CHIR20011 - Clinical Practice 5
Term 2 - 2017


All details in this unit profile for CHIR20011 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

Clinical Practice 5 provides you with your fifth block of practical experience within a chiropractic clinic. Under decreasing guidance from your clinic supervisors, you will work as a functional team member and using the theoretical knowledge and practical skills developed in the previous four clinical units. Therefore, you will be expected to demonstrate this increased knowledge and skill by delivering patient assessment and treatment. You will begin to actively lead clinical decision making and management planning discussions. During this unit you will be able to undertake many clinical tasks independently. This intern experience is a valuable bridge between university and professional practice.

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:


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 2 - 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. Professional Practice Placement Pass/Fail
3. Professional Practice Placement 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
Radiographic roster seemed to create disparity amongst students assigned in achieving clinical competencies and CCEA requirements. Direct student input and feedback. A rotating system was instituted as well as further reflection on the clinical needs of the outside clinic where this service is provided. A more flexible and adaptive roster allocation should alleviate or minimise the disparity in the future.
The amount of seemingly repetitive and redundant paperwork in the clinic procedures and patient files. Direct student input and feedback. A review of the entire clinical procedure system, including files and necessary documentation, will be addressed in January 2017 during a workshop. Further recommendations from CCEA process will also be implemented. This is anticipated to refine and streamline documentation. Also an introduction to an electronic version is under consideration.
Perception of communication and interpersonal skills issues amongst interns and clinical supervisor. Direct student input and feedback. Regardless of the source, factual or not, comments and actions can not be taken back. Personal reflections, mutual respect and more open communications, as well as opening and/or offering more direct lines of communications from interns to the clinical supervisor - directly or through reception and office manager, unit coordinator and Discipline lead - are to be encouraged to identify and address conflicts before they mushroom exponentially.
On successful completion of this unit, you will be able to:
  1. Plan and perform an appropriate patient-centered clinical assessment, at a mastery level
  2. Independently appraise clinical data to determine differential diagnoses, formulate an appropriate working diagnoses and then generate an appropriate treatment plan
  3. Use case studies with minimal supervisor guidance to assess the need for a patient to receive emergency care and/or referral to another health care professional, and perform an appropriate course of care
  4. Prepare and present a health promotion plan as part of a patient’s management plan
  5. Explain a diagnosis and treatment plan to a patient, and produce professional written reports using effective communication skills
  6. Independently and consistently comply with the duty of care of a primary health care practitioner and the Chiropractic Code of Conduct.

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. These will be evidenced by the portfolio which will log each patient interaction.

Alignment of Assessment Tasks to Learning Outcomes

Assessment Tasks Learning Outcomes
1 2 3 4 5 6
1 - Portfolio      
2 - Professional Practice Placement
3 - Professional Practice Placement      

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 - Professional Practice Placement
3 - Professional Practice Placement

Prescribed Textbooks

Physical Medicine Manual
Author/s: Vizniak
Edition: Publisher:
Country:
View textbooks at the CQUniversity Bookshop
Note:

This manual will continue to serve as a quick reference guide during your clinical internship. Alternatively, you can subscribe to the online service which allows you access to videos, formative activities and digital copies of the books.

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 10-07-2017

Clinical duties: rehab, reception, radiography and clinical

Clinical performance: direct observations of procedures and mini-CEX

Weekly Discussions - zoom

Quick reference guide to Physical Medicine By N. Vizniak

Week 2 17-07-2017

Clinical duties: rehab, reception, radiography and clinical

Clinical performance: direct observations of procedures and mini-CEX

Weekly Discussions - zoom

Quick reference guide to Physical Medicine By N. Vizniak

Week 3 24-07-2017

Clinical duties: rehab, reception, radiography and clinical

Clinical performance: direct observations of procedures and mini-CEX

Weekly Discussions - zoom

Quick reference guide to Physical Medicine By N. Vizniak

Week 4 31-07-2017

Clinical duties: rehab, reception, radiography and clinical

Clinical performance: direct observations of procedures and mini-CEX

Weekly Discussions - zoom

Quick reference guide to Physical Medicine By N. Vizniak

Week 5 07-08-2017

Clinical duties: rehab, reception, radiography and clinical

Clinical performance: direct observations of procedures and mini-CEX

Weekly Discussions - zoom

1st Reflective Learning Cycle (completed during weeks 1-5)

Quick reference guide to Physical Medicine By N. Vizniak

Vacation Week 14-08-2017

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

Clinical duties: rehab, reception, radiography and clinical

Clinical performance: direct observations of procedures and mini-CEX

Weekly Discussions - zoom

Quick reference guide to Physical Medicine By N. Vizniak

Week 6 21-08-2017

Clinical duties: rehab, reception, radiography and clinical

Clinical performance: direct observations of procedures and mini-CEX

Weekly Discussions - zoom

Quick reference guide to Physical Medicine By N. Vizniak

Week 7 28-08-2017

Clinical duties: rehab, reception, radiography and clinical

Clinical performance: direct observations of procedures and mini-CEX

Weekly Discussions - zoom

Quick reference guide to Physical Medicine By N. Vizniak

Week 8 04-09-2017

Clinical duties: rehab, reception, radiography and clinical

Clinical performance: direct observations of procedures and mini-CEX

Weekly Discussions - zoom

Quick reference guide to Physical Medicine By N. Vizniak

Week 9 11-09-2017

Clinical duties: rehab, reception, radiography and clinical

Clinical performance: direct observations of procedures and mini-CEX

Weekly Discussions - zoom

Quick reference guide to Physical Medicine By N. Vizniak

Week 10 18-09-2017

Clinical duties: rehab, reception, radiography and clinical

Clinical performance: direct observations of procedures and mini-CEX

Weekly Discussions - zoom

2nd Reflective Learning Cycle (completed during weeks 6-10)

Quick reference guide to Physical Medicine By N. Vizniak

Week 11 25-09-2017

Clinical duties: rehab, reception, radiography and clinical

Clinical performance: direct observations of procedures and mini-CEX

Weekly Discussions - zoom

Quick reference guide to Physical Medicine By N. Vizniak

Week 12 02-10-2017

Clinical duties: rehab, reception, radiography and clinical

Clinical performance: direct observations of procedures and mini-CEX

Weekly Discussions - zoom

Quick reference guide to Physical Medicine By N. Vizniak

Reflective Learning Cycles and Group Discussions Due Friday (06 Oct 17) 06:00 PM AEST
Clinical Competency Due Friday (06 Oct 17) 06:00 PM AEST
Clinical Requirements and Log book Due Friday (06 Oct 17) 06:00 PM AEST
Review/Exam Week 09-10-2017

Clinical duties: rehab, reception, radiography and clinical

Clinical performance: direct observations of procedures and mini-CEX

Weekly Discussions - zoom

Exam Week 16-10-2017

Staggered Exam Week - to ensure patient care continuity as well as equal opportunity to time off for exams and studying - students will be requested to stagger their breaks over this week

Clinical duties: rehab, reception, radiography and clinical

Clinical performance: direct observations of procedures and mini-CEX

Weekly Discussions - zoom

Clinical Practice 5 will begin immediately following Clinical Practice 4 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 Reflective Learning Cycles and Group Discussions
Task Description

As you move closer to graduation and becoming a member of the profession, we would like you to take sometime to do some self-assessment and identify some areas for self-improvement. Once you have identified the areas then you will need to download the reflection form from moodle and work your way through it. Reflective activities are a part of Chiropractic continuing professional development (CPD) which is required for yearly registration and licensing with the professional bodies. This term you will complete two reflective learning cycles (weeks 1-5 and weeks 6-10). You will be provided with CPD-like documentation to complete and submit during the term (all sections must be fully completed in a reflective manner and clearly demonstrate a reflective learning cycle). Our weekly sessions will also involve a reflective communities of practice discussion on each others chosen learning cycles.

In addition, because these are pass/fail assessment tasks, the requirements listed for a pass score must be attained by the specified due date. In the absence of an approved assessment extension, a student who has not met the requirements by the due date will get a Fail grade.

Assessment Due Date Week 12 Friday (06-Oct-2017) 06:00 PM AEST
Return Date to Students Exam Week Friday (20-Oct-2017)
Weighting Pass/Fail
Assessment Criteria

The assessment criteria will consider the following:

  • Has the student identified a learning experience?
  • Has the student been able to relate this to practice?
  • Has the student considered further learning to support their understanding?
  • Has the student considered how this new information can be shared with colleagues or patients?
  • Has the student identified ways that this new information will modify their practice?
  • Has the student identified ways that this new information will benefit their patients?
  • Did the student contribute to the personal growth of colleagues through discussion and suggestions where possible?
Conditions Minimum mark or grade - Pass
Referencing Style Harvard (author-date)
Submission Online
Hard copy

secret URL for mahara via moodle

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

3. Use case studies with minimal supervisor guidance to assess the need for a patient to receive emergency care and/or referral to another health care professional, and perform an appropriate course of care

4. Prepare and present a health promotion plan as part of a patient’s management plan

5. Explain a diagnosis and treatment plan to a patient, and produce professional written reports using effective communication skills

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 Professional Practice Placement

Assessment Title Clinical Competency
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 throughout your second term in clinic. The aim is to ensure you are developing appropriately throughout the term and to support your growth. When justifiable, your clinical supervisor will offer you the opportunity to perform some clinical skills independently. It is expected that you should be able to perform these tasks with limited prompting from your clinical supervisor.

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 Medico-legal report

*If the clinical supervisor deems your skills are not progressing well by week 4 remedial support will be offered*

In addition, because these are pass/fail assessment tasks, the requirements listed for a pass score must be attained by the specified due date. In the absence of an approved assessment extension, a student who has not met the requirements by the due date will get a Fail grade.
Assessment Due Date Week 12 Friday (06-Oct-2017) 06:00 PM AEST
Return Date to Students Review/Exam Week Friday (13-Oct-2017)
Specific feedback will be provided as soon as possible after the completion of the required tasks.
Weighting Pass/Fail
Assessment Criteria

Students are required to meet specified clinical requirements, maintain professional behaviour and attend all rostered clinical and radiographic rotations (see Clinical Manual for further information on scheduled/approved leave).

The marking rubrics are available on moodle and in the clinic for your perusal (they are the same as in CP4), however it is expected that in this term you will only require limited prompting and guidance when performing the competencies listed above in order to pass.

Conditions Minimum mark or grade - minimum grade of 50%
Referencing Style Harvard (author-date)
Submission Hard copy

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

1. Plan and perform an appropriate patient-centered clinical assessment, at a mastery level

2. Independently appraise clinical data to determine differential diagnoses, formulate an appropriate working diagnoses and then generate an appropriate treatment plan

3. Use case studies with minimal supervisor guidance to assess the need for a patient to receive emergency care and/or referral to another health care professional, and perform an appropriate course of care

4. Prepare and present a health promotion plan as part of a patient’s management plan

5. Explain a diagnosis and treatment plan to a patient, and produce professional written reports using effective communication skills

6. Independently and consistently comply with the duty of care of a primary health care practitioner and 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

4. Research

5. Self-management

6. Ethical and Professional Responsibility

7. Leadership



3 Professional Practice Placement

Assessment Title Clinical Requirements and Log book
Task Description

In this second term of your clinical year, it is expected that you will complete your clinical requirements for the term and submit them for auditing.

To meet these requirements you will need to see

  • Perform 20 new patient examinations
  • Perform 120 follow-up treatments/visits
  • Provide 5 hours of outreach per term (please note if you volunteer with the Sports Chiropractic Association of Australia your time with them can count towards outreach)
  • Continue to work towards the yearly total of systemic (5 of each) and neuromusculoskeletal (40) examinations, x-ray interpretations (60) and positioning (30) and finally clinical laboratory investigation activities (10)
  • Attend Clinic for 18 hours per week

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. Any fraudulent activities in relation to the clinic logbook or competencies will result in disciplinary action.

In addition, because these are pass/fail assessment tasks, the requirements listed for a pass score must be attained by the specified due date. In the absence of an approved assessment extension, a student who has not met the requirements by the due date will get a Fail grade.

Assessment Due Date Week 12 Friday (06-Oct-2017) 06:00 PM AEST
Return Date to Students Exam Week Friday (20-Oct-2017)
Clinic remains open throughout the review and examination periods, staggering time where possible will be considered.
Weighting Pass/Fail
Assessment Criteria

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

IF a file is found to be inadequately maintained the supervisor has the option to redirect the student's time in clinic to updating their logbook to an acceptable standard.

Conditions Minimum mark or grade - Pass - all items completed
Referencing Style Harvard (author-date)
Submission Hard copy

None

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

1. Plan and perform an appropriate patient-centered clinical assessment, at a mastery level

2. Independently appraise clinical data to determine differential diagnoses, formulate an appropriate working diagnoses and then generate an appropriate treatment plan

6. Independently and consistently comply with the duty of care of a primary health care practitioner and 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

4. Research

5. Self-management

6. Ethical and Professional Responsibility

7. Leadership




© 2017 CQUniversity
Page generated by apps-prod-01.cqu.edu.au at Sun Jul 23 15:09:37 AEST 2017