CHIR13009 - Professional Chiropractic Practice 2
Term 2 - 2017


All details in this unit profile for CHIR13009 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 Professional Chiropractic Practice 1. In order to further develop your clinical reasoning skills, this unit utilises case scenarios at a greater difficulty level, compared with that covered in Professional Chiropractic Practice 1. You will continue to practise, and further refine, your case history taking. You will formulate a differential diagnosis, utilising your assessment and diagnostic skills, gained in Professional Chiropractic Practice 1 and Clinical Assessment and Diagnosis 1 and 2, with a greater focus on neuro-musculoskeletal conditions. You will be required to formulate a chiropractic treatment/management approach, according to the case scenario studied. Spinal and peripheral psychomotor techniques will be further ‘fine-tuned’ and practised as they are applied. You will be required to undergo clinic placement with a chiropractic practitioner in the field. You will be required to interpret and reflect on the respective clinical chiropractic practice with a deeper level of understanding.

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

For 2015:

Pre-requisite: CHIR13008

Effective 2016:

Pre-requisites: CHIR13008, CHIR12006 & 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. On-campus Activity Pass/Fail
2. Portfolio 20%
3. Practical Assessment 50%
4. 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 portfolio was difficult to understand. Further notes/resources required for the critical thinking stream. Moodle Feedback More time needs to be spent on what makes a good portfolio. We will have to break down the components and stage it better.
Gait assessment should be included at the beginning Moodle feedback Gait assessment should be taught in year 1 and reinforced in years 2 and 3.
It is better to go through the full examination routines for each condition. Moodle feedback We will practice routines in PCP 1 and PCP 2 next year.
Scapulo-costal syndrome was in the exam but not taught in the course. Moodle feedback For topic areas taught and examined a reference will be made to the notes where the source of information can be located. The information was there but it seems the students didn't see it.
On successful completion of this unit, you will be able to:
  1. Perform history taking at a competent level for difficult case scenarios, with a focus on neuro-musculoskeletal conditions.
  2. Interpret clinical case findings in order to form a differential diagnosis.
  3. Perform appropriate physical examination procedures in order to eliminate or confirm a differential diagnosis.
  4. Interpret the information gathered from the physical examination in order to determine a likely diagnosis.
  5. Provide a comprehensive report of findings for a given case study.
  6. Demonstrate appropriate patient handling skills, including effective communication skills.
  7. Develop an appropiate chiropractic management course according to given case scenarios.
  8. Critically reflect on relevant sources of information.

Alignment of Assessment Tasks to Learning Outcomes

Assessment Tasks Learning Outcomes
1 2 3 4 5 6 7 8
1 - On-campus Activity  
2 - Portfolio  
3 - Practical Assessment  
4 - Examination        

Alignment of Graduate Attributes to Learning Outcomes

  • Introductory Level
  • Intermediate Level
  • Graduate Level
Graduate Attributes Learning Outcomes
1 2 3 4 5 6 7 8
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 - On-campus Activity        
2 - Portfolio        
3 - Practical Assessment          
4 - 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: Unites 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

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 10-07-2017

Introduction, learning outcomes and assessment. Expectations for the unit.

Review of how to develop a 'tissue in lesion', 'clinical impression, prognosis, likely diagnosis and report of findings.

Introduction to case management/guidelines

Review of adjustments taught in PCP 1 according to short case scenarios with a focus on GORP for spinal analysis. Gait analysis

Resources will be available in Moodle

Read Souza T.A. Differential diagnosis and Management for the Chiropractor Chapter 1 page 7-9 and page 22

Read Souza T.A. Differential diagnosis and Management for the Chiropractor Chapter 6 page 221

Read Bergman T.F and Peterson DH: Chiropractic technique: Principles and Procedures. Chapter 3 page 55

Week 2 17-07-2017

Review of musculoskeletal conditions taught in PCP1

Developing a differential diagnosis from a case history (review)

Principles of chiropractic management: Guidelines and application.

Review of adjustments taught in PCP 1 according to short case scenarios with a focus on GORP for spinal analysis. Gait analysis

Resources will be available in Moodle

Read Bergman T.F and Peterson DH: Chiropractic technique: Principles and Procedures. Chapter 3 page 55

Week 3 24-07-2017

PICO and Clinical reasoning.

Review of code of conduct and professional ethics.

Principles of chiropractic management: Guidelines and application.

Review of adjustments taught in PCP 1 according to short case scenarios with a focus on GORP for spinal analysis including gait analysis

Resources will be available in Moodle

Week 4 31-07-2017

Common musculoskeletal/biomechanical conditions: Sacro-iliac and coccygeal pain.

Review of physical examination of the sacro-iliac joint and coccygeal pain.

Discussion on chiropractic management for this condition.

Review of adjustments taught in PCP 1 according to short case scenarios with a focus on GORP for spinal analysis including gait analysis

Resources will be available in Moodle

Read Souza T.A. Differential diagnosis and Management for the Chiropractor Chapter 6 page 169.

Week 5 07-08-2017

Common musculoskeletal/biomechanical conditions: Conditions associated with the hip joint.

Review of physical examination procedure for the hip condition.

Discussion chiropractic management

Review of adjustments taught in PCP 1 according to short case scenarios with a focus on GORP for spinal analysis including gait analysis

Class notes placed in Moodle

Read Souza T.A. Differential diagnosis and Management for the Chiropractor Chapter 11 page 391-401

Vacation Week 14-08-2017
Week 6 21-08-2017

Common musculoskeletal/biomechanical conditions: Headaches

Review of physical examination procedure in a patient with Headaches.

Review of adjustments taught in PCP 1 according to short case scenarios with a focus on GORP for spinal analysis including gait analysis

Class notes placed in Moodle

Recommended Reading: Souza T.A. Differential diagnosis and Management for the Chiropractor. Chapter 18 page 577-610.

Week 7 28-08-2017

Common musculoskeletal/biomechanical conditions: Whiplash and vertebral artery

Review of physical examination procedure in a patient with whiplash.

The significance of treatment outcome measures

Review of adjustments taught in PCP 1 according to short case scenarios with a focus on GORP for spinal analysis including gait analysis

Class notes placed in Moodle

Read Souza T.A.Differential diagnosis and Management for the Chiropractor Chapter 2 page 85-87

Read Souza T.A. Differential diagnosis and Management for the Chiropractor Chapter 2 page 97

Week 8 04-09-2017

Common musculoskeletal/biomechanical conditions: Thoracic outlet and brachial syndromes.

Review physical examination procedure for a patient with Thoracic outlet syndrome and brachial syndromes.

Review of adjustments taught in PCP 1 according to short case scenarios with a focus on GORP for spinal analysis including gait analysis

Class notes placed in Moodle

Recommended Reading:Souza T.A. Differential diagnosis and Management for the Chiropractor. Chapter 2 page 67

Week 9 11-09-2017

Common musculoskeletal/biomechanical conditions: Torticollis/vertigo/tinnitis.

Review physical examination procedure with these conditions.

Review of adjustments taught in PCP 1 according to short case scenarios with a focus on GORP for spinal analysis including gait analysis

Class notes placed in Moodle

Recommended Reading:Souza T.A. Differential diagnosis and Management for the Chiropractor. Chapter 2, page 96, Chapter 18 page 612

Week 10 18-09-2017

Common musculoskeletal/biomechanical conditions: Complex regional syndrome (CRS), neck tongue syndrome, acrachnoiditis, fibromyalgia

Review of physical examination procedure for these conditions

Review of adjustments taught in PCP 1 according to short case scenarios with a focus on GORP for spinal analysis including gait analysis

Class notes placed in Moodle

Recommended Reading: Souza T.A. Differential diagnosis and Management for the Chiropractor., Chapter 16 page 570

Week 11 25-09-2017

Less common musculoskeletal/biomechanical conditions: Scoliosis and Sheumann's disease

Review physical examination procedure for a patient with these conditions

Review of adjustments taught in PCP 1 according to short case scenarios with a focus on GORP for spinal analysis including gait analysis

Preparation for examination. Practical and theory.

Class notes placed in Moodle

Recommended Reading: Souza T.A. Differential diagnosis and Management for the Chiropractor. Chapter 5 page135-156, chapter 4 page 130 Recommended

Souza T.A. Differential diagnosis and Management for the Chiropractor. Chapter 4 page 126

Journal Reflections Due Friday (29 Sep 17) 05:00 PM AEST
Week 12 02-10-2017

Review Class

Preparation for examination for practical and theory.

Review of adjustments taught in PCP 1 according to short case scenarios with a focus on GORP for spinal analysis

Class notes placed in Moodle

On-Campus Activity Due Friday (06 Oct 17) 05:00 PM AEST
Chiropractic technique/skills Due Tuesday (03 Oct 17) 03:00 PM AEST
Review/Exam Week 09-10-2017
Exam Week 16-10-2017


The Course Convenor for CHIR20015 is Sharyn Eaton

Contact information:

Email: s.eaton@cqu.edu.au

Phone: 0418 277 213 or 02 9324 5016

1 On-campus Activity

Assessment Title On-Campus Activity
Task Description

In order to provide students with on-going feedback their On-Campus Activity will be assessed via a series of weekly Short Activities (i.e. quiz and case studies). These short activities will be marked in class thus providing immediate feedback and will be graded on a pass/fail basis. Students must submit all cases to their respective tutor by the due date.

Assessment Due Date Week 12 Friday (06-Oct-2017) 05:00 PM AEST
Return Date to Students Exam Week Friday (20-Oct-2017)
Feedback will be provided to students immediately after each Short Activity.
Weighting Pass/Fail
Assessment Criteria

The composition of weekly short activities will be based on the following criteria:

Do you demonstrate knowledge of the principles and practise of chiropractic, their approaches to treatment and management of chiropractic?

Can you interpret and analyse from musculoskeletal assessment findings (observation, range of movement and
palpation)?

Do you demonstrate knowledge of the application of adjustments/manipulations?

Do you competently perform the adjustments/manipulative setups?

Can you interpret from a case history to formulate a differential diagnosis?

Can you demonstrate a physical examination routine to eliminate and confirm the differential diagnosis?

Can you determine an appropriate treatment/management plan?

A minimum grade of 80% is required to pass this subject.

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

1. Perform history taking at a competent level for difficult case scenarios, with a focus on neuro-musculoskeletal conditions.

2. Interpret clinical case findings in order to form a differential diagnosis.

3. Perform appropriate physical examination procedures in order to eliminate or confirm a differential diagnosis.

4. Interpret the information gathered from the physical examination in order to determine a likely diagnosis.

5. Provide a comprehensive report of findings for a given case study.

6. Demonstrate appropriate patient handling skills, including effective communication skills.

7. Develop an appropiate chiropractic management course according to given case scenarios.

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

1. Communication

2. Problem Solving

5. Team Work

8. Ethical practice



2 Portfolio

Assessment Title Journal Reflections
Task Description

The aim in this unit is to further develop your understanding of the role and skills sets required of a chiropractor. To help with your development on this journey of self discovery you will create a reflective portfolio

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 11 Friday (29-Sep-2017) 05:00 PM AEST
A complete, accurate and up-to-date journal must be submitted to the unit coordinator.
Return Date to Students Review/Exam Week Friday (13-Oct-2017)
Grades will be submitted to Gradebook for CHIR13009
Weighting 20%
Assessment Criteria

Please follow the rubric according to the Chese melt found in Moodle for CHIR13009. This will also be discussed in class.

Conditions Minimum mark or grade - Minimum 50% Further information can be found in Moodle. 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

1. Perform history taking at a competent level for difficult case scenarios, with a focus on neuro-musculoskeletal conditions.

2. Interpret clinical case findings in order to form a differential diagnosis.

3. Perform appropriate physical examination procedures in order to eliminate or confirm a differential diagnosis.

4. Interpret the information gathered from the physical examination in order to determine a likely diagnosis.

6. Demonstrate appropriate patient handling skills, including effective communication skills.

7. Develop an appropiate chiropractic management course according to given case scenarios.

8. Critically reflect on relevant sources of information.

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

1. Communication

2. Problem Solving

7. Cross Cultural Competence

8. Ethical practice



3 Practical Assessment

Assessment Title Chiropractic technique/skills
Task Description

You will be required to competently perform a range of practical skills including postural analysis, range of motion, palpation manipulations/adjustments. There will be an emphasis on application - the appropriate practical techniques will be discussed with the weekly case studies.

Assessment Due Date Week 12 Tuesday (03-Oct-2017) 03:00 PM AEST
In-class pracitcal assessment
Return Date to Students Review/Exam Week Friday (13-Oct-2017)
Weighting 50%
Assessment Criteria

Do you know how to adjust the cervical, thoracic and lumbo-pelvic areas?

Do you know how to prepare an appropriate treatment/management plan from a case study?

Conditions Minimum mark or grade - 50% Further information can be found in Moodle. You must achieve the minimum grade in order to pass this unit.
Referencing Style American Psychological Association (APA) or Harvard (author-date)
Submission Hard copy

In-class practical test

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

1. Perform history taking at a competent level for difficult case scenarios, with a focus on neuro-musculoskeletal conditions.

2. Interpret clinical case findings in order to form a differential diagnosis.

3. Perform appropriate physical examination procedures in order to eliminate or confirm a differential diagnosis.

4. Interpret the information gathered from the physical examination in order to determine a likely diagnosis.

5. Provide a comprehensive report of findings for a given case study.

6. Demonstrate appropriate patient handling skills, including effective communication skills.

7. Develop an appropiate chiropractic management course according to given case scenarios.

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 30%
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

2. Interpret clinical case findings in order to form a differential diagnosis.

4. Interpret the information gathered from the physical examination in order to determine a likely diagnosis.

5. Provide a comprehensive report of findings for a given case study.

7. Develop an appropiate chiropractic management course according to given case scenarios.

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

1. Communication

2. Problem Solving

4. Information Literacy

Engagement

CHIR13009 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 CHIR13009.

Work Related Learning

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


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