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1. |
The understanding of preventive medicine and holistic medicine |
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The education of holistic medicine shall increase doctors’ knowledge of preventive medicine so the first year training of resident doctors will begin at the understanding preventive medicine and holistic medicine. The items include﹕
1. Cancer screening and prevention
2. Venereal disease screening and prevention
3. Prevention and vaccination
4. Traveling abroad and local epidemic prevention
5. Evaluation and improvement on life habits
6. Occupational disease screening
7. Vision and hearing screening
8. Osteoporosis screening and prevention
9. Cardiovascular disease screening and prevention
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2. |
The understanding of ethics in medicine and law |
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The training of resident doctors shall cover the courses of ethics in medicine and law such as decision-making right of patients、the relationship between doctors and patients、complete understanding of patients on the usage of non-main stream and experimental medicines、alternative choice of being moribund、the treatment of juveniles and mistakes or negligence committed by doctors. |
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3. |
Emphasis on the training on outpatient services |
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To increase clinic’s ability of outpatient services, the training of the first-year resident doctor, besides the one-month training on community medicine, would include following physicians of family medicine to be on duty on the clinic service of family medicine in the hospital or community clinics. ( Subspecialist training may replace with the clinic service of family medicine) |
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4. |
The execution of the ward on holistic medicine |
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The final destination is to turn all wards into holistic-medicine wards. At beginning of implementing, the doctors with well-trained background of general medicine should manage the holistic-medicine wards in the 6th Floor of Da-Ai Building. Ward teams will include attending physicians, resident doctors, medical students, nurses, nurse aids, rehabilitation therapist, occupation therapies, resident pharmacists, social workers, dietician, volunteers and doctors who are capable of handling other specialties. Patient care should focus on completeness and the holistic-person style, considering patients’ ill history and the current situation, causes of sickness, social factors, life style, nutrition and physical ability, environments and economic factors. Discharge plans and direction should arrange follow-up time and appropriate the follow-up specialty. Patients’ families and caregivers should be encouraged to understand and involve in inpatient care and discharge plans. To the elderly or patients with disability, rehabilitation therapists should take part in the evaluation of whether patients can be discharged safely. Social workers should evaluate patients’ life style and living environments. |
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5. |
To learn acute disease of internal medicine and surgery, the first-year resident doctors from department of internal medicine and surgery should take turns to be on duty on the department of emergency for one month. To learn how to care the inpatients of internal medicine and surgery, the resident doctors from department of emergency should take turns in the wards of internal medicine and surgery, understanding more profound care of internal medicine and surgery than department of emergency |
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6. |
During the first year to third year of being a resident doctor, proper medical teachers should systematically teach doctors medical care of outpatients and inpatients. Resident doctors should learn how to conduct emergency care, continuous care, preventive care and inpatient care. |
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7. |
The training of evidence-based medicine |
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The first-year resident doctors participate in the medical journal conference held by clinic researchers or clinic experts of epidemiology, learning how to criticize and analyze clinic studies and their results. These activities will encourage resident doctors to have lifetime study and increase their ability of clinic research. |
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8. |
The training of medical home visit in communities |
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To enhance the healthcare of holistic person, the first-year resident doctors should participate in medical home visit in communities. Home visits will clarify why patients are unable to take medicine on time and subsequent diagnosis and further help patients overcome the obstacles of medical home treatment. |
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9. |
The training of geriatrics |
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Because out population is getting ageing, basic geriatric medicine training should be include in the first to third year courses for resident doctors. |
