中榮醫學教師海內外學習心得97.98百大良醫說醫學教育 -

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98年護理部護士節教學績優得獎感言

中榮醫學教師海內外學習心得 97.98百大良醫說醫學教育

Bulletin of Medical Education - Taichung Veterans General Hospital

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Bulletin of Medical Education- Taichung Veterans General Hospital

發行人：雷永耀社　長：藍忠亮發行社：台中榮總教學部

台中市中港路三段160號 TEL:04-23592525 出　版：98年8月初版　　　　100年3月二版一刷

總編輯陳怡行、吳明儒執行總編輯陳怡行編輯委員

黃揆洲、蔡肇基、許惠恒、陳厚全、

劉丕華、傅雲慶、王立敏、林麗英、

王曼溪、陳啟昌、許正園、何鴻鋆、

謝祖怡、張梅芳、陳得源、陳昭惠、

林捷忠、歐宴泉、趙德馨、黃金安、

詹毓哲、唐憶淨執行編輯何曉芸、謝麗鈴美術編輯謝悅珍攝影黃嘉達

第二期│2009 Aug

contents 目錄

1│ 2008.2009台中榮總百大良醫得獎名單 2│ 從台東到澎湖　說動12萬婦女做篩檢　　　　　　　　　台中榮總婦產部　何師竹醫師

轉載自97年1067期商業周刊

撰文︰商業周刊記者王茜穎　攝影︰張家毓 5│ 最久的病友　一看三十三年

　　　　　　　　　台中榮總過敏免疫風濕科　藍忠亮轉載自98年1１２３期商業周刊

撰文︰商業周刊記者王茜穎　攝影︰賴建宏、張家毓　　 9│ 2009百大良醫說醫學教育╱《禮記．學記》

牙科部牙髓及牙周病科陳錦醫師 11│ 2009百大良醫說醫學教育╱耳鼻喉部醫教理念

耳鼻喉部江榮山醫師

13│ 2009百大良醫說醫學教育╱我心目中的好導師耳鼻喉部劉時安醫師

15│ 2009百大良醫說醫學教育╱心靈猶如降落傘，惟能開放方有功精神科陳展航主任

17│ 2009百大良醫說醫學教育╱如何帶領學生泌尿科　歐宴泉醫師 19│ 98年護理部護士節教學績優得獎感言

22│ 參加2009年病人模擬器年會心得分享產馮延芬護理長

24│ 2009年美國佛羅里達州病人模擬器年會紀行感染科　劉伯瑜醫師

26│ 運用醫療團隊資源管理模式提升病人安全文化心臟外科　蔡鴻文醫師

28│ 認識 Threat and error Management與臨床照護的應用急診醫學科　彭彥鈞醫師

30│ 情意教學認知歷程與情意教學目標

國立彰化師範大學教育研究所

王智弘助理教授 32│ 實證醫學---住院醫師優良作品

Dose strontium ranelate reduce the risk of vertebral fractures?

專家評論　新陳代謝科　王俊興主治醫師主治醫師　內科部住院醫師　蔡婉妮醫師 36│ 編後語╱做明日醫師的 Role Model

Bulletin of Medical Education - Taichung Veterans General Hospital

G P N Ν2009802252 I S S N Ν2076-0302

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୧ཿ໋ёᚖᇭܼ2008ԒକȂпȶ஠ঢ়௱ᙩ஠ঢ়ȷޠРԓȂᒶяөঐ஠ऌስ

஀ޠԼτًᚃȄ2008ԒѯϜᄹᖃԥ11՞ᚃ৲Ȃ2009Ԓԥ12՞ᚃ৲ΤᒶȂؑԒ Τᒶ΢኶10 пαȂӶөτᚃᏱϜЗϜᄃ឵ᜳூȄԥ೼ቅӼًᚃӶѯϜᄹᖃ݉

ଡ଼Ȃ࢑ѯϜᄹҖᖃᚃଲޠᄹ᝻Ȃη࢑੿ொޠᆌ੊Ȅ

೼ٳӶ՘ᚃၰαΚၰᝰᝰཿཿȂп੿΢࣐܉ޠᚃ৲Ȃϛ༊ӶѯϜᄹᖃޠᚃ Ᏹఁي༉ܜึදΠ२्ޠِՔȂ؂࢑Ԓሇᚃ৲ޠrole modelȄҐ෉ጢᒯ੬րᇨ ձΠȶԼτًᚃፚᚃᏱఁيȷ೼ঐ஠ើȂוగᇅϜᄹޠӤϧӔࠏϟȄڐϜե৲

ԽлӉІᙣ܇߬୚ଲߞϟ೥ୱȂ࣐୧ཿ໋ё௳᠍ϟ঩НᙾၸȂചᓇлӉȃԱᄹ ύлӉȃቔਣԋᚃ৲ȃച৥૟лӉȃዊ৞ࢷлӉȂ࣐ᒒՍኦቹȂᗚԥΚٳΤᒶ Ӥϧӱޏ८ԥ४Ȃשউ஡ܼґٿ୥෉ഛ៊೥ୱȄ

2008ѮϛᄸᖂΣᒵԻσيᚂӪ൐

ऌ ր ூ ዪ ᚃ ৲ ӫ

ϊȁڌȁऌ ര ໵ ኋ ᚃ ৲

ച ࢎ ඐ ᚃ ৲

З ᠛ ѵ ऌ ஼ ȁ ᐹ ᚃ ৲

نᖛदဘऌ ֕ ၗ Ϝ ᚃ ৲

ઢ စ ϲ ऌ ೩ ҅ ው ᚃ ৲

ઢ စ ѵ ऌ ؖ ࣓ ࿰ ᚃ ৲

૔ȁ๩ȁऌ ஼ ஆ ὺ ᚃ ৲

ஐȁ౱ȁऌ ե ৲ Խ ᚃ ৲

๬ȁ᠛ȁऌ ৹ ୾ ໱ ᚃ ৲

ུചхᗃऌ ೩ ඐ 㠈 ᚃ ৲

လȁድȁऌ ݔ ໍ ఽ ᚃ ৲

2009ѮϛᄸᖂΣᒵԻσيᚂӪ൐

ႇఄ

ॴᕇռ࣬ऌ

ᙣ ܇ ߬ ᚃ ৲ ച ூ ྜ ᚃ ৲ ച ܒ ՘ ᚃ ৲ ᗃ ડ ܒ ᚃ ৲

вȁȁȁऌ ചȁ ᓇ ᚃ ৲

ভ ȁ Ҕ ᚃ ৲

དȁ࢘ȁऌ ݔ ي ᑾ ᚃ ৲

ݫȁ׎ȁऌ ྇ ః ࿆ ᚃ ৲

ዊ ৞ ࢷ ᚃ ৲

Շ ቆ ൚ ऌ Ա ᄹ ύ ᚃ ৲

ቔ ਣ ԋ ᚃ ৲

ᆡȁઢȁऌ ച ৥ ૟ ᚃ ৲

2008 ~2009ᱻ ञ⏦ⷪȭ-ȭשʑᏳ ⅶ 2

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Ta ichung V eterans General Hospital gp

(4)

ԃޠҪೡαȂᛯ຀Κঐᕍែޠࢻ࢒րଭȂЬᢤ۾

իяΚ఩ߞߞޠ׏ВȄ೼ঐրଭȂ࢑ٿՍΚ՞੿ொޠ ᙅޑȄ٦࢑Κঐڸφয়ᓜᕝࠎඹᏮ᏾ΫήԒޠЋЋȄ থҢ੿ਣȂڌφϘ᠟҃࿶༫ȂᚑಂࠊȂڌφϑατ ᏱȂԃၮѯϜᄹᖃஐ౱ഌлӉե৲ԽᇴȈȶ೼ൠᏮି

࡟অூȊȷႇзࠊȂԃӶԋᄀ੿ܙޠဏ፳αȂຶΠΚ ᄈࢻ࢒૔ଭȂΚঐ๞ՍϐȂΚঐ๞ե৲ԽȂ֚ຨե৲

Խᚃ৲ȈȶۛΚঐȃשΚঐȄȷȶשདྷԃᔗ၏࢑Ӷၮ ש֚ր֒Ȋȷե৲ԽᏘຝ຀ѵ৉αޠ૔ଭȂמ܄Ꮨຝ

຀٦ࢳᏮିޠҢڽȄ ࢻ࢒րଭȂη ຬኊΠեᚃ৲ؑঐ

՘ᚃСφϜΚӕ२ ᅌޠඎᇅൊޠࢉٲȄ

ؑ࿌ԃ୉׈਴ଷܓφয়ϹଷȂٗяК೛ࡊਣȂள ԥঢ়឵൝ႇٿयᗃȈȶᚃҢഎᎭۛఀשȊȷկԃЗ၈ ࠔϬདژᖬХȈȶ࣐եΚঐ΢्ܜڨԄԫ२τޠК೛

ںȉᚃᕜ૗๞ԃޠᔔֆȂϬ࣐ਣ౲ఐȄȷ

Җ୾ΥΫΚԒࠊȂԃܛӶޠѯϜᄹᖃஐ౱ऌޠ

੿ܙȂංоΚљ࢑φয়ᓜᕝȂՅй೼ٳஐυංоഎء ԥ୉ႇܢбᑣᔯȂளܵژ࡟ఐȂя՗ΠϘٿȄե৲Խ

ଂέڌזመസā

!!ᄲજ23༱૎̃ઇᎡᑭ

Ⱨⰶ⎊97౺1067ቅۄᏈشӤ Ⴋᄽ㖈ۄᏈشӤ⥆≛᪗⑙ử ჶഛ㖈೺૊ᕖ

Ѯϛᄸᖂஏ౰ഋȁդৱԼᚂৱ

ӫ ΢ ᇮ ᓄ

The ph sician has three great foes-ignorance hich is sin apath hich is the orld and vice hich is the GHYLO«7HDFKLQJWKHVLPSOHDQGVXIIHULQJWKHIRROVJODGL\ZHPXVW¿JKWWKHZLOOIXOLJQRUDQFHRIWKHRQHDQGWKH

helpless ignorance of the other not ith the s ord of righteous indignation but ith the skilful eapon of the tongue.

Sir illiam sler

The physician bas three great foes.

ᱻञ⏦ⷪ

ԽᏘຝ຀ѵ৉αޠ૔ଭȂמ܄Ꮨຝ Ȅ

η

Ȅ

ΙԩܡаᔮࢥȂџ૖൷้ܻΙన௿ڼᛱ ષȂѫ࢐೨ӻஏτࠓϚᔗு׺ȂդৱԼؚ

ٖۡюᚂ଱σߞȂٖႇΰԻএ໐ᚊȂ௰ኄ ܡаᑢᔮȄ

Ț ե৲Խᇅᚃଲყ໦16Ԓٿαύί໑Ȃ्࣐৶༗ஐυܨяఀڽᛲસȄ Țե৲Խᇅᚃଲყ໦16Ԓٿαύί໑Ȃ्࣐৶༗ஐυܨяఀڽᛲસȄ

e TaTa icic huhu ngng VV eet er r aanan nss GeGe nene ral Ho sp ital

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ᛂȈȶᚃҢ्ۛఀఀשȊש஖஖࢑ዼφȂءԥשȂԃ

ཽ࡟ѠኖȄȷנϛΠȂ࿌ԃӶٗඃαၮᏱҢᗀ၍φয় ᓜᕝᙾಌژଽᓟޠ௒םȂΚ՞ܟ຀ᷬ؉ޠᕝҒ੿΢Ӫ уউٗٿȈȶש൸࢑೼ኻޠ੿΢Ȅȷ

ЖઃτܒᒿѶี౪ᕜ੿ਢᐠȁ

ٖႇΰԻএ໐ᚊȂ௰ኄܡаᑢᔮ

࿌ΠήΫΝԒޠᚃҢȂؑӲ࿧ژ೼ኻޒݸȂԥ Κൾฬਣளਜ਼౫Ӷե৲ԽޠಂࠊȈΚထࡇ่Ӷྪᜟተ ᔜȂೞऐดαᅜޠྪЬؠٗȂڎۭޠ΢՘ՔѕѕȂณ ຝЬ८αၸਜ਼ၸؗޠϊᖜȂྪЬؠӪ࿳଼ۍឣޠᘲ ҁȄᘲҁਡȂᗷય຀ପറᆡًޠఀҢসȂԥංঐࡇφ Ӷξ໚ΚᏂϟርೞ཮ఀӲٿȂկ؂Ӽ΢ࠔቫΤ࿳ΰ౐

ేȂ৷੽ଢሃՅՎޠঢ়΢ඎ།࠘ݧᖑȄ

ȶ঒सਣӏ૗஋ၯ຺Ȃ࿌ߒݭۭαޠ՘΢स૗

ࣽژࡇφഷಥޠ๗׌Ȃуউ҇ϛཽ֌ܼܨίΚ఩ᛲ સȄȷӤኻޠȂ਴ᐄ H ȞзࣩፐҢಣᙒȟȂυܓΚ ҢϜѬ्ՎЎ୉ΚԪܢбᔯࢦȂ೼ঐ୾ঢ়൸૗෶Ўϳ ȠŃޠφয়ᓜᕝொ޲ȄΚԪܢбᔯࢦȂѠ૗൸๊ܼΚ

఩ఀڽᛲસȂѬ࢑೩Ӽஐυࠔϛᔘூ׻Ȅ

ֳӶᚃᏱϜЗ၈ȂΚ࢒෉ࣽژޠφয়ᓜᕝ੿΢Ȃ ЩӶѵ८ΚԒ׻ޠᗚӼȂկԃ஁ࡼ्ٗяџȂ֐ࠍҘ ሊณݳ௦ដഷ৶༗ఋထȄ

ΥΫΚԒକȂԃ௦ڨፐҢဎېଋȂውดٗяᚃ ଲτߟȂ຿ਗ਼ѯݎȃࠓ׺ȃ໵ݔ๊ጐ໑ቊ᝕Ȃ௮ႈዚ

෺ӗᔐȄΫϳԒٿȂԃٗႇΥঐᑫȂΚԼΡΫѳঐ໑ ᚋȂ๙τӼ኶എ࢑ԃґ෇ਗ਼٘ႇޠȄ

ಁȂԃ൸ኢαಒΚၿᜱћȄӶࠓ׺ᑫॷԪᑣᔯ՘ࠊȂ ԃ࣐ӓᑫፐҢஆቺ΢সᒳΠΚൠϏձ֬ȂΚαѯȂԃ

൸ึ౫ϛᄈࠑȂȶܺಂѯίȂשܛُژޠ८ৡഎ࡟տ ᅒȂංᚗ౐֥ϛץޠಂઢ؂ц΢൲ཏЁକȄȷ

࣐ٙѯϜᄹᖃஐ౱ഌޠ഻ഌϰՃȂԃԟϑಭᄜӶ

ఁࡊ၈ȂᏱҢউ෿኏ޠ᠚፟Ȃ༖Ꮾޠת์ଅȂಂί೼

ٳϛटྯޠ᠚ಁȂᕢ໣२ᔟԃޠ߭ЗȂ൚ᝐᆨᕼȂԃ

໡ΠπȂࠔ᠚ُՍϐᖑॲϜޠᒷᅹᇅᠭ׬Ȅޣژѯί

᠚ಁ໡ۗึୱȂԃϘΠ၍ୱᚡܛӶȈஆቺ΢সഎၑႇ

ΠȂկ΢ѪηϛٿȂȶуউ࡟ਚ׸ȂՅ౫ӶέٿΚঐ

΢᠆঳Ȋȷ

ᗀژ೼ࢳȂ॓ೱዚ෺ᑫܢбᑣᔯཿଡ଼ޠፐҢ׌ߴ

ୋ፟࿝ᏳᒧుᐹოΠπ੊Ȉȶ࡟ᜳ௱Ȃء΢ඹ௦Ȅȷ

ႇџȂуউ෇ܳ຀ᏣఢȃКႬ๎Ȃਛঢ়ਛЙࡷଋуউ ᑣᔯȂᕖூЇᔗϬᙠտసȄ

ե৲Խܜᒜ஡ପӬҖ໣ૈձ࿾цڸஆቺ΢Ωٿ ԋ௷ᑣᔯȂຼ຀໋ҒܗӅ୆Ȃၸ຀ڎጒᏣఢڸΚ՞ֆ ౪Ȃԃ໡ΠٚܗཧЭٚ൸܂໑ίແȄሊᚕΠ೪റᅿ๢

ᅿजޠᚃᏱϜЗȂуউѬሰΚϊ༶ޫ໣൸Ѡ໡஼Ȃፐ Ңܛࠊޠޫӵȃኃ၈ޠߞ਺ȃϊᏱఁࡊȂࣦՎ࢑٩ߞ ڌφޠུܙȂΫϸយϲȂΚ஼ߞ਺ȃΚ஼࿥ݗგȃ൝ କࡏॴȂᗵஞޠϊຩ໣൸׈ԚΠȄ

ԋኂȃఀࡉȂՌསᙏ४ຨ໢ȁ

ࣥՍ้ఏΰ௴૯ஏΡήόิߞၽᇳ

ԃึ৥яΚٳ no -ho ȈॷӒȂט՞РӪ्ᡲ ᓟ්ѵȂռூஐυЗ၈ϛՍӶȂڎရװٿװџȂϛԂ

ӫ ΢ ᇮ ᓄ

No more dangerous members of our profession e ist than those born into it so to speak as specialists. ithout an broad foundation in ph s-iolog or patholog and ignorant of the great processes of disease no amount of technical skill can hide from the keen e es of colleagues defects hich too often re uire the arts of the charlatan

to screen from the public. Sir illiam sler

Early specialization is dangerous. ^e

TaTa icic huhu ngng VV ete er r aanan n ss GeGe ne ee ral Hospital

(6)

ᔯࢦȇڐԪȂๆЙη्ຯαᏪൣિȂȶԃউΚໍٿ൸ ᆁๆφȄȷե৲ԽᢏᄇಡᑷȂȶ൸ᆘၮԃউᇴѵ८࢑

੖Ȃԃউᗚ࢑ܑȄȷഷࡤȂ୞ጤη्೪ॏȂᗘռ໦Ӄ ΚߞȂτঢ়ᗚ्ሃ຀ӲџίҥȂЗ၈ΚࡩȂ൸ແ௭ ΠȄ

կ೼ٳഎ࢑ϊٲȂ्ױ΢׳яٿϘᜳȄᗷดፐҢ ܛ҉яӫᚃทȂկӶԥٳ໑໣Ȃᗚ࢑ϛᆔңȄӶഫْ

໑Ȃԃ൸ఐα๊αύ௵૰ޠஐυӲঢ়Ȃӕαߟࡷ೥Ȃ ၾᇴԃউ୉ܢбᔯࢦȄΚঐఐαȂӶ೼ঐ༊ϥΫӼЙ

΢ঢ়ޠύ࠳Ȃԃউᇴ݉ΠΟΫං՞υ΢୉ܢбȄ ӶҖॴߴԉޠዚ෺Ҫؔ໑Ȃԥٳع΢উϛঠЋЋ ٿ୉ܢбȂࣦՎቜ઱υ΢উȶϛ्ᖜȂ಴ᒎφ๞΢ঢ়

ࣽȊȷӱԫȂΚء੿΢Ȃե৲Խ൸ແџஐ΢উ၅നᆪ ޠኃࠊኅൠѪ΢ȂȶѪηѪூٿΚȃڎঐȄȷяҢα

੖Ȃե৲ԽᗀၘሇᖑಡᇮȂѯᇮϛЋࢻւȂկ࣐Π௱ ኅܢбȂԃ෇฾຀ᓟҫңѯᇮ࣐Ӷ৵ົႇљ኶ޠߢᔌ

઼Җಁ၍ᇴφয়ᓜᕝȂഫْ໑ፐҢܛޠлӉ֚ຨԃȂ

೼ٳߢᔌഎ࢑׫ܣΠ؇ϜኅൠᇐᓟᆡτܺଛޠᇷඌȂ ٿ᠚ȶࢦ࢛ᚃҢȷᅌᗀޠȄ

ෆငΙΰϿֲѲ፷಻ѫ࣏Ϊএஏτ

ୈڗ૗ොᡐלȂٷณϚѩಣ

ԃԥਣΚঐαЀֳѳ፸಼ሃڎঐዚ෺୒ሊϊ৭Ȃ Ѭ୉Ϋංঐஐυȇη෇Ӷήঐຩ໣ແٿແџȂӶዚ෺

଼ϵ഻ίঐ΢खᓄȂ௄ԟαΟᘉࣽژఐαΟᘉȂӔ ϥԼήΫ՞ޠखᓄȄ

ѵᓟ਺φմȂйϛ჌ຩᕜטѠЁ७Ȃᚃ৲҇໹ߞ ਣ໣ᆱࡼմᓟȃӓٙᕼକޠ࠽༗ȂΚЉڎȃήԼ΢୉

ίٿȂყ໦ԚসϟΚޠѯϜᄹᖃᓻҢߴୋऌлӉ෇ਐ עՃᄃᇴȈȶ࡟ತ୮ȊȷΚਡե৲ԽሃᆨᇴȈȶשϘ ၮуউᇴϛཽತȂղࡪቅၮуউᇴ࡟ತ୮Ȋȷ

ڐᄃȂե৲Խӱ࣐ߞ෉໡ΧȃᑣᔯȂ૘ෝᡑםȂ

௵೥ਣԃϛᘟի৥Ȃ෶ሇ઄ฯȂկԃϬᝑ຀Ȉȶשء ԥತޠདញȄȷ

уউޠ՗ԯ࢑ԥԚݏޠȂᄡՎҖ୾ΥΫΟԒȂ уউӔᑣᔯΠΥ࿳ӫυܓȂ׳яߗΥԼঐ౵ளঐ਱Ȃ ϳΫήঐ߮᠜ܓφয়ᓜᕝȂϥԼঐᕝࠊ෉Ȅ౫ӶӶу উᗧՅϛ௼ޠևΩίȂ΢ԪϑತᑗژΫΡ࿳΢ԪȄࡤ ᓟуউᗚ्शπ஖ЗܗᝏܗؒԃউӲຩȂܗ൸ߗ൸ ᚃȂߩ्ଢᙺژۼȂ๙ϛֳຝԃউໂဤ࿳ΰ౐ేȄե

৲ԽޠଔᝧȂӶΟΫϥԒᕖ୾ርஐ౱ऌᚃᏱཽႶึυ ᚃ৲ലяଔᝧዪޠ޼ۢȄ

෇ԥ΢״ຠȂՃᚃҢԥစᡜᔗ၏੽ίٿ໡τΧȂ ϛᔗ߇ਣ໣ί໑Ȃܼ࢑ե৲Խᖃ࢑ւң໋ҒܗӅ୆

СȂկԃϬᇴ዆࿌ȶۗձ߲޲ȷȂ຺ٿ຺ӼᚃҢ᜺ཏ

׺Τφয়ᓜᕝޠᑣᔯȂᑣᔯ౦η௄ഷߒޠΫංঐԼϸ ЩȂތژϥȠŃȂߗΫԒȂφয়ᓜᕝԬκ΢኶؂τൾ ί७ήȠŃȄ

ȶуٗႈө࠳ө໑ȂᚃԂΠуউޠ੿΢Ȅȷե৲

Խ෇ӶढᑚҢ҂α᠟ژ೼ࢳၘȂԃᇴȂԃוగ፾຀ࣻ

ӤޠရؐȂྲِ߬ဤ၈ޠஐυȄ

ӫ ΢ ᇮ ᓄ

The practice of medicine is an art not a trade a calling not a business a calling in hich our heart ill be e ercised e uall ith our head

Sir illiam sler

William Osler

ፚ՘ᚃ

TaTa icic huhu ngng VV eet er r aanan n ss GeGe ne e ral Ho sp ital

(7)

ѯϜᄹᖃႇఄռ࣬ॴᕇऌᚃ৲ᙣ܇߬մ຀ᓟȂᒊ ӏᡘཌྷᜣίޠ׫ਰ׫ᡞȂۦस༄ۈ၈ॵᇇޠᒊЭᙬȄ ᘉᘉᒊӏȂ჌Κ଺଺ಂ࿙ޠȂ࢑ୂᕎ઀ޠშᜋȇ჌՚

ҟφޠȂ࢑ཽആԚӓٙҫጴ฾Ͼޠ฾ҫ઀ȇՅםޒְ

ϻ׈जȂഷ჌ᅟЉॵᇇޠᒊЭᙬࠍ࢑कරܓ੭ዷȄ࿳

߇๎ૢޠෂຬᄈ੿΢ՅّȂ࢑Κൠजᝌޠඍჳȇᄈᙣ

܇߬ٿᇴȂࠍ࢑၍໡२઀ϟᖽޠҢڽஞጇȄ ήΫӼԒࠊȂ೼ٳ੿ංоณ၍Ȃ࡟ᜳຩᘟȄ ᙣ܇߬ᗚଅூ࿌Ԓޠᚃᕜ౫ൠȂຩᘟ׭೛ϛ٘Ȃ ȶҢ੿࡟εϘ૗ጃຩȂȷΥԚޠकරܓ੭ዷ੿΢ᛅѺ

౵˳۞ঽ̓ā˘࠻ˬȈˬѐ

Ѯϛᄸᖂႆఃջ࣫ॳᕆऋ ᙢ܆߫ᚂৱ

Ⱨⰶ⎊98౺1ŏŐőቅۄᏈشӤ Ⴋᄽ㖈ۄᏈشӤ⥆≛᪗⑙ử ჶഛ㖈⫯೘લȮ೺૊ᕖȭȭ

ӫ ΢ ᇮ ᓄ

The great Republic of Medicine kno s and has kno n no national boundaries and post-graduate stud in other lands gives that broad mental outlook and that freedom from the trammels of local pre udice hich have ever characteri ed the true ph sician.

Sir illiam sler

Mcdicine has no national boundaries

Țकරܓ੭ዷ࢑ཽၮ຀੿ொΚᎇφޠȂӱԫᙣ܇߬וగԥ؂ӼԂᚃ৲௦ූྲៗ੿΢Ȅ

Taichung V eterans Gene ral Hospital

(8)

ܗҢ౱ਣூ՟ђៗ੿ܙȂϥԒԬκ౦ାႁΟϥŃȂ ȶၮᕝ઀ءϨቅৰրȄȷᙣ܇߬ᐋӉлݾᚃ৲ಒΚ ԒȂᗚԥ΢ӱ࣐Ћ๙గȂӶཧЭٚџࣽ੿ޠഋϜȂᒶ ᐆၱٚՍయٙκȄȶݾூԂޠȂȷу൏൏ޠᇴȂȶԂ Ѡ௕Ȃᚃࣩᔗ၏ԂԂၮ੿΢ఁȄȷ

औයܒ੬ዶνᡐ࿲ϽȂৠܾೝᇲຨ

у࢑ѯᢋഷԟΚ״я୾ᏱॴᕇȃՍᡞռ࣬੾੿

ޠᚃҢȂΚΟΝϳԒѯіᄹᖃԚҴӓ୾ಒΚঐռ࣬੿

ऌȂу൸࢑഻ऌᖃᚃ৲ȂѯϜᄹᖃႇఄռ࣬ॴᕇऌᚃ

৲ᗃડܒᆏу࢑ȶѯᢋಒΚঐ઎Ҕᖞטޠॴᕇऌ஠ऌ ᚃ৲ȷȄ

ΡΫΝԒࠊȂу؂ΚК҉ആѯϜᄹᖃႇఄռ࣬

ॴᕇऌȂٯ௄ज୾ழΤಌෛପᄈȃՍᡞ׫ᡞ๊ᔯࢦ

׭೛ȂԚҴՎϭӓѯഷτȃഷӒໍޠႇఄռ࣬ॴᕇ ऌᄃᡜࡊȂᡲԟ෉ຩᘟԚ࣐Ѡ૗ȄկЩ฾ᡞ؂२्

ޠȂ࢑уஊᎵΠӓѯᢋഷӼޠռ࣬ॴᕇऌ஠ऌᚃ৲Ȃ ӔήΫѳ՞ȂڐϜԥΫΚ՞ΤӗҐԪȶԂᚃ৲௱ᙩ ᄵȷȂϥ՞ໍΤȶົ௱ᙩԼτԂᚃ৲ȷȂӶȶົ௱ᙩ ԼτԂᚃ৲ȷᄵαޠռ࣬ॴᕇऌᚃ৲ȂߗѳԚ࢑Ӷᙣ

܇߬КίஊيяٿޠȂȶ௄уϟࡤȂռ࣬ॴᕇऌϘᡑ Ԛτঢ়२ຝޠᏱߟȄȷѯϜᄹᖃႇఄռ࣬ॴᕇऌചܒ

՘ᚃ৲ᇴȄ

ႇџȂЗ᠛੿׳З᠛ऌȂ๬᠛੿׳๬᠛ऌȂկռ

࣬قಜڸӓٙᏣۣഎԥᜱ߾ȂԄեҔጃຩᘟ࢑ᛂτޠ

ࢆ᏾Ȅ

ڐϜȂकරܓ੭ዷ؂ೞϲऌ፟Ґᆏϟ࣐ȶഷ୊

τޠዂҾ޲ȷȄȶϲऌ፟Ґαܛԥޠ੾੿Ȃѻഎ૗ዂ ҾȄȷᙣ܇߬ᇴȄѻԥਣӒ׿ᔟᜱ࿾ྥጱȂᜱ࿾कလ ዦฯȂᡲ΢п࣐࢑Κૢᜱ࿾ވܗ᜹ॴᕇܓᜱ࿾ވȇԥ ਣ׿ᔟ๬᠛Ȃᡲ΢ӓٙЬလȂᇳп࣐࢑๬᠛੿ȇѻη

߮ҜϜ኿ઢစȂኈ៫ᆡઢڸᇰޤѓ૗Ȅȶξᡑ࿳ϾȂ ѻѠп჌ӉեΚঐ੿Ȃೞᇳຩ࣐ӉեΚঐ੿Ȅȷ

Ԅ୏௥ૢȂᙣ܇߬ᢏᄇ྄यಡཌྷȂࡿԍαȠȆϥ ϵϸޠϊकᘉȃᏂርޠϊकઅȃπϜޠ೒вȃཽᡑՔ ޠКࡿȂഎѠ૗࢑ُཌྷޤ຀ޠ੿حȄկԥਣ੿ح࢑я ౫ӶࣽϛُޠӵРȂΚ՞ΡΫϳྒޠυܓȂӱነ᢯ȃ ᆡઢϸບ઀ޒȂӶঢ়ၶΠήԒȂࡤٿຩᘟึ౫࢑कර ܓ੭ዷ׿ᔟဟઢစಡबȂኈ៫ᇰޤѓ૗Ȃ௦ڨݾᕜ ࡤȂ౫ӶӶ፳гՉឩႇ຀ҔளҢࣁȄᙣ܇߬઱ᇴȂԟ ԒуউഎՍᆏ࢑ȶᅹᜳᚖ઀ऌȷȄ

໋ؑήȂᙣ܇߬ޠຩ໣ྲளᔡᅗΠ੿΢Ȃуউٿ ՍѯіȃུԽȃѯϜȃѯࠓȃዚ෺ȃߝߟȃᆧ৭Ȃࣦ

Վ௄ђԏॵ຺љঐӵ౩ՅٿȂ࿌Љ௯ဵ΢኶ᖃॏήԼ ӼဵȄ

ᙣ܇߬୞সڎ՞лݾᚃ৲ȃή՞ᖃᚃ৲ȃΚ՞ፐ

ఁ৲ȃΚ՞ᐈձଽᓬՋՉົॲݱᔯࢦޠᚃ৲ȂȶΚঐ

΢ءԥᒳݳՍϐ܂ࠊແȄȷуΠ၍΢എԥ྄४ȂҦτ ঢ়ᎉࢻፑڗȂழ຀ყ໦܂ࠊٗȄߒຩ੿΢ӒҦᖃᚃ৲

ڸлݾᚃ৲ୱຩȂӕΚΚழ๞ᙣ܇߬Ȃԥሰ्ਣȂඉ

ୋ৲ȃᕋᎵ৲ཽђΤȄ

ӫ ΢ ᇮ ᓄ

A ell-trained sensible doctor is one of the most valuable assets of a communit orth to-da as in Homer s WLPH0DQ\DQRWKHUPDQ7RPDNHKLPHI¿FLHQWLVRXUKLJKHVWDPELWLRQDVWHDFKHUV7RVDYHKLPLURPHYLOVKRXOG

be our constant care as a guild.

Sir illiam sler

A well-trained doctor is a valuable asset

ral Ho sp ital

(9)

෈תᏽ

ѳΫྒяᓟޠӠږኆՃᗴȂ

െ Ջ Չ ิ Ȃ ᎃ Ӷ ט α ཽ ތ ϛ କ ٿȂۈљτࠞױЋЋഎ֟ᒻȄᙣ

܇ ߬ ௨ କ ொ ޲ ޠ К Ȃ Κ ঐ ঐ ᜱ

࿾ ಡ ࣽ Ȃ ȶ у ޠ К ϑ စ ֚ ຨ ש উȂȷಘᕺޠ༄КαȂӶࡿҧڸ Кࡿࣻഀ೏Ȃஞஞഭഭҁᅗ์ԍ τϊޠकᘉȄȶ೼࢑ҫՋވȂε Πཽᡪᅾ௭Ȃڴ֝֩ᜳȂ޳ഌᡋ ᆱϾȄȷ

ݔϊۑΚٙલकT-shirtȂீ

ᛳ຀ᅗᅗޠӖాిȂΚ஼Ҫ❴Ԅ

ভ౯ࡀࡀޠᖜȂ఼఼ޠ઱ৡȂҔ࢑౰ᇚޠΫΝྒȄด ՅȂΚਡΝȃΥϵϸࠕޠ੿ᐤࠔ܎ҭᡚЗȄυࡇޠؑ

С׎೗Ҫ໕࢑ள΢ޠΟॼȂ՗कષϛژள΢ޠΚљȂ Οྒਣጃຩ࣐कරܓ੭ዷȄ߇ኻԒ๽ޠυࡇᡞϲȂռ

࣬قಜϸϛఽኴשȂҔӶ஢యՍϐȄ

ԃؑЉԟαକטޠಒΚᓢȂ൸࢑ӭ᛿Ȅӱ࣐๬

૿ᆒᇅད࢘ȂڎԪܧ௭ရ೸ҧȂȶԃ࡟ٰȂשউϘ࡟

З઄Ȅȷ༿༿ݧϛԚᖑȂȶש࡟ܑᓎਣཽѷџ೼ঐࡇ φȂ୳ΚޠϊࡇȄȷ

ᙣ܇߬െΠݔϊۑޠӫԆȂ௄୾ϊژାϜȂႇџ ΥԒȂуࣽ຀ԃߞτȄӱഷߗ݉ңၷτ໕᜹ڿ᎖Ȃυ ࡇഷߗቹԆКཽ׬ȂȶቹԆϛ्ЋңΩȂױિഎቹખ

ΠȊȷᙣ܇߬೿υࡇ໡ЗȂЗ၈ࠔᐋЗ຀ژΠΫΝྒ

ึيޠԒखȂυܓິᅮᇍཽࣁϾ੿௒ȂЗ၈དྷ຀௦ί ٿ၏Ԅե።ᐍ᛿ޑȄ

ȶၮΚঐΡΫྒޠ΢ᇴȈղΚᎇφഎ्ӭ᛿Ȃ

௄ԫณݳᘜ಴ᚃ৲Ȃԥਣ઎ޠ࡟ѠܑȄȷᗃડܒඣख़

ႇఄռ࣬ॴᕇऌᚃ৲ޠЗ௒ȂկηӱԫȂᙣ܇߬ԥ೩ ӼΚᎇφޠ੿΢Ȃуഷεޠ੿΢ϑစࣽΠήΫήԒȄ ȶ༳ע᜺ਣȃ๗கਣȃᛅѺਣȃя୾౐ആਣഎཽٿୱ ղȂȞ൸჌ȟၮ੿΢ҢࣁΚକԚߞȄȷ

ΰϿޟߞຨȂலࣼڗঞ఑ڍᘈ

ߟຩ຺຺ࣽఐȂԥԂංԒȂᙣ܇߬Κ໋ԥήЉȂ

Ț ᙣ܇߬ ѿ2 ࡿᏳᏱҢᖞט׭೛ଌጜȂڐулݾᚃ৲ထηђΤଇ፤Ȃ੽ί4՞ȶົ௱ᙩԼτԂᚃ৲ȷӤਣ я౫ޠࣣີฬ८ ѿ1ചூྜȃѿ3ᗃડܒȃѢ2ചܒ՘ Ȅ

ӫ ΢ ᇮ ᓄ

Sir illiam sler

The physician bas three great foes.

Ta ichung V eterans Gene ral Hospital

(10)

௄αЀޠຩࣽژটఒڎᘉȂѯϜᄹᖃႇఄռ࣬ॴᕇऌ лӉചூྜ෇ԥႇఐαΫΚȃΡᘉࣽ׈ຩȂ໡ΠߟȂ ࠔُᙣ܇߬ޠߟπᗚ๊຀ϥȃϳΫ՞ொ޲ȂΚٳлݾ ᚃ৲ࣽ׈ᗚл୞ഘ຀ђੳȂΚକࣽ׈Ȅᗃડܒ઱ᆏȈ ȶ੒ۈൠᡑԚΠЀۈൠȄȷഷࡤȂഀఽ๕ϊ຋എԞ᠌

ΠȂၰαΚбᅙ༄Ȃמ܄ᐍঐ࠳ҀഎΤᆄΠȂѬ഼ί Κঢ়፳Ծᑥޠၰᜟ᠌ᗚ߬຀ȂΚထᚃ৲ֳӶၰᜟፚ຀

ϭЉႅژޠٲȃуউޠ੿΢Ȅ

ȶу࡟२ຝಡ࿾ȃᇅ੿΢ޠϤ୞Ȃୱ੿ѭȃ౪Ᏹ ᔯࢦȃ੿΢Κঐঐᜱ࿾എ्ᔯࢦȂ೼η࢑࣐Ϩቅਣ໣

ߞޠ঩ӱȄȷചܒ՘ᇴȂΚঐߒຩޠொ޲ᖃᚃ৲ࣽљ ϊਣȂуᗚ्сಡၛୱљϊਣȄՅйȂ֊ٻ࢑ࣽຩࣽ

ژটఒȂᗃડܒᇴȈȶӉեਣ໣ᚕ໡੿ܙࠊȂȞᙣ܇

߬ȟΚ्ۢџࣽ२઀ܗᝓ२ޠ੿΢Ȅȷ

ΡȠȠΡԒȂୋߴᄃࢋᖃ᚟Мрښ࡚Ȃуೞय़

्ܣ๙Κٳ௯ϛໍဵޠՃ੿ЅȂᙣ܇߬մ຀ᓟȈȶ४

ဵ@ @ ࡟෥ףȄȷܸକᓟȂ᚟ᓟޠዺવϾձΚၿၿ౐

ྜྷȂȶשউη೩ႇϥԒ൸्ଞӅȂկ੿΢्ၮ೼੿ႇ

ΚᎇφȄȷᙣ܇߬ᄈᙾຩٿޠᝓ२੿پȂ௄ϛܣ๙Ȃ ȶրޠᚃ৲ึҢ֩ᜳȂԥဏଡ଼௦କٿȄȷ

ЉดޠαԂȉկղ࢑֐ޤၿȂिፃ߄ȃ๚ᓆ߇๊ဵᆏѠ ቩ஽ռ࣬ΩޠЉดୋஷॶࠣȂԥНᝧൣᏳȂႇ໕Ѡ૗ᇷึܗ Ᏻयकරܓ੭ዷІڐуՍᡞռ࣬੾੿ѷ௢Ȅ

࿌З຺၅຺τࢿȄᙣ܇߬ߓұȂԥःفࡿяȂिፃڸ

ٓऌෛޑ࿌ϜޠτٓੌஆሗȂѠ૗ཽ७մռ࣬׼ښЖᏳTಡ बޠѓ૗ȂቩђՍᡞռ࣬੾੿ޠึވЇᔗȄ

ԫѵȂ΢୥ཽኈ៫՗ᑦȂആԚ७՗ᑦ᛿ޑਞݏϛٺȂ ᑦ׎੿ொ޲ϛۤȄ݉ңማ؅ȃτᇐᆡ๊ၷৡܿя՗Ȅܧӵഭ ϛۤڸВЩ੬ᢅ᛿ޑٯңȂѠ૗௄ԫΚᆄϛକȄҡ૪ཽܱ੒

ւ׎ᏙޠձңȄఀЗȃ΢୥ȃҡ૪ȃٚࠊ૪๊ཽϔᘚЪӵ༂

ޠձңȂᄈЗ૿ᆒொ޲ԥড়ณઊȄ

ᙣ܇߬ණᒻȂ݉ңӉեϜ᛿૪ڸୋஷॶࠣȂഎ҇໹Ӫ ᚃҢщϸ֚ޤȂᗘռ᛿ޑ໣౱ҢһϤ୚ձңȄ

ᙢᚂৱωѣᔀȁϛ᛾૩໌၄Ȃӑ୰ႆᚂҡ

ӫ ΢ ᇮ ᓄ

No more dangerous members of our profession e ist than those born into it so to speak as specialists. ithout an broad foundation in ph s-iolog or patholog and ignorant of the great processes of disease no amount of technical skill can hide from the keen e es of colleagues defects hich too often re uire the arts of the charlatan

to screen from the public. Sir illiam sler

Early specialization is dangerous.

࡟

࡟෥෥෥ףȄףȄףȄȷܸȷܸȷܸȷܸକܸܸକᓟକᓟକᓟକᓟକᓟȂ᚟Ȃ᚟Ȃ᚟᚟᚟ᓟޠᓟޠᓟޠᓟޠᓟޠޠዺવዺવዺવዺવዺવዺવϾձϾձϾձϾձϾձϾձΚၿၿၿၿၿၿၿ౐ၿ౐ၿ౐ၿ౐ၿ౐ၿ౐

ᚃҢщϸ֚ޤϸ֚ޤ ᗘռᗘռ᛿ޑ໣᛿ޑ໣౱Ңһ౱ҢһϤ୚ձϤ୚ձңң

ȚѯϜᄹᖃ-ఁᏱःفτዃ

Ta ichung V eterans Gene ral Ho sp ital

(11)

ϳУϜԡȂȶϜᄹᚃఁȷޠጢᒯউୱשѠϛѠ пቹΚ጖དདྷȂᙐ൑ಯಯՍϐӶвऌഌ݉ଡ଼೼ٳԒȂ ԥᜱܼвऌᚃᕜІఁᏱޠΚٳЗூڸདྷݳȄשདྷ೼࢑

ΚঐϛᓀޠᄻདྷȂηᔗ၏࢑Κঐ࡟ԂޠᐡཽȂᡲτঢ় ᕤ၍ΚίвऌഌޠఁᏱۡԠІࣁ୞Ȅୱᚡ࢑ȂӶᒳϵ ࡊ၈ؖࡧΠΚཽȂсಡޠདྷΚདྷȂ௄Җ୾ΝΫΡԒ໡

ۗໍΤϜᄹвऌഌ݉ଡ଼ژ౫ӶȂ௄ᛇᛇᔘᔘޠ՟ଲᚃ

৲ਣ෉ȂၮᓎᏱߞউܗвᚃ৲ࠊᎇউԄեпగȃᆹȃ ୱȃϹȂٯւң ӏ๊ᚃᕜ቉ᏣޠህֆίȂᄛᄛᏱཽ

ΠҔጃޠຩᘟӼኻܓޠπ๩੾੿ȂӤਣέ्ևΩޠଌ ጜөԓөኻԄܧȂ၅ȂڙȂு๊ᖞטвᏐݾᕜ׭ѾȄ Κޣژᖃᚃ৲Ȃлݾᚃ৲пࡤ໡ۗࡿᏳڐуࡤໍޠв ᚃ৲࣐ЦȄӶΚ८ᏱಭȂηΚ८ఁᏱޠᕘძίȄΚཆ

ಂȂึញϑစӶఁᏱᚃଲвऌഌຏ෯Πץ25Ԓޠӏ ജȄсಡޠࡧՄȂ೼ΚࢳԚߞޠਣ໣Ȃвऌഌϲޠᚃ

৲ٿٿџџȂᄈߒᏱޠᄃಭᚃ৲ȂུКޠ՟ଲᚃ৲Ȃ

ܗ࢑ᄈϑစԥΚٳஆᙄޠ஠ऌଌጜᚃ৲ٿᇴȂש࢑֐

઎ޠԥީࡼࠊᎇউвᚃᏱޠఁᏱРଭȂٸඊΚೲޠఁ

ᏱРԓȂழስуউΚؐΚؐޠᏱಭвᚃᏱޠᚃᕜ঩౪ ᇅᖞטݾᕜ׭Ѿȉש؂ᛅᅹвऌഌ࢑֐઎ޠԥՍϐޠ

ఁᏱ౪܉ᇅРӪȂ௱ІՎᚃ৲উޠᖞטఁᏱଌጜαȄ вᚃᏱІڐᖞטݾᕜ࢑Κߟ᛻೛ޠऌᏱȞart of s c i e n c e ȟ Ȃ η ࢑ Κ ߟ ሰ ् စ ႇ ᄃ ር ଌ ጜ ޠ Ᏹ ऌ Ȟpractical dentistr ȟȄᏱಭϲৡϛկє֥ԥԄϲऌ Κૢၐᅿᆡ౐ޠᔯࢦᇅຩᘟޠ౪፤ȂӤਣηচڏԄ ѵऌΚૢಡጞ׭Ѿޠݾᕜ׭೛Ȅ׈ᐍޠ౪፤ܓ፟โ ᏱಭࡤȂ҇໹စႇᄃርޠᐈձጜಭȂпІϛᘟޠᑒ ጜᇅᐈձޠ׾ໍȂϘ૗஡ਫҐޠޤᜌȂӠᜍӶᖞט ޠݾᕜαȄӱԫȂԄݏᙛᎨΚίвऌഌޠөᆎଌጜ खᓄȂϛᜳึ౫вऌഌөϸऌ҂ளޠఁᏱଌጜϜȂ

঩ҐϑစԥஆҐޠఁᏱРӪȂଷΠϸրණٽԥᏱ೛

ःଇཽԄНᝧଇ፤ཽȞournal meetingȟȂ஠ᚡଇ፤

ᧃẤⵒᧃ㋣דᧃش᯼Ấ づ⻺ⷪో

Įᖃ੃ąጯ੃į ȶ࢐࢈ᏰณࡣޣϚٗȂఀณࡣޣ֨ȄޣϚٗȂณ ࡣ૖ՌІζȇޣ֨Ȃณࡣ૖Ռ஼ζȂ࢈СȺఀᏰ

ࣺߝȻζȄȷȞྛȟ

ӫ ΢ ᇮ ᓄ

Sir illiam sler

William Osler

ፚ՘ᚃ

Ta ichung V eterans Gene ral Hospital

(12)

ཽȞseminarsȟ๊ѵȂᗚԥᖞטݾᕜଇ፤ཽԄ੿پଇ

፤ཽȞcase conferenceȟȂᆤӬଇ፤ཽȞcombined conferenceȟ๊ȄϛႇӶвᡝІвڻ੿ऌȂཽ஽።्

ؒ՟ଲᚃ৲๊ଌጜᚃ৲Ӷݾᕜ੿ொਣȂ҇໹्ԥၐᅿ ޠ஠ऌݾᕜޠखᓄȄ

௄౪ᏱᔯࢦȂ੾੿ຩᘟȂݾᕜॏდᔤॐȂݾᕜႇ

โؐ᡾Іಡ࿾Ȃң᛿ޠРԓȂژ׈ԚݾᕜࡤޠᘿࡤІ ଢᙺ๊Ȅ೼ٳखᓄ؂҇໹စႇлݾᚃ৲ޠᔯࢦጃᇰȂ ᔯଇᘫ਱ȄԄݏԥ੬ੇޠఁᏱঐ਱؂ཽӶଇ፤ཽϜණ яȂᡲϛӤऌրޠвᚃ৲૗஋ϸٵȄӱԫȂשউޠఁ

Ᏹ౪܉Ϝ࢑চ៬ΠȶఁȷᇅȶᏱȷࣻϤМනޠРԓȄ ӱ࣐ȂӶᏱಭଌጜႇโϜȂ҇ดཽԥȶᏱಭᓀᇳȷ Ȟtrial errorȟޠ௒ݸя౫ȄϛႇȂ୳ԥစᐤႇȶᓀᇳ ᏱಭȷȞerroneous trialȟޠᏱಭႇโȂϘ૗ᄖۼޠᕤ

၍ᔯଇᐍঐᏱಭޠᕘ࿾ϜȂفഥ࢑Ϩቅኻޠಡ࿾ܗؐ

᡾я౫ৰ౵Ȃӱԫ߰૗ᙥԫᐡཽ௄ᓀᇳϜ౪၍঩ӱȂ пঔҔٯᗘռСࡤѠ૗я౫ӤኻᓀᇳޠᐡཽȂٯ஡Ս שစᡜණЁȂ׾๢ٯᕖூ؂׈๢ޠఁᏱپᜍȂпණٽ ٯ؂ུвᚃᏱఁᏱޠሰؒȄ

ܛпȂȶఁȷᇅȶᏱȷ࢑Κᡞڎ८ޠϏڏȂ܅ԫ

ࣻህࣻԚޠᆨஞӬձȄ೼ᔗ၏࢑ȶఁᏱࣻߞȷޠཏဏ

֒ȄȶఁᏱࣻߞȷޠ౪܉ηϛ࢑ߗхޠདྷݳȂਣሿޠ

ၘᚡȄԟӶȮᙅଅȅᏱଅȯϜϑစԥ݃Ҫޠඣख़ٯ֚

ຨשউᔗ၏्ᏳඊޠРӪȂѬ࢑्૗ೲᄖஉ՘ٯ๢ܼ

ٻңȂ৽ܑཽԥȶޤܿ՘ᜳȷޠ֩ᜳȄԫѵȂ౫ӶԒ ߨᚃ৲উޠᏱಭᆡઢᇅᄙ࡚Ȃη࢑ཽኈ៫ႁԚ೼ٳఁ

Ᏹ౪܉௱՘ޠ঩ӱ֒Ȅ

ӫ ΢ ᇮ ᓄ

Sir illiam sler

Mcdicine has no national boundaries

ଇ

ᅿ

ႇ І

ණ

ఁ

ᇳ ᕤ

ؐ

ٽ

ԫ ဏ

ܼ Ԓ

ఁ

ѯϜᄹᖃ-ಒΚᚃᕜτዃȚ

Taichung V eterans Gene ral Ho sp ital

(13)

࣐ٙϜᄹޠΚӌφȂΡΫӼԒٿདڨᡑϾഷτᔗ

࢑ᄈᚃᏱҢޠఁᏱȄଅூԟ෉ఁٿଲޠᚃᏱҢȂτӼ ݽңࠊᎇᚃ৲ఁᏳשউޠРݳȄ೼ංԒٿȂӶଲРߞ

ۣ२ຝևΩίȂϜᄹϑစԚ࣐ӓ୾ᚃᏱҢఁيޠዀऑ ᚃଲȄՍดޠȂשউഎདڨژؗ२ޠᔇΩІೱӉȂӱ ԫᄈܼՇቆ൚ഌޠᚃᏱҢఁᏱשউ҇໹ԥུޠ౪܉І ձ࣐ȂڐϜഷ२्࢑Ҧೞ୞ఁᏱᡑ࣐л୞ఁᏱȄ

лݾᚃ৲എ࢑Ᏹԥ஠ᆡޠᚃ৲Ȃӱԫঐ΢ᇰ࣐

лݾᚃ৲ᔗ၏ᐋ॓ഷτޠఁᏱೱӉȂկ࢑਴ᐄःفτ Ӽ኶ޠᚃᏱҢᇰ࣐ԞᛧഷӼ࢑ٿՍ՟ଲᚃ৲ȄϛႇȂ ϛ፤лݾᚃ৲ܗ޲՟ଲᚃ৲ӶҐഌഎϏձߩளᖆ२Ȃ СளޠᚃᕜϏձєࢃ໡Χȃߟຩȃ੿ܙࢦܙඳ᛿пІ ቹ੿ᐤϑစќᐄτӼޠਣ໣Ȃђαᗚሰ߇ٳਣ໣ձः

فቹ፤НȂᄃӶءԥЋӼਣ໣ٿ੬ր࣐ᚃᏱҢఁᏱȂ ӱԫӶഌϲཽឋᖃሰ्Κӕණᒻܛԥлݾᚃ৲І՟ଲ

ᚃ৲्ױᚃᏱҢఁᏱ࿌ձ२्ϏձȂϛ्ӱ࣐ϏձЋ ԕ൸נଅᚃᏱҢޠԇӶȂΚԥఁᚃᏱҢޠᐡཽ൸्ఁ

ᏱȄ

ଷΠ౐ෛл୞ఁᏱޠಭᄜѵȂᒴඊዀྦձཿࢻ โѠ૗࢑ӶᖆԕᖞטᚃᕜϏձϜϛཽяᓀȲנΠఁ

ᏱȳޠΚঐ२्ؐ᡾ȄՇቆ൚ഌଷΠ਴ᐄଲР्ؒጢ

௷ஆҐਰЗ፟โȂԋ௷ᎍϹᚃ৲α፟ȂᡲᚃᏱҢᄈՇ ቆ൚ऌᏱԥஆҐᇰᜌѵȂ؂२्ٸᐄՇቆ൚ഌᖞטᚃ ᕜ੬Ք೪ॏఁᏱࣁ୞וగᚃᏱҢ૗؂ٗΤᖞטᕘძȄ پԄȂԋ௷ᚃᏱҢໍΤК೛ࡊᢏኟՇቆ൚ऌК೛Ȃւ ң౫ԥޠኈຝقಜᡲᚃᏱҢఽྀࣽژК೛Ԅեໍ՘Ȃ ѫѵҐഌԥϛЎ੬րߟຩѠпࣽژ೩Ӽᆡீ੿پȂђ αၐᅿޠ౪ᏱᔯࢦȂᡲᚃᏱҢޤၿԄեџຩᘟΚঐ੾

੿Ȃ೼ٳഎϛ࢑ӶఁࡊϲѠпᏱژȄ

ଷΠ༉ಜޠᚃᏱޤᜌఁ௳ѵȂᡘดޠߗԒٿ஽

҅ᆄಘొᗁିநه

≸㕆۪ⵒ ᖶᏳୀⷪో

ӫ ΢ ᇮ ᓄ

A ell-trained sensible doctor is one of the most valuable assets of a communit orth to-da as in Homer s time.

0DQ\DQRWKHUPDQ7RPDNHKLPHI¿FLHQWLVRXUKLJKHVWDPELWLRQDVWHDFKHUV7RVDYHKLPLURPHYLOVKRXOGEHRXU

constant care as a guild.

Sir illiam sler

A well-trained doctor is a valuable asset

Taichung V eterans Gene ral Hospital

(14)

።пᏱಭ޲࣐ϜЗޠఁᏱȂӱԫҐഌη੬րݨ२ᚃᏱ ҢӶҐഌᏱಭޠདڨȄҦܼؑ՞ᚃᏱҢޠनෂϛُࣻ

ӤȂՅйؑ՞ޠҢీ೤დηϛᅿࣻӤȂӶᏱಭႇโϜ ߓ౫ՍดϛӓดΚኻȂשউוగᚃᏱҢӶҐഌᏱಭႇ

โϜഎ૗ញூගץՅԥԞᛧȄ्૗୉ژпᏱಭ޲࣐Ϝ ЗޠఁᏱРݳȂٯϛ࢑௄ؑСᚃᕜϏձϜ૗ᏱூژȂ ӱԫҐഌჃᓿܛплݾᚃ৲Ӽ୥ђఁ৲፟โᏱಭԄե

࿌ঐԂՃ৲Ȅ

ᚃᏱҢٿژՇቆ൚ഌᏱಭȂשউוగܛԥӤϧ എ्׺ΤఁᏱϏձȂпყ໦ᆡઢϘ૗ӶᖆԕᚃᕜϏձ ϜණାఁᏱԚਞȄשউ्ؒ՟ଲᚃ৲ழስᚃᏱҢџ௦

੿ொȂఁᏳуউࣽ੿ᐤቹ੿ᐤȂлݾᚃ৲ࠍ॓ೱ፟இ

ఁᏱȃߟຩఁᏱȃטᜟఁᏱȂঔ׾੿ᐤІࡿᏳ੿پൣ

֚Ȃഷಥ૗ႁژᚃᏱҢӶՇቆ൚ഌȂ΢΢ᓎਣഎ዆ཏ

ఁᏱȄഷࡤȂܛᒞϏమ๢ڐٲ҇ӒւڐᏣȂҐഌଷΠ ϛᘟ஽።ᚃఁ౪܉ȂηᅿΩ׾๢ఁᏱ೪റȂᖟδ௄Ⴌ ဟຝଊ೪റՎ၍ঢዂ࠯ְ๊ᄈఁᏱϏձԥᔔԕȂוగ

஡ٿଲРᄈఁᏱ၅ֆစຳ૗஠෢஠ңϸପՎөഌऌщ ᄃఁᏱ೪റȄ

ӫ ΢ ᇮ ᓄ

Sir illiam sler

The physician bas three great foes.

ȚѯϜᄹᖃ-ޫϜٗඃ

Taichung V eterans Gene ral Ho sp ital

(15)

དᗃᚃఁཽޠᗝጉȂՍᇰϛ࢑՞ԂᏳ৲Ȃӱ࣐ਫ

୵ூᗚϛ஋ӼȂ۸ၽޠ࢑ȈӶש՘ᚃޠႇโႅژϛЎԂ Ճ৲ȂழስשΚၰ܂ࠊᗛໍȄ൸ѵऌقՅّȂ৲৷໣ޠ

ఁᏳ࢑ࣻ࿌२्ޠȂϲऌޠޤᜌѠпᎭӼ୵ਫٿ၅஽Ȃ ՅѵऌК೛ޠ׭ѾȂ߰ϛ࢑ሇܿӵ௄፟ҐαѠпڦூ

ޠȄӶשЗҭϜޠԂᏳ৲Ȃ҇໹ڏറпί੬ᘉȈ

ΙȃዥЖ

ᚃ৲ޠᖞטϏձࣻ࿌ᖆ२Ȃ੬ր࢑٦ٳԥནЗ ޠᚃ৲ȂӶӤ჊ڸҖಁޠπՇࣻ༉ϟίȂ੿ொޠ኶ҭ

܂܂࢑ԥቩณ෶Ȃ୒୒αЉ๞ؑঐ΢ޠਣ໣എ࢑Κኻ ޠȂ्Ӷԥ४ޠਣ໣ϲኧяޫٿఁيࡤໍȂ࢑्ԥ޷

༎ࠑڌޠȂՅΚ՞ԂޠᏳ৲໹ԥΚᗼщᅗዦၗޠЗȂ ᆒᅿܛ૗ӵ༉௳ޤᜌᇅ׭૗Ȅ

ΠȃடЖ

ԂᏳ৲ϛ૗௄ᓟژ׏ᗀޠഎ࢑ӤΚ৉ݎ՚Ȃڸ

Ԃᚃ৲ΚኻȂ्ϛᘟӵؤڦഷུޠᚃᏱޤᜌȂԞ໲ഷ

ུޠᄃᜍНᝧȂ஠ЗܼՍϐስ஀Ϝϟ௥સȂпጃߴᏱ Ңউ૗ᕖூഷུޠଊਁȂՅᏱҢউη૗ᙥҦࣻӤޠР ԓȂቩໍࣻᜱޠᚃᏱޤᜌȄ

έȃञЖ

དྷ჌ԥΚЉȂӶК೛ࡊ࿌ϜȂлݾᚃ৲དྷழ՟

ଲᚃ৲໡ΚѯϊΧȂ՟ଲᚃ৲ӱ࣐ϘথໍΤѵऌقȂ ܛԥޠٲ௒എᗚϛ࢑٦ቅዤோȂӶՃ৲८ࠊέϛռᆨ

஼ȂܛпᓀᇳϛᘟȂлݾᚃ৲ΚѰၘηϛᇴȂ൸஡՟

ଲᚃ৲КϜޠᏣఢ௦ႇٿȂң࡟ץޠഁ࡚ױК೛׈

ԚȂ๗ݏϛѬ՟ଲᚃ৲ءᏱژϨቅȂᇴϛۢᗚ஡уᄈ ѵऌޠዦ௒๞ዕᅬΠںȂܛпΚ՞ԂᏳ৲η҇໹ڏറ

ႇ΢ޠटЗȂΚؐΚؐӵඊזᅛໍȂӼ๞ᏱҢউΚᘉ ਣ໣ึදȂӼ߇ᘉਣ໣᠚᠚ᏱҢউޠࣽݳȂӶѠ௦ڨ ޠጓ൝ϲ๞ᏱҢউӼΚᘉՍҦȂ्҇ਣӕϮΤ֊ѠȂ ᗷดряޠਣ໣ڸᕖூΚۢϛԚЩپȂկூژޠ࢑ੁ

؄ᅗЉίޠԚ൸དȄ

ԧ͕ϫ̚۞рጱर

≸㕆۪ⵒ ԰ᆹમⷪో

ӫ ΢ ᇮ ᓄ

Sir illiam sler

Mcdicine has no national boundaries

Taichung V eterans Gene ral Hospital

(16)

ȚѯϜᄹᖃ-ߟຩτዃࠊኅൠ

ѲȃҢЖ

ᚃ৲উᄈܼᖞטޤᜌޠڦூᔗ࢑ϛԚୱᚡȂ౴ഥ

૗ՄαᚃᏱଲޠഎ࢑စႇξᗩԼᗦȂѬ࢑ȂᚃᏱଲծ оءԥ༉௳ఁيᏱϸȂܛпΚঐԂޠᚃ৲ϛُூΚۢ

࢑՞ԂՃ৲ȄԂᏳ৲η्ӼΠ၍ΚٳఁᏱޠ׭ѾȂ౐

Τᕤ၍ϛӤఁᏱРԓᄈᏱҢޠኈ៫ȂһϤၽңпႁԚ ഷԂޠਞݏȄ

Ϥȃо٘հࠌ

ӶᚃᏱঘ౪Р८Ȃשདྷഷ२्ޠᗚ࢑пٙձࠍȄ དྷ჌Κ՞ᚃ৲ϛᘟණᒻ՟ଲᚃ৲ࣀКޠ२्ܓȂ๗ݏ Ӷࢦܙਣ௄ಒΚঐ੿ொᄦژഷࡤΚঐഎءԥࣀКȂ೼

ኻ्Ѫ՟ଲᚃ৲༖ࣀКᔗ၏࢑࡟ᜳȇࣻЇޠȂԥ՞ᚃ

৲ٯϛЋڸ՟ଲᚃ৲ණࣀКޠٲȂկ࢑Ӷࣽ੿ொࠊΚ

ۢсಡࣀКȂӶՇᕅҭ࢘ϟίȂ՟ଲᚃ৲Սดཽ༖ђ

ࣀКȄӕᖟঐپφȂ࢛ᚃ৲ϛᘟණᒻ՟ଲᚃ৲्сಡ ರ᠚੿ொޠܳ࡫Ȃ๗ݏӶࢦܙਣ܂܂Ӷ੿ொᗚءୱ׈

൸ѕѕᚕ໡ȂεՅεϟ՟ଲᚃ৲ηϛཽӼ߇ਣ໣Ӷ੿

ொٙαȇࣻЇӵȂ࢛ᚃ৲ؑԪࢦܙਣᖃ࢑ၗᔙӵၛୱ ІӲ๏ொ޲ޠᅹኍȂءԥ๗؃๙ϛᚕ໡ȂՍดՅด՟

ଲᚃ৲ཽӼ߇ЗࡧӶ੿΢ٙαȄпٙձࠍη೩ഷৡܿ

ཽೞሇ܈Ȃկ࢑ڐኈ៫࢑ࣻ࿌౐ሊޠȄ

ᗷᇴԂᏳ৲ᜳ൷ȂկӶНത๗؃ࠊשᗚ࢑्ࠏᓿ

՟ଲᚃ৲ܗُᄃಭᚃ৲উևΩ࿌ঐԂᏱҢȂ৲Ңঘ౪

಴ᚕϛΠ΢ᇅ΢ϟ໣ޠᜱ߾Ȃ܅ԫ्ϤࣻᡞፙȂϤࣻ

ᜱᛅȂӕԥटЗޠᏳ৲ႅژϛᇰ઎ޠᏱҢȂᖃԥΚЉ Зᓟޠ្ᕏཽᐷᅿȇՅևΩޠӤᏱȂಥفཽᡲ΢ѫಂ

ࣻࣽȂՍดཽᡲՃ৲উ་᠅ࣻ௳Ȃ೼ϟ໣ޠ༺ֽณݳ

ّ༉Ȃ৽्ܑӤᏱউՍঐڌџᡞཽȄ

ӫ ΢ ᇮ ᓄ

Sir illiam sler

William Osler

ፚ՘ᚃ

ral Ho sp ital

(17)

ȺᏰณࡣޣϚٗȂఀณࡣޣ֨Ȼ

ӶᚃᏱϜЗޠСளϏձϜȂఁᏱ࢑ϛѠܗુޠΚ ᕘȂϛᆔঐ΢Ᏹ೛ޤᜌӼᙵ൳ȃᖞט׭૗Ӽڠ຺Ȃ૗

஋ױூٿϛܿޠ᝙ີစᡜ༉ܜίџȂϘ૗ٻΚхЩΚ х؂ໍؐȂ૗࣐؂Ӽ΢ϟٙЗୋஷᒘᆌइȄ

ఁᏱѠпϸԚήঐቺԪٿࣽ

о੽੾ُ࡙پᇳȂ्ᡲᏱҢ௄Κ໡ۗ൸Ᏹಭقಜ ϾޠџࣽȂ௄ஆӱȃҢߞึ৥ႇโȃᇅᕘძޠһϤኈ

៫ȃԂึԒឮȃ੿โȃڑ࠯઀ޒȃႲࡤȃݾᕜॏฬ๊

๊Ȃ्૗౪၍ࠊӱࡤݏȂϛ൑൑Ѭ࢑ᢏᄇб८ޠ઀ޒ ߓ౫ȄӶᠧրຩᘟޠਣ঑؂्قಜϾޠЩၷȂ्૗དྷ ژᇅڐу੾੿ޠᜱᖓܓȂϛ࢑Ѭࣽژߓ८ޠ઀ޒܗ౫ ຬȂϘԥӓ८ܓޠ׈ᐍࡧՄȂᗘռೞ઀ޒె౓ϛఽܗ ᒹᅔȄݾᕜॏฬР८्ԥᄃᜍᚃᏱޠ٘஋ᜍᐄ઼๊Ȃ

्ᏱಭࡧՄȶ࣐ϨቅȷȂϛѬ࢑ޢҭၮ௄ր΢Κೲޠ

೏౪РԓȄӤਣ्૗֝ԞུޠᚃᏱޤᜌȂϛѬܴݬܼ

ఁऌਫαޠϲৡȄ

о੾Ρُ࡙پࣼȂ्Ᏹಭࣽ੿΢ӓ΢ྲ៬ޠᄙ

࡚Ȅ౫хᚃᏱᆡઊؒᆡޠ๗ݏȂөስ஀຺ࣲٿ຺්Ԫ

஠ऌϾึ৥Ȃளႇ࡚஠ݨܼ࢛ঐҢ౪قಜȃ࢛ঐಣᙒ ಡबȂՅ܈౲Πȶ੿΢ȷϛѬ࢑੾੿ȂՅ࢑ঐ׈ᐍޠ ঐᡞȄ౪དྷޠӓ΢ྲ៬єࢃொ޲ޠٙȃЗȃ᡺ڸᕘძ ቺ८्ࣲՄ໕៬ІȂп੿΢࣐ϜЗȃঢ়৴࣐൑՞ȃަ

ୣ࣐ٸᘫޠِ࡚яึȂ२ຝؑঐ੿ொޠᑀ੬ܓȂ्૗

ଌጜՍϐޠఄད࡚џᄇញொ޲ޠሰؒȂໍΚؐ෈ொ޲

Մ໕ᔤۢঐրܓޠݾᕜॏฬȄᄃርαשউ८ᄈޠ࢑

ȶ੿΢ȷȂϛѬ࢑ᚃݾȶ੾੿ȷȂϛ༊࢑Մ໕੾੿઀

ޒȃᄃᡜࡊᔯࢦ኶ᐄІኈ჌Ᏹൣ֚ՅϑȄѫѵ࡟२्

͕ី൘тࢫར౳Ă

!!!!!!ଘਕฟٸ͞ѣΑ

⁤ṘẤ づଭ⎵ⷪో

ӫ ΢ ᇮ ᓄ

Sir illiam sler

Mcdicine has no national boundaries

ȚѯϜᄹᖃ-ᆡઢऌଲୣ

Taichung V eterans Gene ral Hospital

(18)

ޠ࢑ᚃ੿ᜱ߾ޠ࡛ҴȂϤ߭ȃڸᒚޠᚃ੿ᜱ߾࢑ݾᕜ ޠஆᙄ໡ᆓȂ࿌ொ޲ᄈᚃ৲૗߭ӉਣȂϘ૗஋ܺЗ௦ ڨڐᚃᕜ೏ဋᇅԋ௷Ȅ

൷ᏰҡޟᢎᘈՄِȂ࿌ด्ԥщ٘ޠޤᜌनෂձ ஆҰȂ्ױՍϐ࿌ձ੖ᆮΚኻȂᅿ໕ኅހޠ֝Ԟࡤӕ

੒ϾԚ࣐ՍϐޠᏱᜌȄଷΠਫҐαޠޤᜌϟѵȂ؂२

्ޠ࢑ᏱಭՃ৲ҐٙޠٙఁȈױՃ৲࿌ԚΚঐڑጓȂ ᏱಭԄե஡ޤᜌᔗңӶᖞטݾᕜϜȃᏱಭՃ৲ᇅொ޲

ޠϤ୞ȃᏱಭՃ৲ࣽ੿΢ޠᄙ๊࡚Ȅ࿌ᏱҢޠਣ঑्

ᅿ໕ጜಭӼࡧՄӼึୱȂӼᇅՃ৲ଇ፤Ȃ्ܳࡼ຀ᑗ

྄Ϥ୞ޠᏱಭᄙ࡚Ȃր΢ཽ᜺ཏఁ௳ղ؂ӼȇՃ৲्

૗๞ᏱҢӼϰϾл୞ࡧՄޠᚡ؆ȂЖึᏱҢᏱಭޠ୞

ᐡڸᑺ፹Ȅ

ؑঐՃ৲എᔗпఁᏳяᓻؿޠᏱҢ࣐ϐӉȂ؂п

࿌ԥΚЉՍϐܗᒒ΢Ң੿ਣȂ૗ԥ߭Зһр๞Սϐఁ

яٿޠᏱҢݾᕜ࣐෉೩Ȅѡ΢ளّȺఀᏰࣺߝȻȂᏱ ୱӶϤࣻڗᐮઘᝬϟίȂ؂૗ᐮᕞяහኌޠЭ߇Ȃם Ԛུޠޤᜌ྆܉ȄӶᚃᏱၰαȂ࣐ٙՃ৲Ӥਣη࢑Ᏹ ҢޠِՔȂसՍϐη૗п໡ܺޠЗᄙϛᘟᏱಭԚߞȂ ϛ༊૗ழ୞ᏱҢΚӤໍؐȂձഷԂޠٙఁұጓȂ؂෉

೩Սϐ૗Ԛ࣐ᏱҢᏱಭޠڑጓȄ

ӫ ΢ ᇮ ᓄ

A ell-trained sensible doctor is one of the most valuable assets of a communit orth to-da as in Homer s WLPH0DQ\DQRWKHUPDQ7RPDNHKLPHI¿FLHQWLVRXUKLJKHVWDPELWLRQDVWHDFKHUV7RVDYHKLPLURPHYLOVKRXOG

be our constant care as a guild.

Sir illiam sler

A well-trained doctor is a valuable asset

ൔ・ᩖॖが┛ЇŊฑ⋱⿭ᄍᅞሷԼȯ

づଭ⎵ⷪో

ɺ̤〦໊ൔ・᱿ᗶ᱗≛

Mind, like a parachute, functions only while it is open.

Chin-Hong Chan, M.D., M.S.

A Therapist Who Cares

ȚѯϜᄹᖃ-ᆡઢऌଲୣ

ral Ho sp ital

(19)

ԥΚঢ়ᓢᢉӫѪȶԥནᓢᢉȷȂ෇စழᏱҢџ٦ ၈ᆺᓢȂՃᗴЊஐ࢑૶ၗޠஆ࿝৷ȂυڌяҢਣԥӼ २ᏣۣޠሬᛥȂᎭ຀߭Зᇅря௄ϊഘգυڌࣽ੿ȃ ݾᕜІඉୋȄуυڌޠ੿ᐤӶѯϜᄹᖃ࢑ΚτҐȂᗀ

ၘᄈΚૢ΢࢑ไᚭ҂ளޠٲȂήྒᗚϛཽ໡πȂԃ໹

्ϛᘟጜಭᇅᕥҔϘ૗ึяࠏ஽᠚ޠᔘޠၘȄуউϸ ٵᇴ೼ঢ়ᓢᢉڽӫޠҦٿȂؑΚঐ΢ՍяҢ௦ڨЯҕ ᒒޠནȂᜱᛅྲ៬஡ڌυኮᎵߞτȂژΠᏱਯԥΠ৲

ߞޠནȃӤᏱȃ݊ЅޠནȂᅛᅛޠᏱಭȃԚߞȂկ࢑

ഷ२्ޠᗚ࢑्ԥαࡕޠནȂӱ࣐αࡕޠན࢑ณؾ ޠȃณ४ޠȃҘࡰޠȄуউӓЗӊగαࡕȂᎭ຀αࡕ ޠ਀ڑȂυڌ׳ژॲ዆ޠЉ፮Ȃ࿌уυڌ୯຀ၒᅉ ȶՍҦՍӶޠॵ๣ȷȂשউഎ૗དڨژαࡕӶуٙα ޠནȂӱԫуউਣளژᏱਯȃఁཽџ୉ُᜍϸٵȂ࢑

࡟ԂҢڽఁيޠڑጓȄשൊ᠎ழᏱҢژ೼ঢ়ᓢᢉȂѠ ٻᚃᏱҢࣽژޠϛ༊࢑ᚃᏱР८ޠୱᚡȂᗚѠࣽژ΢

НȃᚃᕜϤ୞ȃᆡઢȃЗ᡺؂౐ቺԪޠୱᚡȄ

ӶѯϜᄹᖃҖ୾ Ԓ࿌՟ଲᖃᚃ৲ਣȂ൸ԥᐡཽ

ழᄃಭτЊȂ೼ٳԒٿӶᚃᏱଲڸៗ౪ःفܛఁᖞט ຩᘟȃٙᡞᔯࢦІقಜຠզޠ፟โȂђαᖞטαࡿᏳ ᚃᏱق Ԓ઼ȃ6Ԓ઼ȃ Ԓ઼І౴ཿࡤಒΚԒ՟ଲᚃ

৲Ȟ G ȟȂᡲשԥ؂ԂޠᏱಭՍשԚߞȂ઎ޠᡞཽ

ژఁᏱࣻߞޠཏဏȂѬԥഇႇϛᘟޠఁᏱȂϘ૗ϛᘟ

ໍؐȄ

ழስᏱҢ࢑्ԥΚࢳਣ໣ȂӶᏱਯΚᏱ෉ޠ፟โ 1 ໋ȂѠԥၷߞޠਣ໣Ȃ׈ᐍޠႁԚҭዀȂՅᄈٿᚃ ଲُಭܗᄃಭޠᏱҢԥਣѬԥ኶ЉژΡ໋ޠਣ໣ȂԄ ݏᏱҢၷೞ୞ȃુнᑺ፹ءԥೱӉདȂࠍϛܿႁژఁ

ᏱޠҭޠȂԄեழስᏱҢȉಒΚؐ൸࢑Ӓ࡛Ҵᜱ߾Ȃ ϛᆔӶ፟இܗᚃଲȂՃ৲ڸᏱҢӒ्ϤࣻᇰᜌȂՃ৲

Π၍ᏱҢޠ౴ཿᏱਯȃनෂȃᑺ፹ȃ஠ߞІᏱಭޠ෉

ࡠ࢑ϨቅȂᏱҢηΠ၍Ճ৲ޠनෂІ஠ߞȄ௦຀࢑्

ॐۢᏱಭҭዀȂپԄȈ

שఁៗ౪ःفܛໍ໧ୋஷຠզІᄃଡ଼፟โޠఁᏱ ҭዀ࢑Ȉ

᭡ᙥҦٙᡞຠզஆᙄᇰᜌөقಜ੾੿ϟ઀ޒІᔯࢦȄ ᘅଝẤȭᓿૈᘃⷪో

тң૲ᅳጯϠ

ӫ ΢ ᇮ ᓄ

The ph sician has three great oes-ignorance hich is sin apath hich is the orl an ice hich is the GHYLO«7HDFKLQJWKHVLPSOHDQGVXIIHULQJWKHIRROVJODGL\ZHPXVW¿JKWWKHZLOOIXOLJQRUDQFHRIWKHRQHDQGWKH

helpless ignorance o the other not ith the s or o righteous in ignation ut ith the s il ul eapon o the tongue ir illia sler

The physician bas three great foes.

Ta ichung V eterans Gene ral Hospital

(20)

᭢ٻᏱҢ૗ዤጜᐈձᔯࢦޠ׭Ѿᇅؐ᡾Ȅ

᭣!ٻᏱҢ૗ᕤ၍ٙᡞᔯࢦϟ౵ள௒םІᔯᡜၦਠձ ᎍ࿌ޠց᠟ІᙾϮȄ

᭤ᇰᜌөኻຠզޠ໕ߓȄ

ᚃᏱҢԄݏ૗ژݫ׎ѵऌΡ໋ՎΚঐУࠍᏱಭޠ ҭዀ࣐Ȉ

᭡ Π၍ݫ׎ऌϟϥτளُ੾੿ȂєࢃȈ׎ၰ๗Ұȃ

ឹៗသ੾੿ȃݫ׎ၿလድȃಌෛࣻᜱୱᚡȃυܓ ݫ׎੾੿Ȅ

᭢!Π၍ݫ׎قϟᔯࢦІց᠟ȂєࢃȈဝഌ ӏб Ȟ ȟȃᆽ્ѓ૗ᔯࢦȃឹៗသົॲݱᔯࢦІ ϹбȄ

᭣ Π၍ݫ׎ளُ೏ဋІК೛ȂєࢃȈᡞѵᎫݱ࿦Ұ

೛ȃᏳ׎ᆔޠܺဋІྲៗȃϲຝᜣК೛ȃဝ๩ᜣ К೛ȃလድК೛ІᐡᏣКᖘК೛Ȅ

ᏱҢଷΠ्ஊᎵᑗ྄ޠᄙ࡚ȃ٘஋ޠޤᜌȃዤ

ோޠ׭૗ѵȂӶ౫ϭޠަཽ҇໹ڏറԥߓႁึߓ፤Н

ൣ֚ޠ૗ΩȂᗚ्ଌጜቹձȃቹНതޠ૗ΩȂӶשܛ ழስޠᏱҢϜȂःفܛޠӶᙜҢഎ࢑ϑӶϏձற՞Ӽ

ԒȂΠ၍αख़૗Ωޠ२्ܓȂӶቹձཿІ፟இึߓᐡ

ཽഎཽщϸޠྦറȂᅿӓΩߓ౫ȄӶᙜᏱҢуȞԃȟ উϑစࣽژ೼ٳ፟โޠᄃңܓȂཽߩள׺ΤՅй࡟ԥ ᑺ፹ȂηཽԥၷӼޠୱᚡІଇ፤ȄՅᚃϥȃϳޠᏱҢ ᡘดુнᏱಭޠዦפȂՃ৲ޠೱӉ࢑ᡲᏱҢΠ၍Ᏹಭ ޠ२्ܓІСࡤޠᔗңȂᡲуউණାᏱಭᑺ፹Ȅ

ӶҭࠊፓᚖޠަཽȂҢࣁ࿾࠸ץഁޠᕘძίȂᡲ ᏱҢஊᎵ஠ཿષᎵ࢑२्ޠΚᕘȂ஠ཿષᎵєࢃȈ஠

ཿޤᜌȃᚃ੿ྜྷ೾ȃᚃᕜࠣ፵ණ݈ȃ΢НᜱᛅȃೱӉ དޠᎵԚȃӓ΢ᚃᕜޠ౪܉@ ȄӶשழᏱҢޠႇโϜ

ཽւңᄃር਱پޠစᡜȂଇ፤αख़ޠࣻᜱឋᚡȄ ழስᏱҢڸழϊࡇԥ᜹ծޠӵРȂՃ৲҇໹्

߇ਣ໣ȃᆡΩȃᜱЗȃནЗٿٻᏱҢᅛᅛޠԚߞȃा

ֶȂᏱҢη௄Ճ৲ޠٙఁϜᡞཽຝ੿บᒒޠਰЗቌ অȂ఼ಌᓷϾ࡛ҴՍϐޠ߭ЗȂ්ҭዀࠊໍȄשளள ڸᏱҢϸٵޠၘ࢑ȶϛ्୅ЦᏱಭȂ्֝Ԟུޤȷȃ ȶࣁژՃȃᏱژՃȷȃȶདྷ჌Щޤᜌ؂२्ȷȂޤᜌ ϛᘟӶ׾ᡑȂ्ഇႇᏱಭ؂ུޤᜌȂկ࢑ࡼ៊ޠདྷ჌

ΩѠпᡲղึ౫ୱᚡȃ၍؛ୱᚡȄ

ȶҘሊԇ຀౪དྷȃჳ౪ᇅГདྷȷȂϛܑࢆ᏾Ȃ๙ ϛܺతȂղޠჳདྷ൸૗Ԛ࣐ٲᄃȄ

ӫ ΢ ᇮ ᓄ

o ore angerous e ers o our pro ession e ist than those orn into it so to spea as specialists ithout an roa oun ation in ph s-iolog or patholog an ignorant o the great processes o isease no a ount o technical s ill can hi e ro the een e es o colleagues e ects hich too o ten re uire the arts o the charlatan

to screen ro the pu lic ir illia sler

Early specialization is dangerous.

ȚѯϜᄹᖃ-ߟຩτዃ

Taichung V eterans Gene ral Ho sp ital

(21)

⩂᫧ⵒ W65᯼໼ȭᜀ૷᫏Ԟ⩂᫧⿢

઎ཏѵԥᐡཽூژఁᏱᕽᓻዪȂпࠊࣽր΢αѯ ڨዪȂᖃ࢑ԂҢတ኏ᇅ෤ڄȂདྷϛژϭԒඳԚՍϐڨ ዪȂ઎ޠ࡟ାᑺڸᑺᏮȄ

ӶϜᄹ ӼԒȂߗංԒ୥ᇅၷӼޠៗҢᖞטࡿᏳ ᇅஊଌུໍៗ౪ӤϧȂηདڨߗٿᏱҢڸུໍ΢স੬

፵ȃᏱಭαޠᡑϾȂᡲשউ೼ٳ௄ٲޣ௦ࡿᏳޠ΢ԥ

࡟τޠؠᔟȂӤਣఁᏱ൑՞ڸఁᏳ޲Սש෉೩ηϛᘟ ණЁϜȂӲ៬௄ࠊޠఁᏱࡿᏳРԓȂ୒Ӫ൑ӪఁᏳȂ

ఁᏱ޲ණٽࡿᏳկЩၷґݨཏژᏱಭ޲ЇᔗȃІᏱಭ α࢑֐ႅژ֩ᜳȇՅ౫ӶޠఁᏱ௵໡ܺȃᚗӪԓȂө ᆎఁᏱഎ࢑пᏱಭ޲࣐ᏳӪȂٿ୉ᖞטఁᏱРݳ೪

ॏȂᄈܼᏱಭԥ੬ੇޒݸᏱসηཽђ஽ህᏳڸᐡ୞ܓ

።ᐍᏱಭໍ࡚ȂӤਣఁᏱРԓη؂ࣁዒȂηԥӼᆎ

኶՞ఁ؆Ȃຠ໕؂ӼϰȞ์ၑȃຠᠧȃ Ӳ㔴ȃ ini ȃ ȟȄ

೼ٳᘉᘉᅏᅏ౪ޠ׾ᡑȂѠࣽژᖞטࡿᏳ৲Ȃڸ ᏱҢȃᏱসΚକԚߞໍؐȂՅשѬ࢑ԥᐡཽ୥ᇅ೼ٳ

ႇโȂՅ೼ٳໍؐሰ्࡟ӼӤϧପӬȃряȂуউഎ

࢑ᄎࡤऽ໱Ȃԥ೼ٳჲգޠМࡼȂᖞטఁᏱ๊๊ٲ௒

Ϙ૗ԚᒳȄ

ᖞ ט ఁ Ᏹ Ϗ ձ

໷ҭᗚ઎ϛЎȂ

ؑ У ଢ ᙺ Ᏹ স ޠ ໍ ࡚ ȃ Π

၍ᎍᔗޒݸȂ ህ Ᏻ ȃ Ⴣ ᓿ Ᏹ সȂ୉କٿԥٳ

ٛ श ᇅ ᖆ ᅴ Ȃ կ དྷ ژѠпւઊ࡟Ӽԥཏ௄ٲ

ᖞטៗ౪ϏձޠࡤໍȂᡲᏱসউ૗Ӷ׈๢ॏฬϜٸԪ ಒᏱಭഃᅛໍؐाֶȂР૗ஊي؂ԂޠᖞטϏձӤ ϧȂଌጜࡤޠᏱস؂ԥ૗Ω८ᄈᖞטϏձࢆ᏾ȂՅש Ѭ्ΚདྷژᄈᏱҢȃᏱসԥֆઊȂϛ፤ԥӼЎٛशഎ ញூ@ অூɇȄ

ூ೼ዪ࢑Κᆎ޼ۢȂηђ౐ᄈ೼ӌϏձೱӉᇅܜ ᐋȂ઎۸ၽ૗ӶϜᄹ೼ঐԂޠᕘძȂᗃᗃשޠߞۣᄈ שޠჃᓿȃєৡȂᗃᗃ൑՞ޠӤٲউ҂ਣ୥ᇅᖞטఁ

ᏱޠପӬᇅряȂηᗃᗃө՞ᏱসȞᏱכۑȟȂӱ࣐

ԥղউᡲשԥᐡཽ୥ᇅȃԚߞڸᕖዪੇᄹȂשཽ؂և ΩȂᏱכۑη्ђݷȊȊ

Ԓៗ౪ഌៗς࿾ఁᏱᕽᓻூዪདّ

ȁ ԫ Ԫ ঐ

΢ᕖຠ࣐ៗ౪

ఁ Ᏹ ᕽ ᓻ ΢ স Ȃ ౐ ད ᄹ

᝻ȄԒ࡚ޠఁ

ᏱᕽᓻຠЩҔ࢑

Ї࢏ៗ౪ഌೲᄖҐ ଲٻڽȶଢؒڠ຺ޠᚃ ᕜȃఁᏱІःفȂпቩໍᄹҖȃΚૢҖಁпІӓ΢᜹

ޠୋஷȷޠڏᡞߓ౫Ȅ࣐ٙ஠ऌៗ౪৲ޠש౐ڔᡞᇰ

ఁᏱȃःفᇅ݉ଡ଼Ȃή޲ᜱ߾ஞϛѠϸȂ࣐Πණٽຯ

ߗঐ਱ሰؒޠᓻ፵ྲៗȂៗ౪΢স҇໹ڏറఁᏱȃः

فޠષᎵȂഇႇᄃᜍႇโڸᄃ፻ٿ৥౫ڐቌঅȄ ঐ΢ӼԒٿΚޣ݉ଡ଼ܼ२઀൑՞Ȃྲ៬ѵऌ२

઀੿΢ȂًԂޠྲ៬ԚਞٿՍΚঐңЗȂй܅ԫ൶२ ޠᚃៗყ໦ȂՅؑΚ՞Ԛসְ׹ᅌ຀२्ِՔȄ௄੿

΢ྲៗαȂשತᑗѠఁᏱޠစᡜȂپԄȈం՗઀ޠ೏

౪ȃ֩ᜳ།πޠྲ៬Ȅґٿ࣐ණٽпᄃᜍ࣐ஆᙄޠྲ

ៗ՘࣐Ȃঐ΢஡්຀ᆡໍःفІఁᏱևΩȄ

໹ڏറ

Taichung V eterans General Hospital

(22)

⩂᫧ⵒ ⸅᯽ԡЛԽ⩂᯼໼ȭ㓳ฒ⇾⩂᫧⿢

ூޤڨႶఁᏱᕽᓻዪȂשདژ࡟໡ЗȂߓұև Ωڨژ޼ۢȂ᜺ཏ஡೼ൊਈϸٵ෇စྲ៬ІМࡼשޠ

΢Ȃկ೼ϛ࢑๗؃ȂՅ࢑໡ۗȂཽ᝸៊᚝๋ՍϐӶៗ ౪ఁيαряܛԥޠΩ໕Ȅ

Κޣញூ૗௄ٲៗ౪Ϗձ࢑࡟ූޠӉଡ଼ȂҦྲ

៬੿΢Іᇅঢ়឵ޠϤ୞ႇโϜூژ೩ӼᏱಭІڨژᇰ ӤȂདᗃ೼ΚၰӶៗ౪ᙜൠαࡿᏳשޠؑΚ՞ࠊᎇȂ ᡲשޠៗ౪૗ΩഃᅛቩߞІຝഐη؂ђቷኅȂٯདᗃ Ӷԋᄀ੿ܙޠᑒጜІᏱಭȂᡲש૗؂౐ڔࡧસᚃᕜޠ ԥ४Іᡞཽ८ᄈѷဤޠདڨȂଷ૗ණٽڟֆ੿΢ܗঢ়

឵ᕖூ׃๢ޠྲ៬ѵȂηᡲ঩Ґூ౪ϛស΢ޠשȂᅛ ᅛᏱಭєৡȃቷ৾Ȃࡠ΢೏ٲ؂ђ༬ᒋȄ

ҦܼՍϐޠ೏ٲᄙ࡚ޠ׾ᡑٻூשఁᏱޠЗძ ηԥΠᡑϾȂᡲ׺ΤᖞטఁᏱࣁ୞ϑԥ1 ӼԒޠשȂ ᄈࡠུ΢ޠ෉ࡠҦ࡮២ϛԚᓂޠᔇΩȂژ໡ۗᙾᡑ࣐

Ӓᕤ၍Ᏹসޠ੬፵ȂᏱಭପӬᏱসޠߞ೏೪ॏఁᏱࣁ

୞Ȃڟֆ஡ፓᚖޠៗ౪Ϗձԋ௷ᏱಭॏდȂ௵ԥኇܓ

ఁᏳȂᡲᏱসޠฑኍ෶ЎȂᇅᏱসޠᜱ߾؂ᆨஞȂڟ

ֆᏱসޠᏱಭ؂ђ

໸ᄲȂ࿌Ᏹস૗

л ୞ ᇅ ש ፚ ፤ ϏձᔇΩܗϸ ٵ ೞ ঢ় ឵ І ੿

΢ ޼ ۢ ޠ ൊ ਈ ਣȂᡲשԂ໡ЗȄ ηӶᇅᏱসӔӤԚߞႇ

โϜȂᡞཽࢋЩڨ؂۸ᆌȂՍϐη௄ϜԚߞȄ ҭࠊϑђΤៗ౪ഌఁᏱಣϏձȂึ౫ఁᏱޠࣻᜱ ޤᜌᗚԥ࡟Ӽሰ्ևΩᏱಭޠȂپԄȈ஡ِՔ׹ᅌၽ ңܼఁᏱϜᡲఁᏱ؂ࣁዒȃᐋӉԂՃ৲ᔗڏറޠ૗Ω Іᄙ࡚ᡲᏱসӶᚗӪϤ୞ϜᏱಭȃପӬᏱসޠ earn st le ఁᏱ૗ቩ஽Ᏹಭਞݏ๊Ȃηӱԫԥᐡཽ୥ᇅڐу ᚃᕜყ໦ޠఁᏱစᡜϸٵȂᡲשདژᄹ۸ȂᗷดఁᏱ

ႇโٛशȂկُࣽᏱস૗ӶԂூᕘძίᏱಭІԚߞȂ

઎ޠ࡟໡ЗȄӕԪདᗃߞۣІӤϧᄈשޠ޼ۢȂשཽ

᝸៊ևΩȂᗃᗃτঢ়Ȅ Ԓៗ౪ഌៗς࿾ఁᏱᕽᓻூዪདّ

⩂᫧ⵒ W72᯼໼ȭ㓳ẛ⚄⩂᫧⿢

ȁ থ ໡ ۗ ூ ޤ ᕖ ூ ఁ Ᏹ ᕽ ᓻዪਣញூΫ ϸᑺᏮȂЗ௒

࢑ Լ ད һ ໲ Ȅ Ӳ៬ՍϐՍҖ୾

1ԒϜᄹ໡ᄎਣ൸

ໍΤ೼ঐᡲשདژณЩ ᄹ᝻ޠᙜൠϏձȂᆘᆘηϑစ 6ԒӼΠȄბბཿཿӶ ᖞטྲៗϏձαȂᗷดԕ࿪կྲ៬੿ொޠࠣ፵௄ґ׾

ᡑȄηӱԫᕖூᖞטៗ౪ϏձᕽᓻІӓ୾ᓻًៗ౪΢

সޠ޼ۢȄᓎ຀ᚃᕜޠໍؐȂପӬᚃଲȶᚃᕜȃఁᏱ ІःفȷޠٻڽȂΚጤៗ౪΢সଷΠ्உ՘ᖞט੿ொ

ྲៗϏձ؂޹॓ៗ౪ఁᏱІ༉ܜޠ२ೱτӉȄ שᇰ࣐ӶఁᏱႇโϜȂϛ፤࢑ᄃಭᏱҢȂུໍ

ៗ౪΢সȂܗᖞטϏձޠჲգȂשഎީࡼ຀ᇰ઎ȃ॓

ೱȂӱ؆ࢋఁȂఁᏱࣻߞޠᄙ࡚џ८ᄈȂटЗഘգᏱ সȂӼ޼ۢȂӼჃᓿȄΠ၍уউޠሰ्Ȃᔔֆуউ෯

ႇҢᕃޠᏱಭ໧ࢳ࢑࡟२्ޠȄ

ூዪჃᓿ຀Սϐ᝸៊ևΩȂᡲࡤໍӤٲ૗஋ᎍᔗ ᕘძȂ੽ӶᖞטȂ᝸៊ѯϜᄹᖃۉᝧЗΩȂᡲᖞטៗ ౪ࡼ៊ึӏȃึ߬Ȅ

Taichung V eterans General Hospital

(23)

ȁ ԥ Π Ӽ Ԓ ޠᖞטϏձࡤȂ ϘٿژѯϜᄹ ᖃȂᗷดՍϐ ϛ࢑ঐথ౴ཿ

ޠϊυҢȂկ

࢑Ϭ࢑ܳ຀Ᏹಭ ޠᄙ࡚ٿژ೼၈Ȃ ٯ֚ຨשՍϐΚ्ۢӒ

ܺޫՍϐ୉ঐᄃᄃӶӶޠᄹᖃ΢Ȅٿژ೼၈ᡲשདڨ ژ೼၈ޠఁᏱ੊ݦᐩࠕȃӠᜍΠᚃᏱϜЗᏱ೛ȃᖞט ᇅःفή޲চ៬ޠᆡઢȄ

ࠊᎇউϛზڐྯޠ፛፛ఁᇶȂბბཿཿޠఁᏱ ᆡઢȂ౐౐ޠ੨ӠӶשဟ੖ϜȂᓎ຀ਣ໣ᇅစᡜޠತ ᑗȂשηԚ࣐ழስུໍ΢সޠᖞטఁ৲ȇᐋӉ൑՞ϲ

ࠣᆔಣಣߞȃԋ௷੿ܙӶᙜఁيȃყᡞፐఁȂፐఁ൑

஼ޠښۢІঔॐȂڟֆӤϧ׈Ԛ૗Ωໍ໧ȃ஠ऌள೤

ޠښۢȃᐋӉ੿ܙܗ࢑ៗ౪ഌӶᙜఁيлᗀ๊๊ȂҦ

ܼᖆԕޠᖞטៗ౪ϏձȂϑစ૊ᅿΠτഌϸޠᡞΩȂ

࡟ᜳӕܫяਣ໣୉ఁᏱܗःفȂկ࢑ӲདྷӒࠊޠࠊᎇ έ࢑ԄեޠණឺשউȂ൸ϛৡשԥࡨඕϟЗȄ

ఁᏱҐ࢑ៗ౪༉ܜޠ२्ΚᕘȂ࡟ኋ۸ՍϐѠп Ӷ೼ঐ२ຝఁيޠᕘძ၈ϏձȂᡲשউᏱಭϛӕңೱ റȃଚጫޠРԓٿఁيུΚхޠៗ౪΢সȂ׾Ҧ२ຝ Ᏹসޠ੬፵๞ϡϛӤޠఁᏱРݳᇅຠզᏱসޠРԓȂ ٯჃᓿӤᏕޠϹጁȂ෉గᐮึᏱসޠԚ΢ՍשᏱಭ዗

૗Ȃש஡ᆒᅿܛ૗༉ܜܛᏱȃܛُᇅᏱসউΚକૈે

೼Κ༶ఁي༫ӵȄ

ϭЉூዪ࢑Αᆎ޼ۢȂ؂࢑Α޷Սש᚝๋ޠ༌

ΩȂוగՍϐ૗᝸៊Ӽщᄃ஠ཿහ૗ȂґٿӶᐋӉៗ ౪ᖞטࡿᏳ৲ޠِՔ૗؂ᆏᙜȂ᝸៊ᄈៗ౪ུؿޠஊ يଔᝧՍϐޠΩ໕Ȅ

ॷ Ӓ Ȃ ད ᗃ Ο ϳ ੿ ܙ ߚ ࢍ ۸ ៗ ౪ ߞ ๞ ש ೼ ঐ ᐡ

ཽ Ȅ ࡟ ᄹ ۸ ޠ Ȃ ϭ Ԓ ૗ ஋ ᕖ ᒶ ఁ Ᏹ ᕽ ᓻ ޠ ዪ ໷ Ȃ ᡲ ש ད ژ ཏ ѵ ᇅ ᡚ ൊ Ȃ կ η ॼ ད ޹ α ఁ Ᏹ ᔇ Ωђ२Ȅདྷକ࿌Ԓ౴ཿ֊ໍΤѯϜᄹᖃ೼ঐϜഌᓻً

ఁᏱᚃଲȂথ໡ۗᔇΩ࡟τȂկҦܼᏱەޠಡЗІट ЗޠࡿᏳϘ૗ᡲשСᅛԚߞाֶȄ

ྒУޠತᑗȂᙾಂ໣שϑӶϜᄹ݉ଡ଼ΫංԒΠȂ Ҧ຋ഩٙϸᡑԚՃഩȂଷΠᖞטϏձϟѵȂ࿌ดη ӼΠᖞטఁᏱޠೱӉȄ࿌ៗҢܗᏱۑെשΚᖑȶᏱ

ەȷȂ࿌Ᏹەޠ࿌ด्ဏϛৡ᜞ޠණٽӼԒᖞטܛᏱ စᡜ๞ϡ၍๏ܗڟֆȄԥਣཽ᠚Ᏹۑܳ࡫࢛Ᏹەᗷด Ᏹ౪࡟஽Ȃկ࢑࡟ӐȂᄙ࡚ϛٺȂԫਣשཽЇႇٿණ ᒻᏱۑȂ೼Ҕ࢑שউ҇໹ЇࣹйᙲଅӶЗޠఁᏱᄙ

࡚ȈᏱەޠ՘࣐ᄙ࡚ᡲשউញூϛ๳݉Ȃпࡤ࿌שউ Ԛ࣐Ᏹەਣ्ଅூϛ्я౫ᡲᏱۑདژϛගץޠᄙ

࡚Ȃկ࢑ԄݏᏱەࡿᏳޠϲৡ࢑ҔጃޠȂᄈשউԥᔔ ֆȂࠍ҇໹དᗃᏱەޠఁᏳȄᐆڐᓻᘉᏱಭϟȂુᘉ ࠍ௼తϟȄӼԒழᏱۑޠစᡜȂঐ΢ᇰ࣐ȈఁᏱႇโ Ԅݏ࢑ྤ࢚ޠȂЅ๢ޠȂᏱಭԚਞཽණାȄఁᏱϛ࢑

൑Р८ޠряȂစҦᇅៗҢȃᏱۑȃӤϧ໣ޠණୱȂ ڗᐮש҇໹ϛᘟޠᏱಭٿᡲՍϐ؂ԚߞȂȶఁᏱࣻ

ߞȷ࢑שӶѯϜᄹᖃ೼ቅᓻًޠఁᏱᕘძഷτޠԞ ᕖȂᇅᏱۑӔࠏϟȄ

⩂᫧ⵒȭኚ᪩൏⩂᫧⿢

Taichung V eterans General Hospital

(24)

Ι ࠉِ

ѯϜᄹҖᖃᚃଲȞпᙐᆏҐଲȟ࣐ӱᔗᚃᏱఁ

يଌጜུໍ৥ІఁᏱᚃଲఁᏱຳң၅ֆॏฬȂࡼ៊

ණ݈ᓻ፵ఁᏱȂпቩ஽ҐଲᝰލΩȂࡿࣃҐ΢ᇅڐ уѳ՞ᚃ৲ܼ Ԓ У1 СՎ 1Сሊ॔ज୾դᛴ ٩ႁԏۅ۵ҀȂ୥ђ T ϵѨȞ e ical ucation Technologies nc ȟлᒳޠH ԒཽȞHu an atient i ulation et or ȟȄ У16Сޠཽࠊ Ϗձ֬ȂҐ΢ஆܼঐ΢ៗ౪஠ཿनෂȂл्ᏱಭԄե ٸᐄޤᜌၦྜȂᔗңณጤᚃᏱዂᔤ΢Ȟistanȟጢቹᇅ ዂᔤ੿΢өᆎ੿઀ᇅݾᕜቒ௒Ȃпᙵ൳Ᏹসϟᖞטစ ᡜȞsi ulate clinical e periencesȟȄ У1 Сژ1 СޠήЉԒཽϜȂΚР८एథӶ໼ۺ ঐཽឋᢉȂؑ

Љ୥ђ - ൠϊ࠯ޠᔗңःଇཽѵȂѫΚР८η୥ᢏᇅ ᏱಭཽൠϜ৥ұޠөԓᚃᏱዂᔤᏣȞsi ulatorȟȄ

Π ዁ᔣᏢޟϭಝᇄᔖҢ

T ϵѨ࢑໡ึ੿ொІК೛ዂᔤ΢ңܼᚃៗఁ

يޠϵѨȄӗᖟཽൠ৥ұޠഌӌ౱ࠣᇅѓ૗ԄίȈ᭡

ဝ๩ᜣК೛ዂᔤᏣȂԫقಜණٽᖞטᚃ৲ጜಭဝ๩ᜣ К೛ޠᐡཽȂєࢃಂ-Кڟ።ܓȃ ܗ དȃᖂӬܗ

҉๗๊׭ѾȄ᭢഻།ዂᔤ৉ಣȂཧପ T ዂᔤ΢ٻ ңȂѠዂᔤӼ೏୞૖ܗᓘ૖я՗ȃಂ࿙ ቆഌ Շഌ π ഌࢻ՗ȃࢻషȃІөԓ།πȂԄᅂ།ȃଽ׸ȃᐷ།ȃ ᔣ།ܗኩບ།Ȅ᭣ଽࣶ๩ᔯࢦዂᔤᏣȂϱ೩ጜಭ޲

Ӷដຩዂ࠯ޠӤਣȂစႬဟᒊᄎ֊Ѡпя౫֊ਣޠӲ 㔴ȂєࢃȈഌ՞ҔጃܓȃᔇΩ஽࡚@ ๊Ȅ᭤᛿౪ጢᒯ

೻ᡞȂ᛿౪ጢᒯєࢃ᛿୞ᏱІ᛿ਞᏱ୥኶೪ۢȃѠп ঔ׾ᐍӬөقಜϟ᛿ޑၦਠ৳ȃѠпՍ՘ጢᒯུ᛿ȃ ѠᒶᐆጢᒯԚ΢ȃڌ่ܗᔊڌޠ᛿౪ȂկሰཧପH

o t areٻңȄ᭥ᚃᏱዂᔤ΢Ȃєࢃା໧ഭ᎗ᚃᏱዂ ᔤ΢ȃᔊڌᚃᏱዂᔤ΢ȃڌ่ᚃᏱዂᔤ΢ȃࡩఀᚃᏱ ዂᔤ΢ᇅณጤᚃᏱዂᔤ΢Ȅ᭦ᚃᏱ௒ძଌጜዂಣȂє

ࢃໍ໧З᠛ྲៗᏱಭዂಣȃЗ޳ࡩ઀௒ძଌጜዂಣȃ

᏾།ᚃᕜ௒ძଌጜዂಣȃدᜳࡩఀ௒ძଌጜዂಣȃࡩ

઀ఀៗ௒ძଌጜዂಣȃᇅᖞטៗ౪௒ძଌጜዂಣȄ᭧

ໍ໧ዂᔤྲៗᐍӬقಜȂєࢃᐍӬӼঐዂᔤ΢ȃᚃᕜ ყ໦ԚসȞఀៗٚࡩఀ΢সȃࡩຩᚃ৲ȃៗ౪΢সȃ ѵऌᚃ৲ȃܺৣऌ׭৲@ ȟȃӼঐᖞטൠෂȞఀៗ

ٚȃࡩຩȃ໡Χܙȃ࡯ඉࡊȃђៗ൑՞ȃ੿ܙ ȟȄ ණٽΚঐ׈ᐍᚃᕜྲ៬ᅌᗦ௒ძȂѠଌጜᚃᕜყ໦Ӥ ਣྲ៬ᆔ౪Ӽ՞੿ொȃყ໦Ӭձ࡚ІᖞטցᘟࡧᆱȄ

᭨ዂᔤ΢੿ܙຝ᠚኶ᐄᐍӬقಜȄ

ણΐ311:ѐঽˠሀᑢጡѐົ͕଀̶ֳ

⩂᫧ⵒᄞણ⩂᫧⿢ȭ㈺ೖ␐⩂᫧⿢

Ѯϛᄸҕᖂᚂ଱ ໿۽߇៖౩ߝ ю୽෈໢ ԑ Т1 Рʂ Т 1Р ю୽ӴᘈȈछ୽գᛳ٨ႀԎۄ۴ѿ

H Hu an atient i ulation et or

Taichung V eterans General Hospital

(25)

௒ძዂᔤȞsi ulationȟϟۢဏ࣐ዂᔤ઎ᄃޠٲ ӈܗႇโȂй૗֖౫ڐᜱᗥ੬ኊܗ՘࣐Ȃຝ௒ݸܼቒ

௒ϜᒋΤዂᔤ΢ȃِՔ׹ᅌȃዀྦ੿΢ȞᅌসȟȃІ Ϥ୞ᓄኈȂᙥпఁᏳ઎ᄃ௒ძϜޠᐈձโזȞᖞטஆ Ґစᡜȟȃ؛๋ᇅ״ցܓࡧՄȄᎍңܼ઎ᄃٲӈޠଌ ጜЋ݂ີȃไԥܗӡᓏਣȄଷΠ૗ණٽᏱসΚঐЇ᙮

ጜಭȃৡ೩ҜᓀȃೞщϸࡿᏳᇅءԥᔇΩޠᕘძѵȂ

؂૗ණٽఁ৲Ϥ୞ᇅᄃଡ଼ᏳӪޠఁᏱ๋౲Ȅ

உ ՘ ௒ ძ ዂ ᔤ ҇ ໹ ಓ Ӭ ੬ ۢ ఁ Ᏹ ҭ ዀ Ȃ Ԅ ૏ ৭ ષ ٸ ᒧ ੿ ΢ ޠ ྲ ៗ ȇ ජ ௢ ௒ ძ ዂ ᔤ ᇅ Ӳ ៬ ϸ ٵ Ȟ e rie ingȟޠਣ໣Ȃ࡛ឋө࣐ ϸយȇٲӒԋ௷

ᏱসӶ௒ძዂᔤϜޠِՔȞԄៗςȃᚃ৲ȃঢ়឵ȃख ᓄȃᢏᄇ޲๊ȟȇఁ৲ᔗӶ൑८ᜣࡤܗഗၰႬຝϜᢏ ᄇ௒ძዂᔤޠໍ՘Ȃ֐ࠍ஡ኈ៫Ᏹস୉؛๋І၍؛ୱ ᚡޠӍშȇِՔ׹ᅌޠᏱস኶௢ښӶ ʂ6՞ȂӼᎸޠ ᏱসࠍᐋӉᢏᄇ޲ȇܛԥᏱসᔗᔝӫทᇅए຀ᎍ࿌ȇ

௒ძ҇໹ಓӬᏱস׭૗โ࡚ᇅᇰޤ૗ΩȂԄߒᏱ޲ᎍ Ӭңմᔤ઎ޠዂڏȂԄVКᖘȇՅໍ໧Ᏹಭ޲ᎍӬٻ ңାᔤ઎ޠዂڏȂпڟֆڐӶԋӓޠᕘძϜᏱಭ୉؛

๋ȃ၍؛ୱᚡᇅყ໦Ӭձޠ૗Ωȇఁ৲Ӷ௒ძዂᔤࠊ ᔗԥᇰޤᇅ೤დȂԄԚݏҭዀȃஉ՘Рݳȃ࡛ҴӔ ᜌȃᖃ๗ᇅ२ᘉණұ๊Ȅ

௒ძዂᔤԚѓޠᜱᗥӶܼዂᔤࡤȺӲ៬ϸٵȻȂ єࢃᢏᄇЇࣹȞ e lecti e ser ationȟᇅᖃ๗ስཽ

Ȟ stract onceptuali ationȟȄᢏᄇЇࣹє֥Πᄈ စᡜၦਠޠԞ໲Іᐍ౪Ȃ֊ԥᜱࡧདྷȃདញȃᖓདྷȃ Іڐуᢏᄇޠၦਠȇഷ२्࢑्ୱȶথϘึҢΠࣦቅ

൸჌२ክᓄኈழΚኻȂழስᏱস௄ѫΚِ࡚ᢏᄇՍϐ ޠߓ౫ȂᏱসѠЩၷٲࡤܛࣽژޠᇅথϘདڨޠԄե

֜ӬȄఁ৲ᔗԄեЖᏳᇅМࡼᏱসᢏᄇЇࣹᇅᖃ๗ስ

ཽںȉఁ৲ѠпୱᏱসȈȶ்থথࣽژΠࣦቅȉ᠚ژ Πࣦቅȉȷȶ்ܛ᠚ᆹޠᡲ்ញூԄեȉ்ᡞᡜΠࣦ

ቅȉȷȶӲདྷ்ޠᡞᡜȂழ๞்ޠስཽ࢑ࣦቅȉஆܼ

்ޠስཽȂ஡Ԅեኈ៫்ґٿޠᄃձںȉȷȄᙥҦα ख़ޠႇโѠпᡲᏱসԥ׈ᐍޠစᡜᏱಭᇅ״ցܓࡧՄ ޠᐡཽȄ

Ѳȃᖂ๖ᇄ࡚ដ

ԫԪя୾ःଇޠႇโϜȂщϸܦ৥שউޠಂࣩȂ २ུᇰᜌ੿΢ዂᔤᏣӶៗ౪ᎵԚఁيᇅӶᙜఁيР८ ޠึ৥ᇅᔗңȂЏڐӶ௒ძዂᔤࡤޠӲ៬ϸٵȄґٿ ѠٸᐄៗҢȃ G Ᏹসᇅៗ౪΢সޠ஠ཿԚዤ࡚ᇅ ԚҐՄ໕Ȃ೤დ೪ॏϛӤᔤ઎โ࡚ޠ௒ძዂᔤଌጜ

ॏฬȂԄଭЛ೾ൣȃ੿ԋ೾ൣȃܫ՗ȃᓘ૖ݨৣȃ ort- ݨৣȃᏳ׎ȃٙᡞຠզȃ᛿ޑᏙ໕ᅏഁඳᆘȃ ᚃៗ੿௒ྜྷ೾ȃᆨࡩ௒ݸყ໦೏ဋȃӡࡩ੿ඳᙾଛࢻ โȃኛࡦ੿΢ϟ௒ᆲԋኮȃଇ፤ ᇅөऌៗ౪л्

௒ძȂࣦՎ࢑ྲៗӼ՞੿΢ਣᓻӒ໸זޠԋ௷ȃدᡑ ᅌጜȃፑऐ೏౪ȃӡᐡ೏౪ᇅ࡛ᄻུ൑՞ȄᔗңᚃᏱ ዂᔤᏣޠ௒ძዂᔤȂӶᖞטޠᔗңϛկѠп෶Ўᚃᕜ ѷᇳȂߴሬ੿ொޠԋӓȂᗚѠп׾๢ఁᏱȂࣦՎဤᄃ ᚃᏱఁيޠଌጜᇅՄਰȂӱԫ࢑অூ࣐ٙᖞטఁي޲

ޠשউ׺Τ؂ӼޠЗΩᇅਣ໣Ȅ

ӫ ΢ ᇮ ᓄ

The great epu lic o e icine no s an has no n no national oun aries an post-gra uate stu in other lan s gi es that roa ental outloo an that ree o ro the tra els o local pre u ice hich ha e e er characteri e the true ph sician

ir illia sler

Mcdicine has no national boundaries

TaTaTaTaTaTTa icicicic huhuhuhhuhhhuhuhu uu ngngngngngngngngngng VVVVVVVVVVV eteteteet ttt erererereer aanananananananaanan nn ssssss GeGGGGGGGGGGeG nenene eee rarararrara a llll HHoHHHHo spspspspsp p ititit tt alalaaala

(26)

311:ѐ઼࡚Ңᘲ֧྿эঽˠሀᑢጡѐົࡔҖ

ȭ฾ዀẤȭ԰̑ᬞⷪో

@ t s all a out learning ɇ

@ ჳ࢑୳Κޠ઎ᄃɇຳ٩ѼȄ

΢Ң࢑Κࢳϛᘟ֝ԞޤᜌڸစᡜՅᏱಭԚߞޠᐤ โȄ೼ٳႇโޠತᑗȂആ൸Πؑঐ΢ޠՍשȄԄӤక ഢ߆Ӷकዃჳ၈ቹޠȶзٲࢿࣲ݃ᏱୱȂ΢௒ጜႁ֊

НതȷᄈܼᏱಭԥܛᒞ՘࣐лဏȞ eha ioris ȟȂᇰ

࣐ᄻԚ՘࣐ޠஆᙄ࢑စҦښङձңםԚᇅ׾ᡑঐᡞߓ ౫ܼѵޠЇᔗȄӱԫӶఁيαл஼ዪᓿᇅᛄᆵচࢋȂ ϛ२ຝϲึܓޠ୞ᐡȂ஽።ѵӶ௢ښޠଌጜቌঅȄ ѫΚР८ԥܛᒞᇰޤᏱࣃᇰ࣐Ᏹಭ޲࢑ഇႇᇰޤႇ

โȞcogniti e processȟȂױөᆎၦਠђпᓾԇІಣ ᙒȂםԚޤᜌ๗ᄻȞcogniti e structureȟȄ

൸စᡜቺ८ՅّȂᏱಭ࢑ՍดՅดޠႇโޠȄկ ѵࣩޠڗᐮȂηཽആԚ՘࣐ޠ׾ᡑȄஆܼঐᡞႇџತ ᑗޠစᡜᇅ࡛ҴޠᏱಭዂԓȂ΢ᄈུܼޠᕘძᡑϾȂ

ཽ౱ҢϛӤޠᎍᔗڸ၍᠟ȂໍՅߓ౫яϛӤޠ՘࣐ᇅ ቌঅᢏޠ׾ᡑȄ

ڌ่ޠᏱಭԚߞȂ൸࢑өᆎ௒ძစᡜӶဟϜೞᐍ Ӭȃϸ᜹ڸ഻ആޠႇโȄשউѠпᙥҦ໕Ͼٯዂᔤ೼

ٳ௒ძึ৥ఁᏱ๋౲ȂଭᄈϛӤስ஀ڸ࠯ᄙޠᏱಭ޲

࡛ᄻᎍӬޠၰ৸Ȃ஽ϾဟϜޠᏱಭዂԓȄ

ឌԄᇴȂשউ૗ၽңዂᔤᎾᎼᑼ८ݗଌጜΚঐ᏾

ٚᎾᎼȂຏᔤяуӶձ᏾ϜѠ૗ཽ᎐ႅޠୱᚡȂଌጜ ڐዤ࿸ܼᐈձ׭೛ІҔጃޠցᘟ૗ΩȄଌጜၽ୞ᒶК η࢑ΚኻȄᔟ౩ޠ՞ဋȃΩ࡚ޠτϊȂഎѠпӶϛᘟ

ᔤ઎ޠጜಭϜ୉ਯҔȄࠥդτᏱ୧Ᏹଲޠঐ਱ఁᏱݳ ڸп୥ᇅ޲࣐ϜЗޠᏱಭݳη࢑п઎ᄃޠঐ਱ዂᔤя өԓ௒ძȄᆨࡩᔗᡑॏฬϲޠөԓᅌಭη࢑ᔗңԫΚ ዂԓȂଌጜԚসӡᐡ೏౪ޠ૗ΩȄᗘռႇџޠѷంစ ᡜӕ࡚ึҢȞឌԄȈћ஭ৎॴدܗ 11зຸτዃᛗࣕ

਱ȟȄӤኻޠᢏ܉ηѠңӶτӍཿዂᔤ፟โϜȂଌጜ সϏޠөԓ׭૗Ȅ

ᚃᏱ࢑ᄃ፻ܓ࡟஽ޠᏱߟȄႇџᚃᏱҢஊᎵޠஆ Ґዂԓ࢑Ӷ኶ԒޠᚃᏱ౪፤ᏱಭࡤໍΤᖞטᄃُಭȂ

஡ਫҐޤᜌᖞטϾٯᅿѠ૗ӵӼ௦ដ੿پȄᚃᕜٲࢉ

ڸޮીӶᖞטᄃ፻ϜਣԥܛᆹȄዂᔤᚃᏱఁيпᏒѠ

૗ຯߗᖞט઎ᄃᕘძޠРԓໍ՘ᚃᏱఁᏱȂւңΚϹ ຏᔤޠКࢳ഻೪я੿΢ȃᄃᡜࡊȃ੿ܙȃК೛ࡊІᚃ ଲ๊೻฾ᡞȂձ࣐౪፤ఁᏱڸᖞטᄃ፻ޠԥਞህֆȄ ஊଌᚃҢණٽϤ୞ԓଌጜȂٻуউᄈ੿΢ѵߓޠᢏ

Taichung V eterans General Hospital

(27)

ᄇȃᄃࢋࡩఀ௪ࢋпІԄեң᛿๊ᚃᕜ׭೛Р८Ӷዂ ᔤقಜαூژଌጜȄӓ८ණାᏱಭ޲ޠᖞטຩᘟ૗Ω ڸө໷ᖞטᐈձ૗ΩȄஊᎵҔጃޠᖞטࡧᆱȄ

ज୾դᛴ٩ႁԏ੿΢ዂᔤᏣԒཽԠӶ๗Ӭөӵޠ ᔗңዂᔤ፟โޠᚃᕜఁي޲Ȃһඳ܅ԫٻңစᡜᇅЗ

ூȄ

೼ΚԪ୥ђ Ԓज୾դᛴ٩ႁԏ੿΢ዂᔤᏣԒ

ཽȂُᜍΠзࣩөӵߗΫԒٿᔗңዂᔤऌ׭ܼᚃᏱఁ

يޠᄃݸȄ

ឋโ࣐෉ѳЉȄಒΚЉ࢑ଭᄈዂᔤऌ׭ޠөԓᔗ ң፟โȄϲৡԥȈԄեђ஽ಥٙᏱಭȃ᏾།ІөԓϾ

ָ׭Ѿȃ a ȃ e ia i ȃ ȃH ȃi T ٻң໹ޤȃஆᙄІໍ໧H 6ᐈձᇅ፟โ೪ॏ׭ѾȄ

ಒΡՎѳЉࠍ࣐ΚԼӼঐٿՍзࣩөӵޠᚃᕜ

൑՞ޠစᡜϸٵȄົႇΚξϥԼ΢୥ᇅԫԪःଇࣁ

୞ȄڐϜԥөԪ஠ऌᚃ৲Ȃៗ౪΢সȂॗРȂᆨࡩᚃ ᕜᆪԚসȄϲৡᐘၯ՘࢈ȃៗ౪ȃدᜳᇅࡩ઀ᚃᏱȃ

ѵऌȃڌ่ᚃᏱȃॗଳᚃᏱȃഭ᎗ȃڴ֝ݾᕜȃዂᔤ ᚃᏱᐍӬ஠ঢ়ІΚૢᚃᏱȄཽϜԥөӵୣޠ஠ཿଇ፤

ཽȄڐϜ੬ᗝᅌᗀഌӌҦज୾դᛴ٩ႁԏ੿΢ዂᔤᏣ Ԓཽޠ Ȃ ouis H ern or пІज୾ࠊӉଞӃ

ॗ΢ٲଡ଼ഌߞ a es ea e ϮಞዂᔤᚃᏱӶज

୾ޠึ৥Ȅ෉໣ޠⲴၰᙣᕿȂᘉᘉᅏᅏȂӶӶᡘұΠ ڐஉ຀ᇅᄈᚃᏱఁيޠዦၗȄཽឋӔॏ ൠȂϸ࣐

11ঐስ஀Ȅє֥ȇៗ౪ȃᆨࡩᚃᕜᆪȃدᜳᚃᏱȃڴ

֝ݾᕜᏱȃഭ᎗ᏱȃॗଳᚃᏱȃѵऌᏱȃϲऌᏱȃڌ ऌᏱȃ՘࢈ᆔ౪ᇅୋஷྲៗقಜȄഷӼӤਣԥ ൠཽ

ឋӶໍ՘Ȅ

ऋ׬ޟ໌؏҆໸ёΰᢎ܈ޟ໌؏ϗ૖ԤܚएકȄ ዂᔤऌ׭ϑೞᔗңܼᚃᏱޠө໷ስ஀Ȃєోᚃࠣ

ᇅ੿ԋȃΚૢᚃᏱఁيȃ׭૗ஊଌᇅө໷஠ཿଌጜȄ ѯᢋη஡ܼϭԒ๗Ӭ୾ϲԥעܼᚃᏱዂᔤఁيޠϏձ

޲ԚҴ@ ᚃᏱዂᔤ nteresting Group ɇȂཧ࡛କѯᢋ һࢻޠ҂ѯȂණ݈୾ϲᚃఁࠣ፵ȂଔᝧשউЗΩȄ

ӫ ΢ ᇮ ᓄ

ell-traine sensi le octor is one o the ost alua le assets o a co unit orth to- a as in Ho er s ti e 0DQ\DQRWKHUPDQ7RPDNHKLPHI¿FLHQWLVRXUKLJKHVWDPELWLRQDVWHDFKHUV7RVDYHKLPLURPHYLOVKRXOGEHRXU

constant care as a guil

ir illia sler

A well-trained doctor is a valuable asset

ne Ta ic huhu uu ngngngng V eter an ss GGe ral Hospital

(28)

ज୾ᚃᏱःفᐡᄻȞnstitute o e icine ȟ

ܼ 1ԒࡿяȈᓻ፵ޠᚃᕜᡞق໹ႁϳτҭዀȈԋ ӓȞ a et ȟȃԥਞȞ ecti enessȟȃ੿΢࣐ϜЗ Ȟ atient-centere nessȟȃІਣȞTi elinessȟȃਞ ౦Ȟ icienc ȟІϵ҂Ȟ uit ȟȄڐϜȂ੿΢࣐Ϝ Зޠᓻ፵ᚃᕜᄻԚ्ષ൸҇໹пᄃᜍᚃᏱ࣐ஆᙄȃᔗ ңၦଊ೪റІпقಜ࣐ᏳӪȂഇႇᚃᕜԚসϟ໣ޠყ

໦ӬձȂႁژᚃᕜࠣ፵ޠߵໍȞພ ȟȄ

ӕ޲ȂՍ௄ ܼ1 ԒяޏΠȶTo rr s Hu anȷΚਫпٿȂ੿΢ԋӓ೼ঐឋᚡ߰ЖକΠኅ ހޠݨཏᇅ௥ଇȂٯԚ࣐२्ޠᚃᕜ׾९ឋᚡϟΚȇ ٸᐄ ൣ֚ࡿяȂज୾ؑԒӱᚃᕜᓀᇳȞ e ical errorȟആԚޠԬκ΢኶ङԥ Վ ΢Ȃ ሊାܼһ೾ཏѵٲࢉȃٱᕝІནฆ੿ޠ΢኶ȇؑԒ ङԥ1 ቈՎ ቈजϰѽ᚟཭ѷІณݳॏᆘޠঢ়

৴ᇅަཽМяȞພ ȟȄज୾ᚃᕜᐡᄻຠᠧᖓӬཽ

Ȟ oint o ission on ccre itation o Healthcare rgani ation H ȟ௄ᚃଲ೾ൣޠήξӼӈᝓ२ᚃ ᕜឍଊٲӈޠ਴Ґ঩ӱϸݚϜȂึ౫ᚃᕜྜྷ೾ᇅყ໦

Ӭձϛً࢑ആԚᚃᕜᓀᇳޠॷ्঩ӱȞພ ȟȄज୾

࡛ឋึ৥ၯഌߟޠყ໦ӬձଌጜዂԓȂၽңዂᔤ Ȟ i ulationȟРݳໍ՘ଌጜȂпණЁᚃᕜᡞقԋӓ Ȟພ 6ȟȄ

ज୾૟ޫࣩȞThe ational eronautics an pace inistration ȟӶ Ԓࠊϑଭᄈყ

໦Ӭձ໡ۗໍ՘ಣসၦྜᆔ౪Ȟ re esource anage ent ȟޠଌጜȇөঢ়૟ޫϵѨණٽл ᆔІಣসஉ՘ ޠϏձྦࠍȂߗ ԒٿȂᜍ݃ഇ

ႇ ଌጜѠпτൾ७մ΢࣐౶ѷޠॵԋٲӈȞພ 1 ȟȄᚃᕜࣩӶ ԒࠊȂҦज୾ୋஷྲៗःفᇅࠣ

፵ဎȞ genc or Healthcare esearch an ualit H ȟڸज୾୾٪ഌӬձึ৥ΠΚঐ๗ᄻܓყ໦ଌ

to nhance er or ance an atient a et ȟȂණ ٽଌጜᚃᕜ΢সޠყ໦Ϗձ׭ѾȂᙥҦყ໦ӬձޠΩ ໕Ȃ૗ึදࣻϤᆀ࿝Ȃ෶Ўঐ΢౶ѷึҢȂпႁژණ Ё੿΢ԋӓޠҭޠȞພ 6ȟȄ

ᚃ๋ཽܼ Ԓ1 У СՎ Сᗝ፝ज୾ H ՞

஠ঢ়ٿѯᗀख़Tea T Ȅڐл्ϸԚήτഌϸȈ Tea T ஆҐ঩ࠍޠϮಞȃ׭Ѿޠᅌጜȃॏდᇅ உ՘ȂٻᏱসΠ၍ڐోဏІ׭ѾȂ௄Յ࡛Ҵ੿΢ԋӓ ޠНϾȂණЁᚃᕜྲៗࠣ፵ȇTea T єࢃѳঐ ਰЗ፟ᚡȞພ 6ȟȈყ໦ስᏳȞTea ea ershipȟȇ ឍញᔗᡑȞ ituation onitoringȟȇϤֆӬձȞ utual

upportȟȇԥਞྜྷ೾Ȟ o unicationȟȄ

ᚃᕜყ໦ӬձϑԚ࣐୾ር໣ߵໍ੿΢ԋӓϟུᑺ ឋᚡȂҐଲᚃᕜࠣ፵ᄳ੿΢ԋӓᆔ౪ཽԚসϸݚᚃᕜ ყ໦ၦྜᆔ౪ޠ౫ݸԥίӗංᘉึ౫Ȉ

᫄ ୾ϲτӼ኶ᚃᕜᐡᄻҭࠊϬґӓ८௱՘ᚃᕜყ໦

ၦྜᆔ౪Ȅ

᫅ᚃᕜყ໦ӬձޠଌጜѠпቩໍ੿΢ԋӓȄ

᫆!೩ӼϲӶІѵӶӱષཽኈ៫ᚃᕜყ໦Ӭձޠஉ՘

Іߓ౫Ȅ

᫇!ၽңᚃᕜყ໦Ӭձޠ๋౲І׭ѾѠпቩໍყ໦ޠ உ՘ԚਞȄ

᫈ सԥဓ፝ڐуስ஀ޠ஠ঢ়ህᏳਣȂଌጜ׭ѾІ๋

౲҇໹Ӭоᚃᕜ՘࣐Іڐ஠ཿ੬ܓȄ

ྻϡᗁᒚဥฤྤ໚გநሀё೩̿ঽˠщБ̼͛

ȭൔ⎀कẤȭ▼㐓ᄽⷪో

ⷪ᱗ٴ⫨ᇷ᯼ːમҚᾷ᫧ሳȭⲁᇜ␐Ȯ᪗݄๬

中榮醫學教師海內外學習心得97.98百大良醫說醫學教育 -

98年護理部護士節教學績優得獎感言