住院醫師的國際醫療訓練
 
李映樺　許雅荃　陳曾基　黃信彰

 

住院醫師訓練期間納入國際醫療訓練，在歐美國家已發展多年，訓練形式也非常多元化，包括全球健康帶狀課程、選修輪訓、志工形式參與等。國際醫療訓練可增強臨床診治技巧、學習跨文化溝通能力和培養團隊合作精神。住院醫師的國際醫療訓練經驗，往往也會影響其未來投入基層或偏鄉醫療的意願。目前阻礙住院醫師選訓國際醫療的個人因素多為時間和財務，官方若要國際醫療訓練計畫也有許多實務上的問題待克服，計畫主持人和醫學會必需建立訓練核心價值、評估方式、完善的行前準備課程和資源網絡。台灣可參考國外經驗，發展完善的住院醫師國際醫療訓練計畫，不但能提升醫師的臨床技能及部科的招募潛力，宏觀來看，協助政府的醫療外交以提升臺灣的國際空間。

（台灣家醫誌2021; 31: 77-86）DOI: 10.3966/168232812021063102001
 
關鍵詞：國際醫療、住院醫師訓練、教育計畫發展

 

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臺北榮民總醫院家庭醫學部
受理日期：109年6月16日　　修改日期：109年7月14日　　同意刊登：109年9月7日
通訊作者：許雅荃　　　　　通訊地址：112台北市北投區石牌路一段201號　臺北榮民總醫院家庭醫學部

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Global Health Training during Family Medicine Residency
Ying-Hua Lee, Ya-Chuan Hsu, Tzeng-Ji Chen and Shinn-Jang Hwang

 
Global health training in undergraduate medical education has existed for a long time in many developed countries in the form of international health elective, global health curriculum, global health track, international rotation, or volunteerism. Existing studies has reported an obvious increase in the interest in global health training during residency among residency specialties worldwide. Global health experiences benefit participants in several ways, including broadening medical knowledge, improving physical examination skills, and building tolerance of diverse cultures. Global health training further helps recruit residents and is likely to foster participants' willingness to work in medically underserved settings. However, there are hurdles for offering global health training in residency programs. The common challenges include shortage of financial resources, inadequate international partnerships, lack of supervision, and time constraints during residency. A comprehensive and structured review would help construct guidelines for implementing global health training during family medicine residency in Taiwan.
(Taiwan J Fam Med 2021; 31: 77-86) DOI: 10.3966/168232812021063102001
 
Key words: global health, internship and residency, program development
 

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Department of Family Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Received: June 16, 2020; Revised: July 14, 2020; Accepted: September 7, 2020.