臺灣醫事放射勝任能力導向醫學教育(CBME)推廣與可信賴專業活動(EPAs)建置經驗分享

勝任能力導向醫學教育(Competency-Based Medical Education, CBME)是近年來國際醫學教育趨勢，而可信賴專業活動(Entrustable Professional Activities, EPAs)是將CBME精神具體實行的方法之一。中華民國醫事放射師公會全國聯合會為落實醫事放射職類以勝任能力為導向的訓練，提供教師與時俱進的師資培育活動，遂擬定「醫事放射職類CBME訓練計畫三部曲」，透過三階段的方式推廣並落實能力導向醫學教育：「醫事放射學員的能力進展架構」-臺灣醫事放射職類可信賴專業活動的建置、「為勝任能力量身打造的教學與學習經驗」-CBME師資培訓推廣、「計畫性、系統性的評估設計與能力進展的行程」-醫事放射職類CBME訓練計畫全國執行。本會期望輔導各級教學醫院全面推廣台灣醫事放射職類CBME訓練與落實EPAs職場直接觀察教學，並建置執業模式下的能力進展架構與系統化評估，確保醫事放射師專業能力發展和教育品質提升。  Competency-based medical education (CBME) has become a trend in global medical education. Entrustable professional activities (EPAs) are one of the means to implement CBME. To provide up-to-date teacher training for implementing radiographers’ CBME, the Taiwan Association of Medical Radiation Technologists has organized a Three-Stage Radiographer CBME program. The three stages are as follows: (1) Competency development: establishing EPAs for radiographers. (2) Competency-oriented teaching and learning experience: promoting CBME teacher training. (3) Planned and systematic competency development and assessment: promoting and implementing the CBME teacher training program nationwide. Through the promotion of CBME, teaching based on direct EPA observations, as well as the establishment of a competency development framework and a systematic assessment model for in-service radiographers, the Association expects to improve the competency development of and education quality for radiographers in Taiwan.