課程資訊
課程名稱
進階身體評估實習
Advanced Physical Assessment Practicum 
開課學期
101-1 
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
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303室 
備註
臨床技能中心實習。與王廷明合開。與王鶴健、黃宗正、劉智民、蔡佳醍、高芷華、鄭文芳合開
總人數上限:15人 
Ceiba 課程網頁
http://ceiba.ntu.edu.tw/1011apn_p 
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. 
Clinical participation(Peer evaluation)  
10% 
 
2. 
Midterm OSCE test 
20% 
 
3. 
Practicum case reports 
20% 
 
4. 
Weekly OSCE test 
20% 
 
5. 
Final Examination OSCE test 
30% 
 
 
課程進度
週次
日期
單元主題
第2週
9/211:30-5:20  General assessment skills & Physical Assessment: From head to toe (303R)Practicum (NTUH): From head to toe: 5W3
NTUH: 5W1 5W2 
第3週
9/28  NTUH: 心電圖室(10AM-12N)/NTUH: 5CD(1:30-3:20) 
第5週
10/12  NTUH: 5C 心臟病房單位(配合醫師時間)(10AM-12 N)/OSCE Practicum: Physical Assessment and History Taking in Cardiovascular System (303R) NTUH: 5CD(1:30-3:20) 
第6週
10/19 1:30-5:20  OSCE Practicum: Physical Assessment of Throax and Lung (303R) NTUH: 5CD NTUH:13A
 
第7週
10/26 1:30-5:20  Group Discussion: Case report (303R)
NTUH: 13BC 
第8週
11/02 1:30-5:20  OSCE Practicum: Physical Assessment and History Taking in Abdomen and Gastrointestinal system (303R)
NTUH: 13BC 
第9週
11/09 1:30-5:20   Midterm test: OSCE Test (303R)
NTUH: 13BC 
第10週
11/16 1:30-5:20  OSCE Practicum: Physical Assessment and History Taking in the Neurological System(303R)
NTUH: 13BC 
第11週
11/23 1:30-5:20   Practicum: Physical Assessment and History Taking in Elderly (4E2)
NTUH: 4W1/4E1/4E2 
第12週
11/30 1:30-5:20  Group Discussion: Case report
Physical Assessment and History Taking in the Gynecological System (OPD)
 
第13週
12/12 8AM-12N  Practicum: Physical Assessment and History Taking in Psychiatric Patients (OPD)
NTUH: 4W1/4E1/4E2 
第14週
12/14 1:30-5:20  Practicum: Physical Assessment of head, eyes and ears, nose, mouth (throat), and neck (303R)
NTUH: 4W1/4E1/4E2 
第15週
12/21 1:30-5:20  Practicum: NTUH 骨科OPD (兒醫大樓3F石膏室) 
第15週
12/21 1:30-5:20  Practicum: NTUH 骨科OPD (兒醫大樓3F石膏室) 
第16週
12/28 1:30-5:20  OSCE Practicum: Physical Assessment and History Taking in Cancer Patients (303R)
NTUH: 5W1/5W2/5W3 
第17週
01/04 1:30-5:20   Group Discussion: Case report
NTUH: 5W1/5W2/5W3 
第18週
01/11 1:30-5:20  Final Examination (OSCE)
Final Evaluation 
第1-1週
9/12 3:30-5:20  Preparation for physical assessment in clinical settings (系館二討論室2)(高醫師門診)
 
第1-2週
9/14 1:30-3:20  Practicum: History Taking & physical Practicum: History Taking & physical assessment(高醫師門診) 
第4-1週
10/04 3:30-5:20  Basic Chest Film Reading  
第4-2週
10/05 1:30-3:20  OSCE Practicum: General assessment skills & Physical Assessment: From head to toe (303R)
NTUH: 5CD