臺灣教學醫院新進營養師可信賴專業活動之建置與推廣

Development and Implementation of Entrustable Professional Activities for Entry-Level Dietitians in Teaching Hospitals in Taiwan

能力導向醫學教育(competence-based medical education, CBME)是國際醫學教育的重要趨勢，而可信賴專業活動(entrustable professional activities, EPAs)將多項核心能力整合為職場臨床任務的描述，是CBME實踐的重要方式。自2020年起，中華民國營養師公會全國聯合會（營養師全聯會）開始推動CBME，分階段建置與推廣EPAs。推動過程分為三個階段（2020年12月至2024年11月）：發展營養師職類CBME能力進展框架、辦理CBME師資培訓與強化評量暨教學能力、推動總結性評估及完善以學習者為中心的臨床培訓制度。
營養師全聯會致力於在執業環境下積極推動核心任務與能力進展架構的建置，並透過辦理師資培訓與推動總結性評估機制，期待加速各訓練醫院導入EPAs及完善以學習者為中心的臨床營養教育制度。CBME的推動與EPAs的實施，能有效促進學員臨床能力進展及具備勝任臨床工作的條件。學員的能力進展轉化為實際的臨床營養職場上的授權，進而提升營養照護的品質，實現培育優秀醫療人才、提升臨床教學質量與優化醫療服務的長期目標。

 

Competency-based medical education (CBME) isincreasingly emphasized in medical education. Entrustable Professional Activities (EPAs) integrate multiple core competencies into practical clinical tasks and represent a crucial method of implementing CBME. Since 2020, the Taiwan Dietitian Association (TWDA) has actively promoted CBME by developingand implementing EPAs.These EPAs were implemented from December 2020 to November 2024 and proceeded in the following steps: (1) establishing dietitian-specific competency progression frameworks, (2) conducting CBME faculty training to foster shared understanding and ensure consistency in workplace assessments and coaching,and (3) employing summative assessment systems to facilitate learner-centered clinical training.

The TWDA’s efforts assist teaching hospitals in adopting EPAs, strengthening work place observation and assessment, and optimizing assessment systems for clinical nutrition practice environments. The progressive translation of learners’ competencies to real-world tasks through EPAs improves the quality and effectiveness of nutrition care.