專科醫事放射師制度設置需要之探討

About the Necessity of setting up a Specialist Radiation Technologists System

醫事放射診療在台灣已屬常規、頻繁與用途廣泛的醫療業務，且如電腦斷層、磁振造影等高科技儀器利用逐年增加。但隨著醫療科技一日千里，放射醫學影像診療技術愈趨精密；且在醫療分工的趨勢下，對於醫事放射師而言需要具有更高、更專精的知識、經驗與技術的要求，以保障就醫病人之醫療品質。從實務作業層面與專業發展而言，醫療專業分工以及讓在此系統下執業放射師能提供更專業與高品質的技術是一重要趨勢。從養成教育層面而言，現今放射師臨床專業技能雖藉「師徒制」與「PGY」制度訓練並且可有亮眼表現，但前者無系統性的傳授與評核而後者非全面性的對新任放射師進行，因此難以確保在此系統下訓練成長的放射師具有完整且可信的專業臨床技能質量。綜上所述，本文建議應設置專科放射師制度：（一）由放射師公會全聯會主持，倡議修訂醫事放射師法，建立專科醫事放射師法制基礎、（二）由放射師公會全聯會主持，廣邀專家學者與醫事放射學會共同討論建立專科醫事放射師分科及甄審辦法、（三）專科放射師資格為於一般診斷攝影為基礎執業一定時間後，得以申請進入專科訓練，而可以目前PGY系統作為專科訓練內容，並於訓練期滿後進行甄試考試、（四）未來有關獨立且專門如心導管、核子醫學、磁振造影或放射腫瘤等之放射與影像醫學技術應由取得相應之專科醫事放射師執行。本文非以固有或既定成見提出政策模式，僅以拋磚引玉之姿提出倡議，期望在提升放射與影像醫學診療品質的目標下，倡導專科放射師制度設置，並獲得放射同仁與專家學者共鳴。

Radiology imaging and treatment are medical routine procedures frequently and widely used in Taiwan. The utilization of computer tomography, magnetic resonance imaging and other high-tech equipment has increased year by year. However, with the rapid development of medical technology, medical radiologic technology is becoming more sophisticated, and in order to keep pace with the specialization of medical practice, radiation technologist have to possess more advanced and specialized knowledge, experience and technique to assure the quality of care. With regard to practical operation and professional development, it is an important trend for further sub-specialization in medical practice, hence for radiation technologists have to be equipped with more professional and higher quality technique. As for the system of education and training, the present “mentoring system” and “PGY program” are usually capable of conduction clinical techniques to trainees with outstanding results. However, the unorganized teaching given by “mentors” and the lack of universal implementation of the PGY program resulted in a system under which radiologic technologist trained not assumed of complete and reliable profession all quality. We hereby proposed a Specialist Radiation Technologist (SRT) system be set up. (1) The Taiwan Association of Medical Radiation Technologist (TAMRT) advocates to revise the Medical Radiation Technologists Act, thus establishing the legal basis for SRT. (2) The TAMRT should invite experts and scholars to discuss about the sub-division of specialty and method of certification regarding SRT. (3) After practicing a certain time in general diagnostic radiography, radiation technologists will be eligible to apply for specialist training, and can currently PGY system as specialist training content. (4) In the future, advanced and specialized radiologic imaging or therapeutic procedures, such as cardiac catheterization, nuclear medicine, MRI or radiation oncology, should only be conducted by SRTs.