CQUniversity Unit Profile
ECHO20004 Cardiac Clinical Unit 4
Cardiac Clinical Unit 4
All details in this unit profile for ECHO20004 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 graduate clinical unit builds on the skills, knowledge and attitudes developed during the Bachelor of Echocardiography and Cardiac Physiology. You will perform diagnostic cardiac ultrasound and other cardiac assessment and analyse the outcomes to specified levels of competency. You will evaluate clinical findings to formulate a differential diagnosis and initiate further investigation within an ethical framework of best practice and patient safety. Behavioural aspects of professional practice are emphasised and you are expected to reflect on your own performance and exhibit the highest level of safe patient care. Critical appraisal of performance will enable you to advance your professional, technical and analytical skills in a work setting under qualified supervision. You will apply knowledge of patient safety, risk management and quality improvement in health care to undertake a limited clinical audit of a cardiac assessment facility. You will examine reasons for adverse events identified, prioritise action and identify appropriate intervention as part of a quality improvement implementation strategy.

Details

Career Level: Postgraduate
Unit Level: Not Applicable
Credit Points: 18
Student Contribution Band: 8
Fraction of Full-Time Student Load: 0.375

Pre-requisites or Co-requisites

Prerequisite ECHO13007 Cardiac Clinical Unit 3 ECHO13007 Cardiac Clinical Unit 3 must have been successfully completed within the last twelve months. Should this time limit have elapsed the student must successfully complete one (or more) technical skill, professional behaviour and diagnostic knowledge-based assessment (s) (after completion of technical skill / knowledge revision). Details of this will be articulated in a learning contract created by the Head of Course or designate.

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 - 2021

Mixed Mode

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 18-credit Postgraduate unit at CQUniversity requires an overall time commitment of an average of 37.5 hours of study per week, making a total of 450 hours for the unit.

Class Timetable

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

Assessment Overview

1. Practical Assessment
Weighting: Pass/Fail
2. Performance
Weighting: Pass/Fail
3. Professional Practice Placement
Weighting: Pass/Fail
4. Learning logs / diaries / Journal / log books
Weighting: Pass/Fail
5. Case Study
Weighting: Pass/Fail
6. Portfolio
Weighting: Pass/Fail

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.

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 Placement evaluation form.

Feedback

Students appreciated new tutorials introduced to focus on OSCE preparation.

Recommendation

Incorporate sample OSCE tutorials again and consider adding further content.

Feedback from Student emails.

Feedback

Portfolio exemplar contained details of FADE analysis which was removed from the current Portfolio assessment.

Recommendation

Provide appropriate exemplar in accordance with updated descriptive task.

Unit Learning Outcomes
On successful completion of this unit, you will be able to:
  1. Perform echocardiographic assessment in the clinical context under supervision
  2. Accurately communicate the outcomes of cardiac assessment including consideration of quality assurance
  3. Apply professional behaviour consistent with safe practice
  4. Analyse, and critically reflect upon, clinical cases involving cardiac ultrasound and other assessment techniques
  5. Attend clinical placement as per external accreditation requirements (Australian Sonographer Accreditation Registry)
  6. Formulate strategies for improvement based on clinical findings related to quality improvement, risk management and patient safety culture.

Linked to National and International Standards
1. ASAR Accreditation Standards for Cardiac Sonography - critical practice Unit 8 - Cardiac, Foundation units of competence - 1 - 5.
2. European Association of Cardiovascular Imaging Core Syllabus
3. American Registry for Cardiac Sonography Core Syllabus

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
1 - Practical Assessment - 0%
2 - Performance - 0%
3 - Professional Practice Placement - 0%
4 - Learning logs / diaries / Journal / log books - 0%
5 - Case Study - 0%
6 - Portfolio - 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

Alignment of Assessment Tasks to Graduate Attributes

Assessment Tasks Graduate Attributes
1 2 3 4 5 6 7
1 - Practical Assessment - 0%
2 - Performance - 0%
3 - Professional Practice Placement - 0%
4 - Learning logs / diaries / Journal / log books - 0%
5 - Case Study - 0%
6 - Portfolio - 0%
Textbooks and Resources

Textbooks

Prescribed

Enhancing Patient Care: A Practical Guide to Improving Quality and Safety in Hospitals (2009)

Authors: Alan Wolff and Sally Taylor
ISBN:
Binding: Paperback

Additional Textbook Information

If you prefer a paper text, the CQUniversity Bookshop has copies at a reduced price 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: Vancouver

For further information, see the Assessment Tasks.

Teaching Contacts
Shae Cromb Unit Coordinator
s.m.cromb@cqu.edu.au
Schedule
Week 1 Begin Date: 01 Feb 2021

Module/Topic

Clinical placement dates may vary for individual students by arrangement with the Unit Coordinator/Head of Course.

Chapter

Events and Submissions/Topic

This clinical unit occurs outside of standard University term dates. Please refer to the unit Moodle site for assessment details and relevant due dates.


Due dates may differ depending on individual start date of clinical placement.


This unit consists of a sixteen (16) week clinical placement, to a minimum of 640 hours (16 x 40 hours).


Zoom tutorial.

Week 2 Begin Date: 08 Feb 2021

Module/Topic

Clinical Governance.

Chapter

Events and Submissions/Topic

Week 3 Begin Date: 15 Feb 2021

Module/Topic

Quality Improvement.

Chapter

Events and Submissions/Topic

Clinical Attendance Form 1 due by Monday at 5pm AEST.


Zoom tutorial.

Week 4 Begin Date: 22 Feb 2021

Module/Topic

Risk Management.

Chapter

Events and Submissions/Topic

Week 5 Begin Date: 01 Mar 2021

Module/Topic

Change Management.

Chapter

Events and Submissions/Topic

Clinical Attendance Form 2 due by Monday at 5pm AEST.


Zoom tutorial.

Week 6 Begin Date: 08 Mar 2021

Module/Topic

This week is the actual start of Term 1 2021 for CQU.


Safety Culture.

Chapter

Events and Submissions/Topic

Case study #1 due by Friday at 5pm AEST.

Week 7 Begin Date: 15 Mar 2021

Module/Topic

Safe Practice and Ergonomics.

Chapter

Events and Submissions/Topic

Clinical Attendance Form 3 due by Monday at 5pm AEST.


Zoom tutorial.

Week 8 Begin Date: 22 Mar 2021

Module/Topic

Academic writing and Portfolio Assessment.

Chapter

Events and Submissions/Topic

Mid Clinical Placement GAPA and Clinical Case Logbook due by Monday at 5pm AEST.

Week 9 Begin Date: 29 Mar 2021

Module/Topic

LV dysfunction.

Chapter

Events and Submissions/Topic

Clinical Attendance Form 4 due by Monday at 5pm AEST. 


Zoom tutorial.

Week 10 Begin Date: 05 Apr 2021

Module/Topic

Chapter

Events and Submissions/Topic

Case study #2 due by Friday at 5pm AEST.

Week 11 Begin Date: 12 Apr 2021

Module/Topic

RV dysfunction.

Chapter

Events and Submissions/Topic

Clinical Attendance Form 5 due by Monday at 5pm AEST.


Zoom tutorial.

Week 12 Begin Date: 19 Apr 2021

Module/Topic

Chapter

Events and Submissions/Topic

Quality Management Portfolio due by Friday at 5pm AEST.

Week 13 Begin Date: 26 Apr 2021

Module/Topic

Valve stenosis.

Chapter

Events and Submissions/Topic

Clinical Attendance Form 6 due by Monday at 5pm AEST.


Zoom tutorial.

Week 14 Begin Date: 03 May 2021

Module/Topic

Revision.

Chapter

Events and Submissions/Topic

Week 15 Begin Date: 10 May 2021

Module/Topic

Valve regurgitation.

Chapter

Events and Submissions/Topic

Clinical Attendance Form 7 due by Monday at 5pm AEST.


Zoom tutorial.

Week 16 Begin Date: 17 May 2021

Module/Topic

Revision.

Chapter

Events and Submissions/Topic

ASSESSMENT SUBMISSION Begin Date: 24 May 2021

Module/Topic

Chapter

Events and Submissions/Topic

Final GAPA assessment, Practical Assessment, Clinical Attendance Form 8 and Final Clinical Case Log Book due by Monday 5pm AEST.

Term Specific Information

The Unit Coordinator for ECHO20004 is Shae Cromb. The preferred method for contacting Shae is via the Q&A forum located on the Moodle site for content related questions. If the query is of a personal nature, please email s.m.cromb@cqu.edu.au, or phone (08) 9260 4053. Shae's work days are: Wednesday, Thursday and Friday and she is based at the Perth Campus.


This clinical unit starts five weeks before the first week of Term 1 (1st February) and consists of a 16 week clinical placement to achieve a minimum 640 hours (16 x 40 hours) of clinical placement. Students must attend the allocated clinical placement for the entirety of each working day, including the last day of placement, unless alternative arrangements have been agreed by both the Unit Coordinator and Clinical Supervisor in writing.


Please note that there are public holidays during this clinical placement. These can be entered as 8 hours on the clinical attendance form and do not need to be 'made up'. If a student is unwell, please advise the Clinical Supervisor and Unit Coordinator as these hours do need to be ‘made up’. A medical certificate will be required by the Unit Coordinator. Please advise the Unit Coordinator if there is any need to extend the placement end date in order to complete unit requirements.


Once students have completed the minimum number of hours they are required to continue attending placement until the placement's prescribed finish date unless an alteration to the standard placement block has been approved by the Unit Coordinator, Head of Course and the Clinical Supervisor.


The required text book for this unit is: Wolff A., Taylor S. 2009 Enhancing Patient Care: A Practical Guide to Improving Quality and Safety in Hospitals.


Students are expected to revise previous unit content related to the pathological knowledge and practical skills of echocardiography. Students are expected to consult texts regularly to enhance knowledge and understanding during this clinical unit.


Fortnightly tutorials will be held during the term. Specific times and meeting IDs will be posted on the unit Moodle site.


If students are experiencing difficulty meeting unit assessment requirements please contact the Unit Coordinator. This is a pass/fail non-graded unit which means that each individual assessment must be awarded a pass grade in order to pass the unit. All coursework must be submitted by the due date, as there is no opportunity to apply a 5% penalty due to the pass/fail nature of the assessment tasks. Any students who have negotiated to extend placement dates may be eligible for assessment extensions. Any students who have placement dates which extend past the initial 16 week block must confirm assessment due dates with Unit Coordinator via email.

Assessment Tasks

1 Practical Assessment

Assessment Title
PRACTICAL ASSESSMENT

Task Description

This assessment task requires the student to demonstrate aptitude and overall practical competence in completing an echocardiogram to the level of ‘Advanced Beginner’. A student of advanced beginner competence can complete an echocardiographic scan satisfactorily, as detailed in the assessment criteria and marking tool, requiring direction <40% of the time.


This task will be assessed by the student’s Clinical Supervisor, or a delegate sonographer, using the Practical Assessment Marking tool provided on the university Moodle site. Students are required to provide a printed copy of this marking sheet to their Clinical Supervisor at the commencement of placement.


Students are encouraged to:

  • Read the marking sheet carefully, to ensure that they understand the criteria against which their sonographic skill and relevant theoretical knowledge will be evaluated.
  • Discuss the best time to complete this assessment with their clinical supervisor, to ensure minimal departmental disruption and sufficient time for task completion.
  • Seek detailed feedback from their supervisor post assessment to enable identification of areas requiring improvement.


Should a student fail this assessment, only one re-attempt will be permitted.

  • Students that fail the first attempt at this assessment, should discuss their strategy for performance improvement with both their assessor and Unit Coordinator.
  • Both attempts must be completed prior to the completion of the clinical placement block.

In the absence of an approved extension, students cannot complete this assessment at a later time, and will receive a mark of zero (or fail) for the assessment, if not completed it by the scheduled date and time applicable to their placement allocation.


Students are advised to refer to the Assessment Policy and Procedure (Higher Education Coursework) document for additional university guidelines regarding assessments.


Assessment Due Date

Practical assessment is to be uploaded onto the Moodle site the Monday following completion of clinical placement.


Return Date to Students

Clinical supervisors will provide direct feedback following practical assessment through both verbal conversation and return of the completed marking sheet. Any students who fail the first attempt will be provided additional counsel by the unit coordinator prior to reattempt.


Weighting
Pass/Fail

Minimum mark or grade
To PASS, a student must demonstrate 'advanced beginner' competency by achieving a minimum of thirty-six (36) scores of 3 (or higher), and no scores of one (1).

Assessment Criteria

Clinical supervisors are required to grade their student using criterion provided to evaluate how independent he or she is upon supervisor direction and support. Criteria can be grouped into several main categories. These include:

  • Pre-examination tasks and instrumentation (including patient identification checks, consent and appropriate professional communication)
  • Scanning technique (including two-dimensional, colour and spectral Doppler optimisation, and appropriate exam extension or modification)
  • Measurement technique
  • Documentation (digital image storage and labelling)
  • Post-examination tasks (including worksheet completion and interpretation)
  • Additional tasks (incorporating ergonomics, manual handling techniques, infection control, ethical and legal requirements)


The Clinical Supervisor is required to evaluate multiple questions under each criterion grouping on the Practical Marking Tool.


The Clinical Supervisor will grade each criterion question with a score out of 4. A score of 1 indicates that the student needs constant direction and advice, whilst a score of 4 indicates largely independent practice, requiring direction or prompting only on complex or unusual cases.


This assessment must be conducted before the end of the 16 week clinical placement. As the student is permitted two attempts to complete this assessment, it is recommended that the first attempt takes place in the 14th week of the 16 week placement.


Referencing Style

Submission
Online

Submission Instructions
Students are to submit their practical assessment online via Moodle. The Clinical Supervisor must complete and sign the assessment form before submission.

Learning Outcomes Assessed
  • Perform echocardiographic assessment in the clinical context under supervision
  • Accurately communicate the outcomes of cardiac assessment including consideration of quality assurance


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

2 Performance

Assessment Title
GLOBAL ASSESSMENTS OF PROFESSIONAL ATTRIBUTES (GAPA)

Task Description

Clinical sites mention professional behaviour, particularly team work and empathy, as paramount in their decision to employ a sonographer. This assessment considers the ability of the student to communicate professionally with a diverse cultural audience of patients, staff and the general public, demonstrate professional respect for all, and function as a reliable, well organised member of the health team.


The Clinical Supervisor, or delegate, will be working in the echocardiography lab with the student, directly observing day-to-day performance. These observations and collective feedback will relate to the student's demonstration of knowledge, skills and behaviours over a span of time, not limited to a particular scan type or patient case. The observations and feedback are then used to complete the Global Assessment of Professional Attributes (GAPA) form.


There are three main sections to the GAPA form:

  • Section 1: Initiative and Communication
  • Section 2: Responsibility and Demeanour
  • Section 3: Overall Technical Knowledge and Skill


In each section there are multiple observable behaviours that the student is required to demonstrate throughout the placement. The assessor will score the performance of the student based on how frequently, and to what extent, each of the listed behaviours are demonstrated. The assessor is also encouraged to provide comments to expand on the scoring feedback.


This assessment is performed TWICE during the placement – at the midpoint (week 8) and at the completion (week 16).


The student is expected to use feedback provided after the first GAPA to:

  • Reflect on their performance.
  • Develop an action plan to address any areas of performance that are not yet at the target level for this placement.
  • Use the remaining weeks to achieve those targets.

The end-of-placement GAPA assessment is summative. For any behaviour that the student scores well on at the mid-placement assessment, it is expected they will continue to meet that level of performance or surpass it for the rest of the placement.


Occasionally student behaviour is beyond acceptable risk to clinical sites. Clinical Supervisors will contact CQUniversity academics immediately when this occurs. A GAPA assessment is requested at this time (which could be at any time during the placement). If the outcome of this GAPA is a FAIL grade, and/or the site feedback indicates that they can no longer host the student due to the risk incurred, then this FAIL grade in the GAPA assessment, will constitute a fail of ECHO20004. Where such risk exists, clinical placement will terminate immediately.


Clinical sites may prematurely terminate a clinical placement if student skill progression is deemed insufficient despite documented constructive feedback, significant support and intervention.


Prior to confirmation of clinical placement termination, extensive consultation in conjunction with both the university designated Unit Coordinator and student involved would occur. Premature clinical placement termination due to poor skill progression would constitute a FAIL for ECHO20004.


Assessment Due Date

First GAPA assessment occurs in Week 8 of clinical placement and is due Monday Week 9 of clinical placement. The second GAPA assessment occurs toward the end of Week 16 (the final week of the placement) and is due at the end of clincal placement.


Return Date to Students

Feedback will be provided to students within two weeks of submission.


Weighting
Pass/Fail

Minimum mark or grade
To PASS, on the final GAPA the student must receive an overall score of 37 marks or more, from a potential of 56 marks, and additionally is not permitted any scores of 0.

Assessment Criteria

The nominated assessor will score the student's clinical performance based on how frequently and to what extent each of the listed behaviours in section 1, 2 and 3 of the GAPA marking tool are demonstrated.

  • A score of 0 indicates that the student does not demonstrate this behavioural attribute, or demonstrates it in an unacceptable manner.
  • A score of 1 indicates that the student demonstrates this behaviour attribute, but needs some improvement.
  • A score of 2 indicates that the student consistently demonstrates this behaviour attribute (>70% of the time) to a high level.

The assessor is also encouraged to provide comments to expand on the scoring feedback.


If minimum scores in the mid-placement GAPA are not met, a student will be regarded as a 'Student at Risk' of failing the clinical unit overall.

  • The Unit Coordinator will contact the student to advise of the risk of failing ECHO20004 and provide formative feedback via email. The student is required to respond to this email to show they understand the implications of this information.
  • The student must reflect on their performance and the feedback provided, and develop an action plan to address any areas of performance that are not yet at the target level for this placement, and use the remaining weeks to achieve those targets.
  • Review of the student’s progress will be completed a short time after the mid placement GAPA, at any time as requested by your Clinical Supervisor or Unit Coordinator.


If behavioural attributes within any section of the GAPA are deemed a 'patient safety risk', student placement may be cancelled immediately, prior to completion of the allocated clinical placement block.


Unsatisfactory scores obtained at the second GAPA attempt, will result in a FAIL grade for ECHO20004 overall.


Failure of this clinical unit will require the student to meet with the Head of Course to discuss the instigation of an individual learning contract with a view to remedying scanning skills, technical issues and/or behavioural issues. The learning contract will detail learning objectives, available learning resources, strategies and methods which will be used to assess your progress. This will likely involve scanning skills labs for tuition and assessment on a regular basis.


Referencing Style

Submission
Online

Submission Instructions
Two separate online submissions of the completed form via Moodle at the end of week 8 (submit Monday Week 9) and week 16 (submit Monday Week 17) of your clinical placement.

Learning Outcomes Assessed
  • Accurately communicate the outcomes of cardiac assessment including consideration of quality assurance
  • Apply professional behaviour consistent with safe practice


Graduate Attributes
  • Knowledge
  • Communication
  • Self-management
  • Ethical and Professional Responsibility
  • Leadership

3 Professional Practice Placement

Assessment Title
CLINICAL ATTENDANCE LOGBOOK

Task Description

It is expected that students attend 100% of the time during the 16 week clinical placement to achieve the minimum 640 hours (16 X 40 hours) of direct echocardiography observance/participation or related activities approved by an ASAR registered Clinical Supervisor or appropriately qualified medical practitioner.


All hours worked must be entered into the Clinical Attendance Forms. These forms must be signed by the Clinical Supervisor, or a sonographer delegated this task by the Clinical Supervisor and submitted fortnightly. The Clinical Attendance Forms are available in the assessment block in the unit Moodle site. Please print these forms and read carefully to understand the criteria against which clinical attendance will be evaluated.


Students must not organise holidays, recreational leave or personal appointments during clinical placement periods.


Students are to notify the clinical placement site prior to their scheduled start time if they will be late arriving to the clinical placement site for any individual day throughout the clinical placement.


Students who are absent from clinical placement due to illness or injury must phone their Clinical Supervisor and email their Unit Coordinator PRIOR to the scheduled start time for that day. Any clinical placement hours missed due to illness or injury must be made up.


For all absences due to illness, students must provide the Clinical Supervisor and Unit Coordinator with a medical certificate or statutory declaration. Any injury that occurs while on placement must be reported immediately to the Clinical Supervisor and Unit Coordinator. Medical clearance may be required before returning to placement. For more information on this, including fitness to practice, please refer to the Clinical Placement Attendance Guidelines on the unit Moodle site.


Public holidays recognised by CQUniversity are outlined on the academic calendar. When a public holiday falls during a clinical placement block, public holiday dates can be entered as 8 hours for each day into the Attendance Logbook and hours are not required to be made up. If a designated University student vacation period coincides with the clinical placement period, students are expected to attend during this time. Students must be aware that the attendance of clinical placement takes precedence over any personal work commitments as related to absenteeism.


Outside of Clinical Placement hours

Outside of hours placement may only be used in the event of illness or injury and may not be utilised for personal leave requests.

  • In the event of illness and injury, students are permitted to supplement up to 25% of required unit hours from outside of clinical placement.
  • These hours must be documented within three (3) months prior to unit enrolment for approval by the Unit Coordinator.


Supplementary hours outside of clinical placement must be verified (signed) by an ASAR accredited sonographer or appropriately qualified medical practitioner. Details of either the student’s insurance, or employment, must be entered onto the outside clinical placement attendance form.


At the end of the scheduled placement, if a student has not met the 100% attendance requirement AND does not have documented justifiable grounds for the absence, they will score a 'FAIL' for this assessment item. If there are documented justifiable grounds for absenteeism, the student will be provided additional scheduled time to make up the time they have missed. (This scheduled make-up time may not immediately follow the scheduled placement, and/or may not be at the same placement site, depending on clinical availability).


Assessment Due Date

Clinical Attendance Forms are due fortnightly with the first due Monday of week 3.


Return Date to Students

Individual student feedback will be provided only if assessment criteria deficits are identified.


Weighting
Pass/Fail

Minimum mark or grade

Assessment Criteria

To be awarded a PASS, all documentation must be completed and submitted by the corresponding due date and time.


The Clinical Logbook will be reviewed to ensure:

  • The minimum number of clinical placement hours have been completed.
  • The logbook documentation has been verified as accurate by the nominated ASAR registered clinical supervisor.


Referencing Style

Submission
Online

Submission Instructions
To facilitate progressive tracking of clinical placement attendance by the Unit Coordinator, Clinical Attendance Forms are to be uploaded to Moodle fortnightly with the first due Monday of week 3.

Learning Outcomes Assessed
  • Apply professional behaviour consistent with safe practice
  • Attend clinical placement as per external accreditation requirements (Australian Sonographer Accreditation Registry)


Graduate Attributes
  • Communication
  • Self-management
  • Ethical and Professional Responsibility

4 Learning logs / diaries / Journal / log books

Assessment Title
CLINICAL CASE LOGBOOK

Task Description

The Clinical Case Logbook is a document designed to track clinical experience. This logbook documents all observed, partially or fully completed echocardiography cases that a student is exposed to during clinical placement. The Clinical Case Logbook will also incorporate details of case exposure obtained during any hours of attendance submitted from 'outside of clinical placement'.


Maintenance of a Clinical Case Log Book helps to ensure that:


a) an acceptable volume of clinical work is achieved

b) exposure to a reasonable case variety is achieved

c) key practical skills are developing


The Clinical Case Logbook incorporates the following data:


1. Cover page(s) which present two tables summating the weekly cumulative case volume under descriptive headings. Summative tally is based on the actual scan findings, NOT the referral indications
2. The date of each examination
3. Allocation of a unique identifier for each patient to ensure anonymity
4. Referral indications
5. Type of echocardiogram performed (i.e. Adult, Paediatric, Stress/Dobutamine, TOE)
6. Student level of scan participation (Observed, partially, or fully completed examination)
7. Case Findings


The Clinical Case Logbook entries must be signed by the Clinical Supervisor or appropriately qualified medical practitioner.


Assessment Due Date

Two separate submissions of the Clinical Case Logbook are due at mid placement (due Monday Week 9 of clinical placement) and end of placement (due Monday following completion of clinical placement).


Return Date to Students

Individual student feedback will be provided only if assessment criteria deficits are identified.


Weighting
Pass/Fail

Assessment Criteria

The Clinical Case Logbook serves as a record of the depth and breadth of experience you attained during the placement. It demonstrates the degree of progression of your skill development within and across examination types. It is recommended that students should analyse this record at regular intervals to assist in the formulation of learning goals that will support achievement of the unit outcomes.


During this clinical placement, a student must aim to observe or partially or fully complete a minimum of 320 echocardiograms (minimum of 4 echocardiograms per day). Students are advised to ensure they are gaining experience under each of the different categories.


The Logbook must be signed by the Clinical Supervisor or echocardiographer delegated by the Clinical Supervisor.


In order to achieve an overall grade of PASS in this assessment task, students must:

  • Accurately record all studies in the Clinical Case Logbook.
  • Ensure documentation is complete.
  • Submit the requested documentation via Moodle by the published due dates.



Referencing Style

Submission
Online

Submission Instructions
The Clinical Case Log Book is to be submitted online via the Moodle site at mid placement and following completion of clinical placement.

Learning Outcomes Assessed
  • Perform echocardiographic assessment in the clinical context under supervision
  • Analyse, and critically reflect upon, clinical cases involving cardiac ultrasound and other assessment techniques


Graduate Attributes
  • Knowledge
  • Self-management

5 Case Study

Assessment Title
CASE STUDIES

Task Description

Students are required to submit two (2) case studies during this clinical placement. The images of the case study must be partially or fully completed by the submitting student and any images obtained by the Clinical Supervisor must be clearly identified on the images submitted.

The case studies must be from each of the following categories:

1. Ventricular function

2. Valve regurgitation

The purpose of these case studies is to:

  • Provide the Unit Coordinator with an opportunity to evaluate student technical performance
  • Facilitate the continuing development of student clinical reasoning to ensure exposure to a variety of cases
  • Encourage reflection and self improvement of technical and research skills and assessment strategies

Each case study must include the following:

  • Clinical indications for the examination
  • Details of expected echo findings based on clinical indications
  • Patient care considerations
  • Brief discussion of any previous imaging or medical testing available
  • Explanation of any variations in scanning protocol used
  • Identification of study limitations (imaging or measuring)
  • Detailed description of study findings and pathologies identified, including grading of severity in accordance with ASE guidelines
  • Discussion of aetiology and pathophysiology
  • Discussion of any appropriate additional investigations (eg transoesophageal echocardiography, left or right heart catheterisation/angiography, MRI, CTCA) including how this could influence patient management
  • Brief explanation of likely or expected disease progression and patient management (including any follow up if available)

The anonymised provisional or final echocardiographic report should be included as an appendix to the case study.


Image submission:

The echocardiographic case study presented must be accompanied by the submission of de-identified digital images in DICOM format.

  • All clinical information must be de-identified to protect patient privacy and confidentiality.
  • Maintenance of patient confidentiality must be adhered throughout both practical and written components of the case study.

If all attempts to de-identify the echocardiography images have failed, the student must request permission from the patient to provide their images to CQUniversity for educational purposes.

  • The patient must provide written consent by completing the form provided on the unit Moodle site.
  • This patient consent from must to be submitted with the case study.


Word count:

1200-1500 words. Word count does not include headings or references, but does include diagram explanations and labelling. Marks will be deducted if the word count is under/over the word limit as per the marking rubric.


Referencing:

Vancouver. Minimum 8 peer reviewed journal articles/relevant text books must be cited. Literature titles must be current (<5 years of age), except seminal works. Support material for the Vancouver Referencing System is available on the Moodle site.


Note: This assessment is to be undertaken as an individual. Colluding with other students on non-group work tasks is considered academic misconduct, and may lead to action being taken the Deputy Dean of Learning and Teaching HMAS.


Students are advised to refer to the 'Assessment Policy and Procedure (Higher Education Coursework)' document for additional university guidelines regarding assessments.


Assessment Due Date

First case study is due Friday of Week 6 of clinical placement. Second case study due Friday of Week 10 of clinical placement.


Return Date to Students

Results will be made available within two weeks of assessment due date.


Weighting
Pass/Fail

Minimum mark or grade
Minimum pass mark 60% for the written component.

Assessment Criteria

Case study submissions will be evaluated using the marking rubric available on the Moodle site.


The rubric will assess the following items:

  • Diagnostic quality of the examination
  • Scan technique and study protocol applied by student
  • Image optimisation and appropriate image selection to assess presenting pathology
  • Measurement technique
  • Self critique of examination by student
  • Discussion of findings and pathology presented with reference to relevant literature and current guidelines
  • Appropriate use of terminology throughout
  • Presentation style consistent with scientific discussion


The word count for the written component is strictly 1200-1500 words. Marks will be deducted if the word count is under/over the word limit as per the marking rubric.


To PASS this assessment:

  • Students must achieve a minimum mark of 60% for the written component of the case study.
  • The imaging component of the case study is a PASS/FAIL submission. Case studies submitted without accompanying DICOM images will not be marked.


Case studies that do not achieve a pass grade will be returned to the student with appropriate feedback. Students are permitted one re-submission opportunity for each case study (imaging component and/or written component as required). Any re-submission attempt is required within two (2) weeks of receiving feedback.


Referencing Style

Submission
Online

Submission Instructions
Submission to be uploaded to the Moodle site as a word document (doc., docx., not write protected) through the Moodle site so it is processed by Turnitin. De-identified DICOM images uploaded to a Google drive folder and shared with unit coordinator.

Learning Outcomes Assessed
  • Analyse, and critically reflect upon, clinical cases involving cardiac ultrasound and other assessment techniques


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

6 Portfolio

Assessment Title
PORTFOLIO

Task Description

Undertaking a clinical audit, as part of a quality management process, occurs in all imaging practices on a cyclical basis. In this assessment, students will complete a small part of a clinical audit. Successful completion of this assessment is a course requirement of the Australian Sonographers Accreditation Registry (ASAR).


Students will prepare a 2000 word (+/- 10%) report about quality management in a cardiac imaging workplace. This will include:

  • Identifying adverse events
  • Identifying contributing factors, near misses or potential adverse events
  • Suggesting recommendations for quality improvement


This assessment task involves completing a series of tasks:


1. Context and adverse risk identification:

  • Discuss five adverse events and identify contributing factors.
  • Choose one event to create an Ishikawa ‘fish’ diagram of contributory factors.

2. Organisational Culture:

  • Expand on one adverse event from an organisational culture perspective.
  • Utilise an ‘iceberg’ model to demonstrate visible and background cultural understandings.

3. Detailed risk analysis:

  • Choose a risk factor relevant to a cardiac imaging environment, describing the potential impact of the risk from an OHS perspective.
  • Use the risk matrix, risk table and likelihood rating tables provided on Moodle to calculate a consequence rating.
  • Demonstrate risk reduction due to control methods by using the residual risk table provided on Moodle.

4. Quality management:

  • Describe an everyday workplace event for a medical imaging organisation and five clinical indicators that could be used to monitor quality of structures, processes and outcomes involved in this event.

5. Safety Culture:

  • Use a Manchester Patient Safety Framework Evaluation Sheet, in partnership with a work colleague, to evaluate the patient safety culture in your clinical workplace.


Explanations of terminology and quality practice concepts may be found in your prescribed text, lecture material and resources provided on the unit Moodle site.


Your final report will include:

  • Cover page
  • Contents page
  • Data presented in figures, tables or diagrams
  • Discussion of results (or further action) for some tasks
  • Short directive paragraphs and objective language


Assessment Due Date

Due Friday of Week 12 of clinical placement.


Return Date to Students

Results will be made available within two weeks of assessment due date.


Weighting
Pass/Fail

Minimum mark or grade
To PASS this assessment, a minimum mark of 50% must be achieved.

Assessment Criteria

Your Portfolio will be assessed on the following criteria:

  • Production of a complete, informative quality management portfolio
  • Correct use of terminology and concepts for quality practice
  • Relevancy and prioritisation of content
  • Informed rationale for choices made
  • Information supported by relevant and recent references with correct citation consistently used
  • Correct labelling and citation of legible diagrams, tables and graphics
  • Critical analysis, and application of relevant theory to data collected
  • Application of concepts to analysis of events, observations and data
  • Proposal of relevant and feasible plans for improvement
  • Accurate completion of quality improvement tools
  • Logical and neat presentation, including use of appropriate use of titles, headings and sub-headings
  • Correct grammar and spelling
  • Adherence to the word limit
  • Use of footers with student name, student number, assessment name and page number on each page
  • Legible 12pt font throughout


A detailed marking rubric is available on the unit Moodle site.


Portfolios that do not achieve a pass grade will be returned to the student with appropriate feedback. Students are permitted one re-submission opportunity. Any re-submission attempt is required within two (2) weeks of receiving feedback.


Referencing Style

Submission
Online

Submission Instructions
Portfolio is to be submitted as a word document (doc., docx., not write protected) through the unit Moodle site so it is processed by Turnitin.

Learning Outcomes Assessed
  • Formulate strategies for improvement based on clinical findings related to quality improvement, risk management and patient safety culture.


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

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?