中醫臨床技能教室與教材之建置

謝慶良
中國醫藥大學附設醫院
為提高中醫醫療水準，中醫藥委員會自91年度開始推動建構中醫臨床教學體系、中醫臨床教學訓練及教學訓練改善計畫，建立中醫各項臨床教學訓練制度和常見疾病中醫臨床教材之編寫。然而，中醫臨床教學除了教科書及講義外，實際教學的觀摩演練更為重要，尤其中醫的望、聞、問、切等四診，及傷科和針灸的操作手法等非研讀教科書或口頭講解就能全盤瞭解，因此設計實際教學的臨床技能教室和教材，對整體中醫臨床教學訓練水準的提昇甚為重要。本研究計畫目的是臨床技能教室之建置包括舌診診察要點與舌診圖判讀、切診診察要點與脈波圖判讀、聞診診察要點與聲波圖判讀、問診診察要點與問項語意表達等之臨床教學教材，以及傷科診察注意事項與手法示範與針灸診察注意事項與手法示範之臨床教學教材，與中醫臨床訓練教材之編纂。預期本計畫完成可做為中醫師臨床技能實地演練設施，並作為中醫住院、實習醫師和實習醫學生醫師訓練場所。
關鍵字：臨床技能，臨床教學，中醫

Setup of clinical skill classroom and teaching materials for Chinese Medicine

Ching-Liang Hsieh
China Medical University Hospital
In order to promote the clinical care level of Chinese Medicine (CM), Committee on CM and pharmacy, department of health, executive yuan, R.O.C. pushed the establishment of CM clinical teaching system, and the plain of CM clinical teaching training and teaching training improvement since 2002. The various categories of CM clinical teaching training system and CM clinical teaching materials of common disease has been established. Whereas, CM clinical teaching except textbook and teaching handouts, the practical teaching is more important, especially inspection, listening, questioning and pulse diagnosis of four examination, and manual skill of CM traumatology and acupuncture. Because these manual skill of CM traumatology and acupuncture cannot complete explanation by studding textbook or oral interpretation. Therefore, there is very important to establish a practical clinical skill room and teaching materials for promoting the level of CM clinical teaching training. The purpose of the present study is to establish clinical teaching materials of clinical skill room including keypoint and ouline interpretation of tongue and pulse-wave diagnosis; keypoint and sound-wave outline interpretation of listening diagnosis; keypoint and speech meaning of questioning diagnosis. The manual skill of CM traumatology and acupuncture, and that pay attention to item also are established. In addition, the preparation of clinical teaching materials is done in this plan.
關鍵字：Clinical skill; Clinical teaching; Chinese Medicine