CHIR13007 - Clinical Assessment and Diagnosis 3
Term 2 - 2017


All details in this unit profile for CHIR13007 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 the pathology related units in the course, as well as Clinical Assessment and Diagnosis 1 and 2. It will focus on non-musculoskeletal patient presentations, starting from the point of first contact with the patient, through history taking and physical examination, and finally to the formulation of a diagnosis. Through this process, you will also continue to develop your knowledge of common pathologies of each body system. By the end of the unit, your problem solving, analytical and critical thinking skills will have improved. Clinical Assessment and Diagnosis 3 will be taught in close association with CHIR13004 (Integrated Diagnosis and Management), where the skills learnt will be applied to real case scenarios.

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:

CHIR13006 Clinical Assessment and Diagnosis 2

and

CHIR13010 Systems and Pathology

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. Written Assessment 25%
2. Practical Assessment 35%
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
Need to visit each campus during the term to liaise with students. Self-reflection Request permission to visit each campus
More time is required to practice clinical skills. Student feedback Increase time available for practicing physical examination techniques. This will be achieved by increasing the contact hours.
Improve consistency in tutorials across campuses Self-reflection I will conduct weekly tutorial classes via Zoom. In addition to this, a 2 hour practical class will be held each week by continuing staff members on each campus.
On successful completion of this unit, you will be able to:
  1. Integrate your knowledge of anatomy, physiology, biochemistry and pathology to the clinical assessment of disease states.
  2. Explain the pathophysiological basis for a range of symptoms and signs.
  3. Demonstrate competent history taking skills and physical examination procedures.
  4. Develop a differential diagnosis based on history and examination findings.
  5. Apply the respective examination protocols to pathological disease states.
  6. Apply self-reflection and critical thinking skills.

Alignment of Assessment Tasks to Learning Outcomes

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

Prescribed Textbooks

Macleod's Clinical Examination
Author/s: Douglas, Nicol and Robertson Year: 2013
Edition: 13 Publisher: Churchill Livingstone
Country: China
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 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 CoordinatorRobyn Beirman (r.beirman@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

History Taking

An Introduction to Physical Examination

An Introduction to Investigations

General Principles of Diagnosis

Week 2 17-07-2017

Vital Signs

An introduction to Medical Investigations

Read pp 107-108 and 112-114 (Macleod).

Week 3 24-07-2017

Disorders of the Cardiovascular and Respiratory Systems 1: Clinical assessment of the Cardiovascular System

Read relevant section on symptoms, history taking and examination in Chapters 6 & 7 (Macleod).
Week 4 31-07-2017 Disorders of the Cardiovascular and Respiratory Systems 2: Clinical assessment of the Respiratory System Read relevant section on symptoms, history taking and examination in Chapters 6 & 7 (Macleod).
Week 5 07-08-2017

Disorders of the Cardiovascular and Respiratory Systems 3: Diagnosis


Read relevant section on investigations in Chapters 6 & 7 (Macleod).
Vacation Week 14-08-2017
Week 6 21-08-2017

Disorders of the Digestive System 1: Clinical assessment

Read relevant section on symptoms, history taking and examination in Chapter 8 (Macleod).
Week 7 28-08-2017

Disorders of the Digestive System 2: Diagnosis

Read relevant section on investigations in Chapter 8 (Macleod).
Week 8 04-09-2017 Disorders of the Lymphoid, Haematopoietic and Endocrine Systems 1: Clinical assessment
Read relevant section on symptoms, history taking and examination in Chapter 5 and in Chapter 3 (lymph nodes pp 53-55) (Macleod).
Week 9 11-09-2017 Disorders of the Lymphoid, Haematopoietic and Endocrine Systems 2: Diagnosis
Read relevant section on investigations in Chapter 5 (Macleod).
Week 10 18-09-2017 Disorders of the Urinary and Reproductive Systems 1: Clinical assessment Read relevant section on symptoms, history taking and examination in Chapters 9-10 (Macleod).
Clinical case interpretation Due Friday (22 Sep 17) 09:00 AM AEST
Week 11 25-09-2017 Disorders of the Urinary and Reproductive Systems 2: Diagnosis

Read relevant section on investigations in Chapters 9-10 (Macleod).

Week 12 02-10-2017

The practical test will be conducted in your scheduled class.

Review/Exam Week 09-10-2017
Exam Week 16-10-2017

Please note that this unit is not being taught in association with CHIR13004. That unit no longer exists, and its content has been integrated into other parts of the course.In addition to this, CHIR13006 is no longer a prerequisite for this unit.

1 Written Assessment

Assessment Title Clinical case interpretation
Task Description

In this assignment, you will be presented with a number of clinical scenarios. The questions in each case will require you to demonstrate:

1. your understanding of the significance of the symptoms and signs

2. your ability to formulate a differential diagnosis

3. your understanding of the relationship between the clinical manifestations and the medical investigations which may be required, and

4. your ability in interpreting the investigations performed.

The cases and their questions can be found on Moodle.

Assessment Due Date Week 10 Friday (22-Sep-2017) 09:00 AM AEST
Return Date to Students Week 12 Wednesday (04-Oct-2017)
Weighting 25%
Assessment Criteria

Each case scenario will be assessed by considering each of the following:

1. Have you completed each task with sufficient detail?

2. Is the answer accurate?

3. Does your answer indicate that you understand the content?

4. Is your spelling and grammar correct?

Conditions Minimum mark or grade - 50%
Referencing Style American Psychological Association (APA) or Harvard (author-date)
Submission Online

Submission will be via email to the unit convener.

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

1. Integrate your knowledge of anatomy, physiology, biochemistry and pathology to the clinical assessment of disease states.

2. Explain the pathophysiological basis for a range of symptoms and signs.

4. Develop a differential diagnosis based on history and examination findings.

6. Apply self-reflection and critical thinking skills.

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

1. Communication

2. Problem Solving

3. Critical Thinking

4. Information Literacy



2 Practical Assessment

Assessment Title Physical Examination
Task Description

This examination will assess your competency in performing the following tasks:

1. Observation of the patient for a specified condition (a list of conditions will be provided on Moodle)

2. Assessment of vital signs

3. Examination of cardiovascular, respiratory, digestive, endocrine, lymphatic, haematopoietic and integumentary systems, in order to:

a. assess the patient for a specific condition (a list of conditions will be provided)

b. demonstrate your skills in palpation, percussion and auscultation

Assessment Due Date The test will be conducted during your designated practical class in week 12.
Return Date to Students Following the written examination
Weighting 35%
Assessment Criteria

Are you able to:

1. Competently assess a person's pulse, blood pressure, respiratory rate and body temperature?

2. Competently percuss, palpate and auscultate?

3. Select the appropriate examination routine required to facilitate the recognition of specific disorders or disease states?

Conditions Minimum mark or grade - 50%
Referencing Style American Psychological Association (APA) or Harvard (author-date)
Submission Hard copy

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

3. Demonstrate competent history taking skills and physical examination procedures.

5. Apply the respective examination protocols to pathological disease states.

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

1. Communication

2. Problem Solving

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. Integrate your knowledge of anatomy, physiology, biochemistry and pathology to the clinical assessment of disease states.

2. Explain the pathophysiological basis for a range of symptoms and signs.

4. Develop a differential diagnosis based on history and examination findings.

5. Apply the respective examination protocols to pathological disease states.

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

1. Communication

2. Problem Solving

4. Information Literacy


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