In practice, the chiropractor is required to combine a variety of psychomotor skills. All skills/techniques taught within this unit 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. Each of these stations will require the student to complete various techniques over a specific time period, with an allowance of 1 minute reading/planning time prior to the commencement of the assessment.

Station 1 - You will be required to perform two lower limb adjustments from those covered in the course demonstrating correct technique, appropriate patient handling. Furthermore, you will be required to perform the physical examination components below correlating your findings to your examiner by viva voce:

1. Observational analysis of the region in question;
2. Static palpation of the region;
3. Range of motion assessment of the joint;
4. Motion palpation of the joint;
5. Perform the appropriate adjustment for the lesion in question.

The tasks will be allocated to you randomly according to series of station cards which have been previously composed.

Station 2 - Performance of GALS (Gait, Arms, Legs and Spine) functional assessment demonstrating the correct technique with appropriate patient handling and viva voce assessment. The tasks will be allocated to you randomly according to series of station cards which have been previously composed.

Station 3 - You will be required to perform two spinal adjustments demonstrating correct technique, appropriate patient handling. Furthermore, you will be required to perform the physical examination components below correlating your findings to your examiner by viva voce:

1. Regional structural analysis of the region in question;
2. Gross range of motion assessment of a spinal region;
3. Regional static palpation of the spinal region;
4. Segmental range of motion assessment of a spinal segment;

Must perform the appropriate adjustment for the lesion in question. The tasks will be allocated to you randomly according to series of station cards which have been previously composed.

Please note:

1. You present for your OSCE dressed as you would present to a skills class environment. Any student not adhering to the dress code may be excluded from the assessment;
2. Each station is timed. You will have the set time to complete the station, therefore if a station is not completed within the allocated time the practical element will be stopped and you will be marked based on your performance to that point;
3. Clinical and skills staff may be present as part of the examiners on the assessment date;
4. The assessment will be recorded using a video camera to enable moderation, however, these recordings will not be available for student feedback.

Station 1 - Your performance will be graded using a marking rubric which will be provided to you in Week 10 when the course focus switches to exam preparation. This marking rubric will grade your performance according to the following:

• Infection control
• Draping
• Verbal Consent
• Static palpation of the region
• Range of motion assessment of the joint
• Motion palpation of the joint
• Perform the appropriate adjustment for the lesion in question
• Appropriate interpretation of findings
• Practitioner position
• Patient position
• Patient handling
• Examiners over all impression

Station 2 - Your performance will be graded using a marking rubric which will be provided to you in Week 10 when the course focus switches to exam preparation. This marking rubric will grade your performance according to the following areas:

• Infection control
• Verbal Consent
• Static palpation of the region
• Range of motion assessment of the joint
• Clear Instructions given
• Patient handling
• Technical performance

Station 3 - Your performance will be graded using a marking rubric which will be provided to you in Week 10 when the unit focus switches to exam preparation. This marking rubric will grade your performance according to the following area:

• Infection control
• Draping
• Verbal Consent
• Static palpation of the region
• Range of motion assessment of the joint
• Motion palpation of the joint
• Perform the appropriate adjustment for the lesion in question
• Appropriate interpretation of findings
• Practitioner position
• Patient position
• Patient handling
• Examiners over all impression

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 for each lecture you attend and provide reflections of the On-Campus activities discussions, activities and material presented during the term. The journal provides evidence of the quality and quantity of your in-class learning.

Your ePortfolio can be used as a way to evaluate and enhance your learning and/or be used to critically reflect and develop deeper learning. It may be used to evolve skills set which will be essential during your professional career such as documenting your professional portfolio, professional achievements and continued professional development.

You will be required to reflect on the theoretical and practical content of the unit and enter comments in your journal which can be then entered electronically into your ePortfolio.

Throughout the term you will be given on-campus activities (based upon the learning outcomes for this unit) that you will comment and reflect on in your ePortfolio and will involve the following criteria.

1. Does the student discuss the principles and practice of chiropractic management?

2. Can the student demonstrate psychomotor skills of adjusting/manipulative set-ups at an intermediate level for the thoracic, lumbar spine and lower extremities?

3. Does the student demonstrate soft tissue therapeutic procedures and non-force techniques at an intermediate level?

4. Can the student analyse the body using functional analysis and musculoskeletal assessment protocols eg GALS (gait, arms, legs and spine)?

5. Does the student recognise findings from your musculoskeletal assessment including observation, range of movement and motion palpation to recommend appropriate chiropractic management protocols?

6. Can the student describe issues pertaining to chiropractic ethics and the codes of conduct?

7. Can students investigate matters pertaining to current public health issues and how they impact clinical care?

Note that you will continue to develop your portfolio in future units in the course.

There will be a specific rubric for the ePortfolio that is available in your Moodle site that you can refer to for further information.

There will be a specific rubric for each on- campus activity that your unit co-ordinator and /or tutor will complete each week for CHR12005 on-campus activity.

You will receive a PASS/FAIL for all in on-campus activities which is required to continue to CHIR12006 in Term 2 – regardless of the OSCE practical and Final Examination results.