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1
………………………………………………………………2
………………………………………………………………2
………………………………………………………………2
…………………………………………………………4
………………………………………………………7
………………………………………………………………9
…………………………………………………………9
………………………………………………18
……………………………………19
……………………………………………39
..............................…………………………………………….……39
( ACGME )………………………….40
( E-learning )……41
( )………………………………………………42
……………………………………………………….…………….....43
( )…………………………44
9
EBM
1. :
PGY
3
1
6
1.
..
2.
(1)
(
)
(2)
(3) ( )
(4)
a.
b. ( )
c.
d.
e.
f.
g.
6
1.
2.
3.
4.
5.
1. 1
9 12
2 3
13 15
2.
3.
4.
1 2
5.
6.
(1)
grand round,
mortality and
morbidity conference,
scientific or journal
reading, case
discussion
10
(5)
(6)
24hr
X- CT X- X-
X- X-
(7)
a.
b.
c.
d.
e.
f.
g.
h.
(2)
(3)
7.
8.
7
18
1.
..
2.
(1)
(2)
(3)
(4)
(5)
a.
b.
c.
d.
e.
1
1.
2.
3.
4.
5.
11
f.
(6)
a.
b.
c.
d.
e.
f.
g.
(7) ( CT
MRI )
ERCP
(8)
a.
b. Swan-Ganz
c.
d. SB tube
e.
f.
g.
h.
i.
j.
k.
l.
m.
n.
o.
p.
q.
r.
(9)
12
19
30
1.
..
2.
(1) (
)
(2)
a.
b.
c.
d.
e.
f.
g.
h.
i.
(3)
a.
b.
c.
(4)
(5)
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
1
1.
2.
3.
4.
5.
13
k.
(6)
(7)
(8)
2. :
/ ( 100 4 ~100 8 )
1
Hypertriglyceridemia as a
risk for CAD 1
Combination Therapy in the
Treatment of COPD 1
CHEST PAIN 1
Basic CXR Interpretation 1
Morning Surge of
Hypertensionand Isolated
Systolic Hypertension
( ISH )
1
Acute esophageal variceal
bleeding: Current strategies
and new perspectives
1
Antibiotics Use in
End-of-Life Cancer Patients 1
How & Why to Start &
Continue oral anti-diabetic
agents for patients with
T2DM ?
1
EGFR
1
1
1
1
1
14
Hx & PE of Airway
Infections 1
Urinary Tract Infection 1
Mechanical Ventilation 1
1
Interventional Pulmonology
in Diagnosis of Early Lung
Cancer
1
Chest Pain 1
Initiating Early and
Appropriate Therapy for
T2DM: Considerations and
the Roles of DPP-4
Inhibitors
1
Chest Ultrasound 1
New Era of Chronic
Hepatitis B: What We
Learn from New Concept
1
2010
1
Advanced Techniques of
Bronchoscopy in diagnosis
and treatment of lung
cancer
1
Advance in Anti-retrovirals
and Vaccine 1
1
Alveolar Pattern 1
New Advances in
Treatment of Chronic
Hepatitis C and Strategies
to Maximize Antiviral
Efficacy
1
15
Single pill combination
An inevitable choice for
aggressive BP control
1
Taking control of asthma 1
Comprehensive CVD risk
management 1
Surviving Sepsis Campaign
Guidelines for Management
of Severe Sepsis and Septic
Shock
1
Update Management COPD
in 2011 1
Chest X-RAY Teaching 1
Hx & PE of Airway
Infections 1
What We Can Do for
COPD Patients Besides
Medication
1
EKG
1
X- CT
1
X-
X- 1
X-
1
4
17
3. :
0800-0900 9B
0800-0900 9B
13
1230-1330 /NP 9B
1230-1400 B1
1700-1800 PGY1 9B 3
0800-0900
13 2
MMC(Grand Round)
mortality/morbidity
conference
B1
13
0800-0900
/MMC 9B / MMC
13
1230-1330 /NP 9B
1700-1800 PGY1 9B 3
0800-0900
13
13
13
SPC B1
1000-1200 (Teaching Round) 9B
1400-1600 TB Conference 13
40
( ACGME )
ACGME :
(OSCE)
Mini-CEX
( 1)
( 3 6)
(CbD)( 12)
( 1 2)
( 14)
(EBM)
360 (
13)
Mini-CEX ( 1)
( 4)
43
1.
2.
(1) (CPR)
(2)
(3)
30 /
120 /
90 60mmHg
( )
(4)
(5)
(6) ( DNR )
(7)
(8)
(9)
(10)
3. ( 1-10)
Mini-CEX 2 1-2
1 2-3
1 1
1 1
1 1
45
mini-CEX
M5 M6 M7 R1 R2 R3
1. (□ )
□1 □2 □3 │□4 □5 □6 │□7 □8 □9
2. (□ )
□1 □2 □3 │□4 □5 □6 │□7 □8 □9
3. (□ )
□1 □2 □3 │□4 □5 □6 │□7 □8 □9
4. (□ )
□1 □2 □3 │□4 □5 □6 │□7 □8 □9
5. (□ )
□1 □2 □3 │□4 □5 □6 │□7 □8 □9
6. (□ )
□1 □2 □3 │□4 □5 □6 │□7 □8 □9
7. (□ )
□1 □2 □3 │□4 □5 □6 │□7 □8 □9
□1 □2 □3 │□4 □5 □6 │□7 □8 □9
□1 □2 □3 │□4 □5 □6 │□7 □8 □9
附件 1
48
A(including differential diagnosis):
P(diagnostic , therapeutic , education plans):
1.
2. ( )
3.
4.
5.
27.2 ╳ 21.2 cm C0300301
1
( )
Patient Care
□
□ (3~5
)
□
(10~12 )
( )
Medical
Knowledge &
Skills
□
□
□
( )
Interpersonal &
Communication
Skills
□
□
□
( )
Professionalism
□
□
□
( )
System-Based
Practice
□
□
□
( )
Practice-Based
Learning &
Improvement
□
□
□
: :
附件 8
2
( )
ENT
100 ~100 100
1.
( ( ) …… )
□ □ □ □
2. ( team)
□ □ □ □
3. ( )
□
□
□
□
□
4. primary care
□ 5 □ 6-8 □ 9-14 □ 15
□ 5 □ 6-8 □ 9-14 □ 15
□ 4 □ 5-11 □ 12-15 □ 16
___________________________________________________________________
5.
□ 5 □ 7-11 □ 12
6.
□ □ □ □ □
7.
□
□
□
8.
□ □ □ □ □
9.
□ □ □
□ □
( )
(□ 15 )
10.
□ □ □ □
11.
附件 9
3
□ □ □ □
12.
□ □ □ □
13.
□ □ □ □
14.
□ □ □ □ □
(□ 20 )
15.
□ □ □ □
16.
□ □ □ □
17.
□ □ □ □
18.
□ □ □ □
19.
□ □ □ □ □
( )
20. ( )
□ □ □ □ □
21. ( ) (
)
□ 10 □ 30 □ 31-60 □ 61-120 □ 120
22.
□ □ □ □
23.
□ □ □ □
24.
□ □ □ □
25.
□ □ □ □
26.
□ □ □ □
27.
□ □ □ □
28.
□ □ □ □
29.
□ □ □ □ □
30.
□ □ □ □ □
31.
8
360 -
360 Degree Evaluation of residents’ Interpersonal and communication skills
1- 2- 3- 4- 5-
(5- 4- 3- 2- 1- )
( ) □ □ □ □
360
360 /
1. / ? 1 2 3 4 5
2. ?........................... 5 4 3 2 1
3. ?.......... 1 2 3 4 5
4. ?........... 1 2 3 4 5
5. ?................. 1 2 3 4 5
6. ?........... 1 2 3 4 5
7. ?....... 1 2 3 4 5
8. ?........ 1 2 3 4 5
9. /
?. 1 2 3 4 5
10. ?
1 2 3 4 5
附件 13
0
MICU 6A 6C 7A 7B 8A 8B PGY 9A 9B
/
admission note
admission note
progress note
progress note
( )
A B
C D
A B
C D
A B
C D
A B
C D
A B
C D
A B
C D
A B
C D
A B
C D
A B
C D
weekly summary
admission note
admission note
progress note
progress note
( )
A B
C D
A B
C D
A B
C D
A(90 ) B(80-89 ) C(70-79 ) D(60-69 )
附件 14
0
Taoyuan General Hospital Department of Health
_______________
教
學(
45%)
15
10
20
服
務(
25%)
10
15
輔導(
30%) 10
20
附件 15
2
:
:
:
: ( ); 03-3699721-4348
(email): [email protected]
( )
:
:
(02)23123456 ext 65022 [email protected]
, ,
, , , ,
,
2011 7 1 2012 6 30 3
5
:
:
:
: ( ): 03-3699721-4386
(email): [email protected]
(
)
:
:
( ): (02)2875-7500
(email): [email protected]
, ,
, , , ,
,
2011 7 1 2012 6 30 3
7
orientation(R1, PGY, Intern )
08:00-09:00 ( )
09:00-18:00 , ,9B-
17:00-08:00 , ( 08:00- 08:00)
( ) ( )
( ) ( )
NP Leader ( )
1. : , 7-11,
2. : ,
3. : , ,
(7F/8F/9F ) , 9B
( , , , ),
B3 B1 ,
1-2F , 3F , , , 5F
6F RCC/RCW 7-9F ( TB , HIV , PGY , ,
)
11F , 10F, 12F ( 10B )
13F , , 14F ,
4. : , , , 1 ,
5. : (13F), (13F) ,
,
6. : , , ,
7. : 14 16:00-17:00,
(7+9B, 8+10B ) 1. (Stable? TPR? O2 demand? Arrhythmia? Inotropic agent? Bleeding?
Acidosis? Pain? DNR?)
2. ICU (unstable vital signs, your finding and impression, ICU
)
3. , ( ? ? ? ? ?
?)
4. (7+9B, 8+10B, call for help, , ICU )
5. ( , ( ), (B C , ,, )
6. (B/C, A-Gas, EKG, NG, Foley, Endo, CVP/double lumen, pigtail, chest
tube, Lumbar puncture, thoracocentesis, paracentesis)
7. : , , , , ,
8. , DAMA ,
附件 17
8
His
1. :
2. (UDD , Stat , , , , PRN
,)
3. , (Admission note, discharge note, weekly summary, On service note,
Off service note)
4.
5.
6. ( , TPR , MVPN )
7.
8. ( , , , , )
9. ,
1.
2.
3.
4.
5. (http://www.tygh.doh.gov.tw/ftp/20120604084830.pdf)
6. ( )
7. B1 ( 2
)
Q/A