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篇名
客觀結構式臨床測驗應用與針灸臨床訓練之探討:實例分析
並列篇名
The Application of objective structured clinical examination on clinical training of acupuncture
作者 陳瑩陵侯俊成王哲彥張順昌林素卿
中文摘要

近年中醫教育開始發展並納入中醫客觀結構式臨床測驗(Objective Structured Clinical Examination,簡稱OSCE)於臨床能力評核與訓練,透過臨床情境的模擬,以更有效地評核受訓學員的中醫臨床能力,進而提升病人安全,改善中醫醫療品質。本研究旨在探討OSCE 於針灸臨床訓練的運用與效益。本研究以回溯方式進行資料蒐集與分析,選取彰化基督教醫院中醫部於2013 年6 月至2016 年5 月期間所舉行OSCE 的針灸考站相關資料,包括:針灸科試題教案分析、考生的匿名座談回饋與問卷分析。研究期間針灸試題發展共計9 例,所有參與考生共49 人(包括中醫實習醫學生37 人/ 第一年住院醫師12 人)。研究結果顯示,受訓學員肯定中醫OSCE 對於針灸臨床工作的實用性。由於針灸屬侵入性治療,無法於標準 化病人身上施作,本研究建議未來需要根據針灸臨床情境需要,進一步開發合適的針灸擬真模具;並且必須透過反覆測試,俾使教案試題臻於完善。期盼本研究能提供未來中醫OSCE 發展之參考,促進中醫臨床教育的變革與成熟。

 

英文摘要

The education of Traditional Chinese medicine(TCM) has been developed and incorporated into the Objective Structured Clinical Examination (OSCE) for clinical skill assessment and training. Through the simulation of clinical situations, the clinical skill of TCM students is more effectively evaluated. This study aimed to explore the application and benefits of OSCE in acupuncture clinical training. In this study, data collection and analysis were conducted in a retrospective manner. Relevant materials of the acupuncture examination station of OSCE held by the Chinese Medicine Department of Changhua Christian Hospital from June 2013 to May 2016 were selected, including: analysis of the teaching plan of the acupuncture examination and the anonymous feedback and questionnaire of the candidates. During the study period, a total of 9 acupuncture test questions were developed, and all of the participating candidates were 49 (including 37 students and 12 first-year residents). The results of the study showed that the trainees confirmed the practicality of TCM OSCE for acupuncture clinical work. Because acupuncture is an invasive treatment and cannot be applied to standardized patients, this study suggests that in the future, it is necessary to further developappropriate acupuncture simulations according to the clinical situation of acupuncture; and it is necessary to pass the repeated tests to make the teaching test questions perfect. It is hoped that this study can provide reference for the future development of TCM OSCE and promote the transformation and maturity of TCM clinical education.

 

起訖頁 073-082
關鍵詞 中醫教育客觀結構式臨床測驗針灸病人安全education of traditional Chinese medicine (TCM)objective structured clinical examination (OSCE)acupuncturepatient safety
刊名 中醫藥雜誌  
期數 201912 (30:2期)
出版單位 衛生福利部國家中醫藥研究所(原:國立中國醫藥研究所)
該期刊-上一篇 穴位電刺激及針灸對老年人注意力網絡之影響
該期刊-下一篇 東垣《脾胃論》陽氣興衰與陰火生成之五運六氣亢害原理
 

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