中文摘要
繼續醫學教育（Continuing Medical Education；簡稱CME）對醫師來說不僅是責任也是義務，也為了持續提昇自我醫學知識及臨床能力，然而醫師工作特性具有忙碌、時間長、經常移動等，因此容易造成CME參與上的學習困擾，許多研究顯示，醫師參與CME最主要的學習困擾與時間有關，因此，本研究旨在探討，具有行動力的Mobile CME能否提供醫師方便、快速的學習方式，並且進一步探討醫師對Mobile CME之接受偏好與態度，以作為Mobile CME之後續發展與未來研究之參考。
本研究選用文字型、多媒體型、互動型等三種不同媒體表現之Mobile CME教材作為研究工具，以北部某教學醫院之各專科醫師、住院醫師以及實習醫師等作為實驗對象，以立意取樣36名受試者進行試用及訪談。根據研究結果顯示，醫師參與CME方式相當多元，但參與選項並不包含Mobile CME，而醫師在實際接觸Mobile CME後，對於它所帶來的學習助益多數持正面、肯定的態度，相較於實際接觸前在使用意願上亦有顯著性的提昇。高年資醫師偏好文字型Mobile CME，低年資醫師偏好互動型Mobile CME；如果請受試醫師推薦給其他不同經驗背景的醫師來使用時，則高、低年資醫師對於不同媒體呈現，在推薦看法上除多媒體型意見相同外，其餘類型均呈現相反。當假設使用Mobile CME需要付費時，多數受試醫師認為付費會降低醫師對Mobile CME的使用意願，而且認為CME內容付費影響將大於CME學分認證付費。

Abstract
Continuing medical education (CME) is not only a responsibility for physicians, but also to maintain, develop and increase medical knowledge and clinical ability. However, busy, long working hours and movement frequently is the characteristic for physicians. Thus, the situation is inconvenience for physicians in participate the CME. Many studies indicated the time is the most important reason prevent the physicians attends the CME. The aim of this project was investigate whether the Mobile CME can provide the convenience and fast learning for physicians. In addition, the preference and acceptance of physicians in using Mobile CME was also investigated for provide the development of Mobile CME in the future.
The study adopted three various Mobile CME media for research tools. Thirty six subjects involved in specialist physicians, resident physicians and internships who are all belong to a teaching hospital in North of Taiwan participated the project. The analytic results exhibited the physicians selected various way to participate the CME but not included the Mobile CME. Nevertheless, after contact Mobile CME, most physicians experience learning benefit, and significant enhance the willingness of use. Interestingly, senior physicians preferred text-based model of Mobile CME while junior physicians preferred interactive-based model. In media type of Mobile CME, the study also found no matter senior or junior physicians, all of them will recommend the multimedia type to other specialist physicians. However, senior and junior physicians had opposite opinion in using other media type of Mobile CME. Moreover, most subjects would reduce willingness in using Mobile CME if using them need to payment. Further, they thought pay for CME content has greater impact in willingness than pay for CME certification.

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