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0

095854

088434

101 6

1

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………………………………………………………………9

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………………………………………………18

……………………………………19

……………………………………………39

..............................…………………………………………….……39

( ACGME )………………………….40

( E-learning )……41

( )………………………………………………42

……………………………………………………….…………….....43

( )…………………………44

2

1

2

3

4

3

4

( )

19 PGY

10

PGY

10

17

5

3

12

23

14

7

6

5

6

23

23

7

11

6

10

6

18

5

17

22

6

17

PGY

4 , , , ,

,

7

1.

(1) 2 1

(2) (

)

(3)

2.

(1)

(2)

12

24

∕ ∕

8

(3)

( ) PACS

,

(4)

3.

(1)

(2) Medline

Micromedex MDconsult UpToDate

(3)

(4)

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

16

1

1

1

1

4

1

1

1

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

18

PGY1

PGY1

PGY1

19

1.

1.

(1)

(2)

(3)

(4)

(5)

2. :

: (

)

1 2 5~6

6~8

: (

)

:

2.

( )

20

24hr X-

( )

X- X-

21

( )

X-

( )

X-

22

/

/

(Aldosteronism)

/

( )

23

/

( )

( )

ESR CRP HLA-B27

X-

( )

( )

24

13 15

9 10

25

X-

Swan-Ganz

CT ERCP

SB tube

26

( CT MRI )

( CT MRI

)

27

( CT MRI )

ERCP

28

/

/

(Aldosteronism)

/ /

/

( CT MRI )

/ /

/

/

29

( CT MRI PET )

ERCP

( CT MRI)

30

( CT MRI )

31

( CT

MRI )

ERCP

Swan-Ganz

32

13 15 19

( )

33

( )

( )

34

( )

( )

/

/

35

(Aldosteronism)

/ ( )

/

/ /

( )

36

( )

( )

37

( )

( CT

MRI )

ERCP

Swan-Ganz

3.

R3

4.

1.

2.

38

5.

1.

2.

3.

6.

1.

2.e-learn :

3.

7.

1. EBM

EBM

2. journal reading case conference

39

Morbidity and MortalityConference Morbidity and

MortalityConference

( 16)

3

40

( ACGME )

ACGME :

(OSCE)

Mini-CEX

( 1)

( 3 6)

(CbD)( 12)

( 1 2)

( 14)

(EBM)

360 (

13)

Mini-CEX ( 1)

( 4)

41

( E-learning )

:

E-learning:

:

42

( )

1.

2.

3.

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

44

( )

1. Mini-CEX

2.

3.

4.

5.

6.

7.

8.

9.

10.

11. DOPS

12.CbD

13. 360

14.

15.

16.

17. orientation

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

46

/ / /

□PGY □ □

附件 2

47

Problem

S

O

PE

Lab:

Images:

27.2 ╳ 21.2 cm C0300301

病患姓名:

病歷號碼:

附件 3

48

A(including differential diagnosis):

P(diagnostic , therapeutic , education plans):

1.

2. ( )

3.

4.

5.

27.2 ╳ 21.2 cm C0300301

49

( )

1 2 3 4 5 6 7 8 9 10

(

)

: :

(90 ) (85 -89 )

(75 -84 ) (60 -74 ) (60 )

: 90 75

:

附件 4

50

/

/

2-3 (

65~70 / (

) )

附件 5

0

ENT :

PGY ( 3 1 )

/ / / /

/ ( )

/

( )

hr

hr

hr

hr

附件 6

R1 8 (2 ) R2-R4 4 (1 ) 4302

0

ENT

PGY □ ( 3 1 )

( )

□ □

R1~R4 2~3 2883

附件五 附件 7

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.

4

□ □ □ □

32. :

□ □ □ □

33.

5

附件 10

6

Direct Observation of Procedural Skills (DOPS)

□ □ □ □

□ □ □ □

* 1-2

1 2 3 4 5 6

附件 11

7

Case-based Discussion (CbD)

□ □ □

□ □ □ □

* 1-2

1 2 3 4 5 6

附件 12

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

_______________

學(

45%)

15

10

20

務(

25%)

10

15

輔導(

30%) 10

20

附件 15

1

附件 16

2

:

:

:

: ( ); 03-3699721-4348

(email): [email protected]

( )

:

:

(02)23123456 ext 65022 [email protected]

, ,

, , , ,

,

2011 7 1 2012 6 30 3

3

1. , ,

2. ,

3. ,

4.

5. , , , , ,

( )

-

( )

4

5

:

:

:

: ( ): 03-3699721-4386

(email): [email protected]

(

)

:

:

( ): (02)2875-7500

(email): [email protected]

, ,

, , , ,

,

2011 7 1 2012 6 30 3

6

1. , ,

2. ,

3. ,

4.

5. , , , , ,

( )

-

( )

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

9