臺灣地區物理治療臨床教育之現況與沿革

Current Status and Trends of Physical Therapy Clinical Education in Taiwan R.O.C

吳英黛(Ying-Tai Wu) ； 淩汶(Wen Ling)

《中華民國物理治療學會雜誌》 19卷2期 (1994/09) Pp. 172-181

https://doi.org/10.29616/JPTAROC.199409.0009

摘要

臺灣地區共計有六所大專院校招收物理治療系組的學生，均在大四安排四十二週的臨床實習，八十二學年度有三校為三十二學分，有三校為三十學分。有四所學校在大三安排學生於特定時間（每週二至三小時）實（見）習。八十二學年度約定為大四學生實習的場所有十八所，計含五所大學附屬醫院，五所公立醫院與八所私立醫院。以性質來分，除一所為復健醫院外，其餘均為綜合醫院。實習單位從事物理治療臨床教育的平均年數為4.5年，每個實習單位都有骨科與神經科病人供學生實習，在十四所醫院學生可實習到小兒疾患之物理治療，在七所醫院學生可實習到心肺疾患之物理治療，有十二所實習單位安排有急性物理治療之實習。學校選擇實習場所除視醫療處所的一般醫療水準與規模外，最常被考慮的因素為實習單位臨床老師的人數、經驗與教學熱忱。八十二學年度物理治療臨床老師為一百三十位，其個人平均臨床經驗為4.5年，平均數學經驗為3.5年。學生實習表現的評估完全由實習單位執行，有六個實習單位有期中評估，有12個實習單位在期末除由臨床老師討論評分外，還給予學生其他方式的評估與回饋，諸如筆試、口試、操作考試，以及書面及口頭的回饋。綜觀大專以上物理治療臨床教育的沿革，有增加大三實（見）習時間與學分，減少大四實習週數與學分數的趨勢，現仍存有實習場所漸趨飽和欠缺有經驗之臨床老師與評估工具的問題。

關鍵字

物理治療 ； 臨床教育

並列摘要

This study examined current status and trends of Physical Therapy clinical education in Taiwan, the Republic of China. Six baccalaureate level Physical Therapy education programs were surveyed in Spring 1994. Four out of six Physical Therapy programs scheduled part-time clinical experiences for junior students. A total of eighteen clinical education centers were affiliated with six Physical Therapy education programs to provide clinical experiences for 206 senior students during the school year 1993- 1994. All senior students had to complete a 42- week full-time clinical education program prior to graduation. The affiliated clinical education centers included seventeen general hospitals and one rehabilitation hospital. Senior students had exposures in the areas of orthopedic and neurological physical therapy at each clinical education center. Fewer clinical education centers provided pediatric or cardiopulmonary experiences. The total number of clinical instructors involved in teaching these senior students was 130, with the mean clinical experience of 4.5 years and the mean clinical teaching experiences of 3.5 years. Clinical instructors were responsible for evaluating the students' clinical performance and their reports were used to determine students’ grades. None of the on-site visits conducted by the academic faculty members influence students' grades. The number of clinical site visits ranged from zero to two times for each site during the school year 1993-1994. Only one third of the clinical education centers had interim or mid-term evaluation. Various methods were used to evaluate students' clinical performance. Clinical education programs were shifted toward a decrease in full-time clinical experience in the senior year and an increase of part-time clinical experience in the junior year recently. Lack of experienced clinical instructors remained as one of the crucial problems in Physical Therapy clinical education in Taiwan. Reliable, valid, and feasible evaluation tools were needed for Physical Therapy education programs.

並列關鍵字

Physical therapy ； Clinical education