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Department of Occupational Therapy
I     Objective
            The Department was founded in accordance to the need of the society due to the trend toward the aging society in Taiwan and the promotion of welfare for the disabled. The objective of the Department is to cultivate outstanding personnel in the clinical practice and to promote the professional competence through the comprehensive and specialized learning of the basic medicine and the occupational therapy.  
 
II    History
           As the pioneer of the private universities to independently found departments, the Department of Occupational Therapy was founded in 1994 based on factors including the transformation of the social structure, the increasing demand for the medical treatment of chronic diseases in the aging society, the increasing expectations of fellow citizens on the healthcare quality, and the need of the society for qualified people in clinical practice and the academic research related to occupational therapy and physical medicine and rehabilitation.
III   Present Situation and Features
          The present teaching space of the Department is approximately over 700 ping and the hardware design is perfect and comprehensive. The facilities include the one way mirror room, the children evaluation and treatment practice room, the behavior evaluation and treatment room, the perception disorder room, the occupational therapy practice room, the group therapy practice room, and many discussion rooms. The related research facilities have also been expanded. Moreover, all the Chang Gung Memorial Hospital Branches (Taipei, Linkou, Keelung, and Kaohsiung), the Nursing Home, and the Health & Culture Village are integrated to provide cases of different forms and in different stages (from acute, subacute, and chronic, to the care of the elderly in the community) and substantial contents of the clinical practice. Meanwhile, the Department actively interchanges with external teaching hospitals to seek the National Taiwan University Hospital, the Shin Kong Memorial Hospital, the Taipei Municipal Wan Fang Hospital, the En Chu Kong Hospital, the Women’s and Children’s Hospital, the Song-de Branch of the Taipei City Hospital, the Jianan Mental Hospital, and the Pali Mental Hospital as the practice units. The clinical clerkship or practice courses are arranged in the gradual manner for each college year. The senior students all have one full year to practice in the 3 major areas: adult, children, and mental hygiene. In addition, various regularly and irregularly scheduled activities including the new student workshops, the teacher-student meetings, the career symposiums, and the practice discussion meetings are held to strengthen the guidance for the students. In addition, regular and non-periodically conducts activity each kind of strengthened student counseling, including newborn discussion, teachers and students symposium, employment symposium, practice symposium. Main characteristic as follows:
·       The analysis of the occupational activities is technologically oriented. The brain measurement instrument and the biomechanical analysis instrument are used for the analysis of activities.
·        The seriation and the linking of the undergraduate and graduate courses are strengthened toward small group teaching with the objective of the integration of theory and practice.
·        The multi-level, multi-dimension, in-depth, and abundant experiences in the clinical practice of the specialized fields are provided.
·        The student’s study, daily life, and career development are emphasized. Students are encouraged to engage in advanced studies to develop the academic capabilities in the related specialized fields.
IV    Future Development
        The teaching philosophy of the Department firmly believes that the cultivation of outstanding professional personnel in occupational therapy is the important objective of the Department. After being nurtured in the Department, one can become competent in the clinical practice and able to assist the promotion of the professional standards as well as the quality of the related medical therapy. The Department unites with the related Departments to provide in-depth and advanced courses for the graduate institute including the courses in specialized education to increase the career opportunities of the students. The Department also integrates the technology of medical engineering and the research methodology of behavioral science to apply to the occupational therapy for the development of occupational therapy in the direction toward science and technology. The mid-term and long term development plans are as follows:
·        Continues to recruit professional faculty members in occupational therapy to accelerate the progress of the research
·        Substantiates the related literature, journals, and audio-video equipment
·       Vigorously expands the teaching and research facilities such as the rehabilitation apparatus for the physiological illness in the occupational therapy practice room, pediatric rehabilitation apparatus, daily life training apparatus, and prevocational training apparatus.
·        Strengthens the coordination between theory and practice of the students
·       Holds national and international academic symposiums and encourages students to participate in the clinical research and academic activities to increase the academic interchange of professional occupational therapy.
·       Regularly communicates with other universities regarding the design and arrangement of courses and inquires about the students’ opinions
·       Supports cross-disciplinary research projects (including occupational therapy, psychology, special education, rehabilitation science, and medical engineering) to promote the academic development of the occupational therapy field.
V     The Employment Distribution of Graduates (Alumni)
         The occupation therapy graduates of the Department and the Graduate Institute can be employed in the clinical practice in the public or private hospitals and disabled welfare institutions including the teaching hospitals, the regional hospitals, the specialized hospitals (mental hospitals, rehabilitation hospitals), the small to mid-size hospitals, the clinics, the community and development centers (mental rehabilitation association, First Children, Po-ai Children, Tzu Chi development center), the school systems (specialized schools, designated school districts), homes for the disabled or similar organizations, personal workshops, teaching and research organizations, or administrative services in the Department of Health or related units with the senior examination qualifications.
VI    Admission Information
         The students of the Department are admitted by the Joint Admission System. The Department also admits students transferred from other Departments or Universities in the sophomore year in accordance with the University’s requirements. Please contact Ms. Liao at (03) 3283016 ext. 5439 for further inquires.
VII  Other Information
        The Occupational Therapist Law was passed in May 1997 and the first professional national examination (the professional and technical senior examination) was held on December 20, 1997. The first graduates of the Department took the licensing examination in July 1996 and a pass percentage of 100% was achieved. Therefore, the professional status of the Department has been recognized by the nation as well as the society.
Curriculum
Overall Introduction
        The objective of the courses provided in the Department is to develop the research capabilities of the students, to enrich the background knowledge related to neurological behavior. The knowledge of the neurological behavior is introduced to the occupational therapy theory and rehabilitation to contribute to the evolution of the occupational therapy field. The courses are divided into 4 major categories: Background Knowledge of Research Methodology, Background Knowledge of Neurological Behavior, Complementary Background Knowledge of Biomechanics and Technology, and Background Knowledge of Rehabilitation Medicine and Psychological Medicine. The later 3 background knowledge courses cover the 3 major fields of occupational therapy; Physiology, Pediatrics, and Psychology. The contents of the 4 major categories are briefly described as follows:
(1)   Background Knowledge of Research Methodology
         The course discusses the basic tools of research methods and the introduction to academic research. The Department also provides diverse courses such as Statistics of Research Methodology and Critics of Dissertation
(2)   Background Knowledge of Neurological Behavior
          The brain plays a very important role. Without it, all behaviors and mind activities will cease. The activities of the brain are expressed by the external behaviors and represented by a variety of occupational functions through interaction with the environment. In order to expand the understanding of the students in the brain activities and the control of movement and behaviors, courses such as Rehabilitation of Neurological Behaviors, and Control and Learning of Advanced Movements
(3)   Complementary Background Knowledge of Biomechanics and Technology
        Occupational therapy frequently utilizes the knowledge in biomechanics and the auxiliary assistive technology to improve the representation of occupational therapy. In order to improve the applications of biomechanics and assistive technology in occupational therapy, the Department provides courses such as Special Topics in Assistive Technology and Applications of Ergonomics and Biomechanics in Occupational Therapy.
(4)   Background Knowledge of Rehabilitation Medicine and Psychological Medicine
         In order to strengthen the students’ background knowledge in medicine, the Department collaborates with the other graduate institutes to offer courses related to rehabilitation medicine or psychological medicine for selection.
 
Research Areas and Facilities
 
Research Areas
1. Neurological Behaviors and Physiological / Pediatric Occupational Therapy
2. Applications of Biomechanics and Ergonomics in Physiological / Pediatric Occupational Therapy
3. Applications of Technical Assistive Device in Adult or Pediatric Occupational Behaviors
4. Vocational Rehabilitation and Occupational Therapy of Social Psychology
 
Computerized and Scientific Instruments
 
                                        Description of Event-Related Brain Potential Instrument
         The event-related brain potentials (ERP) can reflect the brain potentials of the synchronous brain operation during the execution process. Specific signals (ERP) are extracted from the potentials of spontaneous brain waves by specific processing or calculation methods (e.g., filtration, addition). Although ERP does not have good spatial resolution like the other image measurements such as PET and fMRI, it does have very good temporal resolution and causes unique and significant influence to the field of cognitive neuroscience. The performance in perception, consciousness, cognition, and movement of the clinical case is the primary concern to the occupational therapy profession. The occupational therapist can create new ideas in the previously described knowledge fields. As far as the basic research is concerned, ERP can be used to understand the operation mechanism of the specific region of the brain. In terms of the application, ERP can be combined with behavior evaluation for further understanding of the characteristics of the case and for the study of the post-rehabilitation change of the brain mechanism. The faculty and the occupational therapy graduate students have started to use ERP to build and verify the knowledge related to neurological behaviors of the clinical or normal cases as the study objects.
 
Description of Electromyography
 
         Electromyography (EMG) can reflect the on-line activation potentials of the motor units of the motor muscle groups in the synchronous action during the execution of movement of the limbs. The raw data collected by the electromyo graph instrument can generate the pattern and the role of the muscle action during the limb movement after the processing and calculation of the special signals. EMG can be obtained from the invasive interface (needle) or non-invasive interface (surface electrode). The non-invasive method is widely used in the clinical studies. EMG can be used in the synchronous operation with the other motion analysis systems to acquire the extent and duration of the muscles during the movement process to facilitate the understanding of the role of the muscle reflection in the entire movement process. The occupational therapy profession concerns the movement ability and the quality of the clinical case and also studies the influence of the intervention strategy on the muscle action of the case. The occupational therapist can use EMG to study the influence of biomechanics on the characteristics of the movement. With the elucidation of neurological physiology, EMG can also contribute to the motion planning mechanism of the brain. The faculty, the undergraduate students, and the occupational therapy graduate students have started to use EMG to build and verify the knowledge related to biomechanics and the neurological behaviors of the clinical or normal cases as the study objects
 
Description of Motion Analysis System
 
         The motion analysis system is a computerized instrument that attaches reference marks on the human body (limbs, body, and face) and uses infrared rays to photograph the motion trajectory of the reference marks in the 3D space. The kinematics data during the movement of the human body is obtained from the processing by the computer programs. In other words, the subtle characteristics during the process of movement in terms of time and space allows the collection the response time, displacement, velocity, acceleration, and how to coordinate the movements of the human body during the movement by the motion analysis system. The complete description of the motion analysis can represent the neurological commands given by the central nervous system for the execution of movement and can be used to rationalize the integration of the corresponding movement. In the clinical applications, it can serve as the analytical tool for the execution of the functional or therapeutic movement. It also can be used for the evaluation of the subtle change of the movement during the recovery of the patient to estimate the integration of the movement of the patient. It is also used as the therapeutic evaluation tool to follow the improvement of the movement of the patient. The frequently followed movements include the movements of the upper extremities (such as the stretching and reaching movements of the arms, the coordination of both hands), the movements of the lower extremities (such as the walking movement), the movement of the body, and the movement of the face (such as the coordination of the muscles around the oral cavity.
 
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