導入可信賴的專業活動於呼吸治療職類新進人員訓練

Introducing Entrustable Professional Activities into the Training of Newly Recruited Personnel in the Respiratory Therapy Profession

隨著醫學教育由傳統的時間為主導模式轉向以結果為導向，呼吸治療專業也開始推動CBME來評估和提升專業能力。自2018年起，中華民國呼吸治療師公會全國聯合會與台灣呼吸治療學會推動以EPAs為核心的訓練模式，並經過專家會議選定了11項與成人呼吸照護相關的EPAs，涵蓋了臨床工作、跨領域合作、專業素養等核心能力。儘管受COVID-19疫情影響曾一度中斷推動，但也促使小組進一步反思並強化訓練內容。推動過程中的挑戰主要集中在評量設計、師資培訓以及資料分析等方面，但透過競賽與合作，成功地推動了多場EPAs相關活動並提高了學員的理解與接受度。

EPAs的導入有助於新進人員的訓練與專業能力驗證，並透過多元評估方法提升臨床安全性與有效性。儘管挑戰仍在，但隨著師資培訓與評估機制的完善，EPAs將成為呼吸治療領域中提升整體臨床水平的重要工具。

 

While medical education transitions from a conventional time-based model to an outcomes-based approach, the respiratory therapy profession has begun implementing competency-based medical education to evaluate and enhance professional competencies. Since 2018, the Respiratory Therapists Society of the Republic of China and the Taiwan Society for Respiratory Therapy have promoted a training model centered on Entrustable Professional Activities (EPAs). In expert meetings, these organizations selected 11 EPAs related to adult respiratory care for implementation, which involved core competencies such as clinical practice, interdisciplinary collaboration, and professional literacy. Although the implementation process was temporarily disrupted by the COVID-19 pandemic, this period prompted further reflection and improvement of the training content by the team. Challenges during the implementation primarily comprised assessment design, faculty training, and data analysis. However, through competitions and collaborative initiatives, several EPA-related activities were organized, enhancing trainees’ understanding and acceptance.

The introduction of EPAs has facilitated the training and competency validation of newly recruited personnel, improving clinical safety and efficiency using diverse assessment methods.Although challenges persist, the refinement of faculty training and evaluation mechanisms positions EPAs as a critical tool for advancing overall clinical standards in the field of respiratory therapy.