Overview
This unit follows on directly from Clinical Practice 3 and will provide you with your first hands-on practical experience. You will build on your theoretical knowledge and practical skills gained over the previous three clinical units. You will begin undertaking patient assessments and management with guidance from your supervisor. During the term, you will actively demonstrate your developing clinical assessment and decision making, treatment delivery, record keeping, communication skills and professionalism with support from the clinical supervisors. By the end of CP4, an increasing level of competency, consistency and professionalism in the healthcare setting should be demonstrable.
Details
Pre-requisites or Co-requisites
Prerequisite CHIR20006 Clinical Practice 3 and CHIR20005 Diagnostic Imaging 1 and CHIR20007 Diagnostic Imaging 2
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 - 2017
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).
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
Assessment Overview
Assessment Grading
This is a pass/fail (non-graded) unit. To pass the unit, you must pass all of the individual assessment tasks shown in the table above.
All University policies are available on the CQUniversity Policy site.
You may wish to view these policies:
- Grades and Results Policy
- Assessment Policy and Procedure (Higher Education Coursework)
- Review of Grade Procedure
- Student Academic Integrity Policy and Procedure
- Monitoring Academic Progress (MAP) Policy and Procedure – Domestic Students
- Monitoring Academic Progress (MAP) Policy and Procedure – International Students
- Student Refund and Credit Balance Policy and Procedure
- Student Feedback – Compliments and Complaints Policy and Procedure
- Information and Communications Technology Acceptable Use Policy and Procedure
This list is not an exhaustive list of all University policies. The full list of University policies are available on the CQUniversity Policy site.
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 Clinic supervisors and the clinic operational planning team.
Clinic forms, competencies, handbooks, operational plans and forms all had to be generated. Feedback from the students stemmed negatively from the fact that some forms were not provided initially and have had to be revamped a number of times throughout the term.Feedback specific to the forms (critique in particular) used in the clinic had been a 'work in progress'.
Ensured that the forms are prepared prior to the required or anticipated dates or time for completion.
This has been rectified by the development of streamlined processes and there was no mention of any issue with forms, competencies, handbooks or operational plans in the feedback.
Feedback from Moodle "Have Your Say"and direct feedback from the class representative and mentor-mentee meetings.
Assessment were not initially clear
The assessment was based predominately on clinical competencies.The discipline has identified the need for improved organisation, communication and standardisation.
This has been rectified by providing detailed assessment requirements and there was no mention of any issue in this regard in the feedback.
- Perform an appropriate patient-centered clinical assessment, within a clinical environment, under the guidance of the clinical supervisor.
- Synthesize clinical data to generate differential diagnoses for specific patient complaints, select an appropriate working diagnosis and generate an appropriate treatment plan.
- Provide an appropriate course of care while also applying health prevention and promotion principles to an individual patient’s management plan, with supervision and feedback.
- Demonstrate an intermediate level of communication skills, including explaining a diagnosis and treatment plan to a patient, and producing written professional reports, with guidance from clinical supervisor.
- Demonstrate appropriate professional conduct, congruent with the duty of care of a primary contact health care practitioner and the elements of the chiropractic code of conduct.
- Identify the need for a patient to receive emergency care and or referral to another health care professional, with supervision and feedback.
The Learning Outcomes address the majority of elements and performance indicators of CCEA’s Accreditation Standards: Unit 3 Professional Interaction, Unit 6 Patient Assessment, Unit 7 Diagnostic Decision Making, Unit 8 Planning of Patient Care, and Unit 9 Implementation of Care. There will be some elements addressed from Unit 10 Disease Prevention and Health Promotion and Unit 11 Professional Scientific Development.
Alignment of Assessment Tasks to Learning Outcomes
| Assessment Tasks | Learning Outcomes | |||||
|---|---|---|---|---|---|---|
| 1 | 2 | 3 | 4 | 5 | 6 | |
| 1 - Portfolio - 0% | ||||||
| 2 - Practical Assessment - 0% | ||||||
| 3 - Examination - 0% | ||||||
Alignment of Graduate Attributes to Learning Outcomes
| Graduate Attributes | Learning Outcomes | |||||
|---|---|---|---|---|---|---|
| 1 | 2 | 3 | 4 | 5 | 6 | |
| 1 - Knowledge | ||||||
| 2 - Communication | ||||||
| 3 - Cognitive, technical and creative skills | ||||||
| 4 - Research | ||||||
| 5 - Self-management | ||||||
| 6 - Ethical and Professional Responsibility | ||||||
| 7 - Leadership | ||||||
| 8 - 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 | |
| 1 - Portfolio - 0% | ||||||||
| 2 - Practical Assessment - 0% | ||||||||
| 3 - Examination - 0% | ||||||||
Textbooks
Physical Medicine
(2016)
Authors: Vizniak, N
Prohealth Systems
Burnaby Burnaby , British Columbia , Canada
Binding: Paperback
IT Resources
- CQUniversity Student Email
- Internet
- Unit Website (Moodle)
All submissions for this unit must use the referencing style: Harvard (author-date)
For further information, see the Assessment Tasks.
d.dane@cqu.edu.au
Module/Topic
Clinical duties: rehab, reception, radiography and clinical
Clinical performance: direct observations of procedures and mini-CEX
Weekly PBL/grand rounds tutorials
Chapter
'Welcome to CP4' lecture will contain all information regarding clinical requirements, competencies and assessment.
Relevant material will be available on moodle and in the clinic manual.
Quick reference guide to Physical Medicine By N. Vizniak
Events and Submissions/Topic
Module/Topic
Clinical duties: rehab, reception, radiography and clinical
Clinical performance: direct observations of procedures and mini-CEX
Weekly PBL/grand rounds tutorials
Chapter
Relevant material will be available on moodle and in the clinic manual
Quick reference guide to Physical Medicine By N. Vizniak
Events and Submissions/Topic
Module/Topic
Clinical duties: rehab, reception, radiography and clinical
Clinical performance: direct observations of procedures and mini-CEX
Weekly PBL/grand rounds tutorials
1st Reflection: Intern - patient communication
Chapter
Relevant material will be available on moodle and in the clinic manual
Quick reference guide to Physical Medicine By N. Vizniak
Events and Submissions/Topic
Module/Topic
Clinical duties: rehab, reception, radiography and clinical
Clinical performance: direct observations of procedures and mini-CEX
Weekly PBL/grand rounds tutorials
Chapter
Relevant material will be available on moodle and in the clinic manual
Quick reference guide to Physical Medicine By N. Vizniak
Events and Submissions/Topic
Module/Topic
Clinical duties: rehab, reception, radiography and clinical
Clinical performance: direct observations of procedures and mini-CEX
Weekly PBL/grand rounds tutorials
Chapter
Relevant material will be available on moodle and in the clinic manual
Quick reference guide to Physical Medicine By N. Vizniak
Events and Submissions/Topic
Module/Topic
Staggered Holidays - to ensure patient care continuity as well as equal opportunity to time off - students will be requested to stagger their holidays over a two week period.
Clinical duties: rehab, reception, radiography and clinical
Clinical performance: direct observations of procedures and mini-CEX
Weekly PBL/grand rounds tutorials
Chapter
Relevant material will be available on moodle and in the clinic manual
Quick reference guide to Physical Medicine By N. Vizniak
Events and Submissions/Topic
Module/Topic
Staggered Holidays - to ensure patient care continuity as well as equal opportunity to time off - students will be requested to stagger their holidays over a two week period.
Clinical duties: rehab, reception, radiography and clinical
Clinical performance: direct observations of procedures and mini-CEX
Weekly PBL/grand rounds tutorials
2nd Reflection: Professionalism - if you were me, would you refer a patient to you? what have you learned about your own professionalism? professionalism in the work place? what is expected by the CBA? What are your strengths, weaknesses, how will you address them
Chapter
Relevant material will be available on moodle and in the clinic manual
Quick reference guide to Physical Medicine By N. Vizniak
Events and Submissions/Topic
Module/Topic
Clinical duties: rehab, reception, radiography and clinical
Clinical performance: direct observations of procedures and mini-CEX
Weekly PBL/grand rounds tutorials
Chapter
Relevant material will be available on moodle and in the clinic manual
Quick reference guide to Physical Medicine By N. Vizniak
Events and Submissions/Topic
Module/Topic
Clinical duties: rehab, reception, radiography and clinical
Clinical performance: direct observations of procedures and mini-CEX
Weekly PBL/grand rounds tutorials
Chapter
Relevant material will be available on moodle and in the clinic manual
Quick reference guide to Physical Medicine By N. Vizniak
Events and Submissions/Topic
Module/Topic
Clinical duties: rehab, reception, radiography and clinical
Clinical performance: direct observations of procedures and mini-CEX
Weekly PBL/grand rounds tutorials
3rd Reflection: Skills development -challenges and successes
Chapter
Relevant material will be available on moodle and in the clinic manual
Quick reference guide to Physical Medicine By N. Vizniak
Events and Submissions/Topic
Module/Topic
Clinical duties: rehab, reception, radiography and clinical
Clinical performance: direct observations of procedures and mini-CEX
Weekly PBL/grand rounds tutorials
Chapter
Relevant material will be available on moodle and in the clinic manual
Quick reference guide to Physical Medicine By N. Vizniak
Events and Submissions/Topic
Module/Topic
Clinical duties: rehab, reception, radiography and clinical
Clinical performance: direct observations of procedures and mini-CEX
Weekly PBL/grand rounds tutorials
Chapter
Relevant material will be available on moodle and in the clinic manual
Quick reference guide to Physical Medicine By N. Vizniak
Events and Submissions/Topic
Module/Topic
Clinical duties: rehab, reception, radiography and clinical
Clinical performance: direct observations of procedures and mini-CEX
Weekly PBL/grand rounds tutorials
4th Reflection: Patient outcome expectations vs. Chiro Intern outcome expectations
Chapter
Relevant material will be available on moodle and in the clinic manual
Quick reference guide to Physical Medicine By N. Vizniak
Events and Submissions/Topic
Practical Assessment Due: Week 12 Friday (2 June 2017) 6:00 pm AEST
Module/Topic
Chapter
Events and Submissions/Topic
Module/Topic
Chapter
Events and Submissions/Topic
Clinical Practice 4 will begin immediately following Clinical Practice 3 to prevent disruption to patient care. Students will have their time compensated throughout the term. Vacation week will be staggered to ensure continuity of care.
1 Portfolio
Part A
In this initial term of your clinical year, it is expected that you will complete your clinical requirements for the term and submit them for auditing. Logbooks should never leave the clinic and the content should be kept up to date. It is your responsibility to ensure that you maintain this document, including obtaining the required signatures and scheduling any and all competencies required during the term. *If there is no signature we cannot verify that the activity took place and it will not be counted.* We will be performing a number of clinical competency performance assessments including: direct observation of procedural skills, mini-clinical examinations and file audits over the term to ensure that your skills are developing appropriately. If any changes are required to the logbook or competency list, you will be informed via email and a notice in the clinic. Any fraudulent activities in relation to the clinic logbook or competencies will result in disciplinary action.
Part B
As clinic is a new experience to you, we will also be taking the time to reflect on our experiences, you will be given the opportunity to reflect on 4 specific topics that are relevant to new clinical students. These reflections will help you to grow as a practitioner. Rubrics will be available online for your reference.
Part C
Weekly tutorial - Problem based learning -where we will discuss challenging cases that have presented and help each other to work through them. Each person will be expected to present a case or clinical challenge for discussion over the term. Rubrics will be available online for your reference.
Week 12 Friday (2 June 2017) 6:00 pm AEST
Logbook, other portions will be completed throughout the term
Review/Exam Week Friday (9 June 2017)
This is a pass/fail assessment. Failure to complete all requirements will result in a failed assessment. If an extension is required it must be applied for prior to the due date.
Part A
Interns may be asked to produce their Logbook for auditing purposes by a Clinic Supervisor or Director. At the time of presentation the Logbook should contain and demonstrate up to date clinical requirements and records. This would include but are not limited to:
- Total patient interactions - both new patients and regular consultations.
- Evidence of attendance at all clinical duty rotations
- Skills Critiques/Competencies
- Professional Skill Critiques/Competencies
Part B
Interns will be expected to produce 4 critical reflections through mahara for summative assessment. The reflections should demonstrate an appropriate learning cycle that meets the criteria in the rubrics.
Part C
Interns will be expected to present one clinical case for discussion and also participate in the discussion around other intern's cases as per the rubrics.
- Perform an appropriate patient-centered clinical assessment, within a clinical environment, under the guidance of the clinical supervisor.
- Synthesize clinical data to generate differential diagnoses for specific patient complaints, select an appropriate working diagnosis and generate an appropriate treatment plan.
- Demonstrate an intermediate level of communication skills, including explaining a diagnosis and treatment plan to a patient, and producing written professional reports, with guidance from clinical supervisor.
- Demonstrate appropriate professional conduct, congruent with the duty of care of a primary contact health care practitioner and the elements of the chiropractic code of conduct.
- Identify the need for a patient to receive emergency care and or referral to another health care professional, with supervision and feedback.
- Knowledge
- Communication
- Cognitive, technical and creative skills
- Research
- Self-management
- Ethical and Professional Responsibility
- Leadership
2 Practical Assessment
Practical Assessment will occur continuously across the term in both summative and formative assessments. The summative assessments will be in the form of critiques and are listed below. While the formative assessments will occur as continuous assistance and feedback with every patient encounter throughout your first term in clinic. The aim is to ensure you are developing appropriately throughout the term and to support your growth.
Throughout the term you will be required to complete the following summative competency assessments:
- 1 History taking critiques (one acute and one chronic - one of each is required during the clinical year)
- 1 Physical examination (one ortho based and one neuro based- one of each is required during the clinical year)
- 1 Report of findings critique
- 2 Adjustive techniques (at least one extremity)
- 1 Electrical modality or Rehabilitation routine (one of each is required during the clinical year)
- 2 Professionalism critiques (at 4 weeks and 11 weeks)
- 1 File-audit
- 1 Case write up critique
*If the clinical supervisor deems your skills are not progressing well by week 6 remedial support will be offered*
Week 12 Friday (2 June 2017) 6:00 pm AEST
The assessment critiques are required to be performed throughout the whole of the 12 week term. Proof of assessment needs to logged and submitted within the Clinician Logbook.
Feedback or competency assessment on individual skill or examination critiques will be provided immediately following completion of the task.
Practical Assessment Criteria
During the term, clinical interns will be required to demonstrate an increasing level of competency in all aspects of clinical practice as described in the summative critiques. The supervisor will select from competent, requires improvement or incompetent in regards to individual performances - feedback will be provided.
All critiques must be successfully completed receiving a level of competency consistent with Clinical Practice 4 to pass the overall practical assessment activity. Some prompting or guidance from the clinical supervisor is acceptable, the critiques may be repeated if deemed necessary by the clinical supervisor. The critique forms will be available on moodle and in the clinic for your reference.
- Perform an appropriate patient-centered clinical assessment, within a clinical environment, under the guidance of the clinical supervisor.
- Synthesize clinical data to generate differential diagnoses for specific patient complaints, select an appropriate working diagnosis and generate an appropriate treatment plan.
- Provide an appropriate course of care while also applying health prevention and promotion principles to an individual patient’s management plan, with supervision and feedback.
- Demonstrate an intermediate level of communication skills, including explaining a diagnosis and treatment plan to a patient, and producing written professional reports, with guidance from clinical supervisor.
- Demonstrate appropriate professional conduct, congruent with the duty of care of a primary contact health care practitioner and the elements of the chiropractic code of conduct.
- Knowledge
- Communication
- Cognitive, technical and creative skills
- Self-management
- Ethical and Professional Responsibility
Examination
Dictionary - non-electronic, concise, direct translation only (dictionary must not contain any notes or comments).
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?
