CHIR13006 - Clinical Assessment and Diagnosis 2
Term 2 - 2017


All details in this unit profile for CHIR13006 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 builds on Professional Chiropractic Practice 1 (CHIR13008) and Chiropractic Assessment and Diagnosis 1 (CHIR12007), with focus on peripheral orthopaedic assessments and respective conditions. You will review and practise peripheral orthopaedic examinations within the principles of differential diagnoses. You will use case studies to record relevant health histories as they apply to peripheral conditions and protocols. Tutorial discussions will be related to the appropriate chiropractic management, treatment or protocols appropriate for your diagnoses. .

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


Pre-requisite: CHIR12007

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
  • 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. Practical Assessment 60%
2. 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
Assignment Student Feedback Provide clearer instructions as to the requirements for the assignment criteria. Provide definitive word count maximum indicating the extent that students may deviate from this count before being penalised.
On successful completion of this unit, you will be able to:
  1. Apply orthopaedic diagnostic procedures specific to the upper and lower extremities and interpret significant findings
  2. Develop differential diagnoses from history and physical examinations specific to the upper and lower extremities
  3. Utilise clinical reasoning skills and evidence based approaches to diagnose conditions suitable or contraindicated to chiropractic care
  4. Investigate appropriate chiropractic techniques in the treatment and management of case studies specific to upper and lower extremities.

Alignment of Assessment Tasks to Learning Outcomes

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

Alignment of Graduate Attributes to Learning Outcomes

  • Introductory Level
  • Intermediate Level
  • Graduate Level
Graduate Attributes Learning Outcomes
1 2 3 4
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 - Practical Assessment        
2 - Examination    

Prescribed Textbooks

Quick Reference Evidence Informed Physical Assessment
Author/s: Nikita Vizniak Year: 2015
Edition: Publisher: Professional Health Systems
Country: Canada
Quick Reference Evidence Informed Orthopedic Conditions
Author/s: Nikita Vizniak Year: 2015
Edition: Publisher: Professional Health Systems
Country: Canada
IBM SPSS Statistics Grad Pack
Author/s: IBM
Edition: ( Standard v23.0 Windows ) Publisher: IBM Australia
City: Sydney State: NSW
Country: Australia
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 Harvard (author-date) 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 10-07-2017

Course Overview and Expectation;

Clinical reasoning guidelines and evidence based approaches suitable or contraindicated to chiropractic management.

Sensitivity and Specificity of Orthopaedic examinations .

Review: Significance and Practice of Lumbopelvic orthopaedic procedures.

Lectures online via Moodle

Overview of course structure

Overview of assessment

Tutorials conducted on each campus (SYD, BNE, MKY)

Tutorial: Case History Taking and Orthopaedic Examination and Management approach (i.e. Target Tissues). Review and develop student patient files including outcome measures.

Procedures to develop differential diagnoses from history and physical examinations (i.e. standing, sitting, supine and prone positions if applicable).

Review: GORP OMNI(C) as a protocol.

Week 2 17-07-2017

Review: Significance and Practice of Lumbopelvic orthopaedic procedures.

New: Hip Orthopaedic tests


Lectures online via Moodle

The standard reference for the orthopaedic videos will be can be per Nikita Vizniak series.

"https://prohealthsys.com/central/"

Tutorial: Case studies, in-class activity and suggested examination and management routines to hip region.

Practice: according to GORP OMNI (C) protocols for new orthopaedic tests.
Week 3 24-07-2017

Review: Significance and Practice of Lumbopelvic and hip orthopaedic procedures.

New: Knee Orthopaedic tests Part A


Lectures online via Moodle

Tutorial: Case studies, in-class activity and suggested examination and management routines to knee region.

Practice: according to GORP OMNI (C) protocols for new orthopaedic tests.
Week 4 31-07-2017

Review: Significance and Practice of Lumbopelvic and hip orthopaedic procedures.

New: Knee Orthopaedic tests Part B


Lectures online via Moodle

Tutorial: Case studies, in-class activity and suggested examination and management routines to knee region.

Practice: according to GORP OMNI (C) protocols for new orthopaedic tests.
Week 5 07-08-2017 Review: Significance and Practice of Lumbopelvic, hip and knee orthopaedic procedures.

New: Ankle and Foot Orthopaedic tests

Lectures online via Moodle

Tutorial: Case studies, in-class activity and suggested examination and management routines to ankle and foot regions. (with additional time for knee if required).

Practice: according to GORP OMNI (C) protocols for new orthopaedic tests.

Vacation Week 14-08-2017

Study Week

Study Week

Study week

Week 6 21-08-2017

Review: Significance and Practice of Cervical orthopaedic procedures.

New: Shoulder Orthopaedic tests Part A


Lectures online via Moodle

Tutorial: Case studies, in-class activity and suggested examination and management routines to ankle and foot regions. (with additional time for knee if required).

Practice: according to GORP OMNI (C) protocols for new orthopaedic tests.

Week 7 28-08-2017

Review: Significance and Practice of Cervical orthopaedic procedures.

New: Shoulder Orthopaedic tests Part B


Lectures online via Moodle

Tutorial: Case studies, in-class activity and suggested examination and management routines to ankle and foot regions. (with additional time for knee if required).

Practice: according to GORP OMNI (C) protocols for new orthopaedic tests.

Week 8 04-09-2017

Review: Significance and Practice of Cervical and shoulder orthopaedic procedures.

New: Elbow Orthopaedic tests


Lectures online via Moodle

Tutorial: Case studies, in-class activity and suggested examination and management routines to ankle and foot regions. (with additional time for knee if required).

Practice: according to GORP OMNI (C) protocols for new orthopaedic tests.

Week 9 11-09-2017

Review: Significance and Practice of Cervical shoulder and elbow orthopaedic procedures.

New: Wrist and Hand Orthopaedic tests


Lectures online via Moodle

Tutorial: Case studies, in-class activity and suggested examination and management routines to wrist and hand regions.

Practice: according to GORP OMNI (C) protocols for new orthopaedic tests.
Week 10 18-09-2017

Review: Significance and Practice of Cervical, shoulder, elbow, wrist and hand orthopaedic procedures.

New: Thoracic, Ribs, TMJ and Non-Systemic Orthopaedic tests


Lectures online via Moodle

Tutorial: Case studies, in-class activity and suggested examination and management routines to wrist and hand regions.

Practice: according to GORP OMNI (C) protocols for new orthopaedic tests.
Week 11 25-09-2017

Review Week for Upper and Lower Extremity Orthopaedic tests


Tutorial: Question and clarification on all peripheral testing procedures with ongoing practice using sample rubric templates.

Week 12 02-10-2017

Review Week; Preparation for FINAL OSCE


Tutorial: Question and clarification on all peripheral testing procedures with ongoing practice using sample rubric templates.

FINAL OSCE Due Friday (06 Oct 17) 05:00 PM AEST
Review/Exam Week 09-10-2017
Exam Week 16-10-2017

Although there will be review of the spinal orthopaedic tests that were presented last term in Professional Chiropractic Practice 1 (PCP1), you will not be assessed on the final OSCE for these tests. The same is true for the neurological testing procedures that were taught in Clinical Assessment and Diagnosis 1 (CAD1). Illustration and understanding of these procedures will be considered 'required knowledge' throughout CAD2 and on occasion will be utilised in the relevant history, protocols, chiropractic management and treatment.

1 Practical Assessment

Assessment Title FINAL OSCE
Task Description

This practical examination will be presented in an OSCE format consisting of 3 stations. Time allocation will be identified by week 10 of the term (tentatively to be set at 6 minutes each station).

The three (3) stations will be case scenarios based on: (i) shoulder or hip (ii) elbow or knee and (iii) wrist/hand or ankle/foot

For each station:

You will be presented with a case scenario or description drawn from the content covered throughout the course.

You will be asked for your provisional diagnosis or clinical impression.

You will be required to perform aspects of GORP OMNI(C) and relevant orthopaedic tests to confirm or deny the provisional diagnosis.

You will be asked questions to substantiate the significance and your understanding of the tests you are performing, as part of the diagnostic procedure specified in the learning outcomes.

Assessment Due Date Week 12 Friday (06-Oct-2017) 05:00 PM AEST
Performed during the last scheduled lab session of the week; to completed before Friday at 5:00 PM.
Return Date to Students Results will be entered in Moodle and released as soon as possible. They will require grading and if necessary moderation first.
Weighting 60%
Assessment Criteria

You will be assessed on the relevance of the selected examinations, your care and communication with your patient, your ability to discuss and describe the examination, and the clinical relevance of any findings from the examination.

Assessment Criteria

  • Overall performance, flow, organisation and confidence
  • Patient communication - including consent and explanations
  • Patient handling and positioning
  • Orthopaedic tests and/or procedure - each one performed; performed correctly; interpreted correctly
  • Ability to discuss and describe the significance of the examination findings (i.e. what is a positive test etc)
  • General knowledge relating to the interaction
Conditions Minimum mark or grade - 50%
Referencing Style Harvard (author-date)
Submission Hard copy

Practical Assessment. This assessment is a professional performance assessment task. This must be completed by the specified due date. In the absence of an approved extension, there will be no opportunity to complete the task after this date and no opportunity to apply a late penalty. In that case a zero score will be awarded.

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

1. Apply orthopaedic diagnostic procedures specific to the upper and lower extremities and interpret significant findings

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

1. Communication

2. Problem Solving

3. Critical Thinking

8. Ethical practice



Examination

Outline Complete an examination
Date During the University examination period
Weighting 40%
Condition Minimum percentage of examination marks required to pass course - 50%
Length 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. Apply orthopaedic diagnostic procedures specific to the upper and lower extremities and interpret significant findings

2. Develop differential diagnoses from history and physical examinations specific to the upper and lower extremities

3. Utilise clinical reasoning skills and evidence based approaches to diagnose conditions suitable or contraindicated to chiropractic care

4. Investigate appropriate chiropractic techniques in the treatment and management of case studies specific to upper and lower extremities.

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

2. Problem Solving

3. Critical Thinking

4. Information Literacy

6. Information Technology Competence

7. Cross Cultural Competence

8. Ethical practice


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