課程資訊
課程名稱
 進階身體評估實習
Advanced Physical Assessment Practicum 
開課學期
 102-1 
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 
全/半年
 半年 
必/選修
 必修 
上課時間
 星期五5,6,7,8(12:20~16:20) 
上課地點
 護301室 
備註
 與劉鎮鐘、王廷明合開。與鄭文芳、王鶴健、黃宗正、劉智民、蔡佳醍、高芷華合開
總人數上限：12人 
Ceiba 課程網頁
 http://ceiba.ntu.edu.tw/1021PELAB 
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
  
預期每週課後學習時數
  
Office Hours
 另約時間 
指定閱讀
 REQUIRED & REFERENCE TEXTS

1. Swartz, M.H. (2010). Textbook of Physical Diagnosis (6thed). Philadelphia: Saunders.
2. Seller, R.H. (2007). Differential Diagnosis of Common Complaints (5th ed). Philadelphia: Saunders.
3. Dains, J. E., Baumann, L.C., & Scheibel, P. (2007). Advanced Health Assessment and Clinical Diagnosis in Primary Care (3rd ed). Missouri: Mosby.
4. Bickley, L. S., & Szilagyi, P. G. (2005). Bates’ Guide to Physical Examination and History Taking (9th ed.). Philadelphia: Lippincott Williams & Wilkins.
 
參考書目
 1. Thaler, M.S. (2007). The Only EKG Book You’ll Ever Need ( 5th ed). Philadelphia: Lippincott,
Williams & Wilkins.
2. Tierney, L.M., & Henderson, M.C. (2005). The Patient History: Evidence-based Approach. Singapore: McGraw Hill.

3. 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)
4. 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. 
 Final Examination OSCE test 
20% 
  
2. 
 Weekly test & Group discussion 
30% 
  
3. 
 Practicum case reports 
20% 
 4 cases 
4. 
 Midterm OSCE test 
20% 
  
5. 
 Clinical participation(Peer evaluation)  
10% 
  
 
課程進度
週次
日期
單元主題
第2週
 9/20  調整放假 
第3週
 9/27  NTUH: 心電圖室(10AM-12N) 
第4週
 10/04  Practicum : Physical Assessment and History Taking in Cardiovascular System
NTUH: 5C 
第5週
 10/11  13:30-16:20 Practicum : Physical Assessment and History Taking in Cardiovascular System
NTUH: 5C
16:30-17:20 Practicum test: Physical Assessment and History Taking in Cardiovascular System (301R) 
第6週
 10/18  13:30-16:20 Practicum :NTUH: 5CD
16:30-17:20 Practicum test: Physical Assessment of Throax and Lung (301R)

 
第8週
 11/01  13:30-16:20 Practicum: NTUH: 13BC
16:30-17:20 Practicum test: Physical Assessment and History Taking in Abdomen and Gastrointestinal system (301R)
 
第9週
 11/08  13:30-16:20 Practicum: NTUH: 4E1/4E2
16:30-17:20 Group Discussion: Case report (301R) 
第10週
 11/15  13:30-17:20 Midterm test:OSCE test (301R) 
第11週
 11/22  13:30-16:20 Practicum: Physical Assessment and History Taking in Elderly (4E2)
NTUH: 4W1/4E1/4E2
16:30-17:20 Group Discussion: Case report (4E2) 
第12週
 12/02  Group Discussion: Case report
Physical Assessment and History Taking in the Gynecological System (OPD)(配合醫師時間)
 
第13週
 12/06  13:30-16:20 Practicum: NTUH: 4E1/4E2
16:30-17:20 Practicum test: Physical Assessment and History Taking in the Neurological System(301R) 
第14週
 12/11  Practicum: Physical Assessment and History Taking in Psychiatric Patients (OPD) 
第15週
 12/20  13:30-17:20 Practicum: NTUH 骨科OPD (兒醫大樓3F石膏室) 
第15週
 12/20  13:30-17:20 Practicum: NTUH 骨科OPD (兒醫大樓3F石膏室) 
第16週
 12/27  13:30-16:20 Practicum: NTUH: 5W2/5W3
16:30-17:20 Practicum: Physical Assessment of head, eyes and ears, nose, mouth (throat), and neck (301R) 
第17週
 1/03  13:30 16:20 Practicum: NTUH: 5W2/5W3
16:30-17:20 Group Discussion: Case report (5W2) 
第18週
 1/10  13:30-15:20 Final Examination (OSCE)
15:30-17:20 Final Evaluation 
第1-1週
 9/11  Preparation for physical assessment in clinical settings from head to toe(系館二討論室2)
 
第1-2週
 9/13  13:30-15:20 Practicum: History Taking & physical assessment (高醫師門診)
15:30-17:20 Practicum test: General assessment skills & Physical Assessment: From head to toe (301R) 
第7-1週
 10/24  14:00-16:00 Basic Chest Film Reading (上課地點:系館二 討論室二) 
第7-2週
 10/25  13:30-16:20 Practicum: NTUH: 13BC
16:30-17:20 Group Discussion: Case report (301R)