台灣不承認波蘭牙醫及醫師資格

2025-12-21

台灣不承認波蘭牙醫及醫師資格的爭議,核心在於教育訓練的時數與品質差異,以及由此衍生的醫療品質與公平性疑慮。所謂的「波波醫師」多數指在波蘭受訓後返台執業的醫師,然而其在當地的醫學教育模式和訓練內容,長期被質疑未達台灣本土醫學系的嚴格標準,也引發社會與醫界廣泛討論。

台灣本土醫學生需經過聯合招生考試或分發程序,完成七年的完整醫學教育,並累積數千小時的臨床實習。然而,部分波蘭醫學院的國際專班入學門檻相對低,學費高昂,課程設計短時且偏向觀摩性質,部分「實習」被視為「見習」,實際累積的臨床操作經驗遠低於台灣標準。有些學生甚至在當地尚未取得行醫執照,即可回台參加國家醫師考試,使醫界認為這造成不公平競爭,也可能影響病患的醫療安全。

此議題在法律層面也曾引發重大爭論。隨著波蘭加入歐盟,過去《醫師法》曾一度放寬對九大地區醫學學歷的承認,其中就包括波蘭,引起本土醫師強烈反彈。2022年修法後,自2023年起入學的學生需通過學歷審查,並必須符合當地的臨床實習要求,確保訓練品質。然而,2022年底前已入學的學生仍適用舊制,加上對其訓練內容及行政審查過程存在放水疑慮,使爭議仍持續存在。目前,「波波醫師」的新入學生必須經過更嚴格的審核程序才能在台執業,這在一定程度上平息社會疑慮。然而,對於過去舊制下的波蘭牙醫與醫師是否具備足夠臨床能力與公平性,醫界與社會仍持續關注,這個問題也成為台灣醫療制度中一個長期討論的議題。

總結而言,台灣對波蘭牙醫資格的不承認或嚴格審查,反映社會對教育體系完整性、實習時數以及醫療公平性的重視。即便法律已有修訂,過往制度漏洞與對醫療品質的擔憂,仍讓這一議題在醫界與社會中保持高度關注。

The controversy over Taiwan’s non-recognition of Polish dental and medical qualifications centers on differences in training hours, education quality, and the resulting concerns over medical standards and fairness. The so-called “Polish doctors” typically refer to physicians who completed their training in Poland before returning to practice in Taiwan. However, the structure and content of their medical education abroad have long been criticized as falling short of the rigorous standards of Taiwan’s domestic medical schools, sparking widespread debate within both society and the medical community.

In Taiwan, local medical students undergo entrance through joint exams or placement programs, complete seven years of comprehensive medical education, and accumulate thousands of hours of clinical practice. In contrast, some Polish medical schools’ international programs have relatively low entry barriers, high tuition fees, and short, observation-focused courses. Portions of what are called “clinical rotations” are often considered more like “observations” than true hands-on training, with actual clinical experience far below Taiwan’s requirements. Some students even return to Taiwan without having obtained a medical license in Poland, yet are eligible to take Taiwan’s national medical exams. This has raised concerns among domestic physicians regarding unfair competition and potential risks to patient safety.

The issue has also generated significant legal debate. After Poland joined the European Union, Taiwan’s Physician Act had once eased recognition for medical degrees from nine regions, including Poland, triggering strong opposition from local medical professionals. In response, the law was revised in 2022, and from 2023 onward, students entering medical programs must pass academic verification and meet local clinical internship requirements to ensure adequate training. However, students who enrolled before the end of 2022 remain under the old system, and doubts about the quality of their training and leniency in administrative review have kept the controversy alive.

Currently, new Polish-trained students must undergo stricter evaluations to practice in Taiwan, which has somewhat alleviated public concern. Nevertheless, questions about the competence and fairness of practitioners who entered under the old system remain a point of attention within Taiwan’s medical community and society at large, making this a long-standing topic of discussion in the country’s healthcare system.

In summary, Taiwan’s cautious stance toward recognizing Polish dental and medical qualifications reflects societal emphasis on the integrity of education systems, sufficient clinical training, and medical fairness. Even though the laws have been revised, past regulatory gaps and ongoing concerns over medical quality continue to maintain public and professional scrutiny of this issue.