COVID-19疫情後，台灣醫學教育在勝任能力導向醫學教育發展的可能思維與方向

醫學教育必須回應社會的健康照護需求，才能培育勝任社會醫療專業者工作的醫師。勝任能力導向教育模式是醫學教育的重要發展方向，其教育目標會隨著醫學專業領域知識科技發展及社會需求期待而改變。COVID-19疫情嚴重，對全球各國的醫療體系都產生相當大的衝擊，相對的也帶來新的醫學教育需求。台灣疫情控制良好，醫學教育在學校及臨床上都有很好的措施來維持原有運作，但是國家則面對很大的衝擊。這讓我們看到台灣醫學專業所要回應的社會需求可能與其他國家不盡相同，台灣可能會由這次疫情而在教育方法上得到發展經驗，但也更要注意其他醫學教育主流國家在疫情後，對勝任能力架構與內涵及專業發展歷程碑的轉變，及困難疫情下的教育經驗。因此，台灣需要保持對他國經驗的反思及制度轉變的覺察，並持續探究本土對醫師勝任能力的社會期待。

New thoughts about CBME after COVID-19 - Reflection fromTaiwan

Medical education responds to social needs and incubate physicians competent of being a medical professional. Competence based medical education (CBME) is an important paradigm change of modern medical education and so educational goals will evolve with the development of medical knowledge, technology and social expectation. The COVID-19 pandemic afflicts healthcare system globally and raises new issues in medical education regarding to social needs. Taiwan were able to maintain the operation of campus and clinical medical education during COVID-19 pandemic while medical education and healthcare system were greatly disturbed in most other countries. This pandemic revealed that the social needs in Taiwan and other countries are not the same. Taiwan has learned valuable lesions of educational strategies from pandemic quarantine. We should also pay attention to changes of frameworks for medical competences and professional milestones from leading countries/area in medical education, as well as experiences in operating of medical education system in facing pandemic. Taiwan could learn through the "alternative experience" from the other countries and should continue to explore the local social needs that would best describe medical competences in Taiwan.