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2011年4月23日 星期六

對Dr. Ottenbacher演講的感想

講題為Evidence-based practice and knowledge translation in the era of health care reform: opportunities for occupational therapy。
Dr. Ottenbacher敘述做研究是一個長遠及長久的過程,他非常幽默的表示,做實證研究就像演化一樣,像從年輕的他,到現在年長的他(見下圖),這種類似的描述依稀常在系上某個資深的教授中常聽到。
何謂實證執業(evidence-based practice,EBP)?就是連結研究和臨床醫療。綜合研究的結果,以改變臨床醫療的狀況。但是證據有時不是直接相關的,所以必須思考如何可以更清楚、明顯地,表示研究和臨床之間的連接。

Dr. Ottenbacher說到Haynes於1996提及EBP的組成架構(如下圖),從此圖中可得知個案的認知、臨床經驗、和研究證明,此三個要素可以促進個案醫療的狀況。

Dr. Ottenbacher在演講中提出達到EBP,有6個的步驟,他特別強調要做RCT(Randomized clinical trail)的研究,增加研究證據的可信度。其中有一個步驟為,要與個案和同事分享研究成果,我覺得這一點非常重要,為推廣層面。即使研究者已經發表期刊論文,但實際臨床中,個案和臨床從業人員無法得知最新消息,研究和臨床就會永遠存在著一個間隔。此時,我就在想一個成功的研究學者,不僅要有充足的能力規劃、執行研究,和發表論文,也要有能力可以推廣研究成果,如此,才能充分地發揮研究的價值。

2011年4月22日 星期五

認識新朋友

謝謝"謝清麟老師"介紹"謝靜慧老師",讓我這次有機會可以認識更多在美國執業、於大學教學、和做研究的台灣職能治療人員。
在此分享與這些優秀的台灣學長姊的合照,希望有機會再和他們相見,或者是合作!!
照片上,由左到右的人員:謝逸如(成大畢業,在New Jersey執業);李韋宏(成大畢業,在New Jersey執業);我;麗婷;劉瓊如(台大畢業,在Indiana University教書);Megan Chang(成大畢業,在USC當post-doc);謝靜慧老師(台大畢業,為National Rehabilitation Hospital/MedStar Research Institute研究員)和她的先生及小孩。
另外,認識從高醫畢業,任教於Indiana University的Fengyi Kuo。她沒入鏡,但仍想提及此認識的新朋友。

2011年4月21日 星期四

iPad2

本來有想過,在費城要買個iPad2到台灣來拍賣。後來反覆思考,回來台灣後,我應該忙於課業,根本無力上網拍賣商品,所以打消了念頭。
費城的apple專賣店離研討會會場不遠,約20分鐘的路程,所以趁著中午休息時間,晃到專賣店,沒有看到大排長龍的人排隊買iPad2,其實老早就賣完了,我想買也買不到。
到此一遊,摸一摸最夯的產品,也還滿開心的!

2011年4月20日 星期三

我回來了!


最近都很好奇自己到底有沒有在睡覺,有時晚睡早起,有時好不容易睡著了,但不久後就被人叫醒!!
昨晚是我第一次在機場睡覺,第一次獻給東京成田機場。在成田機場睡覺其實還滿安全的,警衛會把旅客集中在一起,在登記旅客的基本資料和其未來的航班訊息後,警衛就在某一處站著,且定期地巡邏所有的旅客狀況。有人保護的狀況睡覺,覺得還滿安穩的,VIPㄝ!。唯一美中不足的地方就是機場太冷了,冷到我根本睡不著!!
雖然今天日本到台灣的航班有delay,但可以平安的回到台灣,真的是太開心了!接下來要調整時差和開始追趕進度囉!

願上帝帶領我走前面的道路!有智慧和勇氣面對所有的挑戰和困難!


2011年4月17日 星期日

AOTA on April 16

91st AOTA 研討會已到了尾聲,等回就要到費城的機場,準備開始另一個長途的旅程(回台灣).

昨天有機會聽到Kenneth J. Ottenbacher大師的演講,好興奮喔!
前天晚上我的前任指導教授Esther(teaching in Loma Linda University)告訴我Dr. Ottenbacher是美國拿到最多研究經費的OT學者.昨天主持人介紹Dr. Ottenbacher時,也提到他有250篇以上的期刊著作及充足的研究經費,還沒聽到他的演講,就開始崇拜他了.
讓我更佩服的是,他的powerpoint製作,是我在這次研討會當中看到最精彩的一次:適當的圖片使用,精簡的文字,有配搭動畫,清楚的內容和敘述程序.看到大師精闢的演說,學習良多,可做為我的模範.

昨天下大雨,下午到費城的LOVE park, Rodin museum和Philadelphia museum of art逛逛,雖然下半身的褲子和包包都溼掉了,但澆不熄想要玩的心情.

晚上和謝靜慧老師和其他在美國教書或執業的OT吃飯,聽他們分享美國生活和工作,雖然自己也曾經在美國過了一段不短的日子,但聽他們的分享,仍然覺得很稀奇,尤其是有關學術和教學方面,才知道美國OT領域Post-doc的機會很少.

2011年4月15日 星期五

The plan on April 15

Today, my schedule will be

8am-9am three presentations in a row
  1. Individuals with global cognitive impairment do benefit from modified constraint-induced movement study
  2. Executive dysfunction immediately post mild stroke
  3. factors predicting executive performance and participation after stroke

9:30am-11am 
    Using Occupations to slow down cognitive decline in older adults
2pm-3pm three presentations in a row
  1. Trauma symptoms, life skill knowledge, and transition to housing: a longitudinal study of individuals with mental illness at risk for homelessness
  2. further validating the executive function performance tests with people who are homeless and have substance use disorders
  3. The kawa model: exploring how women overcome intimate partner violence

3pm-5pm
    My poster presentation
    Two-hour poster session is quite long. I hope I could have enough energy to share my work and explain it clearly.

5:15pm-6:30pm
    Eleanor Clarke Slagle Lecture: Accentuate the positive: reflections on empathic interpersonal interactions

AOTA on April 14

There were so many so many speeches at the same time. The participants really needed to work on which speeches are the preferences ahead of time in order to have the seat in the room. In the beginning, it was hard to make the decision which I prefer to listen first. When I made up my mind, some of the speeches were so popular and it would be not available to get in the room.

In the morning, I helped out Letty to post Dr. Pan's poster, and then I looked through most of the posters. In Taiwan, most of the poster presenters were gone in OT conferences. In the AOTA conference, the poster presenters needed to stand by their poster and try to explain any questions or share how the research study was done. Then the presenters would give the audiences the sticker. Each audience needed to get 10 stickers to gain the educational credits.
In this poster session, lots of the research studies were relative to the OT educational (academic) and pediatric fields. Moreover, quite a lot of research studies used qualitative research method.
I have seen that one presenter's poster was lost during the shipping and she drew some notes talking about the mistake of shipping and the main ideas of her poster. It attracted so many attentions, because of her attitudes showing never giving up and her body languages of presenting her research studies.

During the poster session, I met some Taiwanese who worked or studied in the US. After the poster session, some of them took me to the traditional food market to have Amish sandwich. Wow! There was so crowded and there were some people sining in the middle. By that moment, I kind of woke up and started to feel hungry, since I was still in jet lag and my stomach was not feeling well.

In the afternoon, originally I wanted to listen to the topic "The compelling evidence for motor learning practices in occupation-based neurorehabilitation: theory and principles of scientific practice". However, the room was full and I was not allowed to get in. Then I went to listen to another short topic "Development of a functional capacity evaluation of work performance for individuals with mild to moderate stroke". The presenter shared how she developed a assessment testing work ability for the people with stroke. She said about 3 or 4 times that she felt executive function was important for work. She also stated

  • Needing a model before starting a developing a assessment, which helped her having a clear picture what she needed to do.
  • Starting with a structured interview to know what elements were needed in the assessment tool.
  • two measures, O*NET and MOCA. If I did not misunderstand, these were related to cognition.
  • how she did pilot study of the content of her measure, and then doing the studies of psychometric properties. 

In the evening, there were a welcome ceremony, a expo grand opening, and reception. I stayed with my ex-advisor, Esther Huecker who was associate professor in Loma Linda University. This was my first time to meet her face to face. When I was in Loma Linda University, her husband was sick seriously. So, I have no chances to meet her. She was so nice to introduce some people to me and share the main ideas of the speech in the welcome opening.
In the welcome opening, there was a vocal bank to sing songs to start the opening, and American people were so excited and dancing.  Esther's friend said there were more and more informal performance in the AOTA welcome opening.
In the expo grand opening, there were so many booths from schools,health care institutes, and companies selling books, assistive technology, and toys. And I could get some free stuff from the booths.
I looked at the books related to cognition, but I did not find out anything new or special about executive functions. Keep trying to open the eyes and seeing whether I could have some difference ideas for my EF research framework.

2011年4月14日 星期四

Being in Philly!

I have arrived at Philadelphia safely. It was a long flight which made me felt so exhausted.
The officer in the airport asked me coming to the US for traveling. I said no and I could see the officer's face became weird. And then I said I came for a conference.
I know there are so many friends having the plans to go sight seeing. Well, I think I will spend the whole three days to see and listen to different presentations. If possible, I will try to write down my learning on the blog. I met Chia-Wei last night, who studies at UIC. She said she had looked at my blog, because she received messages from prof. Hsieh's writing blog. WOW! So cool. Because of the connections, there may be so many people who I know or I do not know looking at my blog.
She asked me whether I could write in English. I will think about it and try to write in English. Indeed, I also need to practice my English writing skills.

Yesterday, I took shuttle bus from the airport to the hotel. In the shuttle bus, most of people were coming for join the AOTA conference. One lady asked me what I was going to present. I was kind of shock by that moment. There is a need to prepare myself to be ready to share my presentation anytime. She said my topic was interesting and she would come over to see my poster.