In 2018, the Ontario College of Social Workers and Social Service Workers (OCSWSSW) implemented an additional screening question for prospective social workers registering with the College, requiring applicants to indicate if there is any sign they have a physical or mental condition or disorder that “could affect [their] ability to practice social work in a safe manner.” This Health Declaration policy was created within a broader context of increasing surveillance and punishment of social workers conducted by the College, on the grounds that fitness to practice social work is a bio-moral-medical quintessence that some possess and others lack, and which social work elites must identify in order to “protect the public.” This thesis undertakes a critical discourse analysis of publicly available documents provided by the College. I draw from critical disability studies, anti-colonial scholarship, and postmodern work to establish the College as an organ of the Canadian settler colonial project. I use the term “safe-ability” – distilling the Health Declaration’s language and that of their other rules, communications, and decisions – calling attention to ideological fiction operating within ableist/sanist and colonial logics, the basis of its authority to punish social workers and “protect” the public. The College uses terms like unfit, incapacity, and incompetence to conjure threat of risk throughout their documentation, showing significant investment in broadcasting lies about disabled people. College disciplinary documents show that social workers have been found to be unfit on the basis of statements about their health, inherent abilities, mental/physical examinations, and even charges of unfit conduct outside the scope of their duties as social workers. Legal and medical discourse is invoked to give the appearance of objectivity and to authorize power. I show that the OCSWSSW perpetrates abuses under cover of the fictitious entity “safe-ability” – a colonist ableist/sanist fabrication used to justify and valorize such professionalizing institutions that ought to be abolished. / Thesis / Master of Social Work (MSW)

This qualitative modified participatory study underpinned by social critical theory explored the experiences of immigrant medical practitioners seeking registration in New Zealand. The occupational science notions of occupation, occupational deprivation and occupational apartheid were used to understand the experiences of the participants. The objective of the study was to understand the experiences of the participants and facilitate their self-empowerment through facilitated dialogue, affording them opportunities for collective action. Data was obtained through in-depth interviews and focus group discussions with eighteen immigrant medical practitioners who were doctors and dentists as well as two physiotherapists. The two physiotherapists were sampled out of necessity to explore diversity in findings. Transcripts were analysed using thematic analysis. This method included the processes of coding data into themes and then collapsing themes into major themes which were organised under categories. Four categories were created in the findings describing the experiences of immigrant practitioners and suggesting solutions. Firstly; findings revealed that immigrant medical practitioners had a potential worth being utilised in New Zealand. Secondly; it was found that these participants faced negative and disabling experiences in the process of being registered. Thirdly; the emotional consequences of the negative experiences were described in the study. Fourthly; there were collectively suggested solutions where the participants felt that their problems could be alleviated by support systems modelled in other Western English speaking countries that have hosted high numbers of immigrant medical practitioners from non-English speaking countries. This collective action was consistent with the emancipatory intent of participatory research informed by social critical theory. This study resulted in drawing conclusions about the implications of the participants’ experiences to well-being, occupational satisfaction as well as diverse workforce development initiatives. This study is also significant in policy making as it spelt out the specific problems faced by participants and made recommendations on what can be done to effectively utilise and benefit from the skills of immigrant medical practitioners. A multi-agency approach involving key stakeholders from the government departments, regulatory authorities, medical schools and immigrant practitioners themselves is suggested as a possible approach to solving the problems faced by these practitioners.

This qualitative modified participatory study underpinned by social critical theory explored the experiences of immigrant medical practitioners seeking registration in New Zealand. The occupational science notions of occupation, occupational deprivation and occupational apartheid were used to understand the experiences of the participants. The objective of the study was to understand the experiences of the participants and facilitate their self-empowerment through facilitated dialogue, affording them opportunities for collective action. Data was obtained through in-depth interviews and focus group discussions with eighteen immigrant medical practitioners who were doctors and dentists as well as two physiotherapists. The two physiotherapists were sampled out of necessity to explore diversity in findings. Transcripts were analysed using thematic analysis. This method included the processes of coding data into themes and then collapsing themes into major themes which were organised under categories. Four categories were created in the findings describing the experiences of immigrant practitioners and suggesting solutions. Firstly; findings revealed that immigrant medical practitioners had a potential worth being utilised in New Zealand. Secondly; it was found that these participants faced negative and disabling experiences in the process of being registered. Thirdly; the emotional consequences of the negative experiences were described in the study. Fourthly; there were collectively suggested solutions where the participants felt that their problems could be alleviated by support systems modelled in other Western English speaking countries that have hosted high numbers of immigrant medical practitioners from non-English speaking countries. This collective action was consistent with the emancipatory intent of participatory research informed by social critical theory. This study resulted in drawing conclusions about the implications of the participants’ experiences to well-being, occupational satisfaction as well as diverse workforce development initiatives. This study is also significant in policy making as it spelt out the specific problems faced by participants and made recommendations on what can be done to effectively utilise and benefit from the skills of immigrant medical practitioners. A multi-agency approach involving key stakeholders from the government departments, regulatory authorities, medical schools and immigrant practitioners themselves is suggested as a possible approach to solving the problems faced by these practitioners.

Immigration, economic, and regulatory trends in Canada have challenged all professions to examine the processes by which immigrant professionals (international graduates) achieve professional licensure and meaningful employment in Canada. The Internationally Educated Engineers Qualification Program (IEEQ) at the University of Manitoba was developed as an alternate pathway to integrate international engineering graduates into the engineering profession in Manitoba. However, universities have the neither mandate nor the historical practice to facilitate licensure for immigrant professionals and, thus, the knowledge base for program development and delivery is predominantly experiential. This study was developed to address the void in the knowledge base and support the program’s ongoing development by conducting a critical, exploratory, participant-oriented evaluation of the IEEQ Program for both formative and summative purposes. The research questions focussed on how the IEEQ participants perceived and described their experiences in the IEEQ Program, and how the participants’ outcomes in the IEEQ Program compared to international engineering graduates pursuing other licensing pathways. The study was built on an interpretivist theoretical approach that supported a primarily qualitative methodology with selected quantitative elements. Data collection was grounded in focus group interviews, written questionnaires, student reports, and program records for data collection, with inductive data analysis for qualitative data and descriptive statistics for quantitative data. The findings yielded rich understandings of participants’ experiences in the IEEQ Program, their outcomes relative to international engineering graduates (IEGs) pursuing other licensing pathways, and their perceptions of their own adaptation to the Canadian engineering profession. Specifically, the study suggests that foreign credentials recognition processes have tended to focus on the recognition and translation of human and/or institutional capital. Yet, access to and acquisition of social and cultural capital need to receive equal attention. Further, the study suggested that, while it is reasonable that language fluency is a pre-requisite for successful professional integration, there is also a fundamental link between language and cognition in that international engineering graduates are challenged to understand and assimilate information for which they may not possess useful language or the underlying mental constructs. The findings have implications for our collective understanding of the scope of the professional engineering body of knowledge.

Immigration, economic, and regulatory trends in Canada have challenged all professions to examine the processes by which immigrant professionals (international graduates) achieve professional licensure and meaningful employment in Canada. The Internationally Educated Engineers Qualification Program (IEEQ) at the University of Manitoba was developed as an alternate pathway to integrate international engineering graduates into the engineering profession in Manitoba. However, universities have the neither mandate nor the historical practice to facilitate licensure for immigrant professionals and, thus, the knowledge base for program development and delivery is predominantly experiential. This study was developed to address the void in the knowledge base and support the program’s ongoing development by conducting a critical, exploratory, participant-oriented evaluation of the IEEQ Program for both formative and summative purposes. The research questions focussed on how the IEEQ participants perceived and described their experiences in the IEEQ Program, and how the participants’ outcomes in the IEEQ Program compared to international engineering graduates pursuing other licensing pathways. The study was built on an interpretivist theoretical approach that supported a primarily qualitative methodology with selected quantitative elements. Data collection was grounded in focus group interviews, written questionnaires, student reports, and program records for data collection, with inductive data analysis for qualitative data and descriptive statistics for quantitative data. The findings yielded rich understandings of participants’ experiences in the IEEQ Program, their outcomes relative to international engineering graduates (IEGs) pursuing other licensing pathways, and their perceptions of their own adaptation to the Canadian engineering profession. Specifically, the study suggests that foreign credentials recognition processes have tended to focus on the recognition and translation of human and/or institutional capital. Yet, access to and acquisition of social and cultural capital need to receive equal attention. Further, the study suggested that, while it is reasonable that language fluency is a pre-requisite for successful professional integration, there is also a fundamental link between language and cognition in that international engineering graduates are challenged to understand and assimilate information for which they may not possess useful language or the underlying mental constructs. The findings have implications for our collective understanding of the scope of the professional engineering body of knowledge.

Submitted by Noeme Timbo (noeme.timbo@metodista.br) on 2017-09-28T19:35:27Z No. of bitstreams: 1 Wellington Luiz Santos.pdf: 1870493 bytes, checksum: d356fb4e1f32ece8f0b209966fb240a7 (MD5) / Made available in DSpace on 2017-09-28T19:35:27Z (GMT). No. of bitstreams: 1 Wellington Luiz Santos.pdf: 1870493 bytes, checksum: d356fb4e1f32ece8f0b209966fb240a7 (MD5) Previous issue date: 2015-10-08 / The dissertation analyzes the technological education in its current configuration, investigating the perception of students of a degree of security technology at work, for their insertion in the professional field; investigating the hypothesis that these agents can sense lags in the real social process, which are expressed in the inadequacy between: the course structure of security technology at work, the judicial-legal sphere and the structure of the labor market. The research adopts an exploratory qualitative approach, based on the case study method to collect data. To discuss the issue of the professional formation and technological education in Brazil, we use bibliographic research in order to unveil the type teaching evolution in the contextual way in its relation to economic phenomena, social and political. To verify the research hypothesis, we investigated students and teachers of a safety course at work in an educational institution, through questionnaires and interviews; and we conducted a documentary research in related legislation on the issues of professional regulations in the specific field of the safety area at work. The results confirmed the research hypothesis, establishing serious modifications in the purpose and objectives of technological training, especially in its social effects. The documentary research articulated to the subjects’ answers, indicated the gap of the politics between the education area and the politics of labor and employment. Nevertheless, in the teachers’s discurses evidences were found to support hypothesis of the issue dealt with here, extend to other courses. The results show that it are necessary, further studies on this issue and to restablish a research agenda aimed at agents and process involved in this context, for the purpose of promoting discussions and identify actions and procedures to guide, correct any distortions and reduce the possibility of the repetition of events related to the problem under discussion. / A dissertação analisa a educação tecnológica em sua atual configuração, investigando a percepção de alunos de um curso superior de tecnologia em segurança no trabalho, para sua inserção no campo profissional; investigando a hipótese de que estes agentes pressentem defasagens que se encontram no processo social real e, que se exprimem na inadequação entre: a estrutura do curso de tecnologia em segurança no trabalho, a esfera jurídico-legal e a estrutura do mercado de trabalho. A pesquisa adota uma abordagem qualitativa exploratória, pautada no método de estudo de caso para a coleta de dados. Para discutir o tema da formação da educação profissional e tecnológica no Brasil, utilizamos a pesquisa bibliográfica de forma a desvelar a evolução desta modalidade de ensino de modo contextual em sua relação com os fenômenos econômicos, sociais e políticos. Para verificar a hipótese de pesquisa, investigamos discentes e docentes de um curso de segurança no trabalho em uma instituição de ensino, por meio de questionários e entrevistas; e realizamos uma pesquisa documental na legislação relacionada a questão da regulamentação profissional do campo específico da área de segurança no trabalho. Os resultados obtidos confirmaram a hipótese da pesquisa, configurando grave desvio no propósito e objetivos da formação tecnológica, mormente, em seus efeitos sociais. A pesquisa documental articulada às respostas dos sujeitos, indicou defasagem das políticas entre a esfera da educação e das políticas de trabalho e emprego. Ainda, na fala dos docentes verificou-se evidências que sustentam a hipótese da problemática tratada aqui, estender-se a outros cursos. Os resultados evidenciam que se faz necessário, aprofundar estudos neste tema e estabelecer uma agenda de pesquisas dirigidas aos agentes e processos envolvidos neste contexto, para fins de promover discussões e alcançar ações e medidas que visem orientar, corrigir eventuais distorções e reduzir a possibilidade de repetição de eventos relacionados ao problema em discussão

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / This dissertation aims to analyze the architects and their spaces of professional activity, in particular, analyze the social, institutional and political circumstances of professional participation in labor market instances. The departure of the architects of the previous Federal Council of Engineering, Architecture and Agronomy (CONFEA) and the creation of the new Council of Architects and Urbanists (CAU) brought to the fore debates about the extra-professional confrontations and the possible strategies of market reserve. In this sense, the discussions about the installation of the new representative council of the architects made it possible to show the struggle for the definition of investments for professional insertion and career ascension. In this way, the agents use a set of accumulated resources related to the social origins and the insertion in diverse social spheres. However, the extra-professional confrontations for imposition of performance and attributions of distinct professions were not only revealing a struggle for space in the labor market, but also made it possible to show an internal division, among the architects, stimulated by diversification of opinions related to the forms and behavior in the labor market. In order to understand the conflicts in analysis, it was fundamental to assimilate the system of social relations that architects establish among themselves, among other actors and with the labor market. For this, it was necessary to research the corporate and informal actions, to apprehend the social dynamics and the professional culture of the group of architects and urban planner. Thus, the spaces of action were analyzed, revealing the professional relations from the entry of new actors in a market considered restricted by the architects and urban planner. On one hand, the empirical universe is composed by the architects established in Aracaju, which are considered protagonists in the local market, and on the other, by the Council of Architecture and Urbanism of Sergipe. During the work, we studied their biographical and professional trajectories. To fulfill the purposes presented here, we subdivided this research into three main stages. In the first moment, we made a historical study of the process of structuring the field of action of the architect, distinguishing the actors that compose this space and how the discussions of professional socialization happened. In the second moment, we investigated what the architect does in practice and what his main spaces of action, discerning the social, political and economic influences that reflected in the trajectory of the profession. Finally, we identified the contents and forms of sociability of the protagonist architects who invest in the main fields of professional activity, based on changes in the labor market after the new professional regulation. This dissertation made it possible to demonstrate how the spaces of action of the architects show the formulations about the labor market and its position as architect and urbanist in front of the other actors, among their peers and before society. The present research allowed to testify that the exercise of architecture and urbanism activity is associated to the competence of application in several areas and that this proactive condition is determinant for the success in the professional trajectory. The present research corroborated that the exercise of the architecture and urbanism activity is associated to the competence of application in several areas and that this proactive condition is determinant for the success in the professional trajectory. In addition, here, there is information that allowed the understanding of the collective history of the profession and, in this way, made possible to recognize the resources that describe the investments in the profession of architecture and urbanism. / Esta dissertação tem como objetivo analisar os arquitetos e os seus espaços de atuação profissional, em específico, analisar quais as circunstâncias sociais, institucionais e políticas de participação profissional em instâncias do mercado de trabalho. A saída dos arquitetos do pregresso Conselho Federal de Engenharia, Arquitetura e Agronomia (CONFEA) e a criação do novo conselho de Arquitetos e Urbanistas (CAU) trouxeram à tona debates sobre os confrontos extraprofissionais e as possíveis estratégias de reserva de mercado. Nesse sentido, as discussões em torno da instalação do novo conselho representativo dos arquitetos possibilitaram mostrar a luta pela definição dos investimentos para inserção profissional e ascensão na carreira. Dessa forma, os agentes se utilizam de um conjunto de recursos acumulados relacionado às origens sociais e à inserção em esferas sociais diversas. Contudo, os confrontos extraprofissionais para imposição de atuação e atribuições de profissões distintas foram reveladores não apenas de uma luta por espaço no mercado de trabalho, mas também possibilitaram mostrar uma divisão interna, entre os pares arquitetos, estimulada por diversificações de opiniões quanto às formas e às condutas de atuação no mercado de trabalho. Para compreender os conflitos em análise, tornou-se fundamental assimilar o sistema de relações sociais que os arquitetos estabelecem entre si, entre demais atores e o mercado de trabalho. Para isso, foi preciso pesquisar as ações corporativas e informais, para colher as dinâmicas sociais e a cultura profissional do grupo de arquitetos e urbanistas. Em vista disso, foram analisados os espaços de atuação, revelando-se as relações profissionais a partir do ingresso de novos atores em um mercado considerado restrito pelos arquitetos e urbanistas. O universo empírico considerado é constituído, de um lado, pelos arquitetos estabelecidos em Aracaju e que são considerados protagonistas no mercado local, e de outro lado, pelo Conselho de Arquitetura e Urbanismo de Sergipe. No decorrer do trabalho, foram estudadas suas trajetórias biográficas e profissionais. Para cumprir os propósitos aqui apresentados, esta pesquisa subdividiu-se em três etapas principais. No primeiro momento, efetivou-se um estudo histórico do processo de estruturação do campo de atuação do arquiteto, distinguindo os atores que compõem esse espaço e como aconteceram as discussões de socialização profissional. No segundo momento, investigou-se o que o arquiteto faz na prática e quais seus principais espaços de atuação, discernindo as influências sociais, políticas e econômicas que refletiram na trajetória da profissão. Por fim, identificaram-se os conteúdos e formas de sociabilidade dos arquitetos protagonistas que investem nos principais campos de atuação profissional, assentando-se nas alterações ocorridas no mercado de trabalho após a nova regulamentação profissional. Esta dissertação possibilitou demonstrar como os espaços de atuação dos arquitetos evidenciam as formulações sobre o mercado de trabalho e sua posição como arquiteto e urbanista frente aos demais atores, entre seus pares e perante a sociedade. A presente pesquisa permitiu testemunhar que o exercício da atividade de arquitetura e urbanismo apresenta-se associado à competência de aplicação em diversas áreas e que essa condição proativa é determinante para o êxito na trajetória profissional. Além disso, encontram-se, aqui, informações que permitiram a compreensão da história coletiva da profissão e, dessa forma, possibilitaram reconhecer os recursos que descrevem os investimentos na profissão de arquitetura e urbanismo. / São Cristóvão, SE

Muitos países da América Latina contam com pessoal de saúde cujas competências ora se aproximam, ora se afastam, do perfil do que no Brasil se vem denominando de Agente Comunitário de Saúde (ACS). Neste artigo, derivado de uma pesquisa qualitativa, ancorada no materialismo histórico e dialético, buscou-se compreender os arranjos que constituem a prática do ACS em suas variantes de atribuições e competências em seis países da região: Bolívia, Brasil, Cuba, Equador, Peru e Venezuela. Apenas como recurso dialógico, neste estudo todos esses trabalhadores são denominados ACS. Os elementos em comum em todos os países são que o ACS: a) aparece como um potente articulador e mobilizador dos interesses da comunidade; b) o processo de trabalho se desenvolve buscando criar estratégias para ampliar a capacidade das comunidades para reagir às desigualdades sociais; c) articula possibilidades internas aos países e as ancora estrategicamente nas diretrizes de órgãos internacionais que apoiam o fortalecimento dessas experiências; d) busca a definição de um espaço específico no quadro de trabalhadores da saúde, priorizando nesse sentido sua participação nas estratégias de cuidado comunitário das políticas de saúde realizadas pelo Estado; e) vivenciam e buscam superar a dicotomia entre a biomedicina e as práticas tradicionais defendendo-as como parte integrante, e não subordinada, das práticas institucionais de saúde. Nesse processo, os ACS buscam a recuperação e valorização, no cotidiano das ações de saúde, de elos e vínculos comunitários, solidariedade entre pessoas e grupos sociais, respeito ao ambiente e às diferentes explicações do mundo e do viver. / Many Latin American countries have health personnel whose skills sometimes converge or diverge, on the profile that Brazil defines of Community Health Workers (CHW). In this article, derived from a qualitative research, anchored in historical and dialectical materialism, we sought to understand the arrangements that constitute the practice of ACS in variants of powers and tasks in six countries in the region: Bolivia, Brazil, Cuba, Ecuador, Peru and Venezuela. Just as dialogical resource, in this study all these workers are called ACS. The common elements in all countries are the ACS: a) appears as a powerful community\'s interests in coordinating and mobilizing ; b) the work process develops seeking to create strategies to increase the capacity of communities to respond to social inequalities; c) provides an internal possibilities to countries and strategically anchored in the guidelines of international organizations that support the strengthening of these experiences; d) seeks to define a specific space in the health workers framework, prioritizing accordingly their participation in community care strategies of health policies made by the State; e) experience and seek to overcome the dichotomy between biomedicine and traditional practices defending them as an integral part, and not subject, institutional health practices. In the process, the ACS seek recovery and recovery in the daily health activities, links and community ties, solidarity between people and social groups, respect the environment and offer different explanations of the world and living.

Muitos países da América Latina contam com pessoal de saúde cujas competências ora se aproximam, ora se afastam, do perfil do que no Brasil se vem denominando de Agente Comunitário de Saúde (ACS). Neste artigo, derivado de uma pesquisa qualitativa, ancorada no materialismo histórico e dialético, buscou-se compreender os arranjos que constituem a prática do ACS em suas variantes de atribuições e competências em seis países da região: Bolívia, Brasil, Cuba, Equador, Peru e Venezuela. Apenas como recurso dialógico, neste estudo todos esses trabalhadores são denominados ACS. Os elementos em comum em todos os países são que o ACS: a) aparece como um potente articulador e mobilizador dos interesses da comunidade; b) o processo de trabalho se desenvolve buscando criar estratégias para ampliar a capacidade das comunidades para reagir às desigualdades sociais; c) articula possibilidades internas aos países e as ancora estrategicamente nas diretrizes de órgãos internacionais que apoiam o fortalecimento dessas experiências; d) busca a definição de um espaço específico no quadro de trabalhadores da saúde, priorizando nesse sentido sua participação nas estratégias de cuidado comunitário das políticas de saúde realizadas pelo Estado; e) vivenciam e buscam superar a dicotomia entre a biomedicina e as práticas tradicionais defendendo-as como parte integrante, e não subordinada, das práticas institucionais de saúde. Nesse processo, os ACS buscam a recuperação e valorização, no cotidiano das ações de saúde, de elos e vínculos comunitários, solidariedade entre pessoas e grupos sociais, respeito ao ambiente e às diferentes explicações do mundo e do viver. / Many Latin American countries have health personnel whose skills sometimes converge or diverge, on the profile that Brazil defines of Community Health Workers (CHW). In this article, derived from a qualitative research, anchored in historical and dialectical materialism, we sought to understand the arrangements that constitute the practice of ACS in variants of powers and tasks in six countries in the region: Bolivia, Brazil, Cuba, Ecuador, Peru and Venezuela. Just as dialogical resource, in this study all these workers are called ACS. The common elements in all countries are the ACS: a) appears as a powerful community\'s interests in coordinating and mobilizing ; b) the work process develops seeking to create strategies to increase the capacity of communities to respond to social inequalities; c) provides an internal possibilities to countries and strategically anchored in the guidelines of international organizations that support the strengthening of these experiences; d) seeks to define a specific space in the health workers framework, prioritizing accordingly their participation in community care strategies of health policies made by the State; e) experience and seek to overcome the dichotomy between biomedicine and traditional practices defending them as an integral part, and not subject, institutional health practices. In the process, the ACS seek recovery and recovery in the daily health activities, links and community ties, solidarity between people and social groups, respect the environment and offer different explanations of the world and living.

醫療保險與服務是維護個人生存，增進民族健康，保障國民基本權之重要國家任務。而除了藥品、醫材、設備、醫院外，接受專業訓練、符合專業知識、技術與道德要求的醫療專業人員，包括醫師，也是醫療系統中不可或缺的要角。但相較之下，關於我國醫師團體在醫療行政法制中的角色尚缺乏完整論述，而本文即在檢視我國醫師團體(包括職業團體與學術團體)在執業管制中的定位與功能。 為了突顯我國醫師團體的特殊性，考量大陸法/英美法、醫療保險體系、醫療水準、與歷史社會等因素，本文選擇了德國、日本、美國、英國與中國大陸作為參照對比。從「醫療服務與醫療行政系統」到「醫師團體發展歷史與現況」，由大縮小、鑑古知今，將各國家地區之醫師團體的背景事實先做系統化整理、分析、並比較，以理解其在各自國家社會體系中的定位。另外，就其在醫師職業管制中管「入」的「執業資格授予」與管「出」的「執業資格廢止」的作用亦做系統化整理、分析、與比較，以認識各該團體在其中的功能。 基於以上的背景事實，再以「公私協力」與「職業自律」深入檢視，我國醫師團體(特別是職業團體之醫師公會) 在醫師職業管制中與國家政府之相對關係和定位，與其在執業資格授予與廢止作用上的功能。 關於我國醫師公會在執業管制法制中地位與功能的調整，本文建議：相較於仿德國例全面肯認醫師公會為「公法人」與政府分工，或仿日美英例鬆綁醫師公會為真正的「私法人」與政府制衡，依我國現實條件可由立法者直接立法或授權行政機關以授權命令賦予醫師公會行政受託人地位，並對稱移轉關於醫師執業資格授予與廢止之特定具體權限給公會，則在此委託範圍內公會即可被視為行政機關，即可對應要求其內部章程、組織、與程序須符合行政法法規與法理。 / Medical insurance and services are national tasks essentially for maintaining personal survival, improving people health, and protecting fundamental civil rights. Along with medicines, medical materials, equipment, and hospitals, medical professionals, including physicians, who have received professional training and met the requirements of expertise, technology and ethics, are indispensable for a working medical system. However, discussions about the roles of physician groups in medical administrative law systems in Taiwan are few. Thus, the present work is to examine positions and functions of physicians groups (including professional groups and academic groups) in the medical practicing regulation in Taiwan. In order to highlight the particularities of Taiwan physician groups and to take account of the differences in the continental law/Common law, medical insurance systems, medical service levels, and historical and social factors, Germany, Japan, the United States and the United Kingdom were selected for reference and comparison. From the "medical service and medical administrative systems" to "development history and present situation of the groups", the background facts of representative physicians groups were systematically collected, analyzed, and compared for comprehension of their positions in the social systems in their respective countries. Besides, regulatory functions of the groups in approving and revoking medical practicing qualifications were also systematically collected, analyzed, and compared for acknowledgement. Based on the above background facts and the concepts of "public-private partnership" and "professional autonomy", we further inspected Taiwan physician groups, especially the professional groups of physicians, to review their relationship with the government in professional regulation, and functions in practicing licensure. Regarding the positions and functions of the professional groups of physicians in medical practicing regulation in Taiwan, the following adjustment is proposed: Rather than adopting the “public legal entity” model for fulfilling national duties as in Germany, or “fully private corporation” model for balancing national regulation as in Japan, the United States, and the United Kingdom, our legislatives and administrative authorities could authorize by law the professional groups of physicians to exercise the powers specifically for medical practicing licensure, and thus the groups, as commissioned administrative agencies, should be required to amend their own bylaws, organizations, and procedures about the above authorized areas in concordance with administrative laws.