An Operational Model for Clinical Ethics Continuing Education and Its Outcome

• Published in: 臺灣醫學 Vol. 18; no. 3; pp. 261 - 269
• Main Authors: 李錦虹(Lee, Gin-hong), 穆淑琪(Mu, Shu-chi), 邱浩彰(Chiu, Hou-chang), 林明德(Lin, Ming-teh)
• Format: Journal Article
• Language: Chinese
• Published: 台灣 臺灣醫學會 01.05.2014
• Subjects: clinical ethics education; continuing education; critical incident report; resident training; TSCI; 住院醫師訓練; 繼續教育; 臨床倫理教育; 關鍵事件報告
• ISSN: 1028-1916

本研究旨在探討某醫學中心臨床倫理案例討論會的成效。研究參與者為該醫院的某兩科醫師、住院醫師及實習醫學生，每次平均參與人數約為20人。研究工具為：結構式「關鍵事件表格」、半結構式深度訪談、參與觀察記錄、及會議回饋問卷。臨床醫師每月一次以結構式「關鍵事件表格」提出一個實際案例，由兩科主管共同擔任主持人帶領討論，每次會議時間約60-80分鐘，會後進行問卷填寫。本研究收集十次會議紀錄，並依方便取様訪談6位住院醫師。結果顯示此討論會在事先預定的五大目標上有顯著的達成度，討論内容透露醫師所關注之六種倫理案例類別與七項重要問題，主持人的帶領風格則呈現對討論會的不同影響，成員的負面意見也一併被討論，研究者最後提出對未來臨床倫理繼續教育的建議
This study aimed to evaluate the effectiveness of a monthly case conference in a medical center. The participants were composed of physicians, residents, interns and clerks from two departments, approximately 20 persons for each session. The research tools included structured critical incident report, semi-structured in-depth interviews, researcher’s observation record, and a feedback questionnaire. The residents raised a real case every month and the director from each department led this conference. Discussion was typically guided via the structure of critical incident report which usually lasted about 60-80 minutes. Feedback questionnaires were collected at the end of each meeting. A convenience