課程資訊
課程名稱
 進階身體評估實習
Advanced Physical Assessment Practicum 
開課學期
 100-1 
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
 護討論室1 
備註
 臨床技能中心實習。與楊庭華、王廷明、林至芃合開。與黃冠棠、張宏江、王鶴健、古世基、黃宗正、蔡佳醍、鄭文芳合開
總人數上限：20人 
Ceiba 課程網頁
 http://ceiba.ntu.edu.tw/1001APEP 
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. 
 Practicum Report  
30% 
 6 cases and 6 study reports 
2. 
 Clinical practice participation  
20% 
  
3. 
 Midterm test_OSCE  
20% 
  
4. 
 Final Examination _Mini CEX 
30% 
  
 
課程進度
週次
日期
單元主題
第1週
 9/19  Practicum: History Taking & physical assessment
(高醫師門診)
 
第2週
 9/23  Practicum: General assessment skills and from head to toe (臨床技能中心)(技能中心)
Practicum (NTUH): From head to toe: 5W3  
第3週
 9/30  NTUH: 心電圖室 
第3週
 9/30  Practicum: Physical Assessment and History Taking in Cardiovascular System (臨床技能中心)
NTUH: 4W1/4E1/4E2
 
第4週
 10/7  NTUH: 5C 心臟病房單位(配合醫師時間)  
第5週
 10/14  Practicum: Physical Assessment of Throax and Lung (臨床技能中心)
NTUH: 4W1/4E1/4E2 
第6週
 10/21  Practicum: Physical Assessment and History Taking in Abdomen and Gastrointestinal system (臨床技能中心)
NTUH:13A
 
第7週
 10/28  Practicum: Physical Assessment of Neurological system (臨床技能中心)
NTUH: 4W1/4E1/4E2 
第8週
 11/4  Practicum: Physical Assessment of head, eyes and ears, nose, mouth (throat), and neck (302R)
Practice (NTUH) : 4W1/4E1/4E2
 
第9週
 11/11  Midterm test
Evaluation of Physical Assessment Skill
(臨床技能中心)
 
第10週
 11/17 or 11/21  Practicum: Physical Assessment in the Genitourinary System (張醫師周四下午或周一上午門診時間)  
第11週
 11/18  Practice (NTUH) : 4W1/4E1/4E2 
第12週
 11/25  Practicum: NTUH 4E2  
第13週
 12/2 and 12/5   Practicum: Physical Assessment in the Genitourinary System (1hour)
Physical Assessment and History Taking in the Gynecological System(1hour)

NTUH: 婦科門診 (2 hours)
(配合診間時間分組 :週一上午)
 
第14週
 12/9  Practicum: NTUH 4W1/4E1/4E2 (2 hours) 
第15週
 12/14  NTUH 精神科門診 (配合診間時間分組) (2 hours) (分三診間一組一人) 
第15週
 12/16  Practicum: Physical Assessment and History Taking in the Musculoskeletal System
Practicum: NTUH 4W1/4E1/4E2
 
第16週
 12/23  NTUH: 骨科OPD (兒醫大樓3F石膏室) 
第17週
 12/30  NTUH: 5W3 (cancer patient )  
第18週
 1/6  NTUH: 7D