CQUniversity Unit Profile
CHIR13009 Professional Chiropractic Practice 2
Professional Chiropractic Practice 2
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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.
General Information

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: 8
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

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 - 2019

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).

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. Please visit Moodle for more information.

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

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

Assessment Overview

1. On-campus Activity
Weighting: Pass/Fail
2. Portfolio
Weighting: 20%
3. Practical Assessment
Weighting: 50%
4. Examination
Weighting: 30%

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.

CQUniversity Policies

All University policies are available on the CQUniversity Policy site.

You may wish to view these policies:


This list is not an exhaustive list of all University policies. The full list of University policies are available on the CQUniversity Policy site.

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 Moodle 'Have your say'

Feedback

I feel it would be beneficial for students to see their OSCE rubrics after the results are out to see where they can improve.

Recommendation

It is recommended that in future the weekly schedule will be re-arranged to include a mid-term OSCE assessment so that feedback can be given in-class. At the end of term, a feedback session will be arranged for students.

Feedback from Moodle 'have your say'

Feedback

Recorded material needs to have different play-back speeds.

Recommendation

It is recommended that Echo 360 be utilised in future recordings.

Feedback from Moodle 'have your say'

Feedback

The portfolio should be pass/fail instead of the graded 20% weighting

Recommendation

It is recommended that the portfolio be pass/fail instead of the current graded 20% weighting.

Feedback from Moodle 'have your say'

Feedback

The OSCE cards in Mackay were changed mid term.

Recommendation

It is recommended that greater communication with the Mackay tutors will take place to ensure students only access the 2018 OSCE cards (and not 2017 cards) which were uploaded in week 7.

Unit Learning Outcomes
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 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 6 7 8
1 - On-campus Activity - 0%
2 - Portfolio - 20%
3 - Practical Assessment - 50%
4 - Examination - 30%

Alignment of Graduate Attributes to Learning Outcomes

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
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 - On-campus Activity - 0%
2 - Portfolio - 20%
3 - Practical Assessment - 50%
4 - Examination - 30%
Textbooks and Resources

Textbooks

Prescribed

Differential Diagnosis and Management for the Chiropractor

Edition: 5th edn (2016)
Authors: Souza, Thomas
Jones & Bartlett Learning
Sudbury Sudbury , MA , USA
ISBN: 9781284022308
Binding: Paperback
Prescribed

Orthopedic Physical Assessment

Edition: 6th edn revised (2014)
Authors: Magee, David
Elsevier
London London , UK
ISBN: 9781455709779
Binding: Paperback
Supplementary

Orthopedic Assessment Textbook

(2018)
Authors: Vizniak,N
Professional Health Systems
Sydney Sydney , NSW , Australia
ISBN: 9780993619168
Binding: Spiral

Additional Textbook Information

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

View textbooks at the CQUniversity Bookshop

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 6th Edition (APA 6th edition)

For further information, see the Assessment Tasks.

Teaching Contacts
Kenneth Lorme Unit Coordinator
k.lorme@cqu.edu.au
Schedule
Week 1 Begin Date: 15 Jul 2019

Module/Topic

Lectures:

  • Principles of treatment
Tutorial:
  • Case history simulation radicular neck pain

Practical:

  • Cervical assessment and spinal manipulative techniques




Chapter

Resources and readings will be given in Moodle. Refer to technique schedule and workbook for week 1. Differential Diagnosis and Management for the chiropractor 5th ed. Barlett and Jones Learning. Chapter 1, read pages 31-48 ‘General approaches to management’.Differential Diagnosis and Management for the chiropractor 5th ed. Barlett and Jones Learning. Read pages 31-48 ‘General approaches to management’.

Resources and readings will be given in Moodle. Refer to technique schedule and workbook for week 1. Differential Diagnosis and Management for the chiropractor 5th ed. Barlett and Jones Learning. Chapter 1, read pages 31-48 ‘General approaches to management’.Differential Diagnosis and Management for the chiropractor 5th ed. Barlett and Jones Learning.  Read pages 31-48 ‘General approaches to management’.


Review Clinical Guidelines

Review RAGCP Neck pain

Events and Submissions/Topic

Answer questions in the workbook for week 1

Complete On-campus activity.  Refer to schedule in Moodle











Week 2 Begin Date: 22 Jul 2019

Module/Topic

Lectures:

  • Instability and Hypermobility

Tutorial:

  • Case history simulation for a person with instability and hypermobility

Practical:
  • Lumbar: assessment and spinal manipulative techniques 




Chapter

Resources and readings are provided in Moodle. Refer to the technique schedule and workbook for week 2.

Review ‘neck pain evidence summary’  and joint hypermobility


Events and Submissions/Topic

Answer questions in the workbook for week 2 

Complete On-campus activity.  Refer to schedule in Moodle

 



Week 3 Begin Date: 29 Jul 2019

Module/Topic

Lectures:

  • Nerve entrapment and double crush

Tutorial:

  • Case history simulation for a person with nerve entrapment

Practical:

  • Pelvic assessment and spinal manipulative techniques 




Chapter

Resources and readings are provided in Moodle. Refer to the technique schedule and workbook for week 3.

Review double crush syndrome

Events and Submissions/Topic

Answer questions in the workbook for week 3

Complete On-campus activity.  Refer to schedule in Moodle.
Week 4 Begin Date: 05 Aug 2019

Module/Topic

Lectures:

  • Thoracic Outlet Syndromes

Tutorial:

  • Case history simulation for a person with thoracic outlet syndrome.
Practical:

  • Thoracic assessment and spinal manipulative techniques 



Chapter

Resources and readings are provided in Moodle. Refer to the technique schedule and workbook for week 4.

Review non-invasive Treatments for Acute,Subacute,and Chronic Low Back Pain: A Clinical Practice Guideline by American College of Physicians Amir Qaseem, MD, PhD, MHA; et al


Events and Submissions/Topic

Answer questions in the workbook for week 4

Complete On-campus activity.  Refer to schedule in Moodle.
Week 5 Begin Date: 12 Aug 2019

Module/Topic

Lectures:
  • Intervertebral Disc lesions

Tutorial:

  • Case history simulation for a person with a disc lesion
Practical:

  • Cervical: assessment and spinal manipulative techniques 


Chapter

Resources and readings are provided in Moodle. Refer to the technique schedule and workbook for week 5.

Review Petersen el al and NZ Guidelines

Events and Submissions/Topic

Answer questions in the workbook for week 5

Complete On-campus activity.  Refer to schedule in Moodle.

On Campus Activity Due: to week 5 Friday (16 August 2019) 5:00 pm AEST



Vacation Week Begin Date: 19 Aug 2019

Module/Topic

Review

Chapter

Review

Events and Submissions/Topic

Review

Week 6 Begin Date: 26 Aug 2019

Module/Topic

Lectures:

  • Neurogenic claudication.

Tutorial:

  • Case history simulation for a person with Neurogenic or vascular claudication.

Practical:
  • Pelvic assessment and spinal manipulative techniques 


Chapter

Resources and readings are provided in Moodle. Refer to the technique schedule and workbook for week 6.

Review Nice pathways.  Low back pain early management guidelines.

Events and Submissions/Topic

Answer questions in the workbook for week 6

Complete On-campus activity.  Refer to schedule in Moodle.








Week 7 Begin Date: 02 Sep 2019

Module/Topic

Lectures:

  • Catch-up, review and reflection

Tutorial:

  • Case history taking: simulation of MSK conditions studied in weeks 1-6.

Practical:

  • Practice spinal assessment and spinal adjustments to relevant area.

    Practice OSCE cards 

    On-campus activity.


Chapter

Review of content/material to-date.

Events and Submissions/Topic

Review practice exam.

Complete On-campus activity.  Refer to schedule in Moodle.




 



Week 8 Begin Date: 09 Sep 2019

Module/Topic

Lecture

  • Head pain and headaches

Tutorial:

  • Case history simulation for a person with headaches.

Practical:
  • Thoracic assessment and spinal manipulative techniques 


    Practice OSCE cards

Chapter

Resources and readings are provided in Moodle. Refer to the technique schedule and workbook for week 8.

Review the Headache guidelines for classification and management, chiropractic management, and dietary and lifestyle effects

Events and Submissions/Topic

Answer questions in the workbook for week 8.

Complete On-campus activity.  Refer to schedule in Moodle.







Week 9 Begin Date: 16 Sep 2019

Module/Topic

Lectures:

  • Whiplash

Tutorial:

  • Case history simulation for a person with WAD.

Practical:
  • Full spine assessment and spinal manipulative techniques.

    Practice OSCE cards




Chapter

Resources and readings are provided in Moodle. Refer to the technique schedule and workbook for week 9.

Review the whiplash guidelines for management, VBI and Task Force on neck pain

Events and Submissions/Topic

Answer questions in the workbook for week 9

Complete On-campus activity.  Refer to schedule in Moodle.














Week 10 Begin Date: 23 Sep 2019

Module/Topic

Lectures:

  • Torticollis, vertigo, tinnitus, neck tongue syndrome

Tutorial:

  • Case history simulation for a person with torticollis, vertigo, tinnitus, neck tongue syndrome.

Practical:

  • Full spine assessment and spinal manipulative techniques
  • Practice OSCE cards



Chapter

Resources and readings are provided in Moodle. Refer to the technique schedule and workbook for week 10.

Review ‘The Role of Activity in the Therapeutic Management of Back Pain’ Report of the International Paris Task Force on Back Pain.

Review articles on tongue tie, torticollis and dizziness.

Events and Submissions/Topic

Answer questions in the workbook for week 10.

Complete On-campus activity.  Refer to schedule in Moodle.

On Campus Activity Due: Week 10 Friday (27 Sep. 2019) 5:00 pm AEST

Reflective Portfolio Due: Week 10 Friday (27 Sep. 2019) 5:00 pm AEST














On Campus Activity Due: Week 10 Friday (27 Sept 2019) 5:00 pm AEST
Reflective Portfolio Due: Week 10 Friday (27 Sept 2019) 5:00 pm AEST
Week 11 Begin Date: 30 Sep 2019

Module/Topic

  • Lectures:

    Fibromyalgia, complex regional syndrome


    Tutorial:

    • Case history simulation for a person with fibromyalgia and CPRS

    Practical:
    • Full spine assessment and spinal manipulative techniques


      Practice OSCE cards



      Mock group OSCE





Chapter

Resources and readings are provided in Moodle. Refer to the technique schedule and workbook for week 11.

Review readings on fibromyalgia.

Events and Submissions/Topic

Answer questions in the workbook for week 11.








Week 12 Begin Date: 07 Oct 2019

Module/Topic

Review and reflection

Chapter

Review only


Events and Submissions/Topic

OSCE

Practical Assessment: OSCE Due: Week 12 Friday (11 Oct. 2019) 6:00 pm AEST



Practical Assessment: OSCE Due: Week 12 Friday (11 Oct 2019) 6:00 pm AEST
Review/Exam Week Begin Date: 14 Oct 2019

Module/Topic

Review

Chapter

Events and Submissions/Topic

None

Exam Week Begin Date: 21 Oct 2019

Module/Topic

Chapter

Events and Submissions/Topic

Written Examination

Assessment Tasks

1 On-campus Activity

Assessment Title
On Campus Activity
Task Description

In order to provide students with on-going feedback, the On-Campus Activity will be assessed via a series of short activities (i.e. practical demonstrations, quizzes and case studies) during each class until the end of week 10. These short activities will be marked on a pass/fail basis in class thus providing immediate feedback. A record of completing these activities will be kept by the student. Students must submit their completed record to their Weebly portfolio at the end of the fifth and tenth weeks.

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

Please refer to the technique schedule for the weekly on-campus activity.


Assessment Due Date

Week 10 Friday (27 Sept 2019) 5:00 pm AEST

Post on student's Weebly Portfolio in Week 10

Return Date to Students

Exam Week Friday (25 Oct 2019)

Via Moodle

Weighting
Pass/Fail
Minimum mark or grade
80%
Assessment Criteria

A minimum grade of 80% is required to pass this assessment.  You will be required to demonstrate an acceptable standard of knowledge or skill in the on-campus tasks for each class.  You will be provided with feedback and given the opportunity to repeat the activity if you have not performed to an acceptable standard.

Referencing Style
Submission
Online
Submission Instructions
Post on students Weebly Portfolio in Week 10
Learning Outcomes Assessed
  • Perform history taking at a competent level for difficult case scenarios, with a focus on neuro-musculoskeletal conditions.
  • Interpret clinical case findings in order to form a differential diagnosis.
  • Perform appropriate physical examination procedures in order to eliminate or confirm a differential diagnosis.
  • Interpret the information gathered from the physical examination in order to determine a likely diagnosis.
  • Provide a comprehensive report of findings for a given case study.
  • Demonstrate appropriate patient handling skills, including effective communication skills.
  • Develop an appropiate chiropractic management course according to given case scenarios.

Graduate Attributes
  • Communication
  • Problem Solving
  • Team Work
  • Ethical practice

2 Portfolio

Assessment Title
Reflective Portfolio
Task Description

This unit aims to develop further your understanding of the role and skills sets required of a chiropractor in a modern and integrated health care community. To help with your development on this journey of self-discovery, you will create a clinically focussed reflective portfolio. The criteria are outlined in the Rubric provided in Moodle. You are to organise your reflection as either the 4 step table or the 6 step Chese Melt is preferred. The six step CHESE melt may be more challenging, but it is an excellent method and has recently been updated as a result of student feedback.

 

This portfolio assessment should be a summary of your week by week reflections. Therefore, there will be one entry per week between 100-150 words. The focus should be placed on adjusting and diagnostic skills. You will be graded on the timeliness of your submissions over the term in addition to the quality of your work.


Your reflection for the term should be no longer than 1500 words +/- 10% in total and include appropriate references. Your final submission will be via your Weebly website by the end of Week 10.


Assessment Due Date

Week 10 Friday (27 Sept 2019) 5:00 pm AEST

Via your Weebly URL

Return Date to Students

Exam Week Friday (25 Oct 2019)

Via Moodle

Weighting
20%
Minimum mark or grade
50%
Assessment Criteria

Reflections can be performed on either the 4-step reflective model or on the CHESE Melt model.

Criteria include completion of task assessments, grammar and language, critical self-reflection and logic, references and use of external resources, general composition and overall written presentation.

Please see assessment full rubric in Moodle.


Referencing Style
Submission
Online
Submission Instructions
Via Weebly on a weekly basis. Final submission being the Friday of week 10.
Learning Outcomes Assessed
  • Perform history taking at a competent level for difficult case scenarios, with a focus on neuro-musculoskeletal conditions.
  • Interpret clinical case findings in order to form a differential diagnosis.
  • Perform appropriate physical examination procedures in order to eliminate or confirm a differential diagnosis.
  • Interpret the information gathered from the physical examination in order to determine a likely diagnosis.
  • Demonstrate appropriate patient handling skills, including effective communication skills.
  • Develop an appropiate chiropractic management course according to given case scenarios.
  • Critically reflect on relevant sources of information.

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

3 Practical Assessment

Assessment Title
Practical Assessment: OSCE
Task Description

For the OSCE you will be required to perform a practical examination, and integrate the findings to determine the primary area to treat. You will then be required to perform a set up for an adjustment/ manipulation on the cervical, thoracic,and lumbo-pelvic areas.

Assessment Due Date

Week 12 Friday (11 Oct 2019) 6:00 pm AEST

In lab practical exam

Return Date to Students

Exam Week Friday (25 Oct 2019)

Via Moodle

Weighting
50%
Minimum mark or grade
A minimum grade of 50% is required to pass this assessment.
Assessment Criteria

A minimum grade of 50% is required to pass this assessment.  You will be required to demonstrate an acceptable standard of skill in demonstrating that you can perform a practical examination, and integrate the findings to determine the primary area to treat. You will need to demonstrate an acceptably skilled set up for an adjustment/ manipulation on the cervical, thoracic,and lumbo-pelvic areas. 



Referencing Style
Submission
Offline
Submission Instructions
Tutors will collect and grade this assessment
Learning Outcomes Assessed
  • Perform history taking at a competent level for difficult case scenarios, with a focus on neuro-musculoskeletal conditions.
  • Interpret clinical case findings in order to form a differential diagnosis.
  • Perform appropriate physical examination procedures in order to eliminate or confirm a differential diagnosis.
  • Interpret the information gathered from the physical examination in order to determine a likely diagnosis.
  • Provide a comprehensive report of findings for a given case study.
  • Demonstrate appropriate patient handling skills, including effective communication skills.
  • Develop an appropiate chiropractic management course according to given case scenarios.

Graduate Attributes
  • Communication
  • Problem Solving
  • Ethical practice

Examination

Outline
Complete an invigilated examination
Date
During the examination period at a CQUniversity examination centre
Weighting
30%
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).
No calculators permitted
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?