課程資訊
課程名稱
 進階身體評估實習
Advanced Physical Assessment Practicum 
開課學期
 108-1 
授課對象
 醫學院  護理學研究所  
授課教師
 孫秀卿 
課號
 NURSE7041 
課程識別碼
 426 M4430 
班次
  
學分
 2.0 
全/半年
 半年 
必/選修
 必修 
上課時間
 星期三6,7,8,9(13:20~17:20) 
上課地點
 護301室 
備註
 臨床技能中心實習。與黃宗正、劉智民、廖怡華、劉震鐘、江盈澄、唐嘉君合授
總人數上限：12人 
Ceiba 課程網頁
 http://ceiba.ntu.edu.tw/1081NURSE7041_APEp 
課程簡介影片
 
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課程概述

This course covers history taking and physical examination through lecture and clinical practicum in which students practice physical assessment skills in clinical skill center and clinical settings. The course includes interviewing skills, obtaining a health history, physical exam techniques for various body systems, and documentation of findings. The course is required for NP program of graduate students in the first year of study.  

課程目標
 At the end of the course, the student will be able to:

1. Demonstrate the ability of using interview, communication, and physical assessment skills to assess the health problem of patients
2. Demonstrate the ability of describing and documenting the findings of physical assessment
3. Demonstrate the ability of accurately completing a physical examination and identifying abnormal findings using a diagnostic reasoning process in clinical practicum.
 
課程要求
 Fall Semester
Wednesday 1:30-5:30 pm at Nursing Building I Room 301, NTUH 3 Floor skill labs 操作教室 for weekly test and wards in NTUH (Time schedule will be changed by instructors’ OPD schedules) 
預期每週課後學習時數
  
Office Hours
  
指定閱讀
 待補 
參考書目
 1. Swartz, M.H. (2014). Textbook of Physical Diagnosis (7thed). Ph
Philadelphia: Saunders.
2. Seller, R.H. (2007). Differential Diagnosis of Common Complaints (5th ed). P
Philadelphia: Saunders.
3. Henderson, M.C., Tierney, L.M., & Swetana, G.W. (2012). The Patient
History: Evidence-based Approach to Differential Diagnosis. Singapore: McGraw H
Hill.
4. Bickley, L. S., & Szilagyi, P. G. (2005). Bates’ Guide to Physical E
Examination and History Taking (9th ed.). Philadelphia: Lippincott Williams & W
Wilkins.
5. Thaler, M.S. (2007). The Only EKG Book You’ll Ever Need ( 5th ed). Ph
Philadelphia: Lippincott,
Williams & Wilkins.
6. 羽白清(民96)•英文病歷的正確寫法(賴敏裕編譯)•台北市:合記圖書出版社(原著出版
年: 90年)
7. Katrina F. Hurley(民96) •OSCE 臨床技術手冊 (藍忠亮等人譯)•台北市:合記圖書
出版社(原著出版年:2005年)
 
評量方式
(僅供參考)
  
No.
項目
百分比
說明
1. 
 Practicum case reports* (3 cases)  
20% 
  
2. 
 Midterm test (OSCE test)  
20% 
  
3. 
 Final Examination (OSCE test)  
20% 
  
4. 
 Weekly test and teaching  
15% 
  
5. 
 Case report in group discussion & peer review 
15% 
  
6. 
 Design a case for OSCE test (final report) 
10% 
  
 
課程進度
週次
日期
單元主題
第1週
 9/11  13:30-15:20 Course Introduction & History Taking & Physical Assessment
15:30-17:20 Practicum: Taking history & Physical Assessment skills (系館301室) 孫秀卿老師 
第2週
 9/18  13:30-15:20 Practicum: From Head to Toe (NTUH: 三樓skill labs) 孫秀卿老師/唐嘉君老師
15:30-17:20 Demonstrate & Practicum test: Physical Assessment of Throax and Lung System (NTUH:三樓skill labs) SN1/孫秀卿老師  
第3週
 9/25  13:30-15:20 Demonstrate & Practicum test: Physical Assessment of Cardiovascular System (NTUH:三樓skill labs) SN2/孫秀卿老師
15:30-17:20 Practicum: History taking & Physical Assessment of Throax and Lung & X-ray and CT Reading (NTUH: 14 CD) 張靜宜專科護理師/孫秀卿老師  
第4週
 10/2  13:30-15:20 Advanced EKG Reading (NTUH: 5C) 楊雅貞專科護理師/孫秀卿老師
15:30-17:20 Practicum: Physical Assessment of Throax and Lung & X-ray and CT Reading (NTUH: 14 CD) 張靜宜專科護理師/孫秀卿老師 
第5週
 10/9  13:30-15:20 Demonstrate & Practicum test: Physical Assessment of Peripheral System (NTUH:三樓skill labs) SN3/唐嘉君老師
15:30-17:20 Practicum & Group discussion: Physical Assessment and History Taking in Cardiovascular System (NTUH:5C) 呂采晏專科護理師/唐嘉君老師 
第6週
 10/16  13:30-15:20 Practicum & Group discussion: Advanced EKG Reading (NTUH: 5C) 楊雅貞專科護理師/唐嘉君老師
15:30-17:20 Practicum & Group discussion : Physical Assessment and History Taking in Cardiovascular System (NTUH: 5C) 楊雅貞專科護理師/唐嘉君老師 
第7週
 10/23  13:30-15:20 Practicum test: Physical Assessment and History Taking in the cancer patients (NTUH:三樓skill labs) 唐嘉君老師
15:30-17:20 Practicum: Physical Assessment and History Taking in cancer patients (NTUH: 5W2/5W3) 邱文姿專科護理師/唐嘉君老師 
第8週
 10/30  13:30-15:20 Demonstrate &Practicum test: Physical Assessment and History Taking in Abdomen and Gastro-intestinal system (NTUH:三樓skill labs) SN4/孫秀卿老師
15:30-17:20 Practicum: Physical Assessment and History Taking in Abdomen and Gastro-intestinal system (NTUH:13AB) 孫秀卿老師 
第9週
 11/6  Midterm test: OSCE Test (NTUH:三樓skill labs) 孫秀卿老師/唐嘉君老師 
第10週
 11/13  13:30-15:20 Demonstrate &Practicum test: Physical Assessment and History Taking in the Neurological System (NTUH:三樓skill labs) SN5/唐嘉君老師
15:30-17:20 Practicum: Physical Assessment and History Taking in cancer patients (NTUH: 5W2/5W3) 邱文姿專科護理師/唐嘉君老師  
第11週
 11/22, 11/29  13:30-15:20 Demonstrate &Practicum test: Geriatric Assessment (NTUH:三樓skill labs) 唐嘉君老師
15:30-17:20 Practicum & Group discussion: Geriatric Assessment (NTUH: 4E2) 彭睿華專科護理師/孫秀卿老師
 
第12週
 11/27  14:00-16:00 Physical Assessment and History Taking of Skin Related Problems 廖怡華醫師 
第13週
 12/4  13:30-15:20 Practicum test: Physical Assessment and History Taking in GU system (NTUH: 三樓skill labs) SN7/ 孫秀卿老師
15:30-17:20 Practicum & Group discussion: Geriatric Assessment (NTUH: 4E2) 彭睿華專科護理師/唐嘉君老師 
第14週
 12/12  08:00-12:00 Physical Assessment and History Taking in the Gynecological System (OPD) (配合醫師門診) 江盈澄醫師 
第15週
 12/18  08:00-12:00 Practicum: Physical Assessment and History Taking in Psychiatric Patients (OPD) 黃宗正醫師 劉智民醫師 劉鎮鐘醫師(12/19上午門診)
13:30-15:20 Practicum test I (Cases from SN): (NTUH: 三樓skill labs) 孫秀卿老師 
第16週
 12/25  13:30-15:20 Practicum test Ⅱ (Cases from SN): (NTUH:三樓skill labs) 唐嘉君老師
15:30-17:20 Practicum: Physical Assessment and History Taking in palliative care (NTUH: 6A) 唐嘉君老師 
第17週
 1/1  Holiday 
第18週
 1/8  13:30-16:30 Final Examination (OSCE) (NTUH:三樓skill labs)
16:30-17:20 Final Evaluation 唐嘉君老師 孫秀卿老師