資料載入處理中...
臺灣人文及社會科學引文索引資料庫系統
:::
網站導覽
國圖首頁
聯絡我們
操作說明
English
行動版
(18.223.206.204)
登入
字型:
**字體大小變更功能,需開啟瀏覽器的JAVASCRIPT,如您的瀏覽器不支援,
IE6請利用鍵盤按住ALT鍵 + V → X → (G)最大(L)較大(M)中(S)較小(A)小,來選擇適合您的文字大小,
如為IE7以上、Firefoxy或Chrome瀏覽器則可利用鍵盤 Ctrl + (+)放大 (-)縮小來改變字型大小。
來源文獻查詢
引文查詢
瀏覽查詢
作者權威檔
引用/點閱統計
我的研究室
資料庫說明
相關網站
來源文獻查詢
/
簡易查詢
/
查詢結果列表
/
詳目列表
:::
詳目顯示
第 1 筆 / 總合 1 筆
/1
頁
來源文獻資料
摘要
外文摘要
引文資料
題名:
歷屆臺灣國家醫師執照考試之分析
書刊名:
醫學教育
作者:
黃天祥
/
高美英
/
林明燦
/
王維典
/
曾國藩
/
黃秀芬
/
符文美
/
郭鐘金
/
楊培銘
/
王錦堂
/
蔡瑞章
/
蔡文友
/
李秉穎
/
謝博生
作者(外文):
Huang, Tien-shang
/
Kao, Meei-ying
/
Lin, Ming-tsan
/
Wang, Wei-dean
/
Tseng, Guo-fang
/
Huang, Shiu-feng
/
Fu, Wen-mei
/
Kuo, Chung-chin
/
Yang, Pei-ming
/
Wang, Jin-town
/
Tsai, Jui-chang
/
Tsai, Wen-yu
/
Lee, Pin-ing
/
Hsieh, Bor-shen
出版日期:
1999
卷期:
3:1
頁次:
頁40-52
主題關鍵詞:
國家醫師執照考試
;
基礎臨床整合
;
臨床病例
;
Medical licensee examination
;
Basic and clinical science integration
;
Case study
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
1
) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:
1
共同引用:
10
點閱:4
醫師檢覆考試之目的在於衡鑑醫學生是否已具備行醫必備之學識與技能,以發給醫師執照。臺灣實施此制度已三十多年,自民國八十三年實施二階段考試,但未有系統分析之研究報告,近年來批評之聲時有所聞,且醫學教育改革舉世靡然,此時是對此考試加以分析研究以針砭弊病,提供改進方案之適當時機。由基礎學科及臨床學科就不同領域邀請二至三位教師,就民國八十三年至八十七年共十次的醫師檢覆考試內容如題目的類型、題目的特性、臨床和基礎之相關度、試題難易度加以分析,另對臨床醫學題目予以歸類,探討其領域分佈,是否屬於十大死因之疾病和疾病之常見的程度。結果發現基礎與臨床相關性太低,題目多屬記憶性,缺乏思考性,因此題目深入度不夠,偏重細節,困難題目比例偏低,甚至有些題目和實際生活或臨床疾病脫節。其次領域分布不均,每次考試差異極大。缺乏臨床實例試題難以測試應試者收集資料、分析結果、判讀影像、檢驗結果,推理產生假說及解決問題能力。又因本土資料常不見於教科書內,本土重要疾病比例偏低等缺失。為改進上列缺失,建立國家醫師執照考試的出題基準應為急務,多以臨床病例或基礎臨床整合題目測試應試者運用知識和解決問題的能力。
以文找文
The purpose of the medical licensee examination (MLE) is to determine whether a medical graduate possesses the knowledge and ability to practice medicine. The MLE has been administered to all medical graduates inTaiwan for more than thirty years and a two-step examination has been adopted since 1994. In spite of variouscriticisms of the examination process, content and format there are still no published studies of the MLF in Taiwan. The recent advocation of medical education reform highlights the need for timely analysis of the MLE in order to make sound recommendations to improve it. Two or three teachers from each of the various fields of basic and clinical science were invited to participate in this study. The characteristics of MLE examination questions of the period from 1994 to 1998 were analyzed and the degree of correlation between basic and clinical science, degree of difficulty, distribution of topics in various clinical fields, frequency of clinical problems, and the relation of questions to the ten most common causes of death in Taiwan were studied. The result show that there were several shortcomings in the MLIE questions. First, the integration of basic and clinical science on the tests was poor. Second, most of the questions emphasized knowledge recall rather than thinking processes, and as a consequence the questions were superficial and fragmented. Third, many of the questions were not of sufficient difficulty or were irrelevant to clinical practice. Fourth, the variation of distribution of questions among clinical fields was significant in these years. Fifth, there was a lack of case study questions to test ability in data gathering, analysis of laboratory test results, image analysis, hypothesis formation and solving clinical problems. Furthermore, locally important medical issues only occupied a small percentage of the MLE. In order to amend these deficiencies in the MLIE, if will be necessary to redesign thee test with an emphasis on the integration of clinical and basic science and to include case study questions to test the abilities of medical school graduates to apply their knowledge in the solution of clinical problems.
以文找文
期刊論文
1.
楊明仁、蔡瑞熊(19970600)。從社會與教育制度看臺灣醫師人才的培養。醫學教育,1(2),21-28。
延伸查詢
2.
Carroll, R. G.(1993)。Evaluation of vignette-type examination items for testing medical physiology。American Physiological Society,264,S11-S15。
3.
Swanson, D. B.、Case, S. M.、Waechfer, D.(1993)。A preliminary study of the validity of pass/fail standards for USMLE steps 1 and 2。Acad Med,68,S19-S21。
4.
Swanson, D. B.、Ripkey, D. R.、Case, S. M.(1996)。Relationship between achievement in basic science coursework and performance on 1994USMLE Step 1 test administrations。Acad Med,71,S28-S30。
5.
Case, S. M.、Ripkey, D. R.、Swanson, D. B.(1996)。The Relationship between clinical science performance in 20 medical schools and performance on Steps 2 of the USMLE licensing examination。Acad Med,71,S31-S33。
6.
Brailovsky, C. A.、Grand'Maison, P.、Lescop, J.(1995)。Residency directors' predictions of candidates' performances on a licensing examination。Acad Med,70,410-414。
7.
Case, S. M.、Becker, D. F.、Swanson, D. B.(1993)。Performances of men and women on NBME Part I and Part II: The more things to change。Acad Med,68,S25-S27。
8.
Weinberg, E.、Rooney, J. F.(1973)。The academic performance of women students in medical school。J Med Educ,48,240-247。
9.
Case, S. M.、Swanson, D. B.、Ripkey, D. R.(1996)。Performance of the class of 1994 in the New Era of USMLE。Acad Med,71,S91-S93。
10.
Ripkey, D. R.、Case, S. M.(1996)。Examinees' perceptions of factors influencing their performance on USMLE Step 2。Acad Med,71,S34-S36。
11.
Erdmann, J. B.(1993)。Guidance for the use of the USMLE in medical education settings。Acad Med,68,732-733。
圖書
1.
謝博生(1997)。醫學教育--理念與實務。台北市:金名圖書有限公司。
延伸查詢
2.
考試院(1996)。考銓報告書。台北:考試院。
延伸查詢
推文
當script無法執行時可按︰
推文
推薦
當script無法執行時可按︰
推薦
引用網址
當script無法執行時可按︰
引用網址
引用嵌入語法
當script無法執行時可按︰
引用嵌入語法
轉寄
當script無法執行時可按︰
轉寄
top
:::
相關期刊
相關論文
相關專書
相關著作
熱門點閱
1.
醫療與人文的融合--以草屯療養院之成長軌跡為驗證
2.
醫學專業素養創新課程經驗分享--「療癒者藝術(Healer's Art)課程」
3.
臺灣醫學教育改革中的「醫學人文」概念與實踐初探
4.
國內某醫學中心實施「教學門診」後指導醫師滿意度調查研究
5.
實習醫師臨床智能考試
6.
某醫學院學生之專科選擇及其相關因素
7.
醫學生之基本臨床技能:評量方法
8.
全民健保對未來醫師來源在質與量上之影響
9.
醫療保險制度對教學醫院醫師培養之影響
10.
從社會與教育制度看臺灣醫師人才的培養
1.
教學醫院主治醫師過去臨床受教經驗、同儕學習與教育角色表現之關係研究
1.
全民健保與醫療服務質量的變遷
無相關著作
無相關點閱
QR Code