四年制與六年制物理治療臨床實習差異性

臺大醫學院物理治療學系於專業養成教育進行改革，將學制從四年制變更為六年制。而自2020年起，六年制的大五學生開始於臺大醫院進行實習。本篇文章分析臺大醫院物理治療職類四年制與六年制實習學生，進入臨床實習階段後表現的差異性。研究結果顯示，六年制學生於代表實習成效的期中Mini-CEX評估之操作技能、臨床判斷、組織效能、人道專業與整體評量的分數顯著優於四年制學生。專業素養評核在評核時，顯示兩種學制於各項素養評核項目分數皆無顯著差異，但於期末評核時發現，六年制學生於人際交往能力、溝通技巧、善用建設性回饋、壓力管理及素養評核總分，均顯著優於四年制學生。以上初步分析可能是學制改變後的成果，需要後續更多資料的支持。

關鍵字

物理治療；專業養成教育；實習評核

並列摘要

The Physical Therapy Department of National Taiwan University embarks on the transition for our formative entry-level education by changing the 4-year degree bachelor's to a 6-year doctoral program. Furthermore, from 2020, there have been clinical practice internships for the 6-year program at the National Taiwan University Hospital. The article analyzes the differences in student's clinical practice performance with 4-year and 6-year learning. The research demonstrates significant differences as the 6-year intern students achieved better outcomes in procedural skills, clinical judgments, organization/efficiency, and humanistic qualities, evaluated with Mini-CEX. As for the professionalism assessment, there was no significant difference between the scores of the midterm evaluation. But in the final evaluation, we found that the students with 6-year education received significantly higher scores in interpersonal skills, communication skills, use of constructive feedback, and stress management. The results of this preliminary report demonstrated the outcome of the change in the entry-level education program, however, more research and long-term assessment are needed.

並列關鍵字

physical therapy ； entry-level education ； outcome assessment of clinical practice

參考文獻

劉文瑜、連恒裕、李言貞、陳喬男、陳貞吟、陳盈蒨、鄭智修、林燕慧：物理治療專業素養的核心面向：臺灣臨床物理治療師的觀點。物理治療 2019;44:1-8。 doi: 10.6215/FJPT.201903_44(1).0001

Charles C, Gafni A, Whelan T. Decision-making in the physician-patient encounter: revisiting the shared treatment decision-making model. Soc Sci Med 1999;49:651-61. doi: 10.1016/S0277-9536(99)00145-8

Jette DU, Bertoni A, Coots R, et al. Clinical instructors' perceptions of behaviors that comprise entry-level clinical performance in physical therapist students: a qualitative study. Phys Ther 2007;87:833-43. doi: 10.2522/ptj.20070003

Timmerberg JF, Dole R, Silberman N, et al. Physical therapist student readiness for entrance into the first full-time clinical experience: a Delphi study. Phys Ther 2019;99:131-46. doi: 10.1093/ptj/pzy134

Norcini JJ, Blank LL, Duffy FD, et al. The Mini-CEX: a method for assessing clinical skills. Ann Intern Med 2003;138:476-81. doi: 10.7326/0003-4819-138-6-200303180-00012

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