CHIR13008 - Professional Chiropractic Practice 1
Term 1 - 2017


All details in this unit profile for CHIR13008 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 from Foundations of Chiropractic Practice 4. The unit will utilise simple case scenarios to further develop your clinical reasoning skills. You will understand the pathologies of the musculo-skeletal system of the spine, you will learn to formulate a differential diagnosis using your basic assessment and diagnostic skills gained in Foundations of Chiropractic Practice 1-4 and Clinical Assessment and Diagnosis 1. The tests/assessments covered in Clinical Assessment and Diagnosis 2 will be integrated and applied to diagnostic and assessment protocols. You will be required to formulate a chiropractic treatment/management approach according to the case scenario studied. Spinal and peripheral techniques will also be ‘fine-tuned’ and practiced.

Details

Career Level Undergraduate
Unit Level Level 3
Credit Points 6
Student Contribution Band 2
Fraction of Full-Time Student Load 0.125

Pre-requisites or Co-requisites

Effective 2016:

Pre-requisites:

CHIR12006 Foundations of Chiropractic Practice 4

and

CHIR12004 Neuromusculoskeletal Anatomy 1

And

Co-requisite

CHIR12007 Clinical Assessment and Diagnosis 1

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 Undergraduate 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. Practical Assessment 50%
3. Examination 30%

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
The Moodle site could be more structured. Not enough feedback from the portfolio and assessment. The guidelines for the assessment tasks were not clear particularly for the portfolio. Moodle 'Have your say' The moodle site now has boxes and icons directing the student more clearly as to what to do. The guidelines will be clear and discuss on the first day of term.
Content related issues. Poor cross-over with a related unit. Critical thinking and public health streams need improving. The quizzes had no answers. Moodle "Have your Say' Content has been redistributed across other units. The critical thinking and public health streams will improve with more stability in staffing. The quizzes came directly from the notes. They are designed to ensure the students read the notes.
ISL to assist students did not occur Moodle 'Have your say' ISL lectures were cancelled due to lack of student feedback. I have and will scheduled ISL lectures from week 10 in preparation for the final examination. Tutors will be better informed of their role in class discussions.
A request was made to have answers to the clinical cases. There was no structure in the discussions. Moodle 'Have your say' No recommendation. The cases are left open on purpose so the tutor can develop the student's clinical reasoning capability. There could be more than one answer to a case and the cases are kept broad to facilitate discussion surrounding possible diagnoses. Students were informed of this expectation upon receiving this feedback.. The discussions were not meant to have discussion.
Extra time needs to be given for the examination. The supervised sessions were offered too late in the term. Moodle 'Have your say' I will cut the cases down to 2 as opposed to 3 for a 2 hour examination paper. Supervised sessions are aimed at helping students to perform well in their practical examination. We will endeavour to run them earlier.
On successful completion of this unit, you will be able to:
  1. Describe the musculo-skeletal pathologies of the spine.
  2. Interpret the clinical case findings from the case history and physical examination to form differential diagnoses.
  3. Discuss chiropractic management approaches within the context of the Australian Health care system.
  4. Critically analyse and reflect on relevant sources of information relating to neuomusculoskeletal diagnosis including those from reliable, appropriate, up-to-date peer reviewed journals
  5. Apply advanced psychomotor skills to adjustment set-ups and thrusts for spinal and peripheral joints.

From the Council of Chiropractic Education Australasia: Competency based Standards for Entry Level Chiropractors:

Learning outcomes 2 and 4: Standard 6: Patient Assessment. 6.1: Obtains and records patient history, 6.2 : Performs a thorough physical examination, performs a thorough neuromusculoskeletal examination, 6.7, effectively deals with patients referred by another health care provide or an agency. Standard 7: Establishes differential and working diagnoses from the information required.

Learning Outcomes 3, 5 and 6: Standard 8: Planning of Patient Care: 8.1 Bases patient management plans on adequate diagnostic data 8.3 Designs an appropriate patient management plan, 8.4 Considers safety in patient care.

Learning Outcomes 1: Standard 7: Diagnostic Decision Making 7.1.; Establishes differential and working diagnosis from the information required. 7.2 Collaborates and refers as necessary to obtain expert opinion.

Alignment of Assessment Tasks to Learning Outcomes

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

Alignment of Graduate Attributes to Learning Outcomes

  • Introductory Level
  • Intermediate Level
  • Graduate Level
Graduate Attributes Learning Outcomes
1 2 3 4 5
1. Communication    
2. Problem Solving      
3. Critical Thinking      
4. Information Literacy
5. Team Work        
6. Information Technology Competence          
7. Cross Cultural Competence    
8. Ethical practice  

Alignment of Assessment Tasks to Graduate Attributes

  • Introductory Level
  • Intermediate Level
  • Graduate Level
Assessment Tasks Graduate Attributes
1 2 3 4 5 6 7 8
1 - Portfolio        
2 - Practical Assessment        
3 - Examination      

Prescribed Textbooks

Differential Diagnosis and Management for the Chiropractor Protocols and Algorithms.
Author/s: Souza T.A Year: 2014
Edition: Fifth Edition Publisher: Jones and Bartlett Learning
City: Burlington, MA State: MA, 01803
Country: United States of America
Chiropractic Technique: Principles and Procedures
Author/s: Bergman TF, Peterson DH. Year: 2010
Edition: Third Edition Publisher: Elsevier
City: St. Louis State: Missouri, 63043
Country: United States of America
View textbooks at the CQUniversity Bookshop
Note:

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), OR Harvard (author-date) referencing style (details can be obtained here). For further information, see the Assessment Tasks below.
Unit CoordinatorSharyn Eaton (s.eaton@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. Course profile: Expectations, assessment, schedule

2.Introduction to problem solving. Simple cases to problem solving.

3. Reflective practice. How do we reflect? What is critical thinking? Introduction to clinical reasoning.

4. Evidence based practice. What does this mean for an allied health professional?

5. Review of adjusting/manipulative setups. Refer to the spreadsheet in Moodle. Practice techniques according to questions given in Moodle.

Resources and readings will be given via Moodle.

Week 2 13-03-2017

1. Does the term subluxation fit into our treatment approaches? Does it fit at all?

2. Clinical evaluation of pain

3. The diagnostic triage. What is it?

4. Red Flags of Musculoskeletal pain

5. Anatomy of the three joint complex and its clinical significance.

6. How to develop a 'tissue in lesion', Clinical impression (working diagnosis), prognosis and likely diagnosis. Report of findings, what is it?

7. Case history taking: Introduction

8. Orthopaedic testing: Perform and interpret

9. Review of adjusting/manipulative setups. Refer to the spreadsheet in Moodle. Practice techniques according to questions given in Moodle.

Resources and readings will be given via Moodle.

Differential Diagnosis and Management for the Chiropractor: Protocols and algorithms. Souza, Thomas A 5th Edition. Chapter 1 Pages 7-9, 22

Page 165

On-campus activity: Answer questions or perform technique (s) as outlined for week 2.

Week 3 20-03-2017

1. Biomechanical dysfunction (general): Posture, lifting mechanics, standing etc.

2. Performing a case history: Basic principles and interpretation.

3. GORP OMNI: What does this stand for?

4. Orthopaedic testing: Perform and interpret.

5. Demonstration case integrating case history and physical examination.

6. Practice and Review adjusting/manipulative setups: Refer to spreadsheet in Moodle for week 3.6.

7. Critical thinking tools/Critical appraisal

Resources and readings will be given via Moodle.

Differential Diagnosis and Management for the Chiropractor: Protocols and algorithms. Souza, Thomas A 5th Edition.

Page 174, 176: Examination 'red flags'

Page 165: The 3 joint complex

On-campus activity: Answer questions or perform technique (s) as outlined for week 3.

Week 4 27-03-2017

Sprain/strains and Myofasical pain syndromes

1. Review anatomy and biomechanics associated with this condition.

2. Case history simulation for this condition

3.Clinical diagnosis of Sprain/strains and Myofascial Pain Syndromes

4. Orthopaedic testing: Test appropriate for this condition

5. Case 1: 'tissue in lesion' (likely diagnosis), Clinical impression, prognosis and likely diagnosis. Report of findings, what is it?

6. Practice and Review adjusting/manipulative setups: Refer to spreadsheet in Moodle for week 4.

7. Values and ethics (code of conduct)

Resources and readings will be given via Moodle.

On-campus activity: Answer questions or perform technique (s) as outlined for week 4.

Week 5 03-04-2017

Facet Syndromes (synovitis and capsulitis)

1. Review of anatomy and biomechanics of the facet joints.

2. Clinical diagnosis of facet conditions in the cervical, thoracic and lumbar spine (synovitis and capsulitis)

3. Case history simulation for this condition.

4. Orthopaedic testing: Tests appropriate for this condition.

5. Case 2: 'tissue in lesion' (likely diagnosis), Clinical impression, prognosis, likely diagnosis. and report of findings.

6. Practice and Review adjusting/manipulative setups: Refer to spreadsheet in Moodle for week 5.

7. Naturalism

Resources and readings will be given via Moodle.

Differential Diagnosis and Management for the Chiropractor: Protocols and algorithms. Souza, Thomas A 5th Edition.

Cervical spine: Page 66-67 'The Facets'

Lumbopelvic spine Page 167-168 'The Facets'

Referred Pain 95-96 'Facet/referred'

On-campus activity: Answer questions or perform technique (s) as outlined for week 5
Vacation Week 10-04-2017
Week 6 17-04-2017

Nerve Entrapment Syndromes

1. Review of anatomy and biomechanics (pathomechanics) of the nerve entrapment syndromes.

2. Clinical diagnosis of nerve entrapment syndromes in the cervical, thoracic and lumbar spine

3. Case history simulation for this condition.

4. Orthopaedic testing: tests appropriate for this condition.

5. Case 3: 'tissue in lesion' (likely diagnosis), Clinical impression, prognosis, likely diagnosis and report of findings.

6. Practice and Review adjusting/manipulative setups: Refer to spreadsheet in Moodle for week 6.

Resources can be accessed via Moodle.

On-campus activity: Answer questions or perform technique (s) as outlined for week 6

Week 7 24-04-2017

Intervertebral disc Syndrome

1. Review of anatomy and biomechanics of the intervertebral Disc.

2. Clinical diagnosis of Intervertebral disc conditions in the cervical, thoracic and lumbar spine

3. Case history simulation for this condition.

4. Orthopaedic testing: tests appropriate for this condition.

5. Case 4: 'tissue in lesion' (likely diagnosis), Clinical impression, prognosis, likely diagnosis and report of findings.

6. Practice and Review adjusting/manipulative setups: Refer to spreadsheet in Moodle for week 7.

Resources and readings will be given via Moodle. Differential Diagnosis and Management for the Chiropractor: Protocols and algorithms. Souza, Thomas A 5th Edition.

Chapter 6: 164-168

Pages 64 and 66: 'The discs'

Pages 72, 92-93

Low back pain with radiation into the legs: Page 170-171, 174, 176, 179.

On-campus activity: Answer questions or perform technique (s) as outlined for week 7

Week 8 01-05-2017

Spinal Stenosis/ Neurogenic Claudication/cervical spondylotic myelopathy (CSM):

1. Review of anatomy and biomechanics of Neurogenic claudication and CSM

2. Clinical diagnosis of Neurogenic claudication and CSM in the cervical, thoracic and lumbar spine

3. Case history simulation for this condition.

4. Orthopaedic testing: tests appropriate for this condition.

5. Case 5 'tissue in lesion' (likely diagnosis), Clinical impression, prognosis, likely diagnosis. and report of findings.

6. Practice and Review adjusting/manipulative setups: Refer to spreadsheet in Moodle for week 8.

Resources and readings will be given via Moodle.

Page 214 and 215

Page 72, 92-93

On-campus activity: Answer questions or perform technique (s) as outlined for week 8

Week 9 08-05-2017

Instability and Hypermobility:

1. Review of anatomy and biomechanics of Instability and hypermobility.

2. Clinical conditions and diagnosis of Instability and hypermobility in the cervical, thoracic and lumbar spine

3. Case history simulation for this condition.

4. Orthopaedic testing: tests appropriate for this condition.

5. Case 6 'tissue in lesion' (likely diagnosis), Clinical impression, prognosis, likely diagnosis. and report of findings.

6. Practice and Review adjusting/manipulative setups: Refer to spreadsheet in Moodle for week 9.

7. PICO: What is it?

Resources and readings will be given via Moodle.

On-campus activity: Answer questions or perform technique (s) as outlined for week 9

Week 10 15-05-2017

Spondylolisthesis

1. Review of anatomy and biomechanics of spondylolisthesis

2. Clinical conditions and diagnosis of spondylolisthesis.

3. Case history simulation for this condition.

4. Orthopaedic testing: tests appropriate for this condition.

5. Case 7 'tissue in lesion' (likely diagnosis), Clinical impression, prognosis and likely diagnosis. report of findings.

6. Practice and Review adjusting/manipulative setups: Refer to spreadsheet in Moodle for week 10.

Resources and readings will be given via Moodle.

On-campus activity: Answer questions or perform technique (s) as outlined for week 10

Portfolio Due Friday (19 May 17) 05:00 PM AEST
Week 11 22-05-2017

Review

Resources and readings will be given via Moodle

On-campus activity: Answer questions or perform technique (s) as outlined for week 11

Week 12 29-05-2017

Review

Resources and readings will be given via Moodle.

On-campus activity: Answer questions or perform technique (s) as outlined for week 12

In-class practical assessment Due Monday (29 May 17) 08:00 AM AEST
Review/Exam Week 05-06-2017
Exam Week 12-06-2017
Invigilated Examination Due Friday (16 Jun 17) 12:00 PM AEST

The Course Convenor for CHIR13008 is Sharyn Eaton

Contact information:

Email: s.eaton@cqu.edu.au

Phone: 0429 094 532 or 02 9324 5016

1 Portfolio

Assessment Title Portfolio
Task Description

In this unit you will further develop your understanding of the role and skill sets required of a chiropractor through investigating the knowledge, skills and dispositions required. To help with your development on this journey of self-discovery you will create a journal. The total word limit for the portfolio assessment is 1500 - 2000 words for the term. This final assessment should be a fine-tuning and summary of your week by week reflections.

Assessment Due Date Week 10 Friday (19-May-2017) 05:00 PM AEST
Return Date to Students Review/Exam Week Friday (09-Jun-2017)
Grades will be submitted to Gradebook for CHIR13008.
Weighting 20%
Assessment Criteria

From your weekly classes:

- Give a description of what you understand and what you don't understand. Please give reasons.

- Give an analysis and evaluate what you could understand better or what you can improve upon.

- What strategies can you use to assist with your understanding? Indicate how you sourced your information whether it be expert advice, journal articles, personal reflections etc.

- What actions will you take to overcome your challenges?

Your portfolio will be assessed for the quality of reflection, identification of strategies for self-improvement, academic writing skills and referencing. A detailed marking rubric will be available on the Moodle site.

Academic writing and referencing will also be assessed.

Word Count: No more than 1500-2000 words.

Conditions Minimum mark or grade - 50%. Failure to achieve the minimum grade will result in failure to pass this course.
Referencing Style American Psychological Association (APA) or Harvard (author-date)
Submission Online

Via Turnitin

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

3. Discuss chiropractic management approaches within the context of the Australian Health care system.

4. Critically analyse and reflect on relevant sources of information relating to neuomusculoskeletal diagnosis including those from reliable, appropriate, up-to-date peer reviewed journals

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

1. Communication

4. Information Literacy

7. Cross Cultural Competence

8. Ethical practice



2 Practical Assessment

Assessment Title In-class practical assessment
Task Description

In practice, the chiropractor is required to combine a variety of psychomotor skills. All skills/techniques taught within this course must be mastered. You must have a strong understanding of their applications.

The primary focus of this assessment will be on the contextual nature of the adjustment/manipulation in addition to refining the skill itself.

Assessment Due Date Week 12 Monday (29-May-2017) 08:00 AM AEST
This is an on-campus activity.
Return Date to Students Review/Exam Week Friday (09-Jun-2017)
Grades will be uploaded into gradebook for CHIR13008.
Weighting 50%
Assessment Criteria

In Week 12 you will be assessed on all your physical activities, including the following:

1. Observations

2. Palpation: Motion and Static

3. Active and passive range of motion.

Adjustive/manipulative technique

  • Practitioner position
  • Patient position
  • Patient handling
  • Application

A marking rubric will be available via Moodle.

Conditions Minimum mark or grade - 50%. Further information can be found in Moodle. A minimum grade is required to pass this subject.
Referencing Style American Psychological Association (APA) or Harvard (author-date)
Submission Hard copy

This is conducted on-campus

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

5. Apply advanced psychomotor skills to adjustment set-ups and thrusts for spinal and peripheral joints.

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

4. Information Literacy

5. Team Work

7. Cross Cultural Competence

8. Ethical practice



3 Examination

Assessment Title Invigilated Examination
Task Description

You will be tested on the clinical diagnosis of musculo-skeletal conditions via case scenarios. You will be required to determine a 'tissue in lesion', overall clinical impression, prognosis and likely diagnosis.

Assessment Due Date Exam Week Friday (16-Jun-2017) 12:00 PM AEST
This is conducted in the examination period
Return Date to Students This exam is held in the examination period. It is invigiliated.
Weighting 30%
Assessment Criteria

In this exam you may be required to undertake the following professional assessments using case histories:

· interpret the findings of a case history

· determine the appropriate evaluations and assessments

· formulate a differential diagnosis

· give an overall clinical impression

· formulate a prognosis

· give a likely diagnosis (tissue in lesion)

· formulate a management plan

Conditions Minimum mark or grade - 50%. Failure to achieve the minimum grade will result in failure to pass this course.
Referencing Style American Psychological Association (APA) or Harvard (author-date)
Submission Online

Conducted in the examination period

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

1. Describe the musculo-skeletal pathologies of the spine.

2. Interpret the clinical case findings from the case history and physical examination to form differential diagnoses.

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

1. Communication

2. Problem Solving

3. Critical Thinking

4. Information Literacy

8. Ethical practice



Examination

Outline Complete an examination
Date During the University examination period
Weighting 30%
Condition Minimum percentage of examination marks required to pass course - 50%. Failure to achieve the minimum grade will result in failure to pass this course.
Length 120 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. Describe the musculo-skeletal pathologies of the spine.

2. Interpret the clinical case findings from the case history and physical examination to form differential diagnoses.

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

1. Communication

2. Problem Solving

3. Critical Thinking

4. Information Literacy

8. Ethical practice

Engagement

CHIR13008 aligns with the University graduate capabilities and generic skills that ensures you can engage with the workplace and wider community.

Graduate Attributes

Graduate attributes are aligned with the learning outcomes with the formative on-campus activity, examination and portfolio.

Indigenisation of Curriculum

Consideration is given to aboriginal and Torres Strait islander aspects of musculoskeletal conditions and culturally competent patient care particularly with regard to adjusting skills. Course and research material are reviewed for their aboriginal and Torres Strait Islander cultural sensitivity.

Internationalisation of Curriculum

Course readings include relevant international information including references. Students are encouraged to search for information internationally and think about their studies and future working life in an international context.

Sustainability

Consideration is given to course lectures, readings and teaching that do not have negative consequences for future generations. Ergonomic or health and safety considerations are relevant in CHIR13008.

Work Related Learning

Program knowledge, practice/research skills, ethical conduct and professional behaviour are taught to improve patient related care.


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