臺灣六年制物理治療教育臨床表現評量指標初探

隨著物理治療服務的範圍、場域、以及族群逐漸多元化，於健康服務當中的角色也更加重要，為因應更具挑戰性的職涯發展，許多國家將物理治療教育逐步從學士學制提升至學士後、碩士或臨床博士的課程內容，臺灣也於2016年起首度實施物理治療六年制教育。然而在改制起步階段，如何清楚區辨四年制與六年制養成教育能力為一大挑戰，無論是學校教師、臨床教師、或六年制學生皆需要建立新的概念架構，瞭解學習歷程與目標設定。因此參考美國物理治療協會（American Physical Therapy Association, APTA）建立的物理治療臨床表現評量表（Physical Therapy Clinical Performance Instrument, PT CPI），討論可能適合臺灣六年制教育能力指標評量表的參考方向。本評量指標試將物理治療養成教育目標分為三大部分：包含「基本臨床責任」之六項指標、「專業核心能力」之八項指標、以及「其他經驗」之兩項指標，共16項能力指標。並參考美國物理治療學會建議分為六級，第一級為初學者程度，第六級為有經驗且能夠獨立領導團隊的物理治療師。透過此能力指標系統，無論是學生或教師皆能從中快速掌握物理治療專業的核心概念與執行細節，瞭解六年制學生經過教育養成後應達到的能力；此能力指標也可同時作為臨床評量或自我評估的檢核表。本評量指標為六年制施行後首次嘗試建立系統性能力指標架構，希望能協助六年制物理治療教育實施更臻完善。

關鍵字

六年制物理治療；臨床表現；能力指標

並列摘要

With the expertise of developing, maintaining and restoring people's functional ability and quality of life, physical therapists provide service in diverse fields for people at any stage of life. To better address the complexity of patients' or clients' needs in health sphere, many physical therapy programs have transitioned from a bachelor's degree to a doctorate level, i.e., Doctor of Physical Therapy (DPT). In 2016, the first DPT program was also launched in Taiwan. However, in the transitional phase where undergraduate programs and DPT programs coexist, it is challenging for school teachers, clinical instructors, and students to set a clear benchmark to differentiate DPT students from those with bachelor's degree. To establish an evaluating system, we took reference from Physical Therapy Clinical Performance Instrument (PT CPI), a scoring system developed by American Physical Therapy Association (APTA). We integrated 16 clinical performance criteria into three major categories: practice responsibility, clinical proficiency, and extra experience. For each performance criteria, APTA suggested a six-level scoring scale ranging from "Beginning Performance" to "Beyond Entry-Level Performance." A well-structured system that covers indicators in different spectrums could bring a better understanding of DPT education goals and more comprehensive evaluation of clinical performance. As the first proposal of an evaluation system for DPT in Taiwan, we hope to draw more attention to this issue and look for further discussion.

並列關鍵字

Doctor of physical therapy ； Clinical performance ； Performance criteria

主題瀏覽