中医药研究论丛

221.23 中医专科医师制度的建立与推动之研究
TJ TCM.22(1) : 243-254, 2019
中医专科医师制度的建立与推动之研究
The Establishment and Promotion of the Traditonal Chinese Medicine Specialist System
冯纪新1 邱诗方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中医部,台中,台湾
2 慈济大学学士後中医学系,花莲,台湾
【摘要】
中医师临床训练品质在卫生福利部的努力下已有长足的进步,且中医分科制度业已发展完善,分别为中医内科、中医妇科、中医儿科、中医针灸科、中医伤科等五大科,并成立各中医专科医学会,也颁发各自的专科医师证书,但对该专科在专业上的训练课程、师资条件、训练场所、及评核认证方式,都缺乏客观之制度建立,使中医师训练缺乏完整性,阻碍中医专科发展。本研究以客观而公开之方式,透过中医专家会议平台之机制,对中医专科医师制度之建立取得共识,确立中医专科医师制度的方向和目标、人才培育的目标、训练场所之条件。并协助各中医专科医学会依照专科医师训练课程基准、专科医师训练机构认定标准、专科医师甄审原则等内容拟定该专科训练制度草案。并由专家评选出以中华针灸医学会提出之中医专科医师制度作为优先推动的科别。以提供卫生主管机关作为未来推动中医专科医师训练制度推行之叁考依据,进而强化中医医疗照护品质。
【关键词】中医、专科医师、住院医师、临床训练、医学教育
Chi-Hsin Feng1 Shih-Fang Chiu1 Chung-Hung Wu1,2 Jian-Jung Chen1,2*
1Department of Chinese Medicine, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation
2School of Post-Baccalaureate Chinese Medicine, Tzu Chi University, Hualien Taiwan
【Summary】
Traditional Chinese Medicine (TCM) physicians’ medical education and training in Taiwan have improved and divided into five department by the efforts of Minister of Health and Welfare, which included Chinese Medicine Internal Medicine, Chinese Medicine Gynecology, Chinese Medicine Pediatric, Chinese
Medical Acupuncture, and Chinese Medicine Traumatology. The society of each TCM department certificated its own specialist but did not establish objective assessment of training courses standards, tutors criteria, training institutions standards, validations principles, which block physicians’ training system and impede development of TCM specialist.
The aim of the study is to achieve the establishment of "TCM specialist system" in objective through consensus meeting by experts of industry, government, academia. Meanwhile, The society of each TCM department under instruction set its own specialist training courses standards by the baseline of TCM specialist training couse, institutions identification and validations principles. The first TCM division project would be promoted by Chinese Medicine Society of Acupuncture, which was verified by consensus meeting by experts.
The result of the study suggested the establishment the Traditional Chinese Medicine specialist system in the future, whcih strengthens the professional TCM division training and the quality of Chinese medical care.
KeywordsTCM, specialist, resident doctor, clinical training, medical education