台灣衛生福利部正在修訂相關法規，要求醫師在從事醫學美容（醫美）前，必須完成兩年的PGY（畢業後一般醫學訓練）或已取得專科醫師資格。此舉的主要目的在於保障病人安全，確保醫師具備足夠的基礎臨床能力與全人醫療素養，避免醫學系畢業生因缺乏實務訓練而直接投入醫美執業，俗稱「直美」，從而引發醫療糾紛。新法規針對「高風險醫美」與「特定醫美處置」進行分級管理，並為現有未完成PGY的「直美」醫師設置補正訓練的過渡期，以平衡醫師權益與病患安全。

PGY訓練的重要性在於，它能補足醫師畢業後的臨床能力。透過PGY，醫師能在不同科別輪訓，累積全人醫療經驗與基本臨床技能，為獨立行醫打下基礎。以往部分醫師未經完整訓練便投入醫美，曾發生多起醫療事故，新制透過要求PGY訓練，將風險較低的醫美處置（如注射、雷射）納入訓練範圍，而對高風險手術則要求具備特定專科醫師資格，以降低潛在風險。此外，這一趨勢也呼應國際規範，許多國家皆要求醫師完成基礎臨床訓練後，才能獨立執業。

修法的具體內容包括分級管理與過渡機制。低風險醫美處置如雷射或肉毒注射，醫師需完成PGY訓練；高風險手術如整形或複雜外科手術，則要求醫師具備外科、整形外科或皮膚科專科資格。對於尚未完成PGY的現有醫師，政府提供緩衝期以補充訓練，兼顧民眾安全與執業者權益。整體目標是確保醫師有能力處理併發症，提升醫美服務品質，而非針對特定群體。

簡言之，衛福部認為，即使醫師已取得執照，仍需有充分的臨床訓練才能獨立處理病人。醫學美容雖屬非急診治療，但涉及人體操作風險，補強訓練缺口才能保障醫療品質與病患安全，這也是修法的核心理念。

Taiwan’s Ministry of Health and Welfare is currently revising regulations to require physicians to complete two years of PGY (Postgraduate Year training) or obtain a specialist qualification before practicing medical aesthetics. The primary aim of this reform is to protect patient safety by ensuring that physicians possess adequate foundational clinical skills and holistic medical competence. This measure is intended to prevent medical school graduates from entering aesthetic practice without sufficient training—a practice commonly referred to as “direct-to-aesthetic” or “straight-to-aesthetic”—which has previously led to medical disputes. The new regulations implement a risk-based classification system for “high-risk aesthetic procedures” and “specific aesthetic treatments” and provide a transitional period for existing “direct-to-aesthetic” physicians to complete supplemental training, balancing the interests of both practitioners and the public.

PGY training is considered essential because it fills gaps in clinical competence. Through PGY, physicians rotate through various specialties, gaining experience in holistic patient care and basic clinical skills, which form the foundation for independent medical practice. In the past, some physicians entered aesthetic medicine without sufficient training, resulting in medical incidents. Under the new system, lower-risk procedures, such as injections and laser treatments, are included within the training requirements, while higher-risk surgeries demand that the physician holds relevant specialist qualifications. This approach also aligns with international trends, as many countries now require physicians to complete foundational clinical training before practicing independently.

The revisions include both risk-based management and a transitional mechanism. For low-risk aesthetic procedures, such as laser treatments or Botox injections, physicians must complete PGY training. For high-risk surgeries, including complex plastic or surgical procedures, physicians must possess specialist certification in fields such as surgery, plastic surgery, or dermatology. Existing physicians who have not yet completed PGY are granted a grace period to fulfill these requirements, ensuring patient safety while considering the interests of current practitioners. The overarching goal is to guarantee that physicians have the ability to manage complications and provide high-quality aesthetic care, rather than to target any specific group.

In summary, the Ministry of Health and Welfare believes that even licensed physicians must have sufficient clinical training to independently treat patients. Although medical aesthetics is not an emergency practice, it involves direct interventions on the human body and carries inherent risks. Strengthening training in this area is therefore essential to safeguard medical quality and patient safety, which lies at the core of the regulatory reform.