CQUniversity Unit Profile
CHIR12007 Clinical Assessment and Diagnosis 1
Clinical Assessment and Diagnosis 1
All details in this unit profile for CHIR12007 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.
Corrections

Unit Profile Correction added on 28-04-20

The end of term examination has now been changed to an online assessment. Please see Moodle for further details. 

General Information

Overview

In this unit you will learn about important features of clinical conditions which are commonly encountered in chiropractic practice. In learning the etiology, incidence, pathophysiology and clinical presentation of these conditions, you will integrate this theoretical knowledge with the the assessment and management skills acquired in Professional Chiropractic Practice 1 (CHIR13008).

Details

Career Level: Undergraduate
Unit Level: Level 2
Credit Points: 6
Student Contribution Band: 8
Fraction of Full-Time Student Load: 0.125

Pre-requisites or Co-requisites

Prerequisites: MPAT12001 Medical Pathophysiology  Co-requisite: CHIR13008 Professional Chiropractic Practice 1 

Important note: Students enrolled in a subsequent unit who failed their pre-requisite unit, should drop the subsequent unit before the census date or within 10 working days of Fail grade notification. Students who do not drop the unit in this timeframe cannot later drop the unit without academic and financial liability. See details in the Assessment Policy and Procedure (Higher Education Coursework).

Offerings For Term 1 - 2020

Brisbane
Mackay
Sydney

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).

Class and Assessment Overview

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

Bundaberg, Cairns, Emerald, Gladstone, Mackay, Rockhampton, Townsville
Adelaide, Brisbane, Melbourne, Perth, Sydney

Assessment Overview

1. Portfolio
Weighting: 20%
2. In-class Test(s)
Weighting: 30%
3. Examination
Weighting: 50%

Assessment Grading

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 Policy for more details of interim results and final grades.

Previous Student Feedback

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 from Students response from "Have Your Say"

Feedback

The students felt that having only one two-hour tutorial per week wasn't enough to cover the knowledge and practical skills required for this unit.

Recommendation

This unit is being modified as part of the 2020 Chiropractic curriculum review. The student's eagerness to learn, as evidenced by the request for additional tutorial time, shall be advanced as part of the review and discussion in the plan proposals.

Feedback from Students response from "Have Your Say"

Feedback

Students appreciated having a mid-term OSCE and that the lead up preparation and final exam were set out well for effective learning.

Recommendation

The unit coordinator shall continue to provide information and assessment tasks to students in a fashion to maximise their learning and deliver authentic clinical scenarios.

Feedback from Students response from "Have Your Say"

Feedback

Students requested that practical assessment rubrics be implemented with more consistency and clarity for both staff and students.

Recommendation

The unit coordinator shall endeavour to create clearly defined parameters and instructional materials for tutors across the campuses to use during the assessment processes to maximise equity and discrimination capabilities in the marking rubrics.

Unit Learning Outcomes
On successful completion of this unit, you will be able to:
  1. Discuss the etiology, incidence and pathophysiology of commonly encountered conditions of the spine and extremities in chiropractic practice
  2. Describe the clinical presentation of commonly encountered conditions of the spine and extremities in chiropractic practice
  3. Demonstrate an introductory level of clinical reasoning in relation to the selection and application of commonly used assessment and management procedures.

Learning outcome 1 - competency 3 (3.4)

Learning outcome 2 - competency 3 (3.4)

Learning outcome 3 - competency 1 (1.2, 1.3), 3 (3.3, 3.4, 3.5). 4 (4.1, 4.2)

Alignment of Learning Outcomes, Assessment and Graduate Attributes
N/A Level
Introductory Level
Intermediate Level
Graduate Level
Professional Level
Advanced Level

Alignment of Assessment Tasks to Learning Outcomes

Assessment Tasks Learning Outcomes
1 2 3
1 - Portfolio - 20%
2 - In-class Test(s) - 30%
3 - Examination - 50%

Alignment of Graduate Attributes to Learning Outcomes

Graduate Attributes Learning Outcomes
1 2 3
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
9 - Social Innovation
10 - Aboriginal and Torres Strait Islander Cultures

Alignment of Assessment Tasks to Graduate Attributes

Assessment Tasks Graduate Attributes
1 2 3 4 5 6 7 8 9 10
1 - Portfolio - 20%
2 - In-class Test(s) - 30%
3 - Examination - 50%
Textbooks and Resources

Textbooks

Prescribed

Merck Manual of Diagnosis and Therapy

20th edition (2018)
Authors: Merck Editor
Elsevier Health Sciences
London London , UK
ISBN: 9780911910421
Binding: Hardcover

Additional Textbook Information

Copies can be purchased at the CQUni Bookshop here:  http://bookshop.cqu.edu.au (search the Unit code)

IT Resources

You will need access to the following IT resources:
  • CQUniversity Student Email
  • Internet
  • Unit Website (Moodle)
Referencing Style

No referencing style set.

Teaching Contacts
Kristin Grace Unit Coordinator
k.grace@cqu.edu.au
Schedule
Week 1 - Introduction and Cervical Spine Begin Date: 09 Mar 2020

Module/Topic

1.1 Course profile, expectations, assessments and portfolio.

1.2 Developing a Diagnosis, Differential Diagnosis, Clinical Reasoning & Guideline based management

1.3 Red and Yellow Flags

1.4 Pain

1.5 Cervical Spine: Tissue & Anatomy, Facet Sprain vs. Dysfunction; Cervical Muscle strain; Subluxation/ Cervical Manipulable lesions

Chapter

Orthopedic Physical Assessment 6th (2014); Authors: David J. Magee; Chapter 1

AOSpine Masters Series, Volume 5: Cervical Spine Trauma. Stuttgart: Thieme Medical, Incorporated, 2015. Web.; Chapter 1

Differential Diagnosis for the Chiropractor Protocols and Algorithims 5th (2016); Authors: Souza T.A; 59-72

Events and Submissions/Topic

Sign on to Weebly and set up Portfolio

Week 2 - Cervical Spine Continued Begin Date: 16 Mar 2020

Module/Topic

2.1 OA - Spondylosis, Uncovertebral and Facet arthrosis; Stenosis

2.2

A. Whiplash/ WAD

B. Cervical Spine Trauma

2.3 Cervical Disc Lesions, Radiculopathy and Myelopathy

2.4 Torticollis

Chapter

Orthopedic Physical Assessment 6th (2014); Authors: David J. Magee; Chapter 3 - Cervical Spine 148-162, 180-183

Differential Diagnosis for the Chiropractor Protocols and Algorithims 5th (2016); Authors: Souza T.A; 79-96, 103-104

AOSpine Masters Series, Volume 5: Cervical Spine Trauma. Stuttgart: Thieme Medical, Incorporated, 2015. Web.; Chapters 2-16

Kasch, Helge, Dennis Turk, and Troels S. Jensen. Whiplash Injury : Perspectives on the Development of Chronic Pain. 2016. Web.; Chapters 3 & 8

Events and Submissions/Topic

Portfolio Questions to be submitted no later than 12am Tuesday morning - Weeks 1 & 2 will be submitted for week 2

In class test weekly

Week 3 - Thoracic Spine Begin Date: 23 Mar 2020

Module/Topic

3.1 Thoracic Spine – Tissue and Anatomy; Mechanical Pain

3.2 Costochondritis, Scapulocostal Bursitis/ Tendonitis, Herpes Zoster; Thoracic Disc lesions

3.3 Compression fracture; Rib – Subluxation vs Fracture

3.4 Thoracic Spine OA and other common Arthropathies; Facet Syndrome

3.5 Scheuermann’s disease; Postural Syndromes

Chapter

Orthopedic Physical Assessment 6th (2014); Author: David J. Magee; Chapter 8, Thoracic Spine; 508-515, 536 (Tables)

Differential Diagnosis for the Chiropractor Protocols and Algorithims 5th (2016); Authors: Souza T.A; 119-123, 127-133

Merck Manual of Diagnosis and Therapy 20th; Authors: Merck Editor; 1624-1625

Events and Submissions/Topic

Portfolio Questions to be submitted no later than 12am Tuesday morning

In class test weekly

Week 4 - Lumbar Spine Begin Date: 30 Mar 2020

Module/Topic

4.1 Lumbar Spine – Tissue and Anatomy

4.2 Chronic LBP. Disc Disease and OA

4.3 Lumbar Radiculopathy, Spinal Stenosis, Sciatica, Piriformis S

4.4 Lumbar Strain/Sprain; SI syndrome; Coccyx 

Chapter

Orthopedic Physical Assessment 6th (2014); Author: David J. Magee; Chapter 9, Lumbar Spine; 550-562, 563 & 566 (Tables), 588-594; Chapter 10, Pelvis; 649-654

Differential Diagnosis for the Chiropractor Protocols and Algorithims 5th (2016); Authors: Souza T.A; 163-180, 190-221, 233-235


Events and Submissions/Topic

Portfolio Questions to be submitted no later than 12am Tuesday morning

In class test weekly

Week 5 - Lumbar Spine continued Begin Date: 06 Apr 2020

Module/Topic

5.1 Special Groups & Cauda Equina

5.2 Spinal Myofascial Pain Disorders (incl dysfunction/ subluxation); Postural Dysfunctions

5.3 Other Conditions

Infection, Herpes Zoster (Shingles), Neuropathy (DM, Alcoholic); AAA

Chapter

Merck Manual of Diagnosis and Therapy 20th; Authors: Merck Editor; 1260-1261

Events and Submissions/Topic

Portfolio Questions to be submitted no later than 12am Tuesday morning

In class test weekly

Vacation Week Begin Date: 13 Apr 2020

Module/Topic

Chapter

Events and Submissions/Topic

Week 6 - Upper Limb and Lower Limb Neuropathies & Entrapments Begin Date: 20 Apr 2020

Module/Topic

6.1 Overview of Nerve Entrapment/ Nerve Compression/ Compression Neuropathy

6.2 Upper Limb

a. Pronator Teres S

b. CTS – Carpal Tunnel S

c. Ulnar Nerve S

d. Cubital Tunnel Entrapment

6.3 Lower Limb

a. Meralgia Paresthetica

b. Tibial and Deep Peroneal Nerve Entrapment

c. TTS – Tarsal Tunnel S

d. Morton’s neuroma

Chapter

Patten, John. Neurological Differential Diagnosis. 2nd ed. London ; New York: Springer, 1996. Print; Chapters 16 & 17

Orthopedic Physical Assessment 6th (2014); Author: David J. Magee; Chapter 6, Elbow; 399, 412-416, 426 (Table); Chapter 7, Wrist/ Hand, 483 (+Table); Chapter 11, 731-732, 734 (Table), Chapter 12, 852-854; Chapter 13, 942-947


Events and Submissions/Topic

Portfolio Questions to be submitted no later than 12am Tuesday morning

In class test weekly

Week 7 - Upper Limb Conditions Begin Date: 27 Apr 2020

Module/Topic

7.1 Review Shoulder Anatomy and Tissue

7.2 Subacromial Bursitis, Adhesive Capsulitis

7.3 Rotator Cuff S , Impingement, Labral Tears,

7.4 Misc

a. Shoulder Trauma (Fracture/ Dislocation) & Instability

b. Shoulder Arthropathies

Chapter

Orthopedic Physical Assessment 6th (2014); Author: David J. Magee; Chapter 5, Shoulder; 252-264; 349

Differential Diagnosis for the Chiropractor Protocols and Algorithims 5th (2016); Authors: Souza T.A; 237-245, 272-288, 298-300

Events and Submissions/Topic

Portfolio Questions to be submitted no later than 12am Tuesday morning

In class test weekly

Week 8 - Distal Upper Limb Conditions Begin Date: 04 May 2020

Module/Topic

8.1 Review Elbow, Wrist and Hand Tissue and Anatomy

8.2 Tennis/ Golfer’s Elbow

8.3 Elbow Bursitis/ Tendonitis

8.4 Wrist Intersection

8.5 Misc

a. Elbow, Wrist and Hand trauma Fracture/ Dislocation)

b. Elbow, Wrist and Hand Arthropathies

Chapter

Orthopedic Physical Assessment 6th (2014); Author: David J. Magee; Chapter 6, Elbow; 388-90; Chapter 7, Wrist/ Hand, 429-433

Differential Diagnosis for the Chiropractor Protocols and Algorithims 5th (2016); Authors: Souza T.A; 303-308, 311-321, 326-336, 342-356

Events and Submissions/Topic

Portfolio Questions to be submitted no later than 12am Tuesday morning

In class test weekly

Week 9 - Pelvis and Hip Conditions Begin Date: 11 May 2020

Module/Topic

9.1 Review Hip Tissue and Anatomy

9.2 Hip, Buttock and Groin Muscle Injuries; Labral Tears

9.3 Hip OA; FAI - Femoroacetabular Impingement

Chapter

Orthopedic Physical Assessment 6th (2014); Author: David J. Magee; Chapter 11, Hip, 689-695

Differential Diagnosis for the Chiropractor Protocols and Algorithims 5th (2016); Authors: Souza T.A; 391-397, 401-404,407-408, 413-414

Events and Submissions/Topic

Portfolio Questions to be submitted no later than 12am Tuesday morning

In class test weekly

Week 10 - Pelvis and Hip Continued Begin Date: 18 May 2020

Module/Topic

10.1 Bursitis, Synovitis,

10.2 Childhood Conditions

10.3 AVN/ Ostenecrosis

10.4 Fractures and Tumors

Chapter

Differential Diagnosis for the Chiropractor Protocols and Algorithims 5th (2016); Authors: Souza T.A;405-407, 409-410, 412, 419-421

Events and Submissions/Topic

Portfolio Questions to be submitted no later than 12am Tuesday morning

In class test weekly

Week 11 - Lower Limb Begin Date: 25 May 2020

Module/Topic

11.1 Review Knee, Ankle and Foot Tissue and Anatomy

11.2 Meniscal and Knee Ligament Injuries

11.3 Ankle Sprain

11.4 Plantar Fasciitis

11.5 Misc

a. Knee, Ankle and Foot Trauma (Fracture/ Dislocation)

b. Knee Ankle and Foot Arthropathies

Chapter

Orthopedic Physical Assessment 6th (2014); Author: David J. Magee; Chapter 12, Knee, 765-770; Chapter 12, Leg, Ankle & Foot, 888-895

Differential Diagnosis for the Chiropractor Protocols and Algorithims 5th (2016); Authors: Souza T.A; 423-433, 448-470, 478-506, 514-530, 534-538

Events and Submissions/Topic

Portfolio Questions to be submitted no later than 12am Tuesday morning

In class test weekly


weekly portfolio submission Due: Week 11 Monday (25 May 2020) 11:45 pm AEST
Weekly In-class test Due: Week 11 Monday (25 May 2020) 11:45 pm AEST
Week 12 - Practice Cases Begin Date: 01 Jun 2020

Module/Topic

12.1 Series of Practice Cases that Incorporate the Terms Learning Objectives

Chapter

Events and Submissions/Topic

Review/Exam Week Begin Date: 08 Jun 2020

Module/Topic

Chapter

Events and Submissions/Topic

Exam Week Begin Date: 15 Jun 2020

Module/Topic

Chapter

Events and Submissions/Topic

Assessment Tasks

1 Portfolio

Assessment Title
weekly portfolio submission

Task Description

Workbook Questions

Each week you will be expected to upload the questions from the workbook to your Weebly Portfolio page for CHIR12007 and answer these questions prior to the first tutorial of each week. These questions will be discussed in tutorial. You will be expected to correct any answers that are not correct. This will commence week 2 and will assist with review for the final assessment. 


Assessment Due Date

Week 11 Monday (25 May 2020) 11:45 pm AEST


Return Date to Students

Week 12 Monday (1 June 2020)


Weighting
20%

Minimum mark or grade
50%

Assessment Criteria

All weekly workbook tasks are to be uploaded with attempted answers prior to the first tutorial of each week.  If there is no weekly submission, an 'Incomplete' will be allotted for that week. Marking rubric will posted on Moodle. 3 'Incomplete' marks will result in an overall fail of the portfolio component.  It is expected that by the end of the term, the portfolio will be complete with correct answers


Submission
Online

Submission Instructions
Turnitin

Learning Outcomes Assessed
  • Demonstrate an introductory level of clinical reasoning in relation to the selection and application of commonly used assessment and management procedures.


Graduate Attributes
  • Communication
  • Problem Solving
  • Critical Thinking
  • Ethical practice

2 In-class Test(s)

Assessment Title
Weekly In-class test

Task Description

This will be a series of 10 questions including but not limited to multiple-choice, short answer or short case based questions related to the weekly lectures and reading materials.

This will be opened during either the first or second tutorial of each of weeks 2-11. Students will be given 20 minutes to complete the test and it will then be closed and marked.


Assessment Due Date

Week 11 Monday (25 May 2020) 11:45 pm AEST

Tuesday OR Thursday during tutorial session


Return Date to Students

Week 11 Monday (25 May 2020)

Following the Thursday tutorial


Weighting
30%

Minimum mark or grade
50%

Assessment Criteria

As the questions asked in each test will be objective in style, answers will be computer marked as either correct or incorrect. Some questions will require you to demonstrate a knowledge of facts, while others will require you to use your interpretive or analytical skills.


Submission
Online

Learning Outcomes Assessed
  • Discuss the etiology, incidence and pathophysiology of commonly encountered conditions of the spine and extremities in chiropractic practice
  • Describe the clinical presentation of commonly encountered conditions of the spine and extremities in chiropractic practice


Graduate Attributes
  • Problem Solving
  • Critical Thinking
  • Information Literacy
  • Information Technology Competence

Examination

Outline
Complete an invigilated examination

Date
During the examination period at a CQUniversity examination centre

Weighting
50%

Length
120 minutes

Minimum mark or grade
50%

Exam Conditions
Closed Book

Materials
Dictionary - non-electronic, concise, direct translation only (dictionary must not contain any notes or comments).
Academic Integrity Statement

As a CQUniversity student you are expected to act honestly in all aspects of your academic work.

Any assessable work undertaken or submitted for review or assessment must be your own work. Assessable work is any type of work you do to meet the assessment requirements in the unit, including draft work submitted for review and feedback and final work to be assessed.

When you use the ideas, words or data of others in your assessment, you must thoroughly and clearly acknowledge the source of this information by using the correct referencing style for your unit. Using others’ work without proper acknowledgement may be considered a form of intellectual dishonesty.

Participating honestly, respectfully, responsibly, and fairly in your university study ensures the CQUniversity qualification you earn will be valued as a true indication of your individual academic achievement and will continue to receive the respect and recognition it deserves.

As a student, you are responsible for reading and following CQUniversity’s policies, including the Student Academic Integrity Policy and Procedure. This policy sets out CQUniversity’s expectations of you to act with integrity, examples of academic integrity breaches to avoid, the processes used to address alleged breaches of academic integrity, and potential penalties.

What is a breach of academic integrity?

A breach of academic integrity includes but is not limited to plagiarism, self-plagiarism, collusion, cheating, contract cheating, and academic misconduct. The Student Academic Integrity Policy and Procedure defines what these terms mean and gives examples.

Why is academic integrity important?

A breach of academic integrity may result in one or more penalties, including suspension or even expulsion from the University. It can also have negative implications for student visas and future enrolment at CQUniversity or elsewhere. Students who engage in contract cheating also risk being blackmailed by contract cheating services.

Where can I get assistance?

For academic advice and guidance, the Academic Learning Centre (ALC) can support you in becoming confident in completing assessments with integrity and of high standard.

What can you do to act with integrity?