CHIR20009 - Clinical Practice 4
Term 1 - 2017


All details in this unit profile for CHIR20009 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

This unit follows on directly from Clinical Practice 3 and will provide you with your first hands-on practical experience. You will build on your theoretical knowledge and practical skills gained over the previous three clinical units. You will begin undertaking patient assessments and management with guidance from your supervisor. During the term, you will actively demonstrate your developing clinical assessment and decision making, treatment delivery, record keeping, communication skills and professionalism with support from the clinical supervisors. By the end of CP4, an increasing level of competency, consistency and professionalism in the healthcare setting should be demonstrable.

Details

Career Level Postgraduate
Credit Points 12
Student Contribution Band 2
Fraction of Full-Time Student Load 0.25

Pre-requisites or Co-requisites

Prerequisite

CHIR20006 Clinical Practice 3

and

CHIR20005 Diagnostic Imaging 1

and

CHIR20007 Diagnostic Imaging 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
  • 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 12-credit Postgraduate unit at CQUniversity requires an overall time commitment of an average of 25 hours of study per week, making a total of 300 hours for the unit.

Class Timetable

Assessment Overview

Assessment Task Weighting
1. Portfolio Pass/Fail
2. Practical Assessment Pass/Fail
3. Examination Pass/Fail

This is a pass/fail (non-graded) unit. To pass the unit, you must pass all of the individual assessment tasks shown in the table above.

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
Clinic forms, competencies, handbooks, operational plans and forms all had to be generated. Feedback from the students stemmed negatively from the fact that some forms were not provided initially and have had to be revamped a number of times throughout the term.Feedback specific to the forms (critique in particular) used in the clinic had been a 'work in progress'. Clinic supervisors and the clinic operational planning team. Ensured that the forms are prepared prior to the required or anticipated dates or time for completion.
Assessment were not initially clear Moodle "Have Your Say"and direct feedback from the class representative and mentor-mentee meetings. The assessment was based predominately on clinical competencies.The discipline has identified the need for improved organisation, communication and standardisation.
On successful completion of this unit, you will be able to:
  1. Perform an appropriate patient-centered clinical assessment, within a clinical environment, under the guidance of the clinical supervisor.
  2. Synthesize clinical data to generate differential diagnoses for specific patient complaints, select an appropriate working diagnosis and generate an appropriate treatment plan.
  3. Provide an appropriate course of care while also applying health prevention and promotion principles to an individual patient’s management plan, with supervision and feedback.
  4. Demonstrate an intermediate level of communication skills, including explaining a diagnosis and treatment plan to a patient, and producing written professional reports, with guidance from clinical supervisor.
  5. Demonstrate appropriate professional conduct, congruent with the duty of care of a primary contact health care practitioner and the elements of the chiropractic code of conduct.
  6. Identify the need for a patient to receive emergency care and or referral to another health care professional, with supervision and feedback.

The Learning Outcomes address the majority of elements and performance indicators of CCEA’s Accreditation Standards: Unit 3 Professional Interaction, Unit 6 Patient Assessment, Unit 7 Diagnostic Decision Making, Unit 8 Planning of Patient Care, and Unit 9 Implementation of Care. There will be some elements addressed from Unit 10 Disease Prevention and Health Promotion and Unit 11 Professional Scientific Development.

The Learning Outcomes will be evidenced in continuing, supervised full patient contact, Clinical Log Book and by specific 'time and place' assessment.

Alignment of Assessment Tasks to Learning Outcomes

Assessment Tasks Learning Outcomes
1 2 3 4 5 6
1 - Portfolio  
2 - Practical Assessment  
3 - Examination      

Alignment of Graduate Attributes to Learning Outcomes

  • Professional Level
  • Advanced Level
Graduate Attributes Learning Outcomes
1 2 3 4 5 6
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 - Practical Assessment    
3 - Examination      

Prescribed Textbooks

Physical Medicine
Author/s: Vizniak, N Year: 2016
Edition: Publisher: Prohealth Systems
City: Burnaby State: British Columbia
Country: Canada
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 Harvard (author-date) referencing style (details can be obtained here). For further information, see the Assessment Tasks below.
Unit CoordinatorDawn Dane (d.dane@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

Clinical duties: rehab, reception, radiography and clinical

Clinical performance: direct observations of procedures and mini-CEX

Weekly PBL/grand rounds tutorials

'Welcome to CP4' lecture will contain all information regarding clinical requirements, competencies and assessment.

Relevant material will be available on moodle and in the clinic manual.

Quick reference guide to Physical Medicine By N. Vizniak

Week 2 13-03-2017

Clinical duties: rehab, reception, radiography and clinical

Clinical performance: direct observations of procedures and mini-CEX

Weekly PBL/grand rounds tutorials

Relevant material will be available on moodle and in the clinic manual

Quick reference guide to Physical Medicine By N. Vizniak

Week 3 20-03-2017

Clinical duties: rehab, reception, radiography and clinical

Clinical performance: direct observations of procedures and mini-CEX

Weekly PBL/grand rounds tutorials

1st Reflection: Intern - patient communication

Relevant material will be available on moodle and in the clinic manual

Quick reference guide to Physical Medicine By N. Vizniak

Week 4 27-03-2017

Clinical duties: rehab, reception, radiography and clinical

Clinical performance: direct observations of procedures and mini-CEX

Weekly PBL/grand rounds tutorials

Relevant material will be available on moodle and in the clinic manual

Quick reference guide to Physical Medicine By N. Vizniak

Week 5 03-04-2017

Clinical duties: rehab, reception, radiography and clinical

Clinical performance: direct observations of procedures and mini-CEX

Weekly PBL/grand rounds tutorials

Relevant material will be available on moodle and in the clinic manual

Quick reference guide to Physical Medicine By N. Vizniak

Vacation Week 10-04-2017

Staggered Holidays - to ensure patient care continuity as well as equal opportunity to time off - students will be requested to stagger their holidays over a two week period.

Clinical duties: rehab, reception, radiography and clinical

Clinical performance: direct observations of procedures and mini-CEX

Weekly PBL/grand rounds tutorials

Relevant material will be available on moodle and in the clinic manual

Quick reference guide to Physical Medicine By N. Vizniak

Week 6 17-04-2017

Staggered Holidays - to ensure patient care continuity as well as equal opportunity to time off - students will be requested to stagger their holidays over a two week period.

Clinical duties: rehab, reception, radiography and clinical

Clinical performance: direct observations of procedures and mini-CEX

Weekly PBL/grand rounds tutorials

2nd Reflection: Professionalism - if you were me, would you refer a patient to you? what have you learned about your own professionalism? professionalism in the work place? what is expected by the CBA? What are your strengths, weaknesses, how will you address them

Relevant material will be available on moodle and in the clinic manual

Quick reference guide to Physical Medicine By N. Vizniak

Week 7 24-04-2017

Clinical duties: rehab, reception, radiography and clinical

Clinical performance: direct observations of procedures and mini-CEX

Weekly PBL/grand rounds tutorials

Relevant material will be available on moodle and in the clinic manual

Quick reference guide to Physical Medicine By N. Vizniak

Week 8 01-05-2017

Clinical duties: rehab, reception, radiography and clinical

Clinical performance: direct observations of procedures and mini-CEX

Weekly PBL/grand rounds tutorials

Relevant material will be available on moodle and in the clinic manual

Quick reference guide to Physical Medicine By N. Vizniak

Week 9 08-05-2017

Clinical duties: rehab, reception, radiography and clinical

Clinical performance: direct observations of procedures and mini-CEX

Weekly PBL/grand rounds tutorials

3rd Reflection: Skills development -challenges and successes

Relevant material will be available on moodle and in the clinic manual

Quick reference guide to Physical Medicine By N. Vizniak

Week 10 15-05-2017

Clinical duties: rehab, reception, radiography and clinical

Clinical performance: direct observations of procedures and mini-CEX

Weekly PBL/grand rounds tutorials

Relevant material will be available on moodle and in the clinic manual

Quick reference guide to Physical Medicine By N. Vizniak

Week 11 22-05-2017

Clinical duties: rehab, reception, radiography and clinical

Clinical performance: direct observations of procedures and mini-CEX

Weekly PBL/grand rounds tutorials

Relevant material will be available on moodle and in the clinic manual

Quick reference guide to Physical Medicine By N. Vizniak

Week 12 29-05-2017

Clinical duties: rehab, reception, radiography and clinical

Clinical performance: direct observations of procedures and mini-CEX

Weekly PBL/grand rounds tutorials

4th Reflection: Patient outcome expectations vs. Chiro Intern outcome expectations

Relevant material will be available on moodle and in the clinic manual

Quick reference guide to Physical Medicine By N. Vizniak

Clinic Logbook and Reflections Due Friday (02 Jun 17) 06:00 PM AEST
Practical Assessment Due Friday (02 Jun 17) 06:00 PM AEST
Review/Exam Week 05-06-2017
Exam Week 12-06-2017

Clinical Practice 4 will begin immediately following Clinical Practice 3 to prevent disruption to patient care. Students will have their time compensated throughout the term. Vacation week will be staggered to ensure continuity of care.

1 Portfolio

Assessment Title Clinic Logbook and Reflections
Task Description

Part A

In this initial term of your clinical year, it is expected that you will complete your clinical requirements for the term and submit them for auditing. Logbooks should never leave the clinic and the content should be kept up to date. It is your responsibility to ensure that you maintain this document, including obtaining the required signatures and scheduling any and all competencies required during the term. *If there is no signature we cannot verify that the activity took place and it will not be counted.* We will be performing a number of clinical competency performance assessments including: direct observation of procedural skills, mini-clinical examinations and file audits over the term to ensure that your skills are developing appropriately. If any changes are required to the logbook or competency list, you will be informed via email and a notice in the clinic. Any fraudulent activities in relation to the clinic logbook or competencies will result in disciplinary action.

Part B

As clinic is a new experience to you, we will also be taking the time to reflect on our experiences, you will be given the opportunity to reflect on 4 specific topics that are relevant to new clinical students. These reflections will help you to grow as a practitioner. Rubrics will be available online for your reference.

Part C

Weekly tutorial - Problem based learning -where we will discuss challenging cases that have presented and help each other to work through them. Each person will be expected to present a case or clinical challenge for discussion over the term. Rubrics will be available online for your reference.

Assessment Due Date Week 12 Friday (02-Jun-2017) 06:00 PM AEST
Logbook, other portions will be completed throughout the term
Return Date to Students Review/Exam Week Friday (09-Jun-2017)
Weighting Pass/Fail
Assessment Criteria

This is a pass/fail assessment. Failure to complete all requirements will result in a failed assessment. If an extension is required it must be applied for prior to the due date.

Part A

Interns may be asked to produce their Logbook for auditing purposes by a Clinic Supervisor or Director. At the time of presentation the Logbook should contain and demonstrate up to date clinical requirements and records. This would include but are not limited to:

  • Total patient interactions - both new patients and regular consultations.
  • Evidence of attendance at all clinical duty rotations
  • Skills Critiques/Competencies
  • Professional Skill Critiques/Competencies

Part B

Interns will be expected to produce 4 critical reflections through mahara for summative assessment. The reflections should demonstrate an appropriate learning cycle that meets the criteria in the rubrics.

Part C

Interns will be expected to present one clinical case for discussion and also participate in the discussion around other intern's cases as per the rubrics.

Conditions Minimum mark or grade - All competencies and treatment numbers must be met as per the clinic manual
Referencing Style Harvard (author-date)
Submission Online
Hard copy

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

1. Perform an appropriate patient-centered clinical assessment, within a clinical environment, under the guidance of the clinical supervisor.

2. Synthesize clinical data to generate differential diagnoses for specific patient complaints, select an appropriate working diagnosis and generate an appropriate treatment plan.

4. Demonstrate an intermediate level of communication skills, including explaining a diagnosis and treatment plan to a patient, and producing written professional reports, with guidance from clinical supervisor.

5. Demonstrate appropriate professional conduct, congruent with the duty of care of a primary contact health care practitioner and the elements of the chiropractic code of conduct.

6. Identify the need for a patient to receive emergency care and or referral to another health care professional, with supervision and feedback.

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

1. Knowledge

2. Communication

3. Cognitive, technical and creative skills

4. Research

5. Self-management

6. Ethical and Professional Responsibility

7. Leadership



2 Practical Assessment

Assessment Title Practical Assessment
Task Description

Practical Assessment will occur continuously across the term in both summative and formative assessments. The summative assessments will be in the form of critiques and are listed below. While the formative assessments will occur as continuous assistance and feedback with every patient encounter throughout your first term in clinic. The aim is to ensure you are developing appropriately throughout the term and to support your growth.

Throughout the term you will be required to complete the following summative competency assessments:

  • 1 History taking critiques (one acute and one chronic - one of each is required during the clinical year)
  • 1 Physical examination (one ortho based and one neuro based- one of each is required during the clinical year)
  • 1 Report of findings critique
  • 2 Adjustive techniques (at least one extremity)
  • 1 Electrical modality or Rehabilitation routine (one of each is required during the clinical year)
  • 2 Professionalism critiques (at 4 weeks and 11 weeks)
  • 1 File-audit
  • 1 Case write up critique

*If the clinical supervisor deems your skills are not progressing well by week 6 remedial support will be offered*

Assessment Due Date Week 12 Friday (02-Jun-2017) 06:00 PM AEST
The assessment critiques are required to be performed throughout the whole of the 12 week term. Proof of assessment needs to logged and submitted within the Clinician Logbook.
Return Date to Students Feedback or competency assessment on individual skill or examination critiques will be provided immediately following completion of the task.
Weighting Pass/Fail
Assessment Criteria

Practical Assessment Criteria

During the term, clinical interns will be required to demonstrate an increasing level of competency in all aspects of clinical practice as described in the summative critiques. The supervisor will select from competent, requires improvement or incompetent in regards to individual performances - feedback will be provided.

All critiques must be successfully completed receiving a level of competency consistent with Clinical Practice 4 to pass the overall practical assessment activity. Some prompting or guidance from the clinical supervisor is acceptable, the critiques may be repeated if deemed necessary by the clinical supervisor. The critique forms will be available on moodle and in the clinic for your reference.

Referencing Style Harvard (author-date)
Submission Online
Hard copy

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

1. Perform an appropriate patient-centered clinical assessment, within a clinical environment, under the guidance of the clinical supervisor.

2. Synthesize clinical data to generate differential diagnoses for specific patient complaints, select an appropriate working diagnosis and generate an appropriate treatment plan.

3. Provide an appropriate course of care while also applying health prevention and promotion principles to an individual patient’s management plan, with supervision and feedback.

4. Demonstrate an intermediate level of communication skills, including explaining a diagnosis and treatment plan to a patient, and producing written professional reports, with guidance from clinical supervisor.

5. Demonstrate appropriate professional conduct, congruent with the duty of care of a primary contact health care practitioner and the elements of the chiropractic code of conduct.

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

1. Knowledge

2. Communication

3. Cognitive, technical and creative skills

5. Self-management

6. Ethical and Professional Responsibility



Examination

Outline Complete an examination
Date During the University examination period
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

3. Provide an appropriate course of care while also applying health prevention and promotion principles to an individual patient’s management plan, with supervision and feedback.

5. Demonstrate appropriate professional conduct, congruent with the duty of care of a primary contact health care practitioner and the elements of the chiropractic code of conduct.

6. Identify the need for a patient to receive emergency care and or referral to another health care professional, with supervision and feedback.

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

1. Knowledge

3. Cognitive, technical and creative skills

5. Self-management

6. Ethical and Professional Responsibility

Engagement

The Clinical Practice 4 teaches cognitive, technical and creative skills that will ensure you can engage with the workplace and wider community.

Graduate Attributes

Graduate Attributes that will be obtained by the successful completion of clinical practice 4 include: cognitive, technical and creative skills, knowledge, communication,research, self-management, ethical and professional responsibility and leadership. Working towards competency of these elements will ensure progression to a respectable health professional.

Indigenisation of Curriculum

Consideration is given to Aboriginal and Torres Strait Islander aspects of disease aetiology and culturally competent patient care.

Course and research materials are reviewed for their Aboriginal and Torres Strait Islander cultural sensitivity

Internationalisation of Curriculum

Evidence based practice requires students to research diagnostic and treatment guidelines from international sources.

Sustainability

Evidence based practice, clinical reasoning skills and a patient centered approach to care will be built upon.

Work Related Learning

This unit takes place within a working healthcare clinic. Knowledge, professional and ethical behaviour, communication and skills are all encouraged. While best practice guidelines are used to inform patient management to ensure a practice ready graduate.


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