CQUniversity Unit Profile
CHIR20002 Clinical Practice 1
Clinical Practice 1
All details in this unit profile for CHIR20002 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 19-04-20

The end of term written examination has now been changed to an alternate form of assessment. Please see your Moodle site for details of the assessment.

General Information

Overview

Clinical Practice 1 will provide you with your first opportunity to work at a satisfactory level after completing your undergraduate studies. This is the first of six clinical practical units in which you will gain experience by observing a real chiropractic clinic during a placement. In Clinical Practice 1 you will be expected to perform as a functional team member under guidance of the clinic supervisors and placement mentors whilst developing observational and reflective skills.

Details

Career Level: Postgraduate
Unit Level: Level 9
Credit Points: 12
Student Contribution Band: 8
Fraction of Full-Time Student Load: 0.25

Pre-requisites or Co-requisites

Prerequisite: Student must be enrolled in CC71 - Master of Clinical Chiropractic and Corequisite: CHIR20001 Advanced Neurology and Skeletal Dysfunction

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 12-credit Postgraduate unit at CQUniversity requires an overall time commitment of an average of 25 hours of study per week, making a total of 300 hours for the unit.

Class Timetable

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

Assessment Overview

1. Portfolio
Weighting: 60%
2. Professional Practice Placement
Weighting: Pass/Fail
3. 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 - Have Your Say

Feedback

Placement was very popular but it's scheduling has been highlighted as a potential issue. Feedback was received to ask for it to be at either the beginning or the end of the term or reduced to 2 week blocks.

Recommendation

It is recommend that scheduling will be looked into to investigate the feasibility of having the placement block at either end of the term. The placement blocks are being reviewed within the curriculum review to assess if they can be broken into shorter blocks but not reducing (or not greatly reducing) the overall time.

Feedback from Student - Have Your Say

Feedback

Competencies are a good form of assessment because students are able to get instant ongoing feedback on exactly where they are going wrong, and where they can improve. They can attempt the skill multiple time and incorporate the feedback to their preparation.

Recommendation

It is recommend that selecting competencies (mini-CEX) carefully to reflect as broad a section of the unit material as possible should ensure that assessment and learning is as appropriate as possible.

Feedback from Student - Have Your Say

Feedback

Students report that they feel they are reflecting on the same topics every semester, to make the submissions more meaningful 2 or 3 submissions rather than 6 would allow them to find more individual topics.

Recommendation

It is recommended that the number of required reflective submissions should be reduced to allow students to select more individual topics and write more in depth submissions.

Feedback from Student - Have Your Say

Feedback

The Nutrition stream felt disjointed, having different people responsible for the lecture, tutorials and exam questions has caused some frustration.

Recommendation

It is recommended that a nutrition specialist run the nutrition stream in it's entirety (lectures, tutorials and assessments to ensure the experience is consistent) as opposed to the having different individuals looking after each component separately.

Unit Learning Outcomes
On successful completion of this unit, you will be able to:
  1. Develop, refine and integrate problem solving skills through clinical assessment, decision making and management at an intermediate level.
  2. Display behaviour appropriate to a professional health care provider, including ethical practice management and upholding the professional code of conduct.
  3. Demonstrate empathetic communication skills in the practitioner-patient relationship, and other professional and personal relationships.
  4. Demonstrate the ability to integrate sustainably within the broader health care system, including responsible use of health care resources, the ability to collaborate with other health care disciplines, and the employment of health promotion and preventative strategies through community education.

On successful completion of this unit you will meet certain CCEA requirements that will progress you towards applying for registration as a chiropractor in Australia.

The Learning Outcomes build towards CCEA’s Accreditation Standard 4.4.3 regarding Clinical Sciences.

This unit is designed to contribute towards you having adequate and early patient experiences and opportunities to acquire sufficient clinical knowledge, skills, and attitudes to assume appropriate clinical responsibility upon graduation.

It provides early, supervised patient contact leading to participation in patient care. Your clinical skills training includes physical, clinical and lab diagnosis, mental health assessment, orthopaedics, gynaecology, obstetrics, paediatrics, geriatrics, dermatology, otolaryngology, ophthalmology, diagnostic imaging procedures and interpretation, nutrition, rehabilitation, ergonomics, pharmacology (a working knowledge of commonly used medications and pharmaceuticals), and other appropriate subjects. Clinical skills include history taking, physical examination, spinal analysis, mental health assessment, first aid and emergency procedures, manual techniques, physical therapies (such as heat, cold, bracing, electrical therapies, etc.), and other treatment procedures, communication, leadership skills, etc. Appropriate clinical responsibility would include physical and mental health promotion, disease prevention and patient care, for the child, adolescent, adult, geriatric and medically compromised patient. Participation in patient care would include relevant community experience and teamwork with other health professions.

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 - Portfolio - 60%
2 - Professional Practice Placement - 0%
3 - Examination - 40%

Alignment of Graduate Attributes to Learning Outcomes

Graduate Attributes Learning Outcomes
1 2 3 4
1 - Knowledge
2 - Communication
3 - Cognitive, technical and creative skills
4 - Research
5 - Self-management
6 - Ethical and Professional Responsibility
7 - Leadership

Alignment of Assessment Tasks to Graduate Attributes

Assessment Tasks Graduate Attributes
1 2 3 4 5 6 7
1 - Portfolio - 60%
2 - Professional Practice Placement - 0%
3 - Examination - 40%
Textbooks and Resources

Textbooks

Supplementary

Rehabilitation of the spine: a practitioner's manual.. 2nd (2007)

Authors: Liebenson, C.
Lippincott Williams & Wilkins
ISBN: 0781729971
Binding: Hardcover

Additional Textbook Information

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

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
Andrew Dane Unit Coordinator
a.dane@cqu.edu.au
Schedule
Week 1 Begin Date: 09 Mar 2020

Module/Topic

Chiropractic Technique - Thoracic Spine

Case Work & Clinical Competencies - Intake & History

Rehabilitation - Introduction and stages of Rehabilitation

Clinical Nutrition - Introduction to diary expectations

Chapter

Chiropractic Technique - CP1 Technique Outline and Chiropractic Technique Bergmann & Peterson

Case Work & Clinical Competencies - CP1 Weekly Prac Synopsis & CP1 Competency List

Rehabilitation - Lecture material on Moodle

Clinical Nutrition - Lecture material on Moodle

Events and Submissions/Topic

Week 2 Begin Date: 16 Mar 2020

Module/Topic

Chiropractic Technique - Thoracic Spine inc. Mechanically Assisted Adjusting

Case Work & Clinical Competencies - Clinical Examination

(orthopaedics and neurology)

Rehabilitation - Biopsychosocial model

Clinical Nutrition - Food and its components 1: macronutrients

Chapter

Chiropractic Technique - CP1 Technique Outline and Chiropractic Technique Bergmann & Peterson

Case Work & Clinical Competencies - CP1 Weekly Prac Synopsis & CP1 Competency List

Rehabilitation - Lecture material on Moodle

Clinical Nutrition - Lecture material on Moodle

Events and Submissions/Topic

Case Work & Clinical Competencies - Portfolio submission 1 - Plan and submit your physical examination for your patient’s complaint (please note all patient medical information is strictly confidential, please treat it as such). You may adapt the online examination templates and for your patient’s complaint.

Clinical Nutrition Tutorial 1 - No submission - Time required to execute diary

Week 3 Begin Date: 23 Mar 2020

Module/Topic

Chiropractic Technique - Cervical Spine

Case Work & Clinical Competencies - Diagnosis & prognosis.Oral Case Summary

Rehabilitation - Lewit & Janda

Clinical Nutrition - Food and its components 2

Chapter

Chiropractic Technique - CP1 Technique Outline and Chiropractic Technique Bergmann & Peterson

Case Work & Clinical Competencies - CP1 Weekly Prac Synopsis & CP1 Competency List

Rehabilitation - Lecture material on Moodle

Clinical Nutrition - Lecture material on Moodle

Events and Submissions/Topic

Portfolio submission 2 - Write and submit ONE full diagnosis and TWO differentials.

Clinical Nutrition Tutorial 2 - In tutorial activity submission - Forum post reflection on experience of keeping a nutritional diary

Week 4 Begin Date: 30 Mar 2020

Module/Topic

Chiropractic Technique - Cervical Spine inc. Mechanically Assisted Adjusting

Case Work & Clinical Competencies - Patient Reported Outcome Measures (PROMs)

Rehabilitation - Soft tissue therapy

Clinical Nutrition - Food and its components 3: micronutrients

Chapter

Chiropractic Technique - CP1 Technique Outline and Chiropractic Technique Bergmann & Peterson

Case Work & Clinical Competencies - CP1 Weekly Prac Synopsis & CP1 Competency List

Rehabilitation - Lecture material on Moodle

Clinical Nutrition - Lecture material on Moodle

Events and Submissions/Topic

Clinical Nutrition Tutorial 3 - In tutorial activity submission - forum post data results

Week 5 Begin Date: 06 Apr 2020

Module/Topic

Chiropractic Technique - Lumbopelvic Region & Leg-Length analysis

Case Work & Clinical Competencies - Using Clinical Guidelines and writing a Management Plan

Rehabilitation - Models of Rehabilitation

Clinical Nutrition - Categorising food in terms of nutrient content

Chapter

Chiropractic Technique - CP1 Technique Outline and Chiropractic Technique Bergmann & Peterson

Case Work & Clinical Competencies - CP1 Weekly Prac Synopsis & CP1 Competency List

Rehabilitation - Lecture material on Moodle

Clinical Nutrition - Lecture material on Moodle

Events and Submissions/Topic

Clinical Nutrition Tutorial 4 - In tutorial activity submission - forum post analysis of findings and suggested changes recommended.

Vacation Week Begin Date: 13 Apr 2020

Module/Topic

Chapter

Events and Submissions/Topic

Week 6 Begin Date: 20 Apr 2020

Module/Topic

Chiropractic Technique - Mechanically Assisted Adjusting Lumbopelvic Region

Case Work & Clinical Competencies - Written Case summary

Rehabilitation - Functional Assessment (FMS, MAT)

Clinical Nutrition - Categorising food in terms of healthy diets

Chapter

Chiropractic Technique - CP1 Technique Outline and Chiropractic Technique Bergmann & Peterson

Case Work & Clinical Competencies - CP1 Weekly Prac Synopsis & CP1 Competency List

Rehabilitation - Lecture material on Moodle

Clinical Nutrition - Lecture material on Moodle

Events and Submissions/Topic

Case Work & Clinical Competencies - Portfolio submission 3 - Submit your written case summary for your clinical case.

Clinical Nutrition Tutorial - No tutorial or submission - Time required to prepare presentation

Week 7 Begin Date: 27 Apr 2020

Module/Topic

Chiropractic Technique - Coccyx, Sacrum & Pubic Symphysis

Case Work & Clinical Competencies - Case Presentation

Rehabilitation - Neurodynamics

Clinical Nutrition - Nutrition through the lifecycle: pregnancy and lactation

Chapter

Chiropractic Technique - CP1 Technique Outline and Chiropractic Technique Bergmann & Peterson

Case Work & Clinical Competencies - CP1 Weekly Prac Synopsis & CP1 Competency List

Rehabilitation - Lecture material on Moodle

Clinical Nutrition - Lecture material on Moodle

Events and Submissions/Topic

Clinical Nutrition Tutorial 5 - In tutorial activity submission - 3 minute oral presentations

Week 8 Begin Date: 04 May 2020

Module/Topic

Chiropractic Technique - Extremity Mechanically Assisted Adjusting

Case Work & Clinical Competencies - ROF & Informed consent

Rehabilitation - Ergonomics

Clinical Nutrition - Nutrition through the lifecycle: infancy and childhood

Chapter

Chiropractic Technique - CP1 Technique Outline and Chiropractic Technique Bergmann & Peterson

Case Work & Clinical Competencies - CP1 Weekly Prac Synopsis & CP1 Competency List

Rehabilitation - Lecture material on Moodle

Clinical Nutrition - Lecture material on Moodle

Events and Submissions/Topic

Clinical Nutrition Tutorial 6 - In tutorial activity submission - 3 minute oral presentations.

ICA Rehab Submission

Week 9 Begin Date: 11 May 2020

Module/Topic

Placement Week 1

Clinical Nutrition - Nutrition through the lifecycle: prevention of chronic disease in adulthood

Chapter

Events and Submissions/Topic

Week 10 Begin Date: 18 May 2020

Module/Topic

Placement Week 2

Clinical Nutrition - Nutrition through the lifecycle: the elderly

Chapter

Events and Submissions/Topic

Week 11 Begin Date: 25 May 2020

Module/Topic

Placement Week 3

Clinical Nutrition - Nutrition Tools

Chapter

Events and Submissions/Topic

Portfolio submission 4 - Submit ONE clinical reflection following the four step format.


Portfolio Due: Week 11 Friday (29 May 2020) 5:00 pm AEST
Week 12 Begin Date: 01 Jun 2020

Module/Topic

Placement Week 4  / OSCE Week


Chapter

Events and Submissions/Topic

PROFESSIONAL PRACTICE PLACEMENT Due: Week 12 Friday (5 Jun 2020) 5:00 pm AEST
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
Portfolio

Task Description

Portfolio 60% ( A:Clinical Competencies (pass/fail), B: Reflective Journal (10%), C: In Class Activities - Case Work Portfolio submission 1-3 (30%) / Nutrition in class activity (10%) / Rehab in class submission (10%). 

A Clinical Competencies (pass/fail)

Each competency will be assessed on a pass/fail (competent / not yet competent) basis, students must achieve 65% in each to be deemed competent.

Competencies should be completed during the practical class or be recorded and submitted as a video. (NB. Technique competencies must be completed in class under supervision. Competencies should be completed on a regular / weekly basis).

If students are not deemed competent or do not complete the listed summative competencies – they will be deemed to have failed this proportion of this assessment.

Competencies can be attempted as many times as is possible, students are encouraged to try competencies as many times as possible and learn from the feedback provided. A list of the required competencies can be found on the Moodle page and in the unit introduction.

B. Reflective Journal (10%)

Students must submit (1) ONE Reflective Concern - concerns can be identified from any aspect of the unit or clinical placement and can be submitted via Mahara / Weebly or Word document.

Reflection can be on any aspect of your course that you are having difficulty with, templates, lectures and recordings of what is expected by Masters Reflection are provided.

C. In Class Activities - Nutrition, Rehab & Case Work (50%)

In class activities (ICA) are included in the nutrition and practical stream of CP1 - 80% attendance / participation is required to successfully pass the unit. A food diary exercise runs across the six 2hr tutorials and each student is required to:

Case Work Portfolio submission 1 (5%) - Plan and submit your physical examination for your patient’s complaint (please note all patient medical information is strictly confidential, please treat it as such). You may adapt the online examination templates and for your patient’s complaint.

Case Work Portfolio submission 2 (5%) - Write and submit ONE full diagnosis and TWO differentials.

Case Work Portfolio submission 3 (20%) - Submit your written case summary for your clinical case.

Further details of this in class activity will be explained at the first Case Work Practical Class and will be made available on Moodle.

Rehab ICA Submission (10%).

Further details of this in class activity will be explained at the first rehab practical class and will be made available on Moodle.

Tutorial 1: introduction to diary expectations/process

Tutorial 2: nil as require time to execute diary

Tutorial 3: ICA forum post – reflection piece on experience of keeping diary

Tutorial 4: ICA nutrition forum post – data results

Tutorial 5: ICA nutrition forum post – analysis of findings and suggested changes to be recommended

Tutorial 5/6: ICA oral presentations – 3 mins

Further details of this in class activity will be explained at the first tutorial and will be made available on Moodle.


Assessment Due Date

Week 11 Friday (29 May 2020) 5:00 pm AEST


Return Date to Students

Review/Exam Week Friday (12 Jun 2020)


Weighting
60%

Assessment Criteria

A: Clinical Competencies - Assessment rubrics, templates and videos are provided within the unit and assessment material.

B: Reflective Journal - Sample clinic reflections are provided and included within a Clinical Reflection lecture and recording. Students will be marked on completing all steps of the four step reflective process.

C: In Class Activities - sample written case summary, examination plans and diagnostic template is provided within the unit material. Further details of all in class activity will be explained during the Practical Classes and Tutorials for each stream and information will be made available on Moodle.


Referencing Style

Submission

No submission method provided.


Learning Outcomes Assessed
  • Develop, refine and integrate problem solving skills through clinical assessment, decision making and management at an intermediate level.
  • Demonstrate the ability to integrate sustainably within the broader health care system, including responsible use of health care resources, the ability to collaborate with other health care disciplines, and the employment of health promotion and preventative strategies through community education.


Graduate Attributes
  • Knowledge
  • Communication
  • Cognitive, technical and creative skills
  • Self-management
  • Ethical and Professional Responsibility
  • Leadership

2 Professional Practice Placement

Assessment Title
PROFESSIONAL PRACTICE PLACEMENT

Task Description

At CQU, we feel it is very important to engage with chiropractors in the field so that our students are exposed to real clinical experiences. Accreditation bodies acknowledge the benefits of preparing students for industry. CQUniversity students have to complete 200hrs over two external clinical placements during the 1st year of their Master’s Degree, to help them graduate practice ready. Placement is a Pass/Fail assessment component and each student must complete the required 100 hours for CP1. Placement will be assessed on Professionalism (dress code, behavior and time keeping). Students have the opportunity to off set their total placement hours by volunteering their time at official CQUniversity outreach activities. Outreach opportunities are are available at all campuses via by contacting the clinical teams. It is the responsibility of all students to arrange their placement in a timely manner working with WIL and the Placement coordinator. A log of completed placement hours must be kept and signed by the placement site manager or chiropractor and submitted via email to the CP2 coordinator by CoB Friday week 11.

Each student should observe a CQUniversity 5th yr intern for THIRTY (30hrs) per term this equates to TEN (10) X THREE (3hr) hour shifts. This time can off set the total 100hrs of clinical placement requirement. All arrangements to observe an intern is the responsibility of the 4th yr CP1 student. The 5th yr intern and clinic supervisor must sign a placement log sheet detailing and recording the hours observed at the end of each shift / session. It is hoped that this process will help to familiarise 4th year CP students with the processes and procedures of the CQUniversity's Clinics, to help to provide application to the class teaching material that is being delivered and to build relationships with the 5th yr interns, their patients and the clinical staff.


Assessment Due Date

Week 12 Friday (5 Jun 2020) 5:00 pm AEST


Return Date to Students

Review/Exam Week Friday (12 Jun 2020)


Weighting
Pass/Fail

Assessment Criteria

No Assessment Criteria


Referencing Style

Submission

No submission method provided.


Learning Outcomes Assessed
  • Develop, refine and integrate problem solving skills through clinical assessment, decision making and management at an intermediate level.
  • Display behaviour appropriate to a professional health care provider, including ethical practice management and upholding the professional code of conduct.
  • Demonstrate empathetic communication skills in the practitioner-patient relationship, and other professional and personal relationships.
  • Demonstrate the ability to integrate sustainably within the broader health care system, including responsible use of health care resources, the ability to collaborate with other health care disciplines, and the employment of health promotion and preventative strategies through community education.


Graduate Attributes
  • Knowledge
  • Communication
  • Cognitive, technical and creative skills
  • Research
  • Self-management
  • Ethical and Professional Responsibility
  • Leadership

Examination

Outline
Complete an examination

Date
During the University examination period

Weighting
40%

Length
180 minutes

Minimum mark or grade
50%

Details
Dictionary - non-electronic, concise, direct translation only (dictionary must not contain any notes or comments).
Closed Book
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?