台灣醫學生麻醉教育的現狀

The Contemporary Undergraduate Education of Anesthesia in Taiwan

In 1901, Buxton first proposed that study of anesthesia should be a compulsory subject in medical curriculum for junior surgical members in their training program. It was not until 1912 that the General Medical Council (U.K.) included anesthesia in medical training. Anesthesia developed as a specialty in 1947, but unfortunately the subject was removed from medical curriculum and it was not until 1980 that it was reinstated. In 1982 a study remarked that there were less than 50% of newly qualified physicians who could manage an unconscious patient and only 8% could perform CPR. Even in a relatively recent study Gould et al. remarked that most house staffs had limited knowledge about analgesic drugs and in handling the perioperative complications such as hypotension. All these have shown that the quality of undergraduate anesthetic training has been variable and often low.