以模擬實作工作坊提升臨床教師參與臨床能力委員會之能力

Enhancing the Ability of Clinical Teachers to Participate in Clinical Competency Committees Through a Simulation Workshop

臨床能力委員會（clinical competency committees, CCC）是勝任能力導向醫學教育的必要項目，其主要功能是根據受訓者的可信賴專業活動或里程碑，來評估他們。這種總結性評估，對於確保學員達到各自領域的能力要求極為重要。為確保CCC的成功，臨床教師有多項主題需要學習，包括了解CCC的角色和職責、訓練計畫使用的評估工具、評估結果的分析及解讀等。CCC這種團隊決策模式會受到成員人數與特性、共享心智模式、團隊領導與資訊分享等因素影響，因此在師培活動的設計上，需要考量這些因素。國內雖已有多家教學醫浣推行CCC，但尚未報告有明確成效的師培活動。本師培團隊透過CCC模擬實作工作坊，培訓來自全國住院醫師訓練醫院的家庭醫學科臨床教師，經評估此工作坊，能顯著提升教師參與CCC的能力，對未來進一步推廣CCC師培活動，有其參考價值。

Clinical competency committees (CCCs) are an essential component of competency-based medical education (CBME). The primary function of clinical competency committees is to evaluate trainees based on their entrustable professional activities or milestones. This summative assessment is essential to ensure that trainees have met the competency requirements of their respective fields. To ensure the success of CCCs, clinical teachers need to learn a number of topics, including understanding the role and function of CCC, the assessment tools used in the training program, the analysis and interpretation of assessment results. The group decision making model of CCCs is affected by factors such as the number and characteristics of CCC members, shared mental models, team leadership, and information sharing. Therefore, these factors need to be considered in the design of faculty development activities. Although many teaching hospitals in Taiwan have implemented CCCs, there have been no reports of faculty development activities with clear results. Our faculty development team aims to train clinical teachers from family medicine residency training hospitals nationwide through the CCC simulation workshop. It has been assessed that this workshop can significantly improve the ability of clinical teachers to participate in CCCs. It is of reference value for further promotion of CCC faculty development activities in the future.