{"id":154,"date":"2019-02-02T09:45:22","date_gmt":"2019-02-02T01:45:22","guid":{"rendered":"https:\/\/lic.kmu.edu.tw\/?p=154"},"modified":"2020-06-15T15:20:00","modified_gmt":"2020-06-15T07:20:00","slug":"%e9%ab%98%e9%86%ablic%e8%87%a8%e5%ba%8a%e5%b0%8e%e5%b8%ab%e8%88%87%e5%ad%b8%e5%93%a1%e5%85%b1%e5%ad%b8%e5%85%b1%e7%85%a7%e6%8c%87%e5%bc%95","status":"publish","type":"post","link":"https:\/\/lic.kmu.edu.tw\/?p=154","title":{"rendered":"\u9ad8\u91abLIC\u81e8\u5e8a\u5c0e\u5e2b\u8207\u5b78\u54e1\u5171\u5b78\u5171\u7167\u6307\u5f15"},"content":{"rendered":"\n

\u300c\u7e31\u8cab\u6574\u5408\u6027\u81e8\u5e8a\u5be6\u7fd2\u300d(Longitudinal Integrated Clerkship, LIC)<\/strong> \u6a21\u5f0f\u662f\u56e0\u61c9\u300c\u4ee5\u75c5\u4eba\u70ba\u4e2d\u5fc3\u7167\u9867\uff0c\u5be6\u7fd2\u91ab\u5b78\u751f\u80fd\u529b\u70ba\u5c0e\u5411\u300d\u4e4b\u5275\u65b0\u6574\u5408\u6027\u8ab2\u7a0b\uff0c\u4ee5\u81e8\u5e8a\u6559\u80b2\u8a13\u7df4\u4e4b\u4e09\u5927\u9762\u5411\uff0d\u300c\u5b78\u7fd2\u3001\u7167\u9867\u3001\u7763\u5c0e\u4e4b\u5ef6\u7e8c\u6027\u300d(Continuity of Learning, Care, and Supervision) <\/strong>\u70ba\u8ab2\u7a0b\u8a2d\u8a08\u4e4b\u6838\u5fc3\u6982\u5ff5\u3002<\/p>\n\n\n\n

\u200bLIC\u57fa\u672c\u904b\u4f5c\u6b65\u9a5f\u662f\uff1a(1)Clerks\u5b78\u54e1\u9078\u64c73-5\u4f4d\u4e0d\u540c\u79d1\u5225\u8001\u5e2b\u70ba\u81e8\u5e8a\u5c0e\u5e2b(Preceptors)<\/strong> \uff0c\u9032\u884c\u5a92\u5408\uff0c\u4e26\u8207\u540c\u5115Clerks \u5f62\u6210\u5171\u540c\u5b78\u7fd2\u8207\u7167\u9867\u4e4b\u5925\u4f34\uff0c(2)\u9078\u64c7\u60a8\u7684\u4e3b\u8981\u7167\u9867\u75c5\u4eba\u53ca\u81e8\u5e8a\u5c0e\u5e2b\u5efa\u8b70\u9069\u5408\u9577\u671f\u7167\u9867\u8ffd\u8e64\u75c5\u4eba\uff0c\u5728\u5c0e\u5e2b\u7763\u5c0e\u4e0b\uff0c\u8207\u75c5\u4eba\u5efa\u7acb\u9577\u9060\u7167\u9867\u95dc\u4fc2\uff0c\u5171\u540c\u5b78\u7fd2\u63d0\u4f9b\u6574\u5408\u7167\u9867\uff0c\u4e26\u589e\u9032\u6574\u9ad4\u81e8\u5e8a\u6838\u5fc3\u80fd\u529b\u3002
<\/p>\n\n\n\n

\u300c\u5b78\u7fd2\u3001\u7167\u9867\u3001\u7763\u5c0e\u4e4b\u5ef6\u7e8c\u6027\u300d-\u5c0e\u5e2b\u591a\u89c0\u5bdf\u3001\u63d0\u554f\u8207\u56de\u994b  \u5b78\u54e1\u591a\u4e3b\u52d5\u3001\u8ca0\u8cac\u8207\u56de\u61c9<\/strong><\/p>\n\n\n\n

Continuity <\u5ef6\u7e8c\u6027>\uff1a\u652f\u6301\u8207\u9f13\u52f5<\/strong>
– \u5c0e\u5e2b\u9078\u64c7\u9069\u5408\u9577\u671f\u8ffd\u8e64\u75c5\u4eba\uff0c\u5fb5\u6c42\u75c5\u4eba\u540c\u610f\u4e26\u8aaa\u660eLIC\u5b78\u54e1\u5171\u7167\u6a21\u5f0f\u7279\u8272
– \u5c0e\u5e2b\u652f\u6301\u5b78\u54e1\u5efa\u7acb\u4e3b\u52d5\u5b78\u7fd2\u614b\u5ea6\u8207\u5ef6\u7e8c\u7167\u9867\u8cac\u4efb <\/p>\n\n\n\n

Connection <\u9023\u7d50>\uff1a\u5b78\u54e1\u8207\u75c5\u4eba<\/strong>
– \u75c5\u4eba\u5177\u591a\u91cd\u91ab\u7642\u8207\u5fc3\u7406-\u793e\u6703\u554f\u984c\u9700\u6c42(medical-psycho-social needs)\uff0c\u6a02\u610f\u63d0\u4f9b\u5b78\u54e1\u53c3\u8207\u7167\u9867\u4e4b\u5b78\u7fd2\u6a5f\u6703
– \u5c0e\u5e2b\u5f15\u4ecb\u5b78\u54e1\u8207\u75c5\u4eba\u8a8d\u8b58\uff0c\u5354\u52a9\u5efa\u7acb\u95dc\u4fc2\uff0c\u8aaa\u660e\u5b78\u54e1\u53c3\u8207\u89d2\u8272\u8207\u6b0a\u9650(participation and
boundaries)\uff0c\u5b78\u54e1\u63d0\u4f9b\u806f\u7d61\u65b9\u5f0f\uff0c\u5982LIC\u540d\u7247\uff0cLine <\/p>\n\n\n\n

Communication <\u6e9d\u901a>\uff1a\u7b56\u7565<\/strong>
– \u8207\u5b78\u54e1\u904b\u7528\u75c5\u6b77\u67e5\u8a62\uff0c\u5171\u540c\u5206\u4eab\u75c5\u4eba\u57fa\u672c\u8cc7\u6599\u3001\u8a3a\u65b7\u3001\u6578\u64da\u548c\u6cbb\u7642\u8a08\u756b
– \u5171\u540c\u6e9d\u901a\u75c5\u4eba\u7167\u9867\u91cd\u9ede\uff0c\u5b9a\u671f\u8ffd\u8e64\u75c5\u4eba\u9032\u5c55\uff0c\u904b\u7528\u6587\u737b\u9032\u884c\u8a0e\u8ad6
– \u5c0e\u5e2b\u5354\u52a9\u5b78\u54e1\u8207\u75c5\u4eba\u53ca\u7167\u9867\u5718\u968a\u5efa\u7acb\u6e9d\u901a\u5e73\u53f0\uff0c\u8a2d\u5b9a\u75c5\u4eba\u8ffd\u8e64\u63a2\u8996\u6642\u7a0b\u8868 <\/p>\n\n\n\n

Coaching <\u6559\u7df4>\uff1a\u5f15\u5c0e\u8207\u56de\u994b<\/strong>
– \u5f15\u5c0e\u5b78\u54e1\u7d00\u9304\u53cd\u601d\u5b78\u7fd2\u8207\u7167\u9867\u9ad4\u9a57\uff0c\u5b78\u54e1\u4e86\u89e3\u81ea\u6211\u512a\u52e2\u8207\u4e0d\u8db3\u5730\u65b9
– \u5c0e\u5e2b\u5b9a\u671f\u7d66\u4e88\u89c0\u5bdf\uff0c\u8a55\u91cf\u53ca\u5efa\u8a2d\u6027\u56de\u994b\uff0c\u5b78\u54e1\u591a\u4e3b\u52d5\u5c0b\u6c42\u56de\u994b
– \u5c0e\u5e2b\u7d66\u4e88\u652f\u6301\u6027\u95dc\u5207(supportive inquiry)\uff0c\u4f8b\u5982\u201d\u60a8\u7684\u9580\u8a3a\u5be6\u7fd2\u9032\u884c\u72c0\u6cc1\u5982\u4f55\uff1f\u6709\u4f55\u56f0\u96e3\u9700\u8981\u5354\u52a9\u5730\u65b9\uff1f\u201d\uff0c\u5b78\u54e1\u591a\u4e3b\u52d5\u8aee\u8a62\u8207\u56de\u61c9
– \u5171\u540c\u8a0e\u8ad6\u5b78\u7fd2\u76ee\u6a19\u8207\u9700\u6c42\uff0c\u5de5\u4f5c\u8207\u751f\u6d3b\u5e73\u8861\u6216\u8077\u6daf\u767c\u5c55\u7b49 <\/p>\n\n\n\n

Commitment <\u627f\u8afe>\uff1a\u7cbe\u9032\u5c08\u696d\u89d2\u8272\u8cac\u4efb<\/strong>
– \u5728\u5c0e\u5e2b\u7763\u5c0e\u4e0b\u5b78\u54e1\u7cbe\u9032\u77e5\u8b58\u3001\u6280\u80fd\u8207\u614b\u5ea6\u4e4b\u81e8\u5e8a\u6838\u5fc3\u80fd\u529b\uff0c\u627f\u8afe\u8ca0\u8d77\u75c5\u4eba\u7167\u9867\u8cac\u4efb
– \u5b78\u54e1\u878d\u5165\u81e8\u5e8a\u7167\u9867\u5718\u968a\u8207\u91ab\u7642\u9ad4\u7cfb\uff0c\u5efa\u7acb\u91ab\u5e2b\u5c08\u696d\u50f9\u503c
– \u5b78\u54e1\u5efa\u69cb\u5b78\u7fd2\u8a08\u756b\u8207\u81ea\u6211\u6210\u9577\u9014\u5f91\uff0c\u9010\u6f38\u589e\u5f37\u81e8\u5e8a\u7167\u9867\u80fd\u529b\uff0c\u671d\u5411\u503c\u5f97\u4fe1\u8cf4\uff0c\u671f\u671b\u9054\u5230\u80fd\u7368\u7acb\u81ea\u4e3b\u57f7\u884c\u81e8\u5e8a\u4efb\u52d9\u4e4b\u5c64\u6b21(EPA\u53ef\u4fe1\u8cf4\u5c08\u696d\u6d3b\u52d5<\/strong>\u6982\u5ff5) <\/p>\n\n\n\n

Care <\u7167\u9867>\uff1a\u4eba\u6027\u5316\u75c5\u4eba\u7167\u8b77<\/strong>
– \u5c0e\u5e2b\u5354\u540c\u5b78\u54e1\u8207\u75c5\u4eba\u5efa\u7acb\u9577\u9060\u5bc6\u5207\u95dc\u4fc2\uff0c\u4fc3\u4f7f\u5b78\u54e1\u9ad4\u6703\u300c\u4ee5\u75c5\u4eba\u70ba\u4e2d\u5fc3\u3001\u5168\u4eba\u7167\u9867\u300d\u4e4b\u610f\u6db5\uff0c\u767c\u5c55\u4eba\u6027\u5316\u91ab\u7642\u7167\u9867\u8005\u7684\u89d2\u8272 <\/p>\n\n\n\n

Community <\u793e\u7fa4>\uff1a\u53c3\u8207\u5354\u540c\u5408\u4f5c<\/strong>
– \u5b78\u54e1\u4e3b\u52d5\u8207\u540c\u5115\u53ca\u91ab\u7642\u5718\u968a\u4e92\u52d5\uff0c\u5171\u540c\u53c3\u8207\u81e8\u5e8a\u5de5\u4f5c\uff0c\u5b78\u7fd2\u5982\u4f55\u57f7\u884c\u8de8\u5c08\u696d\u9593\u5354\u540c\u5408\u4f5c(Interprofessional collaboration)\u6982\u5ff5\u8207\u6280\u5de7\uff0c\u5b78\u54e1\u5f9e\u5916\u570d\u521d\u5b78\u8005\u9010\u6f38\u9032\u5165\u81e8\u5e8a\u91ab\u7642\u5718\u968a\u6838\u5fc3\uff0c\u878d\u5165\u767c\u5c55\u6210\u70ba\u5171\u5b78\u5171\u7167\u793e\u7fa4<\/strong>\u4e4b\u6838\u5fc3\u6210\u54e1 <\/p>\n\n\n\n

\u53c3\u8003\u8cc7\u6599\uff1aBernstein J. et al. The Clinical Teacher 2018:15:1-7. Teaching in longitudinal integrated clerkships: the seven ‘C’s.<\/p>\n\n\n\n

\u9ad8\u91abLIC\u81e8\u5e8a\u5c0e\u5e2b\u8207\u5b78\u54e1\u5171\u5b78\u5171\u7167\u6307\u5f15_20200615.PDF<\/a>\u4e0b\u8f09<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"

\u300c\u7e31\u8cab\u6574\u5408\u6027\u81e8\u5e8a\u5be6\u7fd2\u300d(Longitudinal Integrated Cler … \u95b1\u8b80\u5168\u6587 →<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":true,"template":"","format":"standard","meta":[],"categories":[8],"tags":[],"_links":{"self":[{"href":"https:\/\/lic.kmu.edu.tw\/index.php?rest_route=\/wp\/v2\/posts\/154"}],"collection":[{"href":"https:\/\/lic.kmu.edu.tw\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/lic.kmu.edu.tw\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/lic.kmu.edu.tw\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/lic.kmu.edu.tw\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=154"}],"version-history":[{"count":7,"href":"https:\/\/lic.kmu.edu.tw\/index.php?rest_route=\/wp\/v2\/posts\/154\/revisions"}],"predecessor-version":[{"id":289,"href":"https:\/\/lic.kmu.edu.tw\/index.php?rest_route=\/wp\/v2\/posts\/154\/revisions\/289"}],"wp:attachment":[{"href":"https:\/\/lic.kmu.edu.tw\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=154"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/lic.kmu.edu.tw\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=154"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/lic.kmu.edu.tw\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=154"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}