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This aspect emphasizes the importance of clinical training throughout the medical education process.
The medical education process needs a collaborative work spirit and leadership with full participation of leaders, faculty members and support staffs.
The Objective Structured Clinical Examination (OSCE) formally became part of the medical education process in Taiwan in 2006 and part of the licensure test in 2012 [ 14, 15].
Therefore, success in the medical career seems to be the consequence of the level of personality structure integration, and not a simple result of the medical education process.
Accordingly, medical education associations and other professional organizations in several countries agree that empathy is a desirable physician characteristic that should be developed and promoted in the medical education process [ 23- 28].
Postgraduate medical education (PGME) is an important part of the continuing medical education process and takes place after the completion of medical school; its purpose is to cultivate the ability to work both independently and under the guidance of instructors [ 2].
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The uncertainty of the faculty can be explained by the fact that the faculty were not trained in the new medical education processes and the University examination pattern was not changed from a traditional manner.
The bulk of studies have focused on medical education, a process often likened to military and religious training, with elder patriarchs imposing the hair shirt of shame on acolytes unable to incorporate a profession's accepted values and behaviors.
Studies in the area of shared decision-making suggest that adoption of the so-called 'empowerment paradigm' – which acknowledges that chronically ill patients provide most of their care themselves – will require time and effort, and a supportive health system context in terms of medical education, care processes, quality measurement, and provider reimbursement [ 53].
Role modelling has been described within medical education as the process in which " Faculty members demonstrate clinical skills, model and articulate expertise thought processes and manifest positive professional characteristics" [ 1].
We have identified several strategic opportunities to incorporate much-needed pediatric environmental health into the existing medical and nursing education process.
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