課程資訊
課程名稱
 實證物理治療與臨床決策
Evidence-based and clinical decision making for physical therapy practice 
開課學期
 108-1 
授課對象
 醫學院  物理治療學研究所  
授課教師
 王淑芬 
課號
 PT8044 
課程識別碼
 428ED0460 
班次
  
學分
 2.0 
全/半年
 半年 
必/選修
 必修 
上課時間
 星期三8,9(15:30~17:20) 
上課地點
 討論室一 
備註
 本課程以英語授課。與楊銘欽合授
限博士班 且 限本系所學生(含輔系、雙修生)
總人數上限：20人 
Ceiba 課程網頁
 http://ceiba.ntu.edu.tw/1081PT8044_ 
課程簡介影片
 
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課程概述

In order to ensure quality patient care, physical therapy service should be based on clinically relevant scientific evidences. The purpose of this course is to equip students with the ability to practice with the best available evidence.
This course is given to help students understand the methods for quantitative synthesis in medicine, including system review, meta-analysis, decision analysis and cost-effective analysis.

Patient-centered Evidence Based Practice model with emphasis on
1. Acquiring, appraising and integrating research evidence
2. Understand evidence levels including system review and/or meta-analysis
3. Advanced critical analysis and application of research of evidence;
4. Understanding the methods for quantitative synthesis in medicine, including decision analysis and cost-effective analysis
5 Analysis of cost and the integration of physical therapist practice into the national health care system; administration, budgeting and reimbursement for physical therapist services. 

課程目標
 At the end of this semester, the students should be able to

1. Understand the scope and define the evidence-based physical therapy in health care system.（跨領域團隊合作Interdisciplinary collaboration and leadership與領導與國際觀Global vision）
2. Execute steps necessary to provide physical therapy service with bestevidences, including forming the questions, searching for evidences, conducting meta-analysis for systematic reviews, evaluate the evidence, etc.（創新與研究Innovation and invention）
3. Exercise evidence-based physical therapy from the aspects of diagnosis, outcome, therapy and harm.（專業與教學能力Professional and teaching skill，創新與研究Innovation and invention）
4. Understand the cost-effective analysis in medical(physical therapy) practice.（跨領域團隊合作與領導Interdisciplinary collaboration and leadership） 
課程要求
 1. Book reading
For each chapter: 25 min/chapter report by students , 25 min discussion
2. Each group:
Mid-term meta-analysis proposal and registration
3. Final report: systemic review or meta-analysis final manuscript for discussion

Scoring:
1. Participation in class and book reading 30%（跨領域團隊合作與領導與人文關懷與服務倫理）
2. Report a proposal on meta-analysis, appraisal of articles of meta-analysis and cost-effective analysis (with power point file) 30%（專業與教學能力，創新與研究）
3. Final report and paper (systemic review or meta-analysis) 40%（跨領域團隊合作與領導與國際觀） 
預期每週課後學習時數
  
Office Hours
  
指定閱讀
  
參考書目
 1. Herbert R. Jamtvedt, G. Hagen KB, Mead J. Practical Evidence-Based
Physiotherapy. 2nd ed., Churchill Livingstone, Edinburg, 2011
2. Straus SE, Richardson WS, Rosenberg W, Haynes RB. Evidence-Based Medicine:
How to Practice and Teach EBM, 2nd ed. Edinburgh: Churchill Livingstone, 2005.
3. Jewell DV. Guide to Evidence-Based Physical Therapy Practice. Jones &
Bartlett Pub, 2008.
4. Hammell KW, Carpenter C. Qualitative Research in Evidence-Based
Rehabilitation. Edinburgh: Churchill Livingstone, 2004.
5. Petitti DB. Meta-Analysis, Decision Analysis, and Cost-Effectiveness
Analysis, 2nd ed. New York: Oxford University, 2000.
6. 醫圖實證醫學網路資源含pubmed Endnote線上教學
7. Review Manager 5.3 
評量方式
(僅供參考)
    
課程進度
週次
日期
單元主題
第1週
 9/11  Class orientation
Grouping
Book reading
Preparation for final report: systemic review and/or meta-analysis
Asking answerable clinical questions 
第2週
 9/18  What is Evidence-based healthcare?
Evidence-based practice and physical therapy
Meta-analysis procedure and example 
第3週
 9/25  MEDline search
Meta-analysis, statistical tool 
第4週
 10/02  Evidence-based physiotherapy: what, why and how?
What do I need to know 
第5週
 10/09  What constitutes evidence?
Finding the evidence 
第6週
 10/16  Can I trust this evidence?
What does this evidence mean for my practice? 
第7週
 10/23  Clinical guidelines as a resource for evidence-based-physiotherpy?
When and how should new therapies be introduced into clinical practice 
第8週
 10/30  Making it happen!
Am I on the right track? 
第9週
 11/06  Mid-term report
Proposal of systematic review for registration 
第10週
 11/13  Using qualitative evidence as a basis for evidence-based practice 
第11週
 11/20  Discussion of final project 
第12週
 11/27  Discussion of final project  
第13週
 12/04  Meta-analysis journal appraisal 
第14週
 12/11  Cost effective analysis 
第15週
 12/18  Cost estimation 
第16週
 12/25  ORAL REPORT group 1 and 2 
第17週
 01/01  HOLIDAY 
第18週
 01/08  Turn in paper report by 5:00 pm