本研究評估國立臺灣大學醫學院醫學教育改革在1992年1995年間之執行成果。評估方法採用Rubenstein的評估概念，分為結構、執行過程及學生成績三大部份：收集課程指引、講義、開會記錄、行政報告、國家考試成績及其他文件記錄等資料，以預先訂定之評估指標作評估。本研究結果顯示在教師人力的限制下，參與「問題基礎學習」課程的指導老師由1992年之25人增至1995年之137人，使「問題基礎學習」課程的教師學生比例能維持在一個理想的範圍。課程方面，「問題基礎學習」及小班教學課程由3個增至8個；3及4年級採用基礎臨床整合課程；人文及社會科學課程亦由改革前的5個增至10個。新課程重視問題基礎學習、醫學與人文、醫學資訊、醫學倫理、醫病關係、社區醫學、門診醫學與急診醫學等領域。行政系統亦同時革新以配合教育改革的推行。並陸續成立如課程委員會、教學發展委員會、醫學教育研究小組、小班教學推展小組、教育研習規劃小組等協助推行各種改革事宜。教師對教學的參與及表現列為升等的評估項目。學生參加國家考試的成績方面，在1995年的基礎醫學考試合格率為93.39%（全國平均66.32%），臨床醫學考試合格率為79.61%（全國平均52.90%）；比1992年的46.34%（全國平均44.38%）及75.25%（全國平均77.05%）為優。 根據上述結果，本研究認為採用基礎臨床整合課程、問題基礎學習及小班教學，以及著重醫學倫理、醫病關係、社區醫學、門診醫學與急診醫學訓練的教育方式在臺灣是可行的。

　　　　　The purpose of this study is to evaluate the innovative education progr am implemented during 1992-1995 at National University College of Medicine (NTUCM). The study evaluated curriculum design, the implementation process and student achievement in accordance with Rubenstein program evaluation concept. Data were obtained through analysis of course manuals, syllabuses, internal memoranda, executive reports, national license examination results, and administrative announcements and documents. The results indicated that the number of tutors for problem-based learning(PBL) has increased from 25 in 1992 to 137 in 1995. There was an increase in the total number of PBL and small group tutorial courses from 3 to 8. Integrated courses were designed for third year and fourth year students. The number of social science courses has increased from 5 to 10. Courses have been created emphasizing teaching in PBL, medical humanities, medical informatics, medical ethics, the doctor-patient relationship, community medicine and ambulatory and emergency medicine. The existing administrative system was restructured. Various working committees for curriculum design, medical education research, faculty development, teaching achievement evaluation and promotion of small group tutorials were set up. An alternative faculty promotion track and teaching credit policy were established. Students demonstrated a satisfactory National License Examination passing rate in 1995. It was concluded that the reform program at NTUCM is feasible and applicable in Taiwan.