CHIR20001 - Advanced Clinical Neurology and Diagnosis
Term 1 - 2017


All details in this unit profile for CHIR20001 have been officially approved by CQUniversity and represent a learning partnership between the University and you (our student). The information will not be changed unless absolutely necessary and any change will be clearly indicated by an approved correction included in the profile.

Overview

The unit builds upon your knowledge and understanding of the human body gained through the Bachelor of Science (Chiropractic). The unit will focus upon the clinical presentation of neurological conditions encountered in chiropractic practice. You will develop an understanding of the physiological processes underlying signs and symptoms at clinical presentation as well as knowledge and skills to interpret these changes through physical examination.

Details

Career Level Postgraduate
Credit Points 6
Student Contribution Band [not found]
Fraction of Full-Time Student Load 0.125

Pre-requisites or Co-requisites

Co-requisite

CHIR20002 Clinical Practice 2

Attendance Requirements

All on-campus students are expected to attend scheduled classes – in some units, these classes are identified as a mandatory (pass/fail) component and attendance is compulsory. International students, on a student visa, must maintain a full time study load and meet both attendance and academic progress requirements in each study period (satisfactory attendance for International students is defined as maintaining at least an 80% attendance record).

Offerings

Term 1 - 2017
  • Brisbane
  • Mackay
  • Sydney

Website

This unit has a website, within the Moodle system, which is available two weeks before the start of term. It is important that you visit your Moodle site throughout the term. Go to Moodle

Recommended Student Time Commitment

Each 6-credit Postgraduate unit at CQUniversity requires an overall time commitment of an average of 12.5 hours of study per week, making a total of 150 hours for the unit.

Class Timetable

Assessment Overview

Assessment Task Weighting
1. In-class Test(s) 10%
2. In-class Test(s) 20%
3. Practical Assessment 30%
4. Examination 40%

This is a graded unit: your overall grade will be calculated from the marks or grades for each assessment task, based on the relative weightings shown in the table above. You must obtain an overall mark for the unit of at least 50%, or an overall grade of ‘pass’ in order to pass the unit. If any ‘pass/fail’ tasks are shown in the table above they must also be completed successfully (‘pass’ grade). You must also meet any minimum mark requirements specified for a particular assessment task, as detailed in the ‘assessment task’ section (note that in some instances, the minimum mark for a task may be greater than 50%). Consult the University’s Grades and Results Procedures for more details of interim results and final grades.

All University policies are available on the IMPortal.

You may wish to view these policies:

  • Grades and Results Procedure
  • Assessment Policy and Procedure (Higher Education Coursework)
  • Review of Grade Procedure
  • Academic Misconduct Procedure
  • Monitoring Academic Progress (MAP) Policy and Procedure – Domestic Students
  • Monitoring Academic Progress (MAP) Policy and Procedure – International Students
  • Refund and Excess Payments (Credit Balances) Policy and Procedure
  • Student Feedback – Compliments and Complaints Policy and Procedure
  • Acceptable Use of Information and Communications Technology Facilities and Devices Policy and Procedure

This list is not an exhaustive list of all University policies. The full list of University policies are available on the IMPortal.

Feedback, Recommendations and Responses

Every unit is reviewed for enhancement each year. At the most recent review, the following staff and student feedback items were identified and recommendations were made.

Feedback Source Recommendation
More time with lecturer Students (in class and formal course evaluation forms) In 2017 the course will have 8 weeks of lectures (with 4 weeks when students are away on placement) via on-line sessions. This will coincide with weekly tutorials to turn theory into practical.
Increased use of neurological testing equipment Students (formal course evaluation forms) Neurological testing equipment (reflex hammers; pinwheels etc.) will be introduced much earlier in the Chiropractic program. Year 3, therefore utilisation and skills will increase over the 3 years, rather than just the Masters.
On successful completion of this unit, you will be able to:
  1. Relate the physiology, structure and function of the nervous system to clinical practice.
  2. Apply a targeted neurological physical examination as it relates to clinical practice.
  3. Formulate a differential diagnosis from neurological assessment findings.
  4. Describe a plan of management protocol from assessment and diagnostic findings.

Links to CCEA Competency Units:

Learning outcome 1-4:

Professional Interfface (3)

Patient Assessment (6)

Diagnostic decision making (7)

Planning of patient care (8)

Alignment of Assessment Tasks to Learning Outcomes

Assessment Tasks Learning Outcomes
1 2 3 4
1 - In-class Test(s)  
2 - In-class Test(s)  
3 - Practical Assessment      
4 - Examination  

Alignment of Graduate Attributes to Learning Outcomes

  • Professional Level
  • Advanced Level
Graduate Attributes Learning Outcomes
1 2 3 4
1. Knowledge
2. Communication
3. Cognitive, technical and creative skills  
4. Research        
5. Self-management      
6. Ethical and Professional Responsibility        
7. Leadership        

Alignment of Assessment Tasks to Graduate Attributes

  • Professional Level
  • Advanced Level
Assessment Tasks Graduate Attributes
1 2 3 4 5 6 7
1 - In-class Test(s)        
2 - In-class Test(s)        
3 - Practical Assessment        
4 - Examination        

Prescribed Textbooks

Neuroanatomy through clinical cases (includes ebook)
Author/s: Blumenfeld, H Year: 2010
Edition: 2nd edn Publisher: Sinauer Associates Inc
City: Sunderland State: MA
Country: USA
Functional neurology for practitioners of manual medicine
Author/s: Beck, R Year: 2011
Edition: 2nd edn revised Publisher: Churchill Livingstone - Elsevier
City: London
Country: UK
View textbooks at the CQUniversity Bookshop

IT Resources

You will need access to the following IT resources:
  • CQUniversity Student Email
  • Internet
  • Unit Website (Moodle)
All submissions for this unit must use the American Psychological Association (APA) referencing style (details can be obtained here). For further information, see the Assessment Tasks below.
Unit CoordinatorMichael Edgley (m.edgley@cqu.edu.au)
Note: Check the Term-Specific section for any additional contact information provided by the teaching team
Week Begin Date Module/Topic Chapter Events and Submissions
Week 1 06-03-2017
  1. Neuron Theory & Anatomy
  2. Neurotrasmitters and their Receptors

Please read the following chapters in Functional Neurology for Practitioners of Manual Medicine:

Chapter 1: Fundamental concepts in functional neurology

Chapter 2: Early developmental events

Socrative Quizes:

  1. Neuron Theory & Anatomy
  2. Neurotrasmitters and their Receptors

Draw it to know it - Neuroanatomy - General Organisation Chapter & Quiz

Week 2 13-03-2017
  1. Lower Motor Neuron

Please read the following chapters in Functional Neurology for Practitioners of Manual Medicine:

Chapter 3: Biochemistry and physiology of receptor activation

Chapter 4: History and examination

Chapter 5: Neurology of sensory and receptor activation

Draw it to know it - Neuroanatomy

  1. Upper Extremity & Quiz
  2. Lower Extremity & Quiz
Week 3 20-03-2017
  1. Upper Motor Neuron

Please read the following chapters in Functional Neurology for Practitioners of Manual Medicine:

Chapter 6: Neuronal activation and movement

Chapter 7: The spinal cord and peripheral nerves

Chapter 8: The autonomic nervous system

Draw it to know it - Neuroanatomy

  1. Sensory Maps & Quiz
  2. Spinal Cord & Quiz
  3. Spinal Canal & Quiz
Week 4 27-03-2017
  1. Sensory System - Tactile & Proprioception
  2. Sensory System - Temperature & Nociception
Week 5 03-04-2017

Review of first half of unit

Draw it to know it - Neuroanatomy

  1. Brainstem & Quiz
  2. Cranial Nerves 3,4,6,12 & Quiz
  3. Cranial Nerves 5,7,9,10 & Quiz
In-class Test(s) Due Friday (07 Apr 17) 05:00 PM AEST
Vacation Week 10-04-2017

Review practical patient examination

Week 6 17-04-2017
  1. Sensory System - Vestibular
  2. Sensory System - Cerebellum

Please read the following chapters in Functional Neurology for Practitioners of Manual Medicine:

Chapter 14: The Cerebellum & Vestibular

Draw it to know it - Neuroanatomy

  1. Vestibular and Auditory Systems & Quiz
  2. Cerebellum & Quiz
Week 7 24-04-2017
  1. Pain

Please read the following chapters in Functional Neurology for Practitioners of Manual Medicine:

Chapter 17: Headaches

Draw it to know it - Neuroanatomy

  1. Diencephalon & Quiz
Week 8 01-05-2017
  1. Basal Ganglia & Movement Disorders

Please read the following chapters in Functional Neurology for Practitioners of Manual Medicine:

Chapter 11: The Basal Ganglia

Draw it to know it - Neuroanatomy

  1. Basal Ganglia & Quiz
Week 9 08-05-2017
  1. Cerebral Vasculature & Stroke

Please read the following chapters in Functional Neurology for Practitioners of Manual Medicine:

Chapter 9: The Cortex

Chapter 10: The Thalamus & Hypothalamus

Draw it to know it - Neuroanatomy

  1. Cerebral Hemispheres & Quiz
  2. Cerebral White Matter & Quiz
Week 10 15-05-2017
  1. Brain Stem Anatomy Vasculature and Stroke

Please read the following chapters in Functional Neurology for Practitioners of Manual Medicine:

Chapter 13: The Brainstem & Reticular Formation

Draw it to know it - Neuroanatomy

  1. Arterial Supply
Week 11 22-05-2017
  1. Advanced Case Management & Rehabilitation

Please read the following chapters in Functional Neurology for Practitioners of Manual Medicine:

Chapter 19: Approaches to Patient Management

Chapter 20: Approaches to Treatment

Draw it to know it - Neuroanatomy

  1. Eye Movements
Week 12 29-05-2017

Exam and Practical preparations

Written Assessment (OSCE) Due Friday (02 Jun 17) 03:00 PM AEST
Practical Exam Due Friday (02 Jun 17) 03:00 PM AEST
Review/Exam Week 05-06-2017
Exam Week 12-06-2017

1 In-class Test(s)

Assessment Title In-class Test(s)
Task Description

10 Objective Structured Clinical Examinations (OSCE) stations lasting 2 minutes for each station. Total exam time is 20 minutes.

Topics covered in this exam will consist of:

  • Anatomy & Physiology
  • Pathology
  • Orthopaedic & Neurological tests
  • Patient management
Assessment Due Date Week 5 Friday (07-Apr-2017) 05:00 PM AEST
Return Date to Students Week 6 Friday (21-Apr-2017)
Weighting 10%
Conditions Minimum mark or grade - 50%
Referencing Style American Psychological Association (APA)
Submission Hard copy

Learning Outcomes Assessed
This section can be expanded to view the assessed learning outcomes

1. Relate the physiology, structure and function of the nervous system to clinical practice.

3. Formulate a differential diagnosis from neurological assessment findings.

4. Describe a plan of management protocol from assessment and diagnostic findings.

Graduate Attributes
This section can be expanded to view the assessed graduate attributes

1. Knowledge

3. Cognitive, technical and creative skills

5. Self-management



2 In-class Test(s)

Assessment Title Written Assessment (OSCE)
Task Description

20 Objective Structured Clinical Examinations (OSCE) stations lasting 2 minutes for each station.   Total exam time is 40 minutes.

 

Topics covered in this exam will consist of:

  • Anatomy & Physiology
  • Pathology
  • Orthopaedic & Neurological tests
  • Patient management
Assessment Due Date Week 12 Friday (02-Jun-2017) 03:00 PM AEST
Return Date to Students Exam Week Friday (16-Jun-2017)
Weighting 20%
Assessment Criteria

All four learning outcomes will be examined in this exam:

1. Discuss the physiology, structure and function of the nervous system and how it relates to clinical practice.
2. Apply a targeted neurological physical examination as it relates to clinical practice.
3. Formulate a differential diagnosis from neurological assessment findings.
4. Describe a plan of management protocol from assessment and diagnostic findings.
Conditions Minimum mark or grade - 60%
Referencing Style American Psychological Association (APA)
Submission Hard copy

Learning Outcomes Assessed
This section can be expanded to view the assessed learning outcomes

1. Relate the physiology, structure and function of the nervous system to clinical practice.

3. Formulate a differential diagnosis from neurological assessment findings.

4. Describe a plan of management protocol from assessment and diagnostic findings.

Graduate Attributes
This section can be expanded to view the assessed graduate attributes

1. Knowledge

3. Cognitive, technical and creative skills

5. Self-management



3 Practical Assessment

Assessment Title Practical Exam
Task Description

The practical exam will consist of 1 case history to read. From this, develop a list of differential diagnosis and your working diagnosis. List the orthopaedic and neurological tests that you would perform to confirm your diagnosis. You will be given 10 minutes to complete this part.

The second part will consist of you performing your list of tests. You will be given 5 minutes to complete this part.

Assessment Due Date Week 12 Friday (02-Jun-2017) 03:00 PM AEST
Return Date to Students Exam Week Friday (16-Jun-2017)
Weighting 30%
Assessment Criteria

2-6 differential diagnosis will be required.

The examination needs to be a targeted one with the tests specific for the patient presentation.

Conditions Minimum mark or grade - 70%
Referencing Style American Psychological Association (APA)
Submission Hard copy

Learning Outcomes Assessed
This section can be expanded to view the assessed learning outcomes

2. Apply a targeted neurological physical examination as it relates to clinical practice.

Graduate Attributes
This section can be expanded to view the assessed graduate attributes

1. Knowledge

2. Communication

3. Cognitive, technical and creative skills



Examination

Outline Complete an examination
Date During the University examination period
Weighting 40%
Condition Minimum percentage of examination marks required to pass course - 50%
Length 180 minutes
Details Dictionary - non-electronic, concise, direct translation only (dictionary must not contain any notes or comments).
No Calculators Permitted
Closed Book
Learning Outcomes Assessed
This section can be expanded to view the assessed learning outcomes

1. Relate the physiology, structure and function of the nervous system to clinical practice.

3. Formulate a differential diagnosis from neurological assessment findings.

4. Describe a plan of management protocol from assessment and diagnostic findings.

Graduate Attributes
This section can be expanded to view the assessed graduate attributes

1. Knowledge

2. Communication

3. Cognitive, technical and creative skills

Engagement

Students will engage as part of the team in a clinical environment with both staff, patients and the community.

The unit will develop cognitive, technical and adaptive skills required in Chiropractic practice.

Graduate Attributes

Professional behaviour and technical skills. Individual examination competencies required in the CHhropractic environment will be developed.

Internationalisation of Curriculum

Evidence-based practice from many international and local sources will be used in practice. Readings and searches for relevant international information will be encouraged.

Sustainability

Evidence-based practice, clinical reasoning skills and a patient centred approach to care will be built on.

Work Related Learning

Course knowledge, professional behaviour, communication and technical skills which improve patient care.

Research to gain evidence base and current best practice guidelines.


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