With the development of advanced diagnostic and therapeutic technologies in medicine and tremendous environmental change in medical care, traditional fashion of medical education has not adapted well all over the world. Medical educators have been focusing on the educational revolution of medicine in decades. Education reform in National Taiwan University College of Medicine has begun since 1992 with emphasis on more tutorial courses and integrated programs. However, the clinical educational programs still have some defects because the clerks and medical students in the 5th and 6th years could not consolidate their learning activity in fundamental clinical skills such as history taking and physical examination but spent more time on learning the high technology. During the internship, the 7th year medical students were preoccupied by heavy routine works instead of taking care of their patients primarily. After graduation, these young residents received much specialized medical training too early to preclude their learning to handle patients with general problems. To improve this educational gap, the main focus of Department of Primary Care Medicine is to design, conduct, and evaluate the efficacy of the primary care training programs, and to coordinate clinical departments for medical students and postgraduate year 1 and 2. The aims are to educate medical students to have better primary care skills and to care the patients based on biopsycho-social consideration with a better doctor-patient relationship.
To improve medical education, Department of Primary Care Medicine was established in 2000. The task force includes designing, conducting, and evaluating the efficacy of the primary care training programs for medical students in the 5th, 6th year and postgraduate year 1 and 2, and conducting the two-step clinical learning program in a selected group of medical students. The medical students under this program will be trained to care the patients as a whole, to solve the problems with fundamental clinical skills and knowledge, and to treat their patients based on biopsycho-social consideration with a better doctor-patient relationship.
Professor and chair
Helicobacter pylori, digestive malignancy, molecular epidemiology, medical education
Primary care medicine, general pediatrics, pediatric gastroenterology and hepatology
general medicine, internal medicine, nephrology, medical education
General medicine, General surgery, GI Surgery, Surgical nutrition, Hospital management
General medicine, biomedicine, magnetocardiogram, nanomedicine
general medicine, obstetrics/gynecology,gynecological oncology, gynecological oncology,medical education
General pediatrics, pediatric gastroenterology and hepatology, HBV prevention, cholestatic liver diseases
1. Two-step clinical learning programs:
The program consists of two steps. The first step is undergraduate training for medical students, which is conducted in the 5th and 6th year of medical school. In addition to clinical teaching, the program emphasizes on the integrated training of fundamental clinical skills including history taking, physical examination, logical thinking, and a good doctor-patient relationship. The undergraduate teaching programs include clinical diagnosis, clinical training for internal medicine, surgery, gynecology & obstetrics, and pediatrics, and clinical internship at primary care institutes. The 2nd step is the postgraduate year (PGY) training for the students who are enrolled in the 2- step clinical learning program. The students after graduation will be trained to be a competent resident with primary care ability. The trainee will be responsible for taking care of the patients under the supervision of senior residents and house staff. The training programs will be subdivided into three subgroups: the internal medicine, surgery, and pediatrics. An integrated program of primary care medicine includes surgical and medical wards, outpatient clinics, community visit, operation practice, and consultation training. Students who have completed the 2-step clinical teaching program may enter a M.D.-Ph.D. program or a Master program of Public Health for physicians in the following years.
2. Clinical practice of primary care medicine for
general medical students
The primary care training program is designed
for medical students in traditional 7-year program to overcome the disadvantage of too early specialization and incompetent training of general medicine. The department also trains teachers in promoting teaching skills and encourages researches in this field. The integrated training program of primary care medicine includes:
1. Teaching conferences of primary care medicine (Case conference for Primary Care Medicine; Journal Meeting; and Family, Society, and Medicine).
2. Clinical utility of evidence-based medicine.
3. Research on education of primary care medicine.
3. General educational course
Since 2003, our department started a general educational course in NTU main campus: “Introduction to human diseases and health” for students other than medical college. This course aims at giving general concepts of common human diseases, knowledge of health care and preventing diseases, and also basis for biomedical science. This program helps students from different disciplines to have basic knowledge of disease and health in human body, also inspires their interests in biomedical science and promote collaborations.