景 福 外 訊 JINGFU EXTRA

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景福外訊發刊詞 ;Preface (3/10/01) (a) 被景福會刪除的文章﹕景福會應以回饋母校為主旨(3/10/01) (b) 被景福會刪改的文章﹕北美台大醫學院校友們已站起來了!!給景福校友的公開信(3/10/01) Feedback; 回應

3)向台大醫學院、醫院建言;Suggestions to NTUMC/NTUH

Is Taita Still the Most Prestigious Medical School in Taiwan

3.1)Is Taita Still the Most Prestigious Medical School in Taiwan ?

Originally sent to Dr. Chen, Wei-chao and other officials,It was also published in Jingfu Extra #2 Feb., 1992. Do you think much have changed? Chen-Hsing Hsu (許振興), M.D. Graduate of 1965. Professor, Internal Medicine , University of Michigan I have visited Taiwan several times in the past four years as a visiting scholar. I have discussed the issues of medical education and the outdated system of Taita University Hospital with former classmates, deans of medical schools, super- intendents of hospitals, and persons who are concerned about the education. Apparently, there have not been much progress and changes occurred since I left the medical school twenty-six years ago. In contrast, the Yang-Ming Medical School and the Chang-Kung Hospital have made significant academic achievement and scientific contribution in the past few years. In this brief communication, I would like to share with you my personal opinion as to why Taita has not made much progress in the past two decades. I would also offer few constructive suggestions to correct the problems. 1. Lack of leadership: The departmental chairmen and division chiefs are chosen not on the basis of a merit system but rather on their political connections and their years of services at the university . They are mostly concerned with their personal fame of being the chairmen and/or the chiefs. They fail to seize upon the opportunity and power in the furtherance of medical education and the overhaul of the outdated system. They are intimidated by the traditional system and are afraid to speak out and to fight against the corrupted system. 2. Inbred and Isolation: The medical school is unable to update the education system and research technology. The school refuses to recruit oversea scholars to participate in the educational and research endeavors. The faculty are preoccupied with their personal interest and medical practice once they achieved certain levels of position. Some of the physicians are unable to provide detailed medical information of patients upon request by other physicians. The house staff medical note is uninformative and poorly written. The medical students inherit poor role models form their teachers and perpetuate the corrupted system when they become faculty themselves. 3. Arrogance and Lack of Compassion: Not all talented students are qualified for becoming physicians. The current system of choosing medical students are based on the scores of the college entrance examination which does not take into consideration of moral characters. Hence the system cultivates a group of physicians who are not likely to be much interested in patients' medical welfare. They treat patients with coercion, threat, and lie instead of respect, sincerity and compassion. They openly accept monetary bribe without shame before accepting patient for medical treatment. Consequently, patients become suspicious of physicians and physicians lose respect from patients. Patient and physician abuse each others. 4. Lack a Sense of Responsibility: I got the impression of "This is not my fault" attitude from the faculty when I brought to their attention several issues regarding the outdated modality of hospital clinics system and admission policy. They believe that other faculty members are responsible for the problems even though they themselves are part of the system. They refuse to accept the notion that the hospital problems belong to every and each one of the faculty member . We, the alumni, should speak out and actively engage in the reform of our medical school. We can no longer maintain our silence and accept the outdated and corrupted system of The Taita Medical School. The following are few solutions to the above problems. I. The dean of the medical school should reorganize the office of the dean. He should appoint several associate deans such as associate dean for medical student education, associate dean for hospital affairs, associate dean for research, associate dean for public relationship, etc. The dean will delegate responsibility to the associate deans and they will work as a team to make important decisions. Such a team work will establish a strong power base for the dean to carry out reform and overhaul the outdated system. 2. The dean of the medical school should form two special committee to review the existing problems of the medical school and the hospital. One is external review committee which consists of oversea scholars and scholars from other medical school. The other is internal review committee formed by the faculty of the medical school. Each committee consists of five members who are qualified "for assessing and evaluating the hospital and medical education. The committee will assess the strength as well as the weakness of the school and offer constructive suggestions. Since the review is conducted by the internal as well as the external experts, the dean will have less resistance to correct the problems. 3. The departmental chairman and the division chiefs should be chosen by search committee. The candidate should include external as well as internal qualified personnel. Each candidate should be carefully scrutinized for their leadership quality and their academic achievement. Once they are appointed to their positions, they should be given the authority to freely conduct their administrative business defined by the dean of the medical school. The years of services should not be limited to six years, although this may require amendment to the bylaw. 4. The medical school should take the advantage of financial support provided by the National Academy of Science. U sing this resource to invite oversea scholars to assist the education of medical students, training hospital physicians, and conducting research. 5. Encourage young physicians to take fellowship programs in the USA and establish a fellowship coordinating center in the USA. This center will assist the newly arrived student or house staff settling in the USA. This center also can assist faculty members to prepare their agenda for visiting the hospitals and science centers of the USA. Without careful preparation, visiting any medical center will not be informative. I believe Dean Wei-Jao Chen is a person with high professional integrity. He can inspire a new sense of hope and instill confidence throughout the university . We should make every effort to support his radical reform so that Taita will remain to be the most prestigious medical school in Taiwan. 回到3)向台大醫學院、醫院建言;Suggestions to NTUMC/NTUH目錄 回到景福外訊目錄 請寄來﹕alchu@i1.net。請自己或找人打漢字用e-mail送來,不然請用英文。 Please send manuscript to Jen-yih Chu 投稿請寄朱真一 Any comment and question, please send to Albert Chu 朱真一 Please send comment to Jingfu-Yi-shun; 去信景福醫訊 Any comment and question, please send to Albert Chu 朱真一 Link to: 客 台 語 專 刊 各 期 Link to:TAIWANESE HAKKA 台 灣 客 家 (ENGLISH) Link to:HAKKA TAIWANESE RESOURCES 客 台 語 資 料 庫 Link to:HAKKA TAIWANESE HAKKA CULURE 台 灣 客 家 文 化 專 刊 Link to:TAIWANESE MEDICAL HISTORY 台 灣 醫 學 史 專 刊 Link to: TAIWAN RELATED ARTICLES 台 灣 專 刊