Department of Internal Medicine, National Taiwan University College of Medicine, Taipei, Taiwan.
Med Teach. 2009 Mar;31(3):e74-8. doi: 10.1080/01421590802516780.
Graduates of the 7-year undergraduate medical curriculum in Taiwan are often deficient in clinical skills.
To implement and assess a programme of accelerated clinical education.
The Department of Primary Care Medicine at the National Taiwan University College of Medicine implemented a programme shortening the undergraduate clinical curriculum from 3 to 2 years and giving students more clinical responsibility. Students were prepared for clinical rotations with a 1-month clinical skills course. Core clinical rotations were redesigned to be more participatory. The programme included 1 year of a postgraduate, rotating residency. Self-selected students with adequate grades, recommendations and performance on an interview participated in the programme. None of them dropped out.
Compared with their traditionally instructed cohorts, graduates of the accelerated programme ( approximately 10% of each class) were more likely to pass national boards (100% versus 80-97%) and were rated as more proficient on 9 of the 10 different clinical performance parameters (p < 0.01 by sign test). Sixty-nine percent reported being satisfied or very satisfied with the programme.
A pilot programme of accelerated medical education at National Taiwan University that included clinical skills instruction, mentor-style classes and active learning techniques resulted in satisfactory outcomes for the students selected for the programme.
台湾 7 年制医学本科毕业生常缺乏临床技能。
实施并评估加速临床教育计划。
台湾大学医学院基层医疗系实施了一项计划，将本科生临床课程从 3 年缩短至 2 年，并让学生承担更多的临床责任。学生通过为期 1 个月的临床技能课程为临床轮转做准备。核心临床轮转进行了重新设计，以增加参与度。该计划包括 1 年的研究生轮转住院医师培训。成绩、推荐和面试表现足够的自选学生可以参加该计划。没有人中途退出。
与传统指导的班级相比，加速课程的毕业生（每班约 10%）更有可能通过国家委员会考试（100%对 80-97%），并且在 10 项不同的临床绩效参数中的 9 项上被评为更熟练（符号检验，p<0.01）。69%的人报告对该计划表示满意或非常满意。
台湾大学的一项加速医学教育试点计划，包括临床技能指导、导师式课程和主动学习技巧，为入选该计划的学生带来了令人满意的结果。
