Chia-Shen Liaoa, Sheng-Po Kaob, c, Shu-Yuan Liangb, Ming-Chen Hsieha, b, c, d
a Department of Curriculum Design and Human Potentials Development, National Dong Hwa University, Hualien, Taiwan
b Department of Medical Education, Buddhist Tzu Chi General Hospital, Hualien, Taiwan
c School of Medicine, College of Medicine, Tzu Chi University, Hualien, Taiwan
d Department of Internal Medicine, Buddhist Tzu Chi General Hospital, Hualien, Taiwan