Professional Care for the Active Population in Taiwan

Professional Care for the Active Population in Taiwan

Taiwan Athletic Trainers’ Society

Yan-Ying Ju, PhD, PT, ATC

TaiwanArea : 36,000 sqKm

Population : 23 million

Capital : Taipei City

Language : Mandarin / Taiwanese

Caring the Active Population

Western(ATs & PTs)

Chinese/Traditional

Caring the Active PopulationChinese / Traditional servicesChinese-ChiroHerbalCollegiate / longterm Internship

Western medicalMDAT PT

Taiwan Athletic Trainers’ Society

Sports Physical Therapy Section - PTAROC

Physical Therapy in TaiwanSince 1950s, currently around 4000 in active, 100 in sports(part-time)10 accredited Bachelor ’s program 1600 graduates/year <300 licensed/year (20%)

40% concentrated in ortho <10% (20) in sports medicine

Several graduate institutes (MS & PhD), no MPT or DPTProfessional organizations PTAROC Federation of PT Associations

Sports PT in TaiwanPhysical Therapy Association (PTAROC) 2000 - SPT Task Force 2004 - Clinical Specialty Committee

SPT Council

Continuing Professional Development PT license Registered in SPT Council Certification (in development)

more a master’s level

Strength & Weakness

PT

Athlete / Sports

AT

General / Medical

Larger & StructuredLarger & Structured

Athletic Training in TaiwanSince 1970s 2 special AT programs

1987 & 1993 Currently 4 Collegiate programs &

1 graduate program (master’s) <200 active

Taiwan Athletic Trainers’ Society Taiwan Athletic Trainers’

Association

ATs trainedBy 2005 Sep, close to 300 trainees graduated

100 graduates per year since 2006

50% employed for AT related jobs

1596Other

143

3

5

126

Female

129Foreign trained

287144Total

116Special AT programs

249123Collegiate AT programs

TotalMaleTraining background

(Ju YY & Hsieh1 YJ, 2006)

Current Status – cont’d

Majority of age 20 ~ 30

Professional teams or Educational institutes

Full-time25%

Part-time75%

(Ju YY & Hsieh1 YJ, 2006)

TW AT Tasks / Missions1. Health management

2. Sports injury prevention

3. Recognition, Evaluation, & First-Aid

4. Care and rehabilitation

5. Plan and perform the post-injury training

6. When involving medical treatments, have to follow MD’s orders / instructions, or be supervised.

UniqueLimited use of physical modalitiesUSD, ES, mechanical traction, etc.

Occasional uses of traditional techniquesAcupuncture, herbal steam, traditional

massage, etc.

Curriculum Program

1.Human anatomy & lab2.Human physiology & lab3.Exercise physiology & lab4.Sports nutrition5.Human kinesiology6.Sports psychology7.Biomechanics8.First aid & lab

Curriculum Program cont.9. Introduction to athletic training

10.Care & prevention of athletic injuries

11.Evaluation of athletic injuries

12.Administration of athletic training

13.Therapeutic Modality

14.Therapeutic exercise

15.Sports massage & trigger point therapy

Clinical Experience

Minimum of 1,000 clinical hours under supervision

Mini. of 200 hours in training room

Mini. of 200 hours in high risk sports

Mini. of 200 hours covering competition

Up to 100 hours can be transferred from EMT working hours

Up to 300 hours can be from clinical or hospital setting

Government Endorsed Certification Regulations

Based on “Citizen Physical Education Act”, section 11.2

體委競字第 0910004703 號令 2002.03.26 Supervised by the National Council on Physical

Fitness and Sports (Athletic Sports Department)

Government Endorsed Certification Regulations –cont’d

Definition“… who performs the tasks, and is certified.”

Tasks: Very similar to what’s in USA & Canada Targeted job markets: educational institute, sports

team, health center, etc. Very few in the hospital / clinic

Taiwan Athletic Trainer Certification Examination

I. 2002.11.30 II. 2003.05.24 III. 2003.11.22 IV. 2004.07.10 V. 2004.10.23 VI. 2005.10.01VII. 2006.09.02VIII. 2007.09.15IX. 2008.10.19

The Exam - EligibilityCollege graduate, with related major

Taken the following courses (~50 credit hours):Basic Science (17)

Anatomy, Physiology, Sports nutrition, Sports physiology, Kinesiology, Biomechanics, & First-aid

Core (12)AT, Exercise prescription, Taping, Therapeutic exercise and modality, Sports Training, Massage

Sports and Health Management (4)AT administration, Health management

Injury Evaluation (4)Physical exam and injury evaluation

The Exam - ContentWritten (Day1)

4 domains

Practical (Day2)EvaluationFirst-aidTapingRehabilitation

Basic ScienceCoreSports and Health ManagementInjury Evaluation

20 minDrawing3 examinersJudging: Correct, Speed, Proficiency

40%246068VIII. 2007.09.15

35%246974IX. 2008.10.19

16%74446VII. 2006.09.02

5%12123V. 2004.10.23

37%102728VI. 2005.10.01

32%142449477Total

31%154950IV. 2004.07.10

31%33108112III. 2003.11.22

80%162024II. 2003.05.24

24%125152I. 2002.11.30

Pass ratePassedAttendedRegistered

FutureEnhancing the valuesMandatory hiring in the national sports teams

Transiting to the curricular model completely

Mutual recognition

International certification

Thanks You