The Process of Becoming a Doctor in Taiwan - An
Interview
What is the process of becoming a doctor in Taiwan?
Group 1
We interviewed the homeroom teacher of
one of our group members, Chu zhi-sheng, by cell phone. The
following is his reply to our question.
Dr.Chu graduated from Kaohsiung Medical College. He majored in the
research of serious heart disease and molecular biology. Besides
courses, Dr. Chu joined the chorus club, where he made lots of
friends and developed social skills.
As for school work, the courses in the first year focused on general knowledge
courses. The second to fourth years began with basic medical courses. He passed
the preliminary national examination at the end of the second semester in the
fourth year. In the fifth and sixth years, he started the clerk courses. In the
seventh year, he became an intern.
Except hardworking to increase knowledge, Dr.Chu also gave us some advices. He
told us “To be a doctor ,intelligence is not the most important factor. Instead,
patience is.” Most students come into medical school to live up to their
parents’ expectations. They will not care their patients from their true heart.
It is a long way to be a doctor. In addition to sharpening our skill and
absorbing medical knowledge, we should “love” this job. This will influence the
attitude we toward patients.
This is Brian’s uncle M.D. Lee who is a Gastroenterological department VS in Changhua Show Chwan Memorial Hospital.
Group
3
Q: What is your learning process from medical student to a doctor?
A: I have to take seven years in college just like you. In the forward four years, we learn basic subject such as, calculus, chemistry, biology…that is really a relaxing time because of less stress. In the backward three years, however, we need to learn clinical medicine which is actually involving numerous things you have to remember.
And I think the most important time is a R (resident). You at least need to take
three years to run almost every department and you need to keep and develop
right attitude and compassion. Finally you will find a special department to
study. Then you have to face specialist license examination. After you pass it
you will have the chance to become a VS(visiting staff) Q: What is your point of view to the medical education in Taiwan now? A: I think after SARS the medical education in Taiwan change a lot but
there still many things to eager. We want to develop not a cold and calm doctor
but a warm and patient doctor so you guys, doctors in the future, need to do
your best!!
Medico = Medical student
B.M. = Bachelor of Medicine
Intern
R = Resident
GR = Generl Resident
VS = Visiting Staff
Specialist
M.D. = Medicinae Doctor = Doctor of Medicine
Suggestions from Dr. Shih for Medical Students in
Taiwan
Group
4
We all know that being a medical student
might not be an easy job, but the process of becoming a doctor is
not known to many. To know what a medical student in Taiwan will
face in the process of becoming a doctor, we interviewed an
experienced doctor, Dr. Shih, about his opinions, and after
practicing medicine for almost 30 years, there are things that Dr.
Shih wants us, the medical students nowadays, to be aware of.
First of all, Dr. Shih thinks that the real challenges for a medical student
emerge only when the clinical work comes. Therefore, it’s important to master
essential medicine such as histology and anatomy. After entering the department
of medicine, medical students will be busier and busier, and we will have no
time to waste on trifles. So, if we can digest the important points in essential
medicine, we will be able to handle the situation and make precise decisions
more quickly.
Another crucial thing is our attitude toward patients we faced. In the past, a
doctor can make a fortune by opening a private practice, and it seemed that it
was very easy to become a rich man by being a doctor. However, such situation
has changed nowadays because of the enforcement of the National Health
Insurance. Recently, we consider the job of being a doctor included in the
service industry. Consequently, as medical students who are going to be doctors
in the future, we must adjust our attitude toward patients. In other words, we
must learn how to help patients with great passion.
Dr. Shih said that he used to think that everything would go just fine after he
graduated from medical school. However, the real situation was not like what he
had thought and the two things he mentioned above become much more important.
Moreover, they also have a great effect upon our future of becoming doctors.
A person we should learn from– Chih-Sheng Chu’ progress of becoming a doctor
Group
5
It’s difficult to foresee our future. However, after interviewing Dr. Chu, we can reflect to ourselves and know more about what and how to pursue our goals. The following is his experience.
Dr. Chu is from Kaohsiung. He completed seven-year medical education and graduated from Kaohsiung Medical College (Now is Kaohsiung Medical University). Because he once skipped a grade, he was the youngest in his class. And, he had a great school life in KMC.
The knowledge and skills learned in KMC was plentiful. In the first year Dr. Chu
picked up the language course in Japanese and Germany. He later found that these
foreign languages help in not only practicing basic conversation skills to
foreigners, but also realizing the lyrics for those foreign songs. Besides
courses, Dr. Chu was active in extracurricular activities. He loves music.
Therefore he joined the chorus club and he made up his mind to learn the guitar
by himself in the winter vacation. By joining the chorus club, he made friends
with lots of people and developed social skills. The core and medical courses
started from the second to the fourth years. Then, he learned clinical issues at
the fourth year and smoothly passed the preliminary national examination at the
end of the second semester. While being asked about what were the most
impressive courses to him, he said it was the difficult pharmacology course
because he got the highest score in the class. He thought reading textbook is
useful to this subject. In the first four years in KMC, Dr. Chu mostly learned
from books, but the rest were not.
Like other medical students in Taiwan, Dr. Chu spent most of his time in
hospital in the rest of 3 years. In the fifth and sixth years, he started the
clerk training courses. In the fifth year he took the rotation round in the
department of internal medicine, surgery, obstetrics & gynecology and pediatrics
and he was in other departments in the sixth year. It’s special to note that Dr.
Chu participated in Asian-Pacific Medical Students’ Association (APMSA) in
Taiwan in the fifth year. In the seventh year, he became an intern. Under the
supervision and cover of residents, he started to perform real medical practice.
And Dr. Chu passed the clinical national examination before graduation.
Though he finally became a doctor after 7 years, Dr. Chu never stopped learning.
He started to learn after patients. He joined the army for 2 years in the small
island Ma-Tsu as the solider medical doctor taking cares the people over there.
And then, he applied for resident. He got admission to the obstetrics &
gynecology department of Mackay Memorial Hospital and the department of internal
medicine of National Taiwan University Hospital. However, he still chose the
department of internal medicine of Kaohsiung Medical University Hospital. After
3 years residency training in the department of internal medicine, followed by 2
year cardiology residency’s training as the chief resident, he became the
attending physician in cardiology. During the period, he got several profession
certificates. Nowadays, Dr. Chu is assistant professor in Department of Internal
Medicine, School of Medicine of Kaohsiung Medical University and majors in the
research of serious heart disease and molecular biology. He keeps doing his best
on everything.
In the end of our interview, Dr. Chu encourages us to improve our language
abilities and professional knowledge, to cultivate some life-long hobbies, and
to find leading models to learn from them in our college life!
Become a True
Doctor
Group
6
Interviewee: an oculist who own a
clinic in Banciao in Taipei. Content:
First, medical students need to learn from all knowledge of
medicine, such as anatomy, pathology, clinical medicine…..and so on.
During the summer vacation of the fourth grade, most students must
sit for a primary national exam.
Second, when medical students (or called intern) are in the sixth grade, they
have to go to a teaching hospital to exercise their skills in clinical medicine.
This curriculum will last for two years. During these two years, students should
think about which aspect (doctor) they want to be in the future. And then they
need to go to the clinical exam. If they pass the exam smoothly, they are
eligible doctors but they can just serve as family medicine doctor.
Third, most of students will choose to become specialty doctors. They have to
undergo more ordeals: they need to find a resident physician job in a hospital.
Every resident physician takes different time, for instance, a surgeon needs to
spend about six years, however, it takes only two years for physician to finish
the resident.
After finish the resident, these doctors have to accept the final exam: the exam
of specialty. And they become truly doctors eventually.
What is the process of becoming a doctor in Taiwan?
Group
7
Q: What is the process assignment of becoming a doctor in Taiwan?
Dr. Kuo:
Before you become a doctor, you have to spend 7 years in the medical
school and the following is the process of becoming a doctor: the
first two years are for your pre-med training and the following five
years are for block, clinic and intern training. And you have to vow
for Hippocratic Oath in the graduation. All above require time and
effort.
From the viewpoint of non-medical training, you have to learn ethics and
reasonable attitude towards patients. Good social skills are also needed. A
doctor needs to communicate with not only his patients but also his co-workers.
No one can deal with all the diseases alone. When you are an intern, the
teachers who lead you can also be a role model of your career life. Try to
observe how they interact with others.
After years of accumulating knowledge and invaluable moral experiences, you must
be ready to practice medicine. Be sure that you have the access to the latest
information of medicine and always be an active student.
What is the process of becoming a doctor in Taiwan?
Group
8
We interviewed doctor Shian-Shiang Wang,
who is an attending surgeon in Taichung Veterans General Hospital.
The following is our summary.
In Taiwan, to become a doctor, you could take the college entrance
examination or have the alternative of admission tests. Every year,
there're only 1,300 students who can get admission to medical
schools; therefore it will be an intense competition no matter which
way you choose.
The faculty of medicine in Taiwan is consisted of seven years to learn enough
knowledge the students need in the future. In the first to fourth years, the
courses are Liberal and Clinical studies. After the forth grade, the place where
they learn skills is changed into the hospital. In two years, they are called
Clerks, following the doctors to learn how to do. In the last year, they will be
Interns to apply what they have learned practically.
Taiwan also has five years of post-Bachelor Medical Department, including one
year of intern course. Besides, passing two stages of National Examination is
required to be qualified as a doctor.
There are six important abilities that a doctor must acquire. First, patient
care, which demands patience and empathy. Second, medical knowledge. Before
becoming a doctor, we have to know how human bodies work and how diseases happen
so that we can make right decisions to prescribe medicine. Third, we have to
learn from the work, which goes to “Practice-based learning and improving”.
Fourth, ” system-based practice”. It means we have to follow the rules and laws
under the medical system so that the system may be completed. Fifth,
professionalism. With 7-year-medical courses and training, we must acquire not
only medical knowledge but also professional medical skills.
Last but not the least, we need to have interpersonal and communication skills
since then, we can make ourselves to understand and build good relationships
with patients.
In addition, because nowadays, interns ask for their rights, they practice less
than the precedent doctors. To prevent from low healing quality, a law must be
made. Every student must practice what they have learned from their intern
period during their first year of becoming doctors. It is believed to complement
the experience they don’t have.
What is the process of becoming a doctor in Taiwan?
Group
9
We interviewed the homeroom teacher of
one of our group members, and the following is her reply to our
question.
The first step to become a doctor in Taiwan is to enter a medical
school. For the first two years, we study general education. During
the third and forth grade, we study basic medical courses. In the
fifth and sixth grade, we study the clinical medicine. At the last
year, we will become interns.
After graduation, we can apply for residents in different hospitals. At the same
time, we have to pass the Junior Professional & Technical Examinations for
Medical Personnel to obtain a medical license. During this period, we have to
stay in a hospital to learn how to deal with real situations. After years of
strict training, he or she will become a chief resident in accordance with the
professional subject he or she chooses. If everything goes well, he or she will
be a visiting staff and become a real doctor at the end.
In class activity:
Drawing a portrait of the protagonist Yossel Shepps in “A Beacon in the
Night”
Descriptions of Yossel given in “A Beacon in the Night” “five five
when he stands up straight, big clumsy hands and feet, cheeks like
emery boards, a droopy left eyelid, a funny way of not quite looking
at you when he looks at you.” “Yossel’s always wearing new clothes.”
Short Talk:
Every young person should be completely free to
choose the kind of education and job or profession he wishes
without parental interference.