Download - 「一般醫學訓練師資培訓計畫」 ACGME 6大核心能力
-
Medical Knowledge ?
-
1910 Flexner report
20 69
1910 155 1930 76
The Flexner report
Abraham Flexner
(1866~1959
http://content.nejm.org/content/vol355/issue13/images/large/08f1.jpeg
-
Abraham Flexner
1908 The American College
155
1.
2.
3.
4.
5.
1910 Flexner report
-
The Flexner Report
California Medical College
Baylor University College of Medicine
Birmingham Medical College
Washington University Medical School St. Louis
Tennessee
Vanderbilt
Knoxville & Chattanooga Utterly wretched
-
1918American College Surgeons
1953Joint Commission on Accreditation of Hospital
JCAH
1987Joint Commission on Accreditation of Healthcare
Organizations; JCAHO
1992National Committee on Foreign Medical Education and
AccreditationNCFMEA
-
19989
NCFMEA
-
1950
1998 16
(Non-comparable)
11 18
NCFMEA
-
1945/
1949
1954
1958
1960
1975
1983
1987
1994
2000
2009 :
-
19989
NCFMEA
1998108 NCFMEA
-
1. ?
2.
3.
4.
5.
6.
7.
NCFMEA
2002
-
1999
TMAC
-
1999
2002 NCFMEA
2009 NCFMEA
Taiwan Medical Accreditation Council TMAC
-
SARS
2003
-
Medical Knowledge ?
-
1.
2.
3.
4.
5.
6.
Recommendation for Medical Education
in Taiwan
et al 2009
-
92
(Postgraduate Year 1; PGY1)
95
12
3 6
100
-
(AAMC, 1996)
WFME, 2003)
IIME, 2003)
To Err Is Human (IOM, 2000)
Crossing the Quality Chasm (IOM, 2001)
Health Professions Education (IOM, 2003)
-
World Federation for Medical Education (WFME)
20033
-
Phase I:
Phase II:
Phase III: /
Global Minimum Essential Requirement
GMER
-
2005
2005
-
2004
http://www.google.com/gwt/x?q=%E6%97%A5%E6%9C%AC%E5%9C%8B%E6%97%97&resnum=3&ei=ijn2S_CKDIee7APm7fSQAw&sa=X&oi=image_result&ct=res&cd=3&ved=0CA0Q9QEwAg&hl=zh-TW&source=m&imgurl=a2.att.hudong.com%2F59%2F89%2F01100000000001113738984695259.gif&rd=1&u=http%3A%2F%2Fwww.hudong.com%2Fversionview%2FCQloEXlEDWFdR%2CCwNGWgVf%2CUA
-
92
(Postgraduate Year 1; PGY1)
95
12
3 6
100
-
ACGME
2006
-
Accreditation Council for Graduate Medical Education
(ACGME)
1918 (ACS
1953 JCAH
1981
(ACGME)
-
Accreditation Council for Graduate Medical Education
(ACGME)
-
6 MIS + 3P
1 Medical knowledge
2 Interpersonal & communication skills
3 System-based practice
4 Patient care
5 Professionalism
6 Practice-based learning & improvement
Accreditation Council for Graduate Medical Education
(ACGME)
-
PGY UGY
1. 2. 3. 4. 5. 6. 7. 8. 9.
1. 2. 3. 4. 5. 6. 7.
-
PGY UGY 1. (MK) 2. (MK) 3. CVPFoleyNGSB tube(MK) 4. (MKPC) 5. (MKPC)
1. MKPC 2. (PCCS) 3. (MKPC) 4. (PCCS) 5. PCCSSBP
1. PLI 2. PBLISBP 3. P 4. PCS SBP
1. (MK) 2. (MK) 3. (MK) 4. (MK) 5. (MK) 1. PCCS 2. (MKPC) 3. (MKPC) 4. PCCSSBP 5. MKPC
1. PBLI 2. P 3. P
-
EDUCATE UP
UP
EDUCATE
Lawrence M. Opas
LAC + USC Medical Center
-
ACGME
2006
-
I1 I2 PGY1
1Medical knowledge
2Interpersonal and communication skills
3System based practice
4Patient care:
5Practice based learning and improvement
6Professionalism
-
2008
-
2008
-
Adult education
Childhood Education
Compulsory
Teacher initiated
Teacher motivated
Teacher directed
Teacher assessed
Non reflective
Non critical
Adult education Motivation
Learner centered
Relevant
Clear goals
Feedback
Experiential reflection
Development
-
2008
-
2008
-
2008
-
2008
-
We want to turn out
Good Doctors
ACGME Outcome Project
-
Thanks your attention