2002 20065 WFME20082()200832008720083 ()20089()20089200911 ()

()

20089

8

1044

5-71 Prof. Laurence Geffen Dr. David Alexander Strong

2010112125

20101123830--1200

--7047VIP9

4040

: :

20004211985

52 172 57215 61 63 621 831175

10

777879199520022004WFMEIIME

5 242 1857 19)9 313 45 220072009

1WHO1110108635697331321012187300SCIE2000,IF2066

5-7 270 8-10 428

2.52.52.52.511.51

2+2+4224

20031110

36.2%24.5%

200321

-

2

22007[2007]25

2008[2008]21

3

36

3

2

20012002195

20016055

20024248 3

200216

2002555

TIME01020304050LOW(Asleep)

HIGHLow AttentionAsleep

ATTENTION12-15 minute Attention Span

PBL PBL (Problem-Based Learning)

PBL 2004PBL17200824PBL()PBLPBLPBLPBL969%

2005SimManSimBaby2008

178210.52007-2009237791/3

OSCE

OSCE

PBLOSCE

OCSE OSCEStandardized PatientsSP520SP

SP Standardized PatientsSPSimulate PatientsSP

OSCE 1999OSCE2003OSCE32SP128SPOSCEOSCE12OSCE SP6SP6OSCE

2007-201087828499

100%2007-201075.162

College System

2000

? 400070% 40

3

200068031519533

1862259823913,1

768239945912368826 17.1

466.6377.00244.15220.00256.2476.5107.07

18.40776563010419508.62328004.44922318

65742342+1032.24002010

8

12

4

PBLCMB

CMB

20022003CMB2006

2008-201098.55%,97.26%93.09%62.27%

2009(97.15%)95.72%95.71%

2007OSCE

1181122~25

,,!

(WFME)(IIME)"