全一年期畢業後一般醫學訓練計畫之衝擊與因應方法

The Impacts of and Methods of Coping with the Extension of the Post-Graduate Year General Medicine Training Program

陳祖裕(Cho-Yu Chan)

《Journal of Medical Education》 13卷4期 (2009/12) Pp. 226-231

https://doi.org/10.6145/jme.200912_13(4).0002

摘要

「畢業後一般醫學訓練計畫」（以下簡稱PGY訓練計畫）預計在2011年將訓練時間延至一年，此全一年期PGY訓練原是大家期待已久的目標，但由於訓練時間延長而衍生許多可預期與不可預期的變化，對執行機構、教師和受訓學員將會造成不少衝擊，甚至影響整體計畫的成敗。因此，在訓練場所的安排、經費來源的拓展、人力衝擊的化解、教師質量的維繫，以及學員權益的保障等議題上，大家都必須予以關注、思維、討論及訂出最好的處理方法。本文陳述全一年期PGY訓練可能產生的衝擊及一些因應對策，希望能拋磚引玉，引發更多更深入的觀點和更有效的建議。

關鍵字

因應方法 ； 衝擊 ； PGY訓練

並列摘要

In 2011, the training time of the Post-Graduate Year General Medicine Training Program (PGY Program) will be extended to 1 year. This course extension is expected to have a significant impact on all trainees, trainers and training hospitals. The control of these impacts may be regarded as a determining factor in terms of the program's success or failure. Therefore, all stakeholders should have concerns and need to consider this issue. There is a need to work together to make sure that the preparation of training sites, the collection of funds, the management of human resources, the maintenance of teaching quality and quantity, and finally, guarantees of trainees' rights and benefits are correctly implemented. The aim of this article is to produce valuable comments from readers by presenting some of the obvious impacts resulting from the changes in the PGY Program and suggest probable methods of coping with them.

並列關鍵字

coping methods ； impacts ； PGY training

參考文獻

Wu CL,Yang HW,Chen YL(2006).A clinical skills resources center: the experience at Taipei Veterans General Hospital.J Med Educ.10,344-350.

American Academy of Physician Assistants (AAPA)

Harrison JP,Curran L(2009).The hospitalist model: does it enhance health care quality?.J Health Care Finance.35,22-34.

Jussim L,Harber KD(2005).Teacher expectations and self-fulfilling prophecies: knows and unknowns, resolved and unresolved controversies.Pers Soc Psychol Rev.9,131-155.

Littauer R(1972).Instructional implications of a new low-cost electronic student response system.Educ Tech.12(Suppl),69-71.