結果:後測之總成績有明顯進步(366.7±39.6 VS 396.7±48.9),以科別來說,中醫婦科、中醫內科、中醫傷科後測成績較前測成績高(48.1±12.2 VS70.9±11.1, 50.9±18.1 VS 66.6±10.7, 45.6±18.7 VS 57.9±14.1)。然而,中醫兒科後測成績則明顯退步(64.8±10.3 VS 51.8±10.5)。以面向來看,中醫四診與臨床技能操作後測成績顯著進步。
1Department of Chinese Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical
Foundation, Hualien, Taiwan
2Department of Chinese Medicine, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical
Foundation, Chiayi, Taiwan
3Department of Chinese Medicine, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical
Foundation, Taichung, Taiwan
4Department of Chinese Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical
Foundation, Taipei, Taiwan
5School of Post-Baccalaureate Chinese Medicine, Tzu Chi University, Hualien, Taiwan
【Summary】
Background: Based on the guidance in Chinese Medicine Clinical Skills Assessment Model and Clinical Teaching Practice Training Program, supported by the Ministry of Health and Welfare, we conducted the objective structured clinical examination (OSCE) to evaluate the learning effectiveness in the clinical internship for the fifth-year traditional Chinese medical (TCM) students.
Subjects and methods: A total of 42 Chinese medical students were enrolled in the study during July, 2017 to May, 2018. A pretest-posttest design was employed by this study. Participants were evaluated by the OSCE before and after the 1 year clinical practice with 6 assessments of clinical skills.
Results: The total score of posttest was significantly higher than that of pretest (366.7±39.6 VS 396.7±48.9, P<0.001). In term of subjects, the score at the posttest were higher than at the pretest, as the internal medicine of TCM (50.9±18.1 VS 66.6±10.7, P<0.0001), the gynecology of TCM (48.1±12.2 VS 70.9±11.1, P<0.0001) and the traumatology of TCM (45.6±18.7 VS 57.9±14.1, P=0.001). Notably, the score of the pediatrics of TCM at the posttest declined significantly than at the pretest (64.8±10.3 VS 51.8±10.5, P<0.0001). In terms of dimensions, the ability of the four diagnostic methods and the clinical skills of TCM improved among the TCM students after the clinical practice training.
Conclusions: To conclude, the TCM students made the progress in clinical competency after 1-year clinical internship, but there is a suggestion on improving the ability for the patient’s history taking. The result could provide the information for the clinical preceptors on the modification of teaching program.
Keywords:Objective Structured Clinical Examination, Traditional Chinese Medicine, Internship Program, Learning Effectiveness