物理治療臨床實習(七)

在以神經疾患、高齡與長照為主(但不限於)的臨床單位進行為期六週的物理治療臨床實習,著重於逐步提升臨床獨立作業的能力與臨床推理技巧。Six (6) weeks of supervised clinical experience in neurological, geriatric, and long-term care (but not limited to) physical therapy settings with emphasis on developing increased clinical independence and clinical reasoning skills.

學生在完成本課程後將能夠: 1. 以安全的方式進行執行業務,將病患、自身與他人的風險降至最低 2. 在所有情境下皆要表現出專業行為 3. 依法令與專業標準以及倫理守則執行業務 4. 以符合情境所需的方式進行溝通 5. 考量個案之差異、價值觀、偏好、與需求來提供適切的物理治療服務 6. 能夠以反思的方式增進臨床與專業表現 7. 應用當代知識與理論、臨床判斷、以及從個案的價值及角度來治療個案 8. 就個案的需求與之共同決定由物理治療師或轉介其他健康照護專業人員進行進一步的檢查或諮詢 9. 依據有實證的測試與測量方法進行物理治療檢查 10. 評價個案檢查所得之資料(病史、身體系統檢查、測試與測量)以進行臨床判斷 11. 判定診斷及預後以引導後續的個案處理 12. 擬定安全、有效、以個案為中心、以實證為基礎的物理治療照護計畫 13. 以勝任的樣態進行物理治療介入 14. 使用恰當有效的教學方法教育他人(個案、照顧者、工作人員、學生、其他健康照顧人員、經營與企業代表、學校系統) 15. 適時地產出具有品質的紀錄以支持物理治療服務的提供 16. 以自挑選過的成效測量來進行收集與分析的方式,以支持精確地個別個案與群體個案的資料分析 17. 合於管控、法規、單位指引的方式參與物理治療服務的財務處理(擬預算、支付與補助、時間、空間、設備、行銷、公共關係) 18. 依據法令標準與倫理指引,指導或監督人員以符合個案之目標與預期成效Upon completion of this course the student will be able to: 1. Practice in a safe manner that minimizes risk to patient, self, and others. 2. Demonstrates professional behavior in all situations 3. Practices in a manner consistent with established legal and professional standards and ethical guidelines. 4. Communicates in ways that are congruent with situational needs. 5. Adapts delivery of physical therapy services with consideration for patients’ differences, values, preferences, and needs. 6. Participates in self-assessment to improve clinical and professional performance. 7. Applies current knowledge, theory, clinical judgment, and the patient’s values and perspective in patient management. 8. Determines with each patient encounter the patient’s need for further examination or consultation by a physical therapist or referral to another health care professional. 9. Performs a physical therapy patient examination using evidenced based tests and measures. 10. Evaluates data from the patient examination (history, systems review, and tests and measures) to make clinical judgments. 11. Determines a diagnosis and prognosis that guides future patient management. 12. Establishes a physical therapy plan of care that is safe, effective, patient-centered, and evidence-based. 13. Performs physical therapy interventions in a competent manner. 14. Educates others (patients, caregivers, staff, students, other health care providers, business and industry representatives, school systems) using relevant and effective teaching methods. 15. Produces quality documentation in a timely manner to support the delivery of physical therapy services. 16. Collects and analyzes data from selected outcome measures in a manner that supports accurate analysis of individual patient and group outcomes. 17. Participates in the financial management (budgeting, billing and reimbursement, time, space, equipment, marketing, public relations) of the physical therapy service consistent with regulatory, legal, and facility guidelines. 18. Directs and supervises personnel to meet patient’s goals and expected outcomes according to legal standards and ethical guidelines.

臨床表現、口頭(書面)報告與作業Clinical competence, oral and written reports