能力導向醫學教育 · 工作坊式培訓Competency-Based Medical Education · Workshop Training

把「CCC 後回饋會談」
練成可操作的臨床教練能力
Turning the post-CCC feedback conversation
into trainable clinical-coaching skill

本課程以「臨床能力委員會(CCC)會後,教師將決議回饋給學員、共擬個人學習計畫(ILP)」為核心情境,透過學員/教師/觀察者三角色的反覆角色扮演,把 PDT、信賴量表、R2C2、ADAPT、PREPS 等理論轉化為具體行為。下方兩大工具一個產生角色扮演材料、一個引導工作坊流程,可直接搭配使用。 This course centres on one scenario — after the Clinical Competency Committee (CCC) decides, the teacher feeds the decision back to the learner and co-drafts an individualized learning plan (ILP). Through repeated role-play across three roles (learner / teacher / observer), theories such as PDT, entrustment, R2C2, ADAPT and PREPS become concrete behaviour. The two tools below — one generates the role-play materials, the other runs the workshop — are designed to be used together.

演練的三種角色The three role-play roles
每輪開場第一件事就是分配角色;第二輪起換新的人擔任教師與學員,讓每位參與者都體驗不同視角。Assigning roles is the first thing each round; from round 2, rotate new teacher and learner so everyone experiences each viewpoint.
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學員扮演者Learner-player

帶著處境、情緒與盲點Bring situation, emotion, blind spots

依「個人劇本」進入學員角色,先到場外投入角色再進場。Enter the learner role from a personal script; step outside to get into character first.

材料:學習歷程 · 個人劇本 · 筆Materials: portfolio · personal script · pen
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教師扮演者Teacher-player

用回饋模式收斂出 ILPConverge on an ILP via a feedback model

扮演 CCC 會後負責回饋的臨床教師,運用 R2C2/ADAPT 對話。Play the clinician giving post-CCC feedback, using R2C2 / ADAPT.

材料:學習歷程 · CCC 決議報告 · 教師回饋腳本 · 紙筆Materials: portfolio · CCC report · feedback script · paper, pen
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觀察者Observer

當隱形人、專注記錄Stay invisible, record carefully

不介入對話,於觀察紀錄單記錄師生互動,回饋時提供觀察。Does not intervene; records on the observation form and offers observations in feedback.

材料:學習歷程 · CCC 決議 · 觀察紀錄單 · 紙筆Materials: portfolio · CCC notes · observation form · paper, pen
每輪演練節奏The rhythm of each round
果斷讓對話收斂、優先保護回饋時間——學習多發生在回饋。Converge the dialogue decisively and protect feedback time first — learning mostly happens in feedback.
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PDT

表現構面訓練:對「好的回饋會談該含什麼」建立共享心智模式。Performance Dimension Training: build a shared mental model of a good feedback conversation.

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對話Dialogue

教師與學員進行 CCC 後回饋會談,運用回饋模式收斂 ILP。Teacher & learner run the post-CCC feedback dialogue and converge on an ILP.

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回饋Feedback

觀察者回饋+三方反思:辨識用了哪個框架、感受如何。Observer feedback + three-way reflection: which framework was used, how it felt.

理論工具箱Theory toolbox
在演練當下提醒「現在正在用哪個框架」,讓理論變成具體行為。Name "which framework we're using now" in the moment, so theory becomes behaviour.
PDT

表現構面Performance dimensions

對照七大能力構面,標註學習歷程證據。Map to seven competency domains with portfolio evidence.

EPA

信賴量表Entrustment

離散 L1–L5,不取小數、不平均;理解現況與下一目標。Discrete L1–L5, no decimals/averaging; current level & next target.

R2C2

關係→反應→內容→教練Relationship→…→Coaching

別跳過前兩步直接給建議。Don't skip the first two steps and jump to advice.

ADAPT

Ask·Discuss·Ask·Plan·TrackAsk·Discuss·Ask·Plan·Track

主持回饋環節時的主用模式。Main model when hosting the feedback segment.

PREPS

開場前準備Setting the stage

建立關係·定目標·選場域·用「回饋」開場。Relationship · goals · setting · signpost feedback.

兩大工具如何搭配How the two tools work together
配套教案生成器產出每個案例的角色扮演材料;引導者手冊依梯次與時間規劃工作坊流程。兩者共用同一套五階段 ADAPT × R2C2 架構。The case generator produces each case's role-play materials; the facilitator book plans the workshop by cohort and timing. Both share one five-phase ADAPT × R2C2 structure.
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配套教案生成器Case Generator

產出「角色扮演材料」Produces the role-play materials
  • 六大醫師制度+十類醫事職類,數十個校準教案6 physician programs + 10 allied-health professions, dozens of calibrated cases
  • 每案五份文件:學習歷程檔案 · 個人劇本 · CCC 決議報告 · 教師回饋腳本 · 觀察紀錄單Five docs per case: portfolio · personal script · CCC report · feedback script · observation form
  • 里程碑(1–5 發展量表)/EPA(信賴 8 級)雙計分模式Milestone (1–5) & EPA (entrustment) dual scoring
  • 可勾選列印需要的文件Selective printing of the docs you need
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引導者手冊產生器Facilitator Book

產出「工作坊流程」Produces the workshop run
  • 依梯次名稱、起訖時間、輪數自動排出流程表(封面/runsheet)Auto run-sheet from cohort, time window & rounds (cover / runsheet)
  • Facilitator 角色定位 · 三角色與情境 · 材料發放對照表Facilitator role · three roles & scenario · materials distribution
  • 理論工具箱(PDT/EPA/R2C2/ADAPT)· 現場提問句庫與常見狀況Theory toolbox & on-site prompt bank / common situations
  • 中英雙語、可列印成手冊Bilingual, printable as a booklet
建議備課流程Suggested prep workflow

① 設定梯次與案例(決定每輪職類/信賴等級/回饋焦點)→ ② 用「配套教案生成器」逐案印出三角色材料(學員=個人劇本+學習歷程;教師=CCC 決議+教師回饋腳本;觀察者=觀察紀錄單)→ ③ 用「引導者手冊」排好時間與流程、現場引導 → ④ 以觀察紀錄單回饋並共擬下一階段 ILP。 ① Set cohort & cases (profession / entrustment / feedback focus per round) → ② Use the Case Generator to print each case's role materials (learner = script + portfolio; teacher = CCC report + feedback script; observer = observation form) → ③ Use the Facilitator Book to plan timing & run on-site → ④ Debrief with the observation form and co-draft the next ILP.

📘 引導者手冊產生器Facilitator Book Generator
設定梯次與時間,自動排出工作坊流程與引導手冊(中英雙語、可列印)Set cohort & timing to auto-generate the workshop run-sheet and facilitator book (bilingual, printable)
📑 臨床教練配套教案生成器Clinical Coaching Case Generator
選職類與教案,產出學習歷程/個人劇本/CCC 決議/教師回饋腳本/觀察紀錄單Pick a profession & case to generate portfolio / script / CCC report / feedback script / observation form
📝 教材使用經驗調查Materials Use-Experience Survey
針對角色演練教案與配套文件的使用經驗量表(5 構面 20 題+各文件效用+NPS,匿名、可連動 Google 試算表)Use-experience scale for the role-play materials (5 constructs · 20 items + per-doc usefulness + NPS; anonymous, Google-Sheet ready)
🎬 臨床教練課程簡報Clinical Coaching Course Slides
系列課程簡報,點選 Part 1 / Part 2 切換(← → 或點擊左右半邊翻頁、F 全螢幕)Course slide decks — switch Part 1 / Part 2 (← → or click sides to navigate, F for fullscreen)
獨立分頁開啟Open in new tab
📤 學習者檔案上傳Learner File Upload
學習者上傳 ILP 相關文件(Word/PDF),自動存入雲端資料夾、記錄並寄送確認信Learners upload ILP documents (Word/PDF); auto-saved to Drive, logged, and a confirmation email is sent