一般外科訓練之改進

一般外科訓練是外科醫學教育的基礎，對於醫學生和初級住院醫師都很重要。然而，過去十年醫學、電腦和生物科技的進步，使醫療體制走向以社區爲基礎、病人爲中心，一般外科訓練也要有所改變，以便符合民衆的需求，我們除了要充實醫療之相關知識與技能外，更應該多强調法律倫理社會人文的外科層面。台大醫院外科也嘗試二階段學程，透過整合性的課程、核心課程、多元文化的研習、小班教學，使學生能更快速有效的解决問題。台大醫院外科有足够的病例數、經驗豐富的教師、教學相長的機制，同時也建立了系統化、實證醫學、流行病學為基礎的訓練方法。面臨21世紀，外科以及台灣醫療環境的遽變，台大外科一方面致力於培養一流的專科醫師，解决艱難的疾病。另一方面，更向下紮根，注重外科基本學理；加强一般外科的教育與訓練，幷且藉由一般醫療課程，强化外科醫師的一般醫學知識的教育以及人文與社會關懷精神，以期培養才德兼具的外科醫師，來提升台灣整體的醫療品質。

關鍵字

醫學教育；教學方法；小班教學

並列摘要

Basically, general surgery is the fundamental base of surgery. Courses in general surgery are important to medical students and junior residents who want to be surgeons. In the last ten years, medical, computer, and biotechnique knowledge and practice has advanced and progressed dramatically. The tendency of our medical system is toward community-based and patient-oriented medical service treatment. Human society is involved in this new era of new environment. So medical education needs to make more changes to adapt to the needs of people. Basically we haven't pay enough attention to legal problems, ethics, society, and cultural sensitivity in surgery. Now we have a program to change this. At National Taiwan University Hospital our general surgery department has performed a new trial under two-stage integrated courses(PGY program).We are trying to improve the quality of teaching in the surgical field through integrated courses, core open-question lessons, medical teamwork, small group tutorials, surgical research, and cultural sensitivity lectures. Small group tutorials in face to face dialogue help students get more information about general surgery from their teachers and the teachers provide methods for resolving difficult problems. At our hospital there are three essential resources for graduate medical education: large numbers of patients, large numbers of competent physicians, and the best settings in which to teach/learn the key competencies critical to effective physician performance. Our surgeons who volunteer to teach are more satisfied with their jobs because they are challenged to stay up-to-date by the questions their residents ask. New bio-technique advances have given us fresh ideas about new therapeutic approach to healing. We also use medical informatics to open windows to students in all research fields. We have developed a systems-based, evidence-based, epidemiologically-based medical training.

並列關鍵字

medical education ； teaching methods ； small-group tutorial

國際替代計量

一般外科訓練之改進

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