1. Educational resources (20 items)
1.1 Faculty
1.1.1 The chief of medical staff of DOH certified specialties should have the required qualifications.
1.1.2 The percentage of visiting staff who are DOH certified specialists must be appropriate.
1.1.3 The ratio of resident doctors to visiting staff who are DOH certified specialists should be reasonable.
1.1.4 The ratio of medical students to visiting staff who are DOH certified specialists should be reasonable.
1.1.5 All training plans of resident doctors and medical students should have a qualified program director.
1.1.6 All training plans for paramedical students should have a qualified program director.
1.1.7 The faculty to train paramedical students should have the required qualifications and the faculty-to-student ratio should be appropriate.
1.2 Teaching and research facilities and equipment
1.2.1 Visiting staff should have their own offices.
1.2.2 The number of lecture halls, small group discussion rooms and conference rooms must be sufficient and there should also be sufficient computing facilities to look up information and conduct statistical analyses.
1.2.3 The hospital is equipped with internet educational equipment and is capable of tele-consultation.
1.2.4 The hospital can provide and produce pedagogical tools.
1.2.5 Research rooms are available and there is evidence of their research and teaching effectiveness.
1.3 There are adequate and convenient mechanisms for looking up books and literature and an appropriate utilization rate
1.3.1 The hospital has purchased necessary books and journals, has proper management of the library, and has provided all the departments most updated library information.
1.3.2 Proper utilization rates of library collection.
1.3.3 Provide searching services.
1.4 Clinical training environment
1.4.1 The hospital provides good outpatient training facilities, which includes learning convenience, health care quality, patient safety and privacy.
1.4.2 The hospital provides good emergency training facilities, which include learning convenience, health care quality, patient safety and privacy.
1.4.3 The hospital provides good inpatient training facilities, which includes learning convenience, health care quality, patient safety and privacy.
1.4.4 The hospital provides resident doctors and medical students with space and equipment needed for learning and training.
1.4.5 The hospital provides paramedicals and paramedical students with space and equipment needed for learning and training.
2. Teaching and training plans and outcomes (42 items)
2.1 The execution and results of teaching and training plans for medical students
2.1.1 The objectives of the teaching and training plans for medical students are feasible and the content of the core curricula is appropriate.
2.1.2 The teaching contents for medical students are sufficient and there are complete records in their student profiles.
2.1.3 The numbers of patients cared for by medical students and those of their on-duty shifts are appropriate and suitable for learning, and there are proper mechanisms of instruction and supervision.
2.1.4 The quantity and quality of seminars are appropriate and the content is helpful for the learning of medical students.
2.1.5 Visiting staff hold teaching rounds regularly (including bedside teaching) and medical students attend teaching rounds every week.
2.1.6 The medical record writing (including admission notes, progress notes, discharge summaries and outpatient records) of students is complete and of appropriate quality.
2.1.7 Visiting staff should review and revise medical students' medical record writing when necessary.
2.1.8 There are comprehensive medical student teaching and learning performance assessments and two-way feedback mechanisms.
2.1.9 Proper safety and universal precaution training for medical students.
2.1.10 The learning outcomes of medical students are good.
2.2 The execution and results of teaching and training plans for resident doctors
2.2.1 The objectives of the teaching and training plans for resident doctors must be feasible and the content of core curricula appropriate.
2.2.2 The hospital has passed the survey for post graduate general medicine training and continues to improve training quality.
2.2.3 The outpatient and inpatient teaching content (including bedside teaching) for resident doctors are sufficient and there are records in their learning profiles.
2.2.4 The numbers of patients cared for by resident doctors and those of their on-duty shifts are appropriate and suitable for learning, and there are proper mechanisms of instruction and supervision.
2.2.5 The quantity and quality of seminars are appropriate and the content is helpful for resident doctors.
2.2.6 Visiting staff hold teaching rounds (including bedside teaching) regularly and resident doctors attend teaching rounds every week.
2.2.7 The medical records (including admission notes, progress notes, discharge summaries and outpatient records) written by resident doctors are complete and have appropriate quality.
2.2.8 Visiting staff should countersign and revise, when necessary, resident doctors' medical record writing.
2.2.9 There are comprehensive resident teaching and learning performance assessments and two-way feedback mechanisms.
2.2.10 There is proper safety and universal precaution training for resident doctors.
2.2.11 The average overall pass rate for internal medicine, surgery, obstetrics and gynecology, and pediatrics board exams for the past 3 years is above 75%.
2.2.12 The results of interviewing and evaluating resident doctors are good.
2.3 The execution and results of teaching and training plans for nursing students
2.3.1 The department of nursing has signed with nursing schools practicum contracts in which mutual responsibilities have been clearly stipulated.
2.3.2 The content and execution of the teaching plans for nursing students can match the needs of nursing students.
2.3.3 The hospital and the schools have regular review meetings.
2.3.4 The hospital and the schools jointly evaluate nursing students.
2.3.5 Interview nursing students to evaluate their performance and responses to clinical teachings.
2.4 The execution and results of teaching and training plans for pharmaceutical students
2.4.1 The objectives of the teaching and training plans for pharmaceutical students are feasible and the content of core curricula is appropriate.
2.4.2 The required subjects for pharmaceutical students' practicum are clearly stated and there are proper mechanisms of instruction and supervision, and records in their learning profiles.
2.4.3 The quantity and quality of seminars are appropriate and the content is helpful for the learning of pharmaceutical students.
2.4.4 There should be performance assessments for the training of pharmaceutical students in order to understand whether training results fulfill the professional demand of pharmacists.
2.4.5 Two-way teaching and learning feedback mechanisms should be established.
2.5 The execution and results of teaching and training plans for radiation technology students
2.5.1 The objectives of the teaching and training plans for radiation technology students are feasible and the content of the core curricula is appropriate.
2.5.2 The course content and teaching activities for radiation technology students are appropriate and academic seminars are regularly held.
2.5.3 The clinical teaching for radiation technology students is appropriate.
2.5.4 There are comprehensive teaching evaluations, and two-way teaching and learning feedback mechanisms for radiation technology students.
2.5.5 The learning outcomes of radiation technology students are good.
2.6 The execution and results of teaching and training plans for clinical laboratory students
2.6.1 The objectives of the teaching and training plans for clinical laboratory students are feasible and the content of core curricula is appropriate.
2.6.2 The teaching content for clinical laboratory students are sufficient and there are complete records in their learning profiles. Academic seminars are regularly held and the content is helpful for the learning of students.
2.6.3 There are comprehensive teaching and learning evaluations, and two way teaching and learning feedback mechanisms for clinical laboratory students.
2.6.4 Proper safety and universal precaution trainings for clinical laboratory students.
2.6.5 The learning results of clinical laboratory students are good.
3. Research and results (9 items)
3.1 There should be good research incentives
3.1.1 There should be bylaws and incentives to encourage physicians and paramedicals to participate in research and to reward good research, and all these arrangements should function properly.
3.1.2 Emphasize research ethics and verify the authenticity of research publications.
3.2 The results of research project execution
3.2.1 There should be research projects that have been funded by the hospital or outside resources.
3.2.2 Physicians should have good research results.
3.2.3 The execution and results of paramedicals' research.
3.2.4 Research publications (including research projects and results) demonstrate inter-specialty integration.
3.3 Human subject experimentation
3.3.1 There are comprehensive charters and operational procedures for the Institutional Review Board.
3.3.2 The obtaining of consent from human subjects and the protection of their rights are complete.
3.3.3 There are project review and supervision mechanisms.
4. Development of clinical faculty and continuing education(8 items)
4.1 The execution and results of faculty development
4.1.1 There should be a faculty development system for physicians, which has been effectively operational.
4.1.2 There should be a faculty development system for paramedicals, which has been effectively operational.
4.1.3 Teaching incentives for full-time attending physicians should be clearly promulgated and executed fully so as to encourage them dedication to teaching.
4.1.4 Teaching incentives for paramedicals should be clearly promulgated and executed fully so as to encourage dedication to teaching activities.
4.2 Continuing education
4.2.1 Continuing education in professional knowledge.
4.2.2 Continuing education of basic ability in general medicine (such as patient safety, health care quality, physician-patient communication, medical ethics and law, infection control, evidence-based medicine and medical record writing.)
4.2.3 Continuing education for the improvement of teaching.
4.2.4 Continuing education of paramedicals.
5. Academic exchanges and community education (8 items)
5.1 Practical training collaboration domestically
5.1.1 There are substantive collaboration relationships among hospitals, and the content and interactions are good.
5.1.2 Training collaboration mechanisms have been established with other hospitals.
5.2 Participate in international health, domestic and international medical aid and disaster relief
5.2.1 Participate in international health activities and establish collaborating mechanisms for teaching, advanced study and research.
5.2.2 Participate in domestic and international medical aid and disaster relief, and assist in establishing systems and personnel training.
5.3 Continuing education of primary care physicians in the community
5.3.1 Organize various continuing medical education activities for primary care physicians.
5.3.2 Good exchange of information between the hospital and primary care physicians.
5.4 Health education for community residents
5.4.1 Provide health information for community residents.
5.4.2 Change the health care seeking attitudes of the public.
6. Administration (8 items)
6.1 The operation of administration
6.1.1 There is an administrative unit for medical education to ensure proper execution and resource allocation.
6.1.2 Every clinical department has proper numbers of supporting administrative staff for teaching and research.
6.2 A medical education committee should be established
6.2.1 The organization, function and roles of the medical education committee.
6.2.2 The medical education committee has good interactions with all the other departments that have teaching responsibilities, helpful for the promotion of medical education.
6.3 Funding for teaching, advanced study and research
6.3.1 There should be separate funding for teaching, research and advanced studies, which could be supported by budgeting and final accounting data. The proportions allocated to physicians and paramedicals should be appropriate.
6.3.2 The general medicine training funds supported by the DOH should be fully spent on the general medicine training program.
6.4 Performance assessment of the execution of teaching and research and subsequent improvement
6.4.1 Each clinical department should have regular teaching performance assessments and should implement improvement measures.
6.4.2 Each clinical department should have regular performance assessments of and statistics on the execution of research projects.