能力導向醫學教育 · 委員會師資培育Competency-Based Medical Education · Committee Faculty Development

把「臨床能力委員會」
練成可信賴的集體決策能力
Turning the Clinical Competency Committee
into a trustworthy collective-decision practice

本課程培育臨床教師勝任 臨床能力委員會(CCC)的運作——從資料審視、群體判讀、信賴授權決策,到回饋與量身打造的學習計畫。課程分為初階進階兩階段:初階建立 CBME 脈絡下的 CCC 定位、以情境影片+ CCC Checklist 小組討論校準共識、再以學員學習歷程教案進行角色扮演;進階以世界咖啡館等多元形式深化委員帶領與爭議決策,並導入委員會委員訓練認證,培育合格的 CCC 委員。 This course prepares clinical teachers to run the Clinical Competency Committee (CCC) — from data review and group judgement, to entrustment decisions, feedback and tailored learning plans. It runs in two tiers — Basic and Advanced: the Basic tier sets CCC in the CBME context, calibrates consensus with a scenario video + the CCC Checklist, then role-plays with a learner portfolio case; the Advanced tier, using formats such as the World Café, deepens chairing and difficult decisions and introduces committee-member training & certification to develop qualified CCC members.

課程兩階段架構Two-tier course structure
初階聚焦「認識與校準」,進階聚焦「真實帶領與爭議決策」。Basic focuses on understanding & calibration; Advanced on real-world chairing & difficult decisions.
初階
BASIC · 認識與校準BASIC · Understand & Calibrate

初階課程Basic Course

  • 講授 CBME 脈絡下的 CCC 定位與執行Lecture: CCC's place & operation within CBME
  • CCC 情境觀摩影片 → CCC Checklist 小組討論CCC scenario video → group discussion with the CCC Checklist
  • 以學員學習歷程教案進行角色扮演Role-play with a learner portfolio case
  • Q&A 綜合討論Q&A and wrap-up
  • 課後:課程滿意度+教案使用經驗問卷Post-course: satisfaction + case-use surveys
進階
ADVANCED · 帶領與決策ADVANCED · Chair & Decide

進階課程Advanced Course

進行方式依進階需要而不同、採多元形式。目前提供:Formats vary by need; multiple methods. Currently available:

  • 🌍 世界咖啡館委員培訓:5 主題 × A–E 五段,發散討論並收斂委員共識🌍 World Café committee training: 5 topics × A–E facilitation toward consensus
初階課程流程Basic-course flow
一條從「認識」到「校準」到「實作」再到「回饋」的完整動線。A full arc from understanding → calibration → practice → feedback.
1
🎓

講授Lecture

CBME 脈絡下的 CCC 定位與執行原則。CCC's positioning & operating principles within CBME.

2
🎬

影片+小組討論Video + group

觀摩 CCC 情境影片,以 CCC Checklist 逐項討論(facilitator 促進)。Watch a CCC scenario, discuss item-by-item with the Checklist (facilitator-led).

3
🎭

角色扮演Role-play

以學員學習歷程教案模擬一場 CCC 會議。Simulate a CCC meeting from a learner portfolio case.

4
💬

Q&A

綜合討論與經驗交流。Open discussion & sharing.

5
📝

課後問卷Surveys

課程滿意度+教案使用經驗問卷。Satisfaction + case-use experience surveys.

進階課程流程Advanced-course flow
進階以「世界咖啡館」委員培訓為主要形式(進行方式可依進階需要調整)。The advanced tier centres on World Café committee training (formats adapt to need).
1
🎓

講授Lecture

CCC 介紹與學員能力授權。CCC introduction & learner entrustment.

2
🌍

世界咖啡館World Café

5 主題 × A–E 五段,主題討論並收斂委員共識。5 topics × A–E facilitation; topic discussion toward consensus.

3
💬

Q&A

分享與綜合討論。Sharing & wrap-up.

4
📝

課後回饋Feedback

課後回饋與意見蒐集。Post-course feedback collection.

小組討論機制:從個人回答到小組共識Group mechanism: from individual answer to consensus
這是初階課程的核心設計,也是引導者手冊要支撐的環節。This is the heart of the Basic course — and what the Facilitator Book supports.
1

觀看情境影片Watch the scenario

全組共同觀看一段 CCC 會議情境影片。The group watches a CCC meeting scenario video together.

2

個人作答Individual response

每位成員先就 CCC Checklist 各項目「沒有/部分/完全做到」獨立評分。Each member independently rates every Checklist item (not/partly/fully met).

3

小組討論Group discussion

facilitator 促進比對差異,請成員以影片中的具體事證說明判斷。The facilitator surfaces differences; members justify with concrete evidence from the video.

4

凝聚共識選擇Reach consensus

逐項收斂出小組共識評分,並記錄觀察與理由。Converge on a consensus rating per item, recording observations & rationale.

📘 引導者手冊Facilitator Book

給小組 facilitator 的逐步帶領指引,支撐「個人 → 共識」全流程。A step-by-step guide for group facilitators, supporting the whole "individual → consensus" flow.

  • 每個 Checklist 項目的引導提問與評分要點Prompts & scoring cues for each Checklist item
  • 個人作答 → 比對差異 → 收斂共識的帶法How to move from individual ratings to consensus
  • 時間控管、冷場與爭論的處理Timing, silence and disagreement handling
  • 中英雙語、可列印成手冊Bilingual, printable as a booklet
世界咖啡館討論機制(進階)World Café mechanism (Advanced)
這是進階課程的核心設計:引導者守桌、各組輪桌、桌布留桌持續累積、引導者橋接 3 分鐘。The heart of the Advanced course: facilitators stay, groups rotate, the tablecloth accumulates, 3-minute bridging between rounds.
1

分桌與守桌引導者Tables & host facilitators

每個主題設一桌、配引導者固定守桌;參與者分成數組,各組先入座一桌開始討論。One table per topic with a host facilitator who stays; participants split into groups and begin.

2

主題討論(A→E)Topic discussion (A→E)

各組就該桌主題依 A 現象→B 困難→C 策略→D AI→E 共識發想,把意見寫在桌布。Groups work the topic through A→E and write ideas on the tablecloth.

3

輪桌+橋接 3 分鐘Rotate + 3-min bridge

時間到各組整組輪到下一桌;引導者與桌布留原桌,用 3 分鐘向新組摘要前組重點、邀請差異化補充。Groups rotate; facilitator & tablecloth stay, bridging prior points in 3 minutes and inviting fresh input.

4

累積收斂、形成共識Accumulate & converge

桌布一輪輪疊加各組意見,最後收斂為委員共識,由各主題引導者報告匯整。The tablecloth accumulates round by round; topics converge into committee consensus, reported by each host.

🧭 咖啡館引導者手冊 × 討論桌布Café Facilitator Book × Tablecloth

引導者手冊與討論桌布會依「世界咖啡館」本場選定的主題與時間自動連動產生。The facilitator book & tablecloth auto-link to the topics & durations chosen for the session.

  • 選定主題 → 手冊只出本場主題的引導頁(官方 A→E、引導重點、數字錨點)Pick topics → the book renders only this session's facilitation pages
  • 桌布兩種模式:列印手寫 / 數位填寫(可語音轉文字、匯出 Word/Google 試算表)Tablecloth: print or digital fill-in (speech-to-text; export to Word / Google Sheet)
  • 各主題可設定討論時間,一併連動到手冊與桌布Per-topic durations link through to the book & tablecloth
配套工具Companion tools
依初階、進階兩階段整理;所有工具皆已完成,點工具卡即可開啟。Organised by Basic & Advanced tiers; all tools are ready — click a card to open.
初階課程Basic course
初階

📘 引導者手冊Facilitator Book✓ 已完成✓ ready

小組 facilitator 帶領「影片 → CCC Checklist 逐項 → 個人作答 → 小組共識」的逐步指引,含提問句庫與時間控管。Step-by-step guide for group facilitators running "video → Checklist → individual → consensus", with a prompt bank and timing.

初階

CCC Checklist 工具Checklist Tool✓ 已完成✓ ready

12 項三級評核的互動表單,支援個人作答與小組共識欄位,可列印或匯出。Interactive 12-item, three-level form with individual & consensus columns; printable / exportable.

初階

📋 學員學習歷程產生器Portfolio Generator✓ 已完成✓ ready

CCC 課程專用(已精簡為 CCC 演練所需)。選職類與個案,產出 CCC 會議角色扮演用的「學員學習歷程檔案」(多元評核+逐週歷程+能力摘要),可列印。CCC-specific (trimmed to what the CCC role-play needs). Pick a profession & case to generate a learner portfolio for the CCC meeting role-play (multi-source assessment + weekly log + competency summary); printable.

初階

📊 教案使用經驗問卷Case-Use Survey✓ 已完成✓ ready

針對角色扮演所用之學習歷程教案,蒐集真實性、可用性與效用三面向回饋,即時計分、可連動 Google 試算表。Feedback on the realism, usability & usefulness of the portfolio cases; instant scoring, Google-Sheet ready.

初階/進階Both

📝 課程滿意度問卷Satisfaction Survey✓ 已完成✓ ready

初階/進階兩種題組,涵蓋整體滿意度與認知、行為、自我效能;進階「認知面」依世界咖啡館本場主題自動連動。即時計分、可連動 Google 試算表。Basic / Advanced item sets; the Advanced cognitive items auto-link to the World Café topics. Instant scoring, Google-Sheet ready.

進階課程Advanced course
進階

🌍 進階·世界咖啡館World Café✓ 已完成✓ ready

10 主題庫每場選用 4–5 個、A→E 五段引導,可設各主題討論時間;含議程、規則與帶領要點。10-topic library (pick 4–5), A→E facilitation, per-topic durations; with agenda, rules & facilitation tips.

進階

🧭 咖啡館引導者手冊Café Facilitator Book✓ 已完成✓ ready

依本場選定主題連動產生各主題引導頁(官方 A→E、引導重點、數字錨點、AI 備案),可整本列印。Auto-generates this session's per-topic facilitation pages (official A→E, key points, anchors); printable.

進階

📝 咖啡館討論桌布Café Tablecloth✓ 已完成✓ ready

每主題一張桌布;兩種模式——列印手寫,或數位填寫(可語音轉文字、匯出 Word/Google 試算表)。One tablecloth per topic; print to handwrite, or digital fill-in (speech-to-text; export to Word / Sheet).

📘 CCC 初階 · 引導者手冊CCC Basic · Facilitator Book
Part 1 Checklist 共識討論(≈30 分)+ Part 2 CCC 會議角色扮演(≈45 分),中英雙語、可列印Part 1 Checklist consensus (≈30 min) + Part 2 CCC role-play (≈45 min); bilingual, printable
CCC Checklist · 小組共識工具CCC Checklist · Consensus Tool
小組逐項做出共識(12 項三級評核)+整體成效 1–5 分,填基本資料後送出至「CCC 共識資料」試算表Group consensus on 12 items + 1–5 impact ratings; submit with basic info to the "CCC consensus" sheet
📋 角色扮演教案 · 學員學習歷程檔案Role-play Cases · Learner Portfolio
CCC 課程專用(已精簡為 CCC 演練所需)。選職類與個案,產出 CCC 會議角色扮演用的學員學習歷程檔案(多元評核+逐週歷程+能力摘要,可列印)CCC-specific (trimmed for the CCC role-play). Pick a profession & case to generate the learner portfolio for the CCC meeting role-play (printable)
📝 課程滿意度問卷Satisfaction Survey
分初階/進階兩種題組,涵蓋整體滿意度與認知、行為、自我效能面向;填答後可連動 Google 試算表並即時計分Basic / Advanced item sets covering overall satisfaction and cognitive, behavioral & self-efficacy dimensions; connects to a Google Sheet with instant scoring
📊 教案使用經驗問卷Case-Use Experience Survey
針對角色扮演所用之學習歷程教案,蒐集真實性、可用性與效用三面向回饋;填答後可連動 Google 試算表並即時計分Feedback on the realism, usability and usefulness of the portfolio role-play cases; connects to a Google Sheet with instant scoring
🌍 進階 · 世界咖啡館委員培訓Advanced · World Café Committee Training
進階課程方式之一:5 主題 × A–E 五段引導,發散討論並收斂委員共識(含議程、規則、桌長帶領要點,可列印)An advanced format: 5 topics × A–E facilitation; agenda, rules & facilitator tips (printable)
🧭 世界咖啡館 · 引導者手冊產生器World Café · Facilitator Book Generator
勾選本場要使用的主題,即時連動產生各主題的引導頁(含引導者通則、A–E 提問、桌布記錄),可分發列印Pick this session's topics to generate per-topic facilitator pages (printable)
📝 世界咖啡館 · 討論桌布World Café · Discussion Tablecloth
兩種模式:①列印版(手寫,各桌可單獨列印 A3)②數位填寫版(直接 key in,可語音轉文字,討論後下載 Word/送出 Google 試算表,需填活動日期與機構名稱)Two modes: ① print (handwriting) ② digital fill-in (type or speech-to-text; export to Word / Google Sheet)