醫務專科社會工作師核心職能與訓練評量之研究：以某醫學中心為例

The Study on the Core Competencies and Training Evaluation of Specialized Medical Social Worker : An Example of a Medical Center

為提昇社會工作專業，社會工作師法推動專科社工師的認證制度。2015年衛福部開始推動合格訓練組織，認定專科社工師考試資格的「專科社會工作師訓練組織認定基準」，為現行社會工作的督導制度，提供制度結構的參考依據。但基準中未明訂專科社工師的核心職能，以致於各合格訓練組織計畫書中之訓練課程內容、時數及評量方式差異大。本研究以某醫學中心合格訓練組織辦理經驗為依據，檢視醫務專科社會工作師核心職能與訓練評量設計，透過焦點團體與層級分析法，提出該院醫務專科社會工作師訓練之核心職能、區分各子評量項目間之重要性差異，並嘗試建立各核心職能之客觀評估方式，期作為該院未來訓練規劃的參考。研究結果除確立該院醫務專科社會工作師訓練評量項目與內涵，另建議訓練內容、核心職能項目、評量項目應有一致性及關連性，核心職能比重應與訓練課程比重相符，重要職能於課程訓練中應有相對訓練時數，以符合訓練目標。訓練評量面向建議分為反應、學習、行為、結果等四大層次，並使用客觀評量工具。最後，對衛福部、醫務專科社工師合格訓練組織以及未來投入相關研究者提出建議。

In order to enhance social work profession, the Social Worker Act promotes the certification system of specialized social workers. Since 2015, Ministry of Health and Welfare has begun to promote qualified training organizations of social workers, and identified the criteria of “ Specialized Social Workers' Training Program” for the exam qualifications of specialized social workers, providing a reference basis for the current supervision system for social work. However, the core competencies of specialized social workers are not defined in the criteria, so that the content of training courses, hours, and evaluation methods in qualified training organizations are very different. Based on the experience of medical social workers' qualified training organization in a medical center, this study examines core competencies and training evaluation design of specialized medical social workers. Through the focus group and hierarchical analysis methods, the core competencies of the hospital's medical social worker specialist training program are proposed, and the importance differences between sub-assessment items are differentiated. And try to establish an objective evaluation method of each core competency, as a reference for the hospital's future training programs. In addition to establishing the training evaluation items and connotation of specialized medical social workers, the results suggest that the training content, core competencies' project and assessment items should be consistent and relevant. The proportion of core competencies should be consistent with the proportion of the training course, and the important competency should have relative training hours in the course training, in order to meet the training goals. The training evaluation is divided into four major levels: reaction, learning, behavior, and results. Objective evaluation tools are used. Finally, suggestions are provided to the Ministry of Health and Welfare, medical social workers' qualified training organizations, and future researchers.