CHIR20010 - Advanced Clinical Development 1
Term 1 - 2017


All details in this unit profile for CHIR20010 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

You will integrate the material studied within the chiropractic course with the further development of critical thinking skills and your capacity to assess, diagnose and manage common neuromusculoskeletal conditions, using clinical case scenarios in the adult and sports-related populations. You will develop an understanding of management approaches to chiropractic care including the integration of the principles and practice of the science, art, and philosophy of chiropractic. Management approaches include prevention, advice on healthy lifestyles, self-managed care, rehabilitation and the utilisation of clinical outcome measures. You will appreciate the importance of integrating knowledge and skills to support clinical decision-making and be willing to adapt with guidance from supervisors and mentors.

Details

Career Level Postgraduate
Credit Points 6
Student Contribution Band 2
Fraction of Full-Time Student Load 0.125

Pre-requisites or Co-requisites

Pre-requisite:

CHIR20006 Clinical Practice 3

and

CHIR20007 Diagnostic Imaging 2

Co-requisite:

CHIR20009 Clinical Practice 4

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
  • Mackay

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. Portfolio 20%
2. In-class Test(s) 40%
3. 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
There were concerns about the volume of content and the volume of resource material provided. Moodle "Have Your Say" and direct class representative feedback. This should be less in 2017 and is anticipated to continue to diminish in subsequent years as intensive catch up sessions and 'holes' are closed.
The students were unfamiliar of what to study and examination specifications. Moodle "Have Your Say" and direct class representative feedback. There should be a greater focus on the learning outcomes and perhaps this will improve the student’s experience throughout this final year. This illustrates the need for improved organisation, communication and standardisation in many aspects of material delivery, assessment and feedback. Changes in assessment items will be considered for the next offering.
On successful completion of this unit, you will be able to:
  1. Explain the morphology of a clinical condition according to its anatomy, biomechanics, etiology, epidemiology, pathophysiology and prevalence.
  2. Interpret findings from a case history and physical assessment to formulate and develop a differential diagnosis or clinical impression in order to consider an appropriate management plan and prognosis, taking in consideration patient safety, absolute and relative contraindications.
  3. Apply the appropriate chiropractic approach to treatment (within the scope of practice) that includes technique/skills, exercises/rehabilitation, health promotion, prevention, lifestyle advice and self-managed care in a professional and ethical way, in accordance with the chiropractic code of conduct and professional standards.

This is a specific preparatory unit to assist you to develop an individualised pathway towards strengthening the majority of elements and performance indicators of CCEA’s Accreditation Standards. There is also a loose alignment with the Clinical Interest Groups of the Chiropractors Association of Australia (National).

Alignment of Assessment Tasks to Learning Outcomes

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

Alignment of Graduate Attributes to Learning Outcomes

  • Professional Level
  • Advanced Level
Graduate Attributes Learning Outcomes
1 2 3
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 - Portfolio    
2 - In-class Test(s)          
3 - Examination        

Textbook Information

There are no required textbooks. Note:

Reference Texts:

1. Gatterman M. Foundations of Chiropractic Subluxation 2nd ed. St Louis: Elsevier Mosby, 2005.

2. Haldeman S. Principles and Practice of Chiropractic. 3rd edition Norwalk, Connecticut: McGraw-Hill, Medical Publishers, 2005

3. Plaugher G. Ed. Textbook of Clinical Chiropractic. Baltimore: Williams & Wilkins, 1993.

4. Souza TA. Differential Diagnosis and Management for the Chiropractor Protocols and Alogorithms. 3rd edition Boston: Jones and Bartlett Publishers, 2005.

5. Peterson DH and Bergmann TF. Chiropractic technique 2nd edition. New York: Churchill Livingstone, 2002.

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 Harvard (author-date) referencing style (details can be obtained here), OR American Psychological Association (APA) referencing style (details can be obtained here). For further information, see the Assessment Tasks below.
Unit CoordinatorDavid Hannah (d.hannah@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

The first week will focus on examination steps; case and management, outcomes tools and clinical impressions. Also presenting outcome measure questionnaires, evidence based guidelines and PBL templates.

At the end of the week, students will be requested to reflect on their past week in clinic and determine if they felt there were technique related challenges, specific to the cervicothoracic regions, which can be reviewed in a lab session in the clinic.

Weekly formative assessments on lecture material.

Week 2 13-03-2017

The second week will focus on stages of healing and specific target tissues.

At the end of the week, students will be requested to reflect on their past week in clinic and determine if they felt there were technique related challenges, specific to the lumbopelvic regions, which can be reviewed in a lab session in the clinic.

Weekly formative assessments on lecture material.

Week 3 20-03-2017

This section will deal with the muscle tissue components and will address conditions such as strains, ruptures, hypertonicity, trigger points, tendinitis, atrophy and myositis ossificans.

These types of injuries are common place, especially in every day as well as sporting activities.

Weekly formative assessments on lecture material.

Week 4 27-03-2017

This section will deal with the ligamentous tissue components and will address conditions such as sprains, ligament laxity, ligament tears or ruptures.

These types of injuries are common place, especially in every day as well as sporting activities.

Weekly formative assessments on lecture material.
Week 5 03-04-2017

This section will deal with the joint and connective tissue components and will address conditions facet syndrome, stenosis, osteoarthritis, infection, synovitis and dyskinesia.

At the end of the week, students will be requested to reflect on their past week in clinic and determine if they felt there were technique related challenges, specific to the upper and lower extremity regions, which can be reviewed in a lab session in the clinic.

Weekly formative assessments on lecture material.
Vacation Week 10-04-2017

No classes or activities scheduled for this week.

Week 6 17-04-2017

This section will deal with nerve or neurological components and will address conditions such as neurapraxias,nerve tension and neuropathic compression (neuropathy).

Weekly formative assessments on lecture material.

Week 7 24-04-2017

This section will deal with the connective tissue components and will address conditions involving fascia, bursa, adipose tissue, disc and meniscoid conditions.

Weekly formative assessments on lecture material.

Week 8 01-05-2017

This section will deal with the bone components and will address fractures, osteopenia and tumours (primary and metastatic).

Weekly formative assessments on lecture material.
Week 9 08-05-2017

This section will deal with arteriovenous components and will address conditions involving intermittent claudication, varicosities, and aneurysmal conditions.


Weekly formative assessments on lecture material.

Week 10 15-05-2017

This section will deal with arthritides and visceral components and will address the more common conditions involving arthritides (rheumatological), infections and viscerosomatic manifestations that can affect the spine.

Weekly formative assessments on lecture material.
In-Class Quiz (2) on Common Conditions and Respective Management Due Friday (19 May 17) 12:00 PM AEST
Week 11 22-05-2017

This section will deal with sports components and will address the more common sports related injuries seen in the adult population.

The focus will be on the identification and management of these injuries, based upon the tissues injured and the stage of trauma or overuse scenarios.

Weekly formative assessments on lecture material.
Week 12 29-05-2017

This section will deal with general lifestyle and health issues and will address the more common conditions since in the adult population (19-64 year old range).

Weekly formative assessments on lecture material.

Critical Reflection Journal and Case Study Report Due Friday (02 Jun 17) 11:45 PM AEST
Review/Exam Week 05-06-2017

Shall review course material in preparation for exam week June 12 - 16, 2017

Exam Week 12-06-2017

The unit co-ordinator for CHIR20010 is David W Hannah and he will be available to students with questions regarding the course during normal teaching hours. Any student requiring individual attention can email him directly at: d.hannah@cqu.edu.au. Although this unit does not have a required textbook, all resource material will be made available through the Moodle site and online CQU library sources. A number of guidelines and/or specific articles for case scenarios or discussions will be supplied.

1 Portfolio

Assessment Title Critical Reflection Journal and Case Study Report
Task Description

A. Critical Reflective Journal

You will be given two (2) case studies or clinical triggers for discussion weekly. The topics will be on the Moodle site prior to this class and the material will be covered that week. In the first session, the case scenarios will be given to you, and you are expected to brainstorm, discuss and come up with the impressions, tests and learning issues yourself and with your colleagues; then be expected to research these issues on your own - using relevant articles in journals, textbooks, guidelines or through information obtained via the internet.tthe second session, you will discuss your findings and learning issues that you and your colleagues have identified. You are required to comment on EACH of the cases; where you got things correct, where you went wrong; the relevance of the case to chiropractors; how you might differ in the diagnosis or management discussed by the facilitator or other students. The necessary form templates to complete will be provided.

You are required to maintain a critical reflective journal to provide evidence of the quality and quantity of your in-class learning. The focus of the journal is expected to give you further practice in the application of clinical assessment and management through discussion and case analysis of a range of representative case scenarios to illustrate important concepts.

Each weekly reflective entry should be between 300-500 words.


B. Case Reports

There will be one (1) written case report in the format generally seen in journal publications (with reference to current research and available guidelines). The case will be about a patient you are seeing or have seen in clinic this term.

The case report will include reference to: demographic information; history findings; examination findings; differential diagnosis; working hypothesis; prognosis; management and response to management. If there are any radiographic, or other special reports, they are to be included.

You will be required to substantiate your differential diagnosis, management and prognosis decision quoting the most current guidelines, and if possible, locate a current research article pertinent to the case and compare how their management may or may not have agreed with your plan.

Assessment Due Date Week 12 Friday (02-Jun-2017) 11:45 PM AEST
The ePortfolio assessment is due on the last day of week 12. It is to be uploaded to Moodle in the supplied marking rubric format and only .docx format will be accepted.
Return Date to Students Review/Exam Week Friday (09-Jun-2017)
Weighting 20%
Assessment Criteria

A. Assessment of Critical Reflective Journal - 50% of the weighting for this particular assessment or 10/20 marks

Based upon the Marking Rubric and Feedback Template provided for Reflective writing, you will be assessed on:

(a) written communication and visual presentation skills

(b) level of critical reflection

(c) use of documentary evidence

(d) identifying learning issues or goals

(e) achieving learning improvements

These will be based upon the Learning Outcomes for this unit, which are:

1. Interpret findings from a case history and physical assessment to formulate and develop a differential diagnosis or clinical impression in order to consider an appropriate management plan and prognosis, taking into consideration patient safety, absolute and relative contraindications.

2. Apply the appropriate chiropractic approach to treatment (within the scope of practice) that includes technique/skills, exercise/rehabilitation, health promotion, prevention, lifestyle advice and self-managed care in a professional and ethical way, in accordance with the chiropractic code of conduct and professional standards.

B. Case Report - 50% of the weighting for this particular assessment or 10/20 marks

Based upon the marking rubric, you will be assessed on:

(a) situational analysis

(b) clinical judgement

(c) response to clinical situation

As for part A above, these will be based upon the Learning Outcomes for this unit, which are:

1. Interpret findings from a case history and physical assessment to formulate and develop a differential diagnosis or clinical impression in order to consider an appropriate management plan and prognosis, taking into consideration patient safety, absolute and relative contraindications.

2. Apply the appropriate chiropractic approach to treatment (within the scope of practice) that includes technique/skills, exercise/rehabilitation, health promotion, prevention, lifestyle advice and self-managed care in a professional and ethical way, in accordance with the chiropractic code of conduct and professional standards.

Conditions Minimum mark or grade - Further information can be found in Moodle. You must achieve the minimum grade of 50% in order to pass this unit.
Referencing Style Harvard (author-date) or American Psychological Association (APA)
Submission Online

Both the ePortfolio Critical Reflective Journal and Case Report are to be uploaded on the Moodle site on or before the due date and time. No submission will be accepted after the deadline.

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

2. Interpret findings from a case history and physical assessment to formulate and develop a differential diagnosis or clinical impression in order to consider an appropriate management plan and prognosis, taking in consideration patient safety, absolute and relative contraindications.

3. Apply the appropriate chiropractic approach to treatment (within the scope of practice) that includes technique/skills, exercises/rehabilitation, health promotion, prevention, lifestyle advice and self-managed care in a professional and ethical way, in accordance with the chiropractic code of conduct and professional standards.

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

2. Communication

3. Cognitive, technical and creative skills

5. Self-management

6. Ethical and Professional Responsibility

7. Leadership



2 In-class Test(s)

Assessment Title In-Class Quiz (2) on Common Conditions and Respective Management
Task Description

There will be two (2) online quizzes given during the scheduled in-class time period, one hour duration each.

The first test will be given on Friday, April 7, 2017 covering material delivered in the lectures up to the end of week 4 (March 31, 2017). This quiz will be comprised of variable question format and is valued at 20% of the final grade.

The second test will be given on Friday May 19, 2017 covering material delivered in the lectures up to the end of week 9 (May 12, 2017). This quiz will be comprised of variable question format and is valued at 20% of the final grade.

Assessment Due Date Week 10 Friday (19-May-2017) 12:00 PM AEST
The first quiz is due April 7, 2017 and the second quiz is due May 19, 2017. They will be completed within the first hour of the last scheduled class of that week.
Return Date to Students Week 11 Friday (26-May-2017)
Results can be accessed via Moodle.
Weighting 40%
Assessment Criteria

The on-line quizzes will be specific to your interpretation of findings from a case history and physical assessment. You will have a brief history or case scenario provided and you are to formulate and develop a differential diagnosis or clinical impression in order to consider an appropriate management plan and prognosis, taking into consideration patient safety, absolute and relative contraindications.

There will be a variety of exam question formats per quiz.

Conditions Minimum mark or grade - Further information can be found in Moodle. You must achieve the minimum grade of 50% in order to pass this unit.
Referencing Style Harvard (author-date) or American Psychological Association (APA)
Submission Online

The quizzes will only be available for one hour duration at the appointed time for each quiz.

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

2. Interpret findings from a case history and physical assessment to formulate and develop a differential diagnosis or clinical impression in order to consider an appropriate management plan and prognosis, taking in consideration patient safety, absolute and relative contraindications.

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

1. Knowledge

2. Communication



Examination

Outline Complete an examination
Date During the University examination period
Weighting 40%
Condition Minimum percentage of examination marks required to pass course - Minimum mark or grade - You must achieve the minimum grade of 50% in order to pass this portion of the unit.
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. Explain the morphology of a clinical condition according to its anatomy, biomechanics, etiology, epidemiology, pathophysiology and prevalence.

2. Interpret findings from a case history and physical assessment to formulate and develop a differential diagnosis or clinical impression in order to consider an appropriate management plan and prognosis, taking in consideration patient safety, absolute and relative contraindications.

3. Apply the appropriate chiropractic approach to treatment (within the scope of practice) that includes technique/skills, exercises/rehabilitation, health promotion, prevention, lifestyle advice and self-managed care in a professional and ethical way, in accordance with the chiropractic code of conduct and professional standards.

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

1. Knowledge

3. Cognitive, technical and creative skills

6. Ethical and Professional Responsibility


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