CQUniversity Unit Profile
CHIR13007 Clinical Assessment and Diagnosis 3
Clinical Assessment and Diagnosis 3
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.
General Information

Overview

This unit builds on other pathology related units in the course, as well as Clinical Assessment and Diagnosis 1. You will study 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.

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: CHIR13010 Systems and Pathology

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 - 2024

Brisbane

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. Online Quiz(zes)
Weighting: 20%
2. Practical Assessment
Weighting: 30%
3. Written Assessment
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 SUTE and in person

Feedback

The students felt that learning the theory (CHIR13010) in term 1 and the practical in term 2 (CHIR13007) was not ideal. They would have preferred the theory and practical content to be delivered simultaneously.

Recommendation

It is recommended that the discipline explore opportunities to better integrate theoretical and practical components of CHIR13010 and CHIR13007.

Feedback from Email and in person

Feedback

The students enjoyed the tutorial class layout and structure of embedding the vitals at the start every week.

Recommendation

It is recommended that the Unit Coordinator continue the tutorial structure for the next offering.

Feedback from SUTE and in person

Feedback

The students enjoyed the videos that accompanied the practical components to the subject, however they have requested updated videos with a full routine included.

Recommendation

It is recommended that the Unit Coordinator create new video content for the practical skills element as well as routines for each bodily system.

Unit Learning Outcomes
On successful completion of this unit, you will be able to:
  1. Integrate your knowledge of anatomy, physiology, biochemistry and pathology with 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 appropriate examination protocol to pathological disease states.
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 5
1 - Online Quiz(zes) - 20%
2 - Practical Assessment - 30%
3 - Written Assessment - 50%

Alignment of Graduate Attributes to Learning Outcomes

Graduate Attributes Learning Outcomes
1 2 3 4 5
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 - Online Quiz(zes) - 20%
2 - Practical Assessment - 30%
3 - Written Assessment - 50%
Textbooks and Resources

Textbooks

There are no required textbooks.

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: American Psychological Association 7th Edition (APA 7th edition)

For further information, see the Assessment Tasks.

Teaching Contacts
Bianca Zietsman Unit Coordinator
b.zietsman@cqu.edu.au
Schedule
Week 1 Begin Date: 08 Jul 2024

Module/Topic

Lecture:

1. Introduction to the unit

2. Introduction to Clinical History Taking and Physical Examination Skills


Practical:
1. History taking and practice of basic physical examination skills

Chapter

Bate's - Ch 3: Interviewing and the Health History.

Tally and O'Connor - Chapter 1 and 2: The General Principles of History Taking

McLeod's - Ch 1:  Managing Clinical Encounters with Patients; and Ch 2: General aspects of history taking

*See Unit Introduction lecture for full titles of suggested textbooks, their location and how to use them for the scope of this unit. 

 

Events and Submissions/Topic

Week 2 Begin Date: 15 Jul 2024

Module/Topic

Lecture:

Clinical Vital Signs and Introduction to Clinical Investigations

Practical:

Assessing vital signs and revision of basic physical examination skills

Chapter

Bate's - Ch 4: Beginning the Physical Examination: General Survey, Vital Signs, and Pain.

Tally and O'Connor- Ch 3: The General Principles of Physical Examination

McLeod's - Ch 3: General Aspects of Examination

Events and Submissions/Topic

Week 3 Begin Date: 22 Jul 2024

Module/Topic

Lecture:

Clinical Examination of the Cardiovascular system

Practical:

Clinical Examination of the Cardiovascular System

Chapter

Suggested further reading (any of the references below):

Bate's - Ch 9: The Cardiovascular System

Tally and O'Connor- Section 2: The Cardiovascular System

McLeod's - Ch 4: The Cardiovascular System

Events and Submissions/Topic

 

 

 

.

Week 4 Begin Date: 29 Jul 2024

Module/Topic

Lecture:

Clinical Examination of the Respiratory System

Practical:
Clinical Examination of the Respiratory System

Chapter

Bate's -Ch 8: The Thorax and Lungs

Tally and O'Connor -Section 3: The Respiratory System

McLeod's- Ch 5- The respiratory System

 

Events and Submissions/Topic

Week 5 Begin Date: 05 Aug 2024

Module/Topic

Lecture:

Clinical Investigations and Overview of Management Options of the Cardiovascular and Respiratory Systems

Practical: 
Revision for OSCE 1

Chapter

Bate's - Ch 8: The Thorax and Lungs; Ch 9: The Cardiovascular System

Tally and O'Connor- Section 2: The Cardiovascular System; Section 3: The Respiratory System

McLeod's - Ch 4: The Cardiovascular System; Ch 5- The respiratory System

Events and Submissions/Topic

Quiz 1: Thursday of week 5 and opens at 14:00 AEST and closes at 21:00 AEST

 

Vacation Week Begin Date: 12 Aug 2024

Module/Topic

Chapter

Events and Submissions/Topic

Week 6 Begin Date: 19 Aug 2024

Module/Topic

Lecture:

Clinical Examination of the Gastrointestinal System

Practical:

OSCE

Chapter

Bate's- Ch 11: The Abdomen

Tally and O'Connor- Section 4: The Gastrointestinal System System.

McLeod's- Ch 6: The Gastrointestinal System

 

Events and Submissions/Topic

OSCE 1 :

Assessment of Vital signs and clinical examination of the cardiovascular and respiratory systems

Time/place: In practical session times on your enrolled campus

 

Week 7 Begin Date: 26 Aug 2024

Module/Topic

Lecture:

Clinical Examination of the Genitourinary System

Practical:
Clinical Examination of the Gastrointestinal System and Abdomen

Chapter

Bate's -Ch 11: The Genitourinary System

Tally and O'Connor Section 5: The Genitourinary System

McLeod's- Ch 11: The reproductive system; Ch 12: The renal system

Events and Submissions/Topic

Week 8 Begin Date: 02 Sep 2024

Module/Topic

Lecture:

Clinical Investigations and Overview of Management Options of the Gastrointestinal and Genitourinary Systems

Practical:
Clinical Examination of the Gastrointestinal System and Genitourinary system.

Chapter

Bate's -Ch 11: The genitourinary system

Tally and O'Connor Section 5: The genitourinary system

 
 
McLeod's- Ch 11: The reproductive system and Ch 12: The renal system

Events and Submissions/Topic

Week 9 Begin Date: 09 Sep 2024

Module/Topic

Lecture:

Clinical Examination, Investigations and Overview of Management Options of the of the Endocrine System

Practical:
Clinical Examination of Endocrine system

Chapter

Tally and O'Connor Section 8: The endocrine system

McLeod's- Ch 10: The endocrine system

 

Events and Submissions/Topic

Quiz 1: Thursday of week 9 and opens at 14:00 AEST and closes at 21:00 AEST

Week 10 Begin Date: 16 Sep 2024

Module/Topic

Lecture:

Clinical Examination, Investigations and Overview of Management Options of the Hematopoietic and Lymphatic Systems

Practical:
Clinical examination of the Lymphatic and Hematopoietic Systems

Chapter

Tally and O'Connor Section 6: The Hematological System

 

Events and Submissions/Topic

Week 11 Begin Date: 23 Sep 2024

Module/Topic

Lecture:

1. Clinical Examination, Investigations and Overview of Management Options of the Ears and Eyes

2. Clinical Examination, Investigations and overview of management options of the Integumentary system

Practical:
Eyes, Ears, Skin examination + Revision for OSCE 2

Chapter

Bate's - Ch 7: The head and neck (the eye, the ear)
Tally and O'Connor - Section 12: 'The eye', 'The ears'
 McLeod's Ch 8: The visual system; Ch 9: The Ear

Bate's - Ch 6: The Skin, Hair and Nails

Tally and O'Connor - Section 12: 'The skin and lumps'

McLeod's Ch 14: The skin, hair and nails

 
 
 

Events and Submissions/Topic

Week 12 Begin Date: 30 Sep 2024

Module/Topic

Practical: OSCE 2

Chapter

 
 

Events and Submissions/Topic

OSCE 2: Clinical examination of the Gastrointestinal, Genitourinary, Endocrine and Hematopoietic and Lymphatic systems.

Time/place: In practical session times on BNE campus

Review/Exam Week Begin Date: 07 Oct 2024

Module/Topic

Chapter

Events and Submissions/Topic

End of Term Test:

Please note this is an in person test on the BNE campus, and will be invigilated by a member of the chiropractic team. Room allocation TBC


End of Term Test Due: Review/Exam Week Wednesday (9 Oct 2024) 11:00 am AEST
Exam Week Begin Date: 14 Oct 2024

Module/Topic

Chapter

Events and Submissions/Topic

Term Specific Information

Please note that you will be required to bring your full clinical assessment kit to every practical class. 

The equipment required is listed below:

1- Stethoscope

2- Sphygmomanometer

3-   Thermometer

4-   Pen torch

5-   Tongue depressors.

6-   Alcohol wipes

7-   Pulse Oximeter

 

Assessment Tasks

1 Online Quiz(zes)

Assessment Title
Online Quiz

Task Description

There will be Two (2) quizzes with a weighting of 10% each; total of 20% of the overall unit grade. The quizzes will be held in weeks 5 and 9. Each will open at 14:00 AEST and close at 21:00 AEST Thursday. Please note: all attempts should be started 30 minutes before closing time.

These will be delivered online and are not a group assessment, once you have opened a quiz, you will have 30 minutes to complete it.

There will only be one attempt per quiz.

Each quiz will contain multiple choice questions (20 questions in total).

There will be no extension due to unforeseen technical problems or Internet connectivity, unless proof is supplied that there was a problem with Moodle. At which point you must contact the UC and tasac with screenshots of the error message. Results with feedback will become available to students, at the time of closure of each quiz.

 

 


Number of Quizzes

2


Frequency of Quizzes

Other


Assessment Due Date

Due Thursday at 21:00 AEST weeks 5 and 9


Return Date to Students

Marks will be released via moodle once all students have completed the task.


Weighting
20%

Minimum mark or grade
50%

Assessment Criteria

Student is able to demonstrate:

1. Understanding of the relationship between anatomy, physiology, pathology and diagnosis.

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

3. Understanding indications for a system examination and the implications of its findings.

4. Knowledge of common clinical investigations of body systems and familiarity with management options of their disorders.

 


Referencing Style

Submission
Online

Learning Outcomes Assessed
  • Integrate your knowledge of anatomy, physiology, biochemistry and pathology with the clinical assessment of disease states
  • Explain the pathophysiological basis for a range of symptoms and signs
  • Demonstrate competent history taking skills and physical examination procedures
  • Develop a differential diagnosis based on history and examination findings
  • Apply the appropriate examination protocol to pathological disease states.


Graduate Attributes
  • Communication
  • Problem Solving
  • Critical Thinking
  • Information Literacy
  • Information Technology Competence
  • Cross Cultural Competence
  • Ethical practice

2 Practical Assessment

Assessment Title
OSCE's

Task Description

There will be 2 OSCE's throughout the term.

OSCE 1 is in week 6 and includes assessment of taking vital signs, and physical examination skills of the cardiovascular system and the respiratory systems.

OSCE 2 is in week 12 and includes assessment of the  physical examination skills of the gastrointestinal/genitourinary, lymphoid/hematopoietic, and endocrine systems. 

Each OSCE is worth 15%. This component is worth 30% of the unit total grade.

These OSCEs will assess your competency in performing the following tasks:

1. Observation of the patient for a specified condition or clinical sign

2. Assessment of vital signs

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

a. demonstrate assessment protocol of a patient for a specific condition (a list of conditions will be provided)

b. demonstrate skills in palpation, percussion and auscultation

4. Professionalism- to include informed consent and appropriate hygiene 

 


Assessment Due Date

Week 6 during Practical Class and in Week 12.


Return Date to Students

1 week after the task is conducted


Weighting
30%

Minimum mark or grade
50%

Assessment Criteria

Student is able to:

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

2. Competently perform basic clinical examination skills (observation, percussion, palpation and auscultation).

3. Select and competently perform the appropriate examination routine required to facilitate the recognition of specific disorders or disease states of the different systems taught in this unit.


Referencing Style

Submission

No submission method provided.


Submission Instructions
OSCE- Practical Assessment.

Learning Outcomes Assessed
  • Demonstrate competent history taking skills and physical examination procedures
  • Apply the appropriate examination protocol to pathological disease states.


Graduate Attributes
  • Communication
  • Problem Solving
  • Information Literacy
  • Cross Cultural Competence
  • Ethical practice

3 Written Assessment

Assessment Title
End of Term Test

Task Description

This in class test will assess your comprehension and application of the content delivered across the 12 weeks of term. You will undertake the test in a computer lab, the test will involve multiple choice questions, which will be automatically marked by Moodle, as well as short answer questions which will be marked by the UC.

It will be invigilated by a member of the chiropractic staff and will be based in the computer lab on your campus. Please see final timetable and moodle tab "assessment" for up to date information. 

 


Assessment Due Date

Review/Exam Week Wednesday (9 Oct 2024) 11:00 am AEST

Review/Exam Week 13 Students will complete this assessment on campus in a computer lab. Refer to timetable.


Return Date to Students

Exam Week Friday (18 Oct 2024)

Two weeks after due date of the end of term test


Weighting
50%

Minimum mark or grade
50%

Assessment Criteria

The assessment criteria will involve selecting or providing the correct answers and communicating your answers clearly in written form. The minimum grade is (pass) 50%.

The student is able to demonstrate:

1. Understanding of the relationship between anatomy, physiology, pathology and diagnosis.

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

3. Understanding indications for a system examination and the implications of its findings.

4. Clinical reasoning in forming a differential diagnosis based on history and examination findings

5. Knowledge of common clinical investigations of body systems and familiarity with management options of their disorders.

 


Referencing Style

Submission
Online

Submission Instructions
Computer lab will be booked on each campus for students to complete the in class test.

Learning Outcomes Assessed
  • Integrate your knowledge of anatomy, physiology, biochemistry and pathology with the clinical assessment of disease states
  • Explain the pathophysiological basis for a range of symptoms and signs
  • Develop a differential diagnosis based on history and examination findings


Graduate Attributes
  • Communication
  • Problem Solving
  • Critical Thinking
  • Information Literacy
  • Information Technology Competence
  • Ethical practice

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?