With the rapid development of medical technology and the challenges of the post-pandemic era, medical education is facing a major transformation. The traditional apprenticeship system is no longer sufficient to cope with the highly complex clinical environment. Our hospital deeply understands that talent cultivation is the foundation of medical quality. In recent years, we have actively promoted "Smart Technology × Educational Innovation," with a "high-value medical education model" at its core. Through digital transformation, AI, and immersive technologies, we are reconstructing the teaching environment to enable faster, broader, and more accurate experience transfer, and to cultivate a new generation of medical professionals with resilience and forward-looking vision while ensuring patient safety.

I. Process Innovation: From Digital Transformation to Efficient Paperless Management

               Educational reform must begin with the digitization of administrative processes. In the past, paper-based assessments and cumbersome administrative procedures were not only time-consuming but also made it difficult to accumulate and analyze teaching data. Our Department of Teaching has adopted tools such as Microsoft 365 to promote process reengineering and paperless processes, enabling the integration and visualization of fragmented information, improving decision-making efficiency and the ability to track improvement solutions.

           The establishment of the "Electronic Learning Passport" and the "Digital Course System" creates a personalized learning database for each student, comprehensively recording attendance, course participation, and clinical performance. Combined with the principles of Competency-Based Medical Education (CBME), this data-driven approach enables individualized learning plans. This process optimization integrates the learning process, competency assessment, and administrative management, forming a smart teaching management ecosystem.

II. Intelligent Upgrade of Knowledge and Skills: Gen AI and Intelligent Chief Physician

              In terms of knowledge transfer and clinical support, the application of generative AI has opened up new possibilities. Our hospital is actively exploring the use of GenAI to build a national examination question bank and assist in curriculum design. AI can help teachers quickly generate diverse clinical scenario questions and even provide real-time analysis based on students' answers, enabling personalized teaching. In addition, to address the issue of heavy clinical workloads, our hospital has also planned the concept of "Intelligent Chief Physician," which uses AI to support clinical decision-making, SOP lookup and medical guidance retrieval, and even assist in interpretation, helping frontline physicians reduce their cognitive load and focus on patient care.

III. A Revolution in Teaching Tools: Virtual Humans and Comprehensive Communication Training

            Practicing directly on real patients often involves risks. The Institute of Medicine (IOM) pointed out in its report "To Err is Human" that a safe environment that allows for mistakes should be established, allowing trainees to learn from their errors. To address this, our hospital has introduced a "Virtual Human Teaching Material Platform." This technology combines AI voice recognition and emotion processing to simulate highly realistic doctor-patient interaction scenarios. Currently, our hospital has developed diverse teaching materials for various job categories, such as:

l   Physician Version (PGY/Clerk): Training physicians on how to convey bad news with empathy in scenarios such as explaining colorectal cancer cases (Breaking Bad News) and interpreting adult health check reports.

l   Nursing Version: Simulating ISBAR handover scenarios to enhance the accuracy of team communication.

l   Cross-Job Applications: Including scenarios such as medic

al radiologists calming impatient patients, medical laboratory technicians handling patients who faint from injections, pharmacists providing consultation on adverse drug reactions, and even counseling psychologists communicating with families in palliative care wards.

          These virtual lesson plans provide standardized and repeatable practice opportunities. Based on the participants' dialogues, radar chart analyses (e.g., empathy, professionalism, communication skills) are generated in real time, providing specific improvement suggestions. This not only reduces the burden on clinical teachers who need to repeatedly role-play standardized patients (SPs), but also allows participants to engage in immersive practice anytime, anywhere, effectively improving their communication skills.

IV. Expansion of the Teaching Space: From VR to Immersive Classrooms – A Virtual-Real Integration

             Since the introduction of VR equipment in 2021, usage has increased from 54 users to 557 users in 2024, demonstrating a significant improvement in clinical teaching acceptance. VR allows trainees to immerse themselves in virtual operating rooms or emergency scenarios, conducting highly realistic training in procedures such as tracheostomy care, nasogastric tube insertion, and emergency procedures, breaking through time and space limitations and safely recreating high-risk situations.

             In the future, our hospital will promote "immersive classrooms" and "Hybrid Simulation," combining simulation center equipment, wall projection, motion detection, and multi-person experiences to create cross-professional team training environments, enabling physicians, nurses, and medical staff to enhance collaboration and communication in a clinically relevant environment.

V. Conclusion: Technology Begins with Humanity, Ends with Patient Safety

          Following the TPACK (Technology, Subject, and Pedagogical Knowledge Integration) framework, our institute firmly believes that technology is merely an aid to educational development; the core lies in the integration of teaching content and methods. From traditional lectures and blended learning to today's smart and immersive learning, our teaching model continues to evolve.

           In line with the national "Healthy Taiwan Deep Cultivation Plan," we will continue to invest resources in diverse talent training and the introduction of smart technologies. Through Microsoft digital tools to optimize processes, Gen AI to assist in knowledge construction, virtual humans to enhance communication, and future immersive virtual-physical integrated environments, we are committed to creating a "high-value" medical education system. All these innovations ultimately point to one unchanging goal: to safeguard patient safety, improve the quality of care, and cultivate medical professionals who treat patients with compassion and possess both professional skills and ethical integrity.

Diverse Virtual Career Course Lesson Plans

Building "immersive classrooms" and promoting "virtual-real integrated teaching"