簡稱本中心）於2003年2月19日正式開幕運作，至今已逾3年。在籌備、啟用，以及持續運作的幾個階段中經歷了不少障礙與困難，從而獲得一些經驗和心得，特記述於本文與同好分享。在本中心規劃籌建的過程中，首先要預估未來需要的課程，據以尋找空間、規劃間隔、廣徵人才及購買設備等，都必須具有充分的前瞻性，由於當時國內醫學教育機構尚未有可供參考的典範，故曾派員到英國利物浦大學參訪，並以其臨床技術資源中心作為設計藍圖。在人員編制方面，本中心自始即編列三位全職且在急救加護護理具有多年經驗的護理師，負責行政策劃、參與教學及課程研發等任務，確保「永續經營」的方針。空間應用則是採用多功能、人性化及便於變通的原則，以達到「地盡其利」的目標。在作業規範中對於場地及設施的使用、管理及維護均訂定詳細的規範，以期能提供「溫馨友善的學習環境」。由於本中心人員身兼行政、教學及研發等多重任務，故人員在職訓練亦成為本中心營運及發展計畫的主要部分。除人員須不斷學習之外，本中心執行之各項課程亦有持續改進的機制。

關鍵字

臨床技術訓練中心 ； 病人模擬器 ； 客觀結構式臨床測驗

並列摘要

Since the Clinical Skills Resources Center was founded on February 19, 2003 at Taipei Veterans General Hospital, we have faced many challenges. These included the organizing period, the opening period and the running period. This article shares more than three years of these experiences in this area with you. During the organizing period, we had to assess the future needs in terms of curriculum capacity and then to appropriate available space, design the infrastructure, recruit qualified staff and purchase equipment. After a benchmarking visit to the University of Liverpool, we determined to use their Skill Laboratory as the blueprint to design for our own center. Three senior registered nurses, who were experienced in emergency medicine nursing and or intensive care, were recruited as full-time staff at the center to manage and design the teaching programs. The allocated space was designed to be multi-functional so that use was effective, flexible and pleasant. Clear-cut guidelines were set out so that they could be readily understood by users, which allowed them to enjoy a warm and friendly learning environment. Since the staff took triple responsibility for program design, management and tutoring, continuing education for them has become an important mission. The center also has established a mechanism to ensure that there are continuing efforts made to bring about ongoing improvements in the programs that the center provides.

並列關鍵字

clinical skills resources center ； human patient simulator ； objective structured clinical examination

參考文獻

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