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
 111-1 
授課對象
 醫學院  物理治療學研究所  
授課教師
  
課號
 PT8044 
課程識別碼
 428 D0460 
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
  
備註
 合授：張新儀老師。
限博士班 且 限本系所學生(含輔系、雙修生)
總人數上限：20人 
  
課程簡介影片
 
核心能力關聯
 核心能力與課程規劃關聯圖
課程大綱
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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 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.（Interdisciplinary collaboration and leadership & Global vision）
2.Execute steps necessary to provide physical therapy service with best evidences, including forming the questions, searching for evidences, conducting meta-analysis for systematic reviews, evaluate the evidence, etc.（Innovation and invention）
3.Exercise evidence-based physical therapy from the aspects of diagnosis, outcome, therapy and harm. （Professional and teaching skill & Innovation and invention）
4.Understand the cost-effective analysis in medical(physical therapy) (Interdisciplinary collaboration and leadership） 
課程要求
 Evaluation:
1.Participation in class and book reading 30%
2.Report a proposal on meta-analysis, appraisal of articles of meta-analysis and cost-effective analysis (with power point file) 30%
3.Final report and paper (systemic review or meta-analysis) 40%
Book reading: For each chapter: 25 min/chapter report by students, 25 min discussion
Each group: Mid-term meta-analysis proposal and registration
Final report: systemic review or meta-analysis final manuscript for discussion
Further Revision 
預期每週課後學習時數
  
Office Hours
  
指定閱讀
 待補 
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.Online teaching material from medical library, including pubmed and Endnote online teaching
7.Review Manager 5.3
8.Liew BXW, Del Vecchio A, Falla D. The influence of musculoskeletal pain disorders on muscle synergies-A systematic review. PLoS One. 2018 Nov 5;13(11):e0206885.
9.Sanderson A , Wang SF, Elgueta Cancino E, Martinez Valdes E, Sanchis-Sanchez E, Liew B , Falla D, The Effect of Experimental and Clinical Musculoskeletal Pain on Spinal and Supraspinal Projections to Motoneurons and Motor Unit Properties in Humans: A Systematic Review. European Journal of Pain (in press). 
評量方式
(僅供參考)
    
課程進度
週次
日期
單元主題
第1週
 9/07  Class orientation
Grouping
Book reading
Preparation for final report: systemic review and/or meta-analysis
Asking answerable clinical questions 
第2週
 9/14  What is Evidence-based healthcare?
Evidence-based practice and physical therapy
Meta-analysis procedure and example 
第3週
 9/21  MEDline search
Meta-analysis, statistical tool 
第4週
 9/28  Evidence-based physiotherapy: what, why and how?
What do I need to know  
第5週
 10/05  What constitutes evidence?
Finding the evidence 
第6週
 10/12  Can I trust this evidence?
What does this evidence mean for my practice? 
第7週
 10/19  Clinical guidelines as a resource for evidence-based-physiotherapy?
When and how should new therapies be introduced into clinical practice 
第8週
 10/26  Making it happen! 
第9週
 11/02  Am I on the right track? 
第10週
 11/09  Mid-term report
Proposal of systematic review for registration 
第11週
 11/16  Meta analysis statistic basic 
第12週
 11/23  Meta-analysis journal appraisal 
第13週
 11/30  Cost-effective analysis journal appraisal 
第14週
 12/07  Cost effective analysis 
第15週
 12/14  Cost estimation 
第16週
 12/21  Final report
Turn in paper report 12/21 5:00 pm