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212.22 不同教育养成背景之中医师对於中医专科医师训练制度看法与态度之研究

TJ TCM.21(2) : 255-270, 2018

DOI : 10.6516/TJTCM.201809_21(2).0022

不同教育养成背景之中医师对於中医专科医师训练制度看法与态度之研究

To Analysis the Opinions About the Implementation of TCM Specialist System from Different Training Backgrounds of TCM Physicians

邱诗方1　冯纪新1　伍崇弘1,2　陈建仲1.2*

1 佛教慈济医疗财团法人台中慈济医院，台中，台湾

2 慈济大学学士後中医学系，花莲，台湾

【摘要】

卫生福利部於民国92年完成中医专科医师制度及施行办法草案，碍於当时环境尚未成熟，中医专科医师训练制度推行延宕至今；现今中医训练场所及师资有长足进步，推行中医专科医师训练制度之时机臻於成熟。目前台湾中医师养成教育主要有：中医系、学士後中医系及特考及格，医疗专业与诊疗水准有所差异，希望透过中医专科医师制度训练以提升中医师专业医疗能力，若能了解不同背景之中医师对於中医专科医师制度的看法与态度，可作为未来拟定中医专科医师制度之依据。本研究利用问卷，调查不同背景之临床中医师（包括中医系、学士後中医系以及特考及格）对於中医专科医师训练的看法，总共发出1308份问卷，实际可供研究之问卷为151份。结果显示多数临床医师对於推动中医专科医师训练制度及规划表示同意，但不同之医师身分、最高学历与执行科别对於推动中医专科医师训练制度及中医专科医师训练制度规划之看法有显着差异（p＜0.05）。另外，多数临床医师同意中医专科医师训练制度之内容，但部分议题仍不少医师持反对或观望态度，显见仍有讨论空间。本研究显示不同背景之临床医师对於中医专科医师训练制度多抱持正面看法，若能进一步取得共识，对於未来推行中医专科医师制度与健全中医师养成训练有所助益。

【关键词】中医、专科医师、住院医师、临床训练、医学教育

Shih-Fang Chiu1Chi-Hsin Feng1Chung-Hung Wu1,2Jian-jung Chen1,2*

1Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation

2School of Post-Baccalaureate Chinese Medicine, Tzu Chi University, Hualien, Taiwan

【Summary】

Taiwan TCM physicians’ medical education and training backgrounds varied which takes account for uneven quality of medical profession and clinical skills. In order to improve medical quality and strengthen TCM clinical skills, the establishment of TCM specialist system is important. The TCM specialist system was established by Ministry of health and welfare since 2003, but not be applied until now due to inadequacy complementary measures and no consensus on the detail of TCM specialist training system. Nowadays the increasing quantity of TCM clinical training place and clinical TCM teachers provides an opportunity to implement the TCM specialist system following by collection of the opinion from different training backgrounds of TCM physicians about the TCM specialist training relevant measures. Our study is conducted by questionnaire surveys among different training backgrounds of TCM physicians. We mailed out 1308 copies of the questionnaires with 151 qualified copies returned, which accounted for a response rate of 13.8%. Our results show most of TCM physicians agree with the TCM specialist training system and programming. The opinions are not influenced by different training backgrounds but significant affected by the TCM physicians’ characteristics including the physician’s positions, divisions and highest academic degree (p＜0.05). In addition, the content of the TCM specialist training system are approved by most of TCM physician, but some issues of the TCM specialist training system are controversial. In the future the establishment of TCM specialist training system after reaching an agreement about the content of the TCM specialist training system will improve TCM physicians’ medical education and clinical training system.

【Keywords】TCM, specialist, resident doctors, clinical training, medical education

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