CQUniversity Unit Profile
CHIR13006 Clinical Assessment and Diagnosis 2
Clinical Assessment and Diagnosis 2
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.
General Information

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: 8
Fraction of Full-Time Student Load: 0.125

Pre-requisites or Co-requisites

Pre-requisite: CHIR12007

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 2 - 2017

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. Practical Assessment
Weighting: 60%
2. Examination
Weighting: 40%

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 Student Feedback

Feedback

Assignment

Recommendation

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.

Unit Learning Outcomes
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 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 4
1 - Practical Assessment - 60%
2 - Examination - 40%

Alignment of Graduate Attributes to Learning Outcomes

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
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 - Practical Assessment - 60%
2 - Examination - 40%
Textbooks and Resources

Textbooks

Prescribed

IBM SPSS Statistics Grad Pack

Edition: ( Standard v23.0 Windows )
Authors: IBM
IBM Australia
Sydney Sydney , NSW , Australia
Binding: Paperback
Prescribed

Quick Reference Evidence Informed Orthopedic Conditions

(2015)
Authors: Nikita Vizniak
Professional Health Systems
Canada
ISBN: 9780973274271
Binding: Hardcover
Prescribed

Quick Reference Evidence Informed Physical Assessment

(2015)
Authors: Nikita Vizniak
Professional Health Systems
Canada
ISBN: 9780973274202
Binding: Hardcover

Additional Textbook Information


IT Resources

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

All submissions for this unit must use the referencing style: Harvard (author-date)

For further information, see the Assessment Tasks.

Teaching Contacts
David Hannah Unit Coordinator
d.hannah@cqu.edu.au
Schedule
Week 1 Begin Date: 10 Jul 2017

Module/Topic

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.

Chapter

Lectures online via Moodle

Overview of course structure

Overview of assessment

Events and Submissions/Topic

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 Begin Date: 17 Jul 2017

Module/Topic

Review: Significance and Practice of Lumbopelvic orthopaedic procedures.

New: Hip Orthopaedic tests


Chapter

Lectures online via Moodle

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

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

Events and Submissions/Topic

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 Begin Date: 24 Jul 2017

Module/Topic

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

New: Knee Orthopaedic tests Part A


Chapter

Lectures online via Moodle

Events and Submissions/Topic

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 Begin Date: 31 Jul 2017

Module/Topic

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

New: Knee Orthopaedic tests Part B


Chapter

Lectures online via Moodle

Events and Submissions/Topic

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 Begin Date: 07 Aug 2017

Module/Topic

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

New: Ankle and Foot Orthopaedic tests

Chapter

Lectures online via Moodle

Events and Submissions/Topic

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 Begin Date: 14 Aug 2017

Module/Topic

Study Week

Chapter

Study Week

Events and Submissions/Topic

Study week

Week 6 Begin Date: 21 Aug 2017

Module/Topic

Review: Significance and Practice of Cervical orthopaedic procedures.

New: Shoulder Orthopaedic tests Part A


Chapter

Lectures online via Moodle

Events and Submissions/Topic

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 Begin Date: 28 Aug 2017

Module/Topic

Review: Significance and Practice of Cervical orthopaedic procedures.

New: Shoulder Orthopaedic tests Part B


Chapter

Lectures online via Moodle

Events and Submissions/Topic

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 Begin Date: 04 Sep 2017

Module/Topic

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

New: Elbow Orthopaedic tests


Chapter

Lectures online via Moodle

Events and Submissions/Topic

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 Begin Date: 11 Sep 2017

Module/Topic

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

New: Wrist and Hand Orthopaedic tests


Chapter

Lectures online via Moodle

Events and Submissions/Topic

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 Begin Date: 18 Sep 2017

Module/Topic

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

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


Chapter

Lectures online via Moodle

Events and Submissions/Topic

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 Begin Date: 25 Sep 2017

Module/Topic

Review Week for Upper and Lower Extremity Orthopaedic tests


Chapter

Events and Submissions/Topic

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

Week 12 Begin Date: 02 Oct 2017

Module/Topic

Review Week; Preparation for FINAL OSCE


Chapter

Events and Submissions/Topic

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


FINAL OSCE Due: Week 12 Friday (6 Oct 2017) 5:00 pm AEST
Review/Exam Week Begin Date: 09 Oct 2017

Module/Topic

Chapter

Events and Submissions/Topic

Exam Week Begin Date: 16 Oct 2017

Module/Topic

Chapter

Events and Submissions/Topic

Term Specific Information

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.

Assessment Tasks

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 (6 Oct 2017) 5:00 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%

Minimum mark or grade
50%

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


Referencing Style

Submission
Offline

Submission Instructions
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
  • Apply orthopaedic diagnostic procedures specific to the upper and lower extremities and interpret significant findings


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

Examination

Outline
Complete an invigilated examination

Date
During the examination period at a CQUniversity examination centre

Weighting
40%

Length
120 minutes

Minimum mark or grade
50%

Exam Conditions
Closed Book

Materials
No calculators permitted
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?