四年制與六年制物理治療臨床實習差異性

Clinical Practice Difference between Four-Year Bachelor and Six-Year Doctor of Physical Therapy Programs

臺大醫學院物理治療學系於專業養成教育進行改革，將學制從四年制變更為六年制。而自2020年起，六年制的大五學生開始於臺大醫院進行實習。本篇文章分析臺大醫院物理治療職類四年制與六年制實習學生，進入臨床實習階段後表現的差異性。研究結果顯示，六年制學生於代表實習成效的期中Mini-CEX評估之操作技能、臨床判斷、組織效能、人道專業與整體評量的分數顯著優於四年制學生。專業素養評核在評核時，顯示兩種學制於各項素養評核項目分數皆無顯著差異，但於期末評核時發現，六年制學生於人際交往能力、溝通技巧、善用建設性回饋、壓力管理及素養評核總分，均顯著優於四年制學生。以上初步分析可能是學制改變後的成果，需要後續更多資料的支持。

The Physical Therapy Department of National Taiwan University embarks on the transition for our formative entry-level education by changing the 4-year degree bachelor's to a 6-year doctoral program. Furthermore, from 2020, there have been clinical practice internships for the 6-year program at the National Taiwan University Hospital. The article analyzes the differences in student's clinical practice performance with 4-year and 6-year learning. The research demonstrates significant differences as the 6-year intern students achieved better outcomes in procedural skills, clinical judgments, organization/efficiency, and humanistic qualities, evaluated with Mini-CEX. As for the professionalism assessment, there was no significant difference between the scores of the midterm evaluation. But in the final evaluation, we found that the students with 6-year education received significantly higher scores in interpersonal skills, communication skills, use of constructive feedback, and stress management. The results of this preliminary report demonstrated the outcome of the change in the entry-level education program, however, more research and long-term assessment are needed.