Professional Care for the Active Population in Taiwan Taiwan Athletic Trainers’ Society Yan-Ying Ju, PhD, PT, ATC

Taiwan Area : 36,000 sqKm Population : 23 million Capital : Taipei City Language : Mandarin / Taiwanese

Caring the Active Population Western (ATs & PTs)‏ Chinese/ Traditional

Caring the Active Population Chinese / Traditional services Chinese-Chiro Herbal Collegiate / longterm Internship Western medical MD AT PT  Taiwan Athletic Trainers’ Society  Sports Physical Therapy Section - PTAROC

Physical Therapy in Taiwan Since 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 DPT Professional organizations PTAROC Federation of PT Associations

Sports PT in Taiwan Physical Therapy Association (PTAROC)‏ SPT Task Force 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 & Structured

Athletic Training in Taiwan Since 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 trained By 2005 Sep, close to 300 trainees graduated 100 graduates per year since % employed for AT related jobs 1596Other Female 129Foreign trained Total 116Special AT programs Collegiate AT programs TotalMaleTraining background (Ju YY & Hsieh1 YJ, 2006)‏

Current Status – cont’d Majority of age 20 ~ 30 Professional teams or Educational institutes (Ju YY & Hsieh1 YJ, 2006)‏

TW AT Tasks / Missions 1.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.

Unique Limited use of physical modalities USD, ES, mechanical traction, etc. Occasional uses of traditional techniques Acupuncture, herbal steam, traditional massage, etc.

Curriculum Program 1.Human anatomy & lab 2.Human physiology & lab 3.Exercise physiology & lab 4.Sports nutrition 5.Human kinesiology 6.Sports psychology 7.Biomechanics 8.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 號令 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 II III IV V VI VII VIII IX

The Exam - Eligibility College 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 - Content Written (Day1)‏ 4 domains Practical (Day2)‏ Evaluation First-aid Taping Rehabilitation Basic Science Core Sports and Health Management Injury Evaluation 20 min Drawing 3 examiners Judging: Correct, Speed, Proficiency

40%246068VIII %246974IX %74446VII %12123V %102728VI % Total 31%154950IV % III %162024II %125152I Pass ratePassedAttendedRegistered

Future Enhancing the values Mandatory hiring in the national sports teams Transiting to the curricular model completely Mutual recognition International certification

Thanks You