目的：本研究的目的是探討以「臨床為導向的文學閱讀」對醫學院學生的影響，意即探討在國文課教材中以醫護人員的生涯反思文章、病人在病中的生命感觸文章為題材的精準化教學，是否能有助於培育出醫學院學生未來所需的同理心。方法：本研究採前實驗研究設計 (pre-experimental design) 中的單組前後測設計 (one-group pretest-posttestdesign)，以精準化國文課程介入，進行時序為大學部一年級每周的國文課，並以人際反應指標量表 (IRI) 為評估工具，以 t 檢定測量之。研究對象為 220 名新北市某大學醫學院一年級修習「大學國文」的學生，女性 114 人，男性 106 人。結果：在人際反應指標量表 (IRI) 所測出的同理心結果，前測平均數為 60.732，中測平均數為 60.773，後測平均數為 61.859，其中僅前測到中測未達統計上的顯著值 (p = 0.927)，而中測到後測達顯著值(p = 0.026)，前測到後測亦達統計上顯著值 (p = 0.023)。結論：本研究建議未來醫學院大ㄧ的國文課程，與其使用一般制式化的國文教材介入，不如使用以醫護人員的生涯反思文章、病人在病中的生命感觸等的文章為題材，將更有助於精準的培育出醫學院學生未來所需的同理心視野。

Objective: The purpose of this study is to explore the impact of “clinical-oriented literature reading” on medical students, that is, to explore the impact of articles on life reflection of medical staff and on patients’ life feelings during illness in Chinese textbooks (Chinese literature reading). Whether the precise teaching of the Chinese literature reading in medical school can help bring up the empathy that medical students need in the future. Methods: The study used a one-group pretest-posttest of the pre-experimental design, intervened in a precise Chinese curriculum, and the Interpersonal Reactivity Index (The Interpersonal Reactivity Index, IRI) is an evaluation tool. The subjects of the study were 220 students taking “Chinese course” in the first year of a medical school in a university in New Taipei City. Results: In the results of empathy measured by The Interpersonal Reactivity Index (IRI) had an average of 60.732 in the pre-test, 60.773 in the middle test, and 61.859 in the post-test. Statistically significant values were not reached in the mid-test (p = 0.927), but significant in the post-test (p = 0.026), and statistically significant in the pre-test and post-test (p = 0.023). Conclusion: This study suggests that it may be better to use “clinical-oriented literature reading” than using general standardized Chinese textbooks in Chinese courses of medical colleges in the future. Helps to precisely cultivate the empathic vision that medical students need in the future.