CQUniversity Unit Profile.

• Provide the unit coordinator with an opportunity to critically evaluate student technical performance on a case that they have performed as part of their clinical workload.
• Facilitate the continued development of student clinical reasoning.
• Encourage student reflection and self-improvement, of both technical and research skills, pathology knowledge and assessment strategies.

• Patient history & clinical indications.
• Discussion of assessment strategy.
• Interpretation and supporting rationale.
• Scanning technique.
• Measurement Technique.
• A copy of the anonymised provisional or final echocardiographic report.
• Clear identification of any supervisor assistance provided to complete the examination.
• Use of the PEDHOF non-imaging probe.

The written case study report and accompanying echocardiographic DICOM images will be critiqued using the Case Study Marking Rubric, please refer to this document for details.

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.
• Time and date stamp along with technical information should be retained on the echocardiographic image, to facilitate marking.

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.
• The patient consent form must be submitted with the case study.

This is a PASS/FAIL assessment. Both components of the case study submission must be passed, to PASS this assessment task overall.  To pass each component, all associated criteria detailed in the Case Study Marking Rubric must be successfully demonstrated.

The written case study and accompanying echocardiography DICOM images will be critiqued using the detailed marking rubric which can be found on the Moodle site. This rubric will evaluate the following criteria:

Patient history and clinical indications

• Appropriate description of relevant past and current clinical history, including identification of cardiovascular risk factors through patient interaction.
• Appropriate interpretation of clinical indications, identification of differential hypotheses and expected echocardiographic findings.

Assessment strategy

• Provision of a rational outline for protocol extension based on echocardiographic findings and/or clinical indication.
• Performance of relevant quantitative and qualitative measures where appropriate.
• Interpretation of echocardiographic findings with reference to relevant guidelines, including severity of pathology.
• Objective discussion of scan and measurement limitations, detailing the overall impact on the outcome of the examination.

Interpretation and supporting rationale

• Appropriate clinical reasoning, discussion of aetiology, pathophysiology, secondary cardiac complications and expected patient management.
• Demonstrates appropriate understanding of patient's condition as well as understanding of anatomy and physiology relevant to the examination.

Referencing and academic writing

• Use of Vancouver reference style with all cited literature current (<5 years old unless seminal works), and provision of at least 8 references.
• Appropriate use of tables, images, academic language, scientific terminology, grammar and consistent formatting.
• Commitment to academic integrity and word count within appropriate limits (1500-2000 words).

Scanning and measurement technique

• Demonstrates a systematic and logical scanning protocol, completed within an appropriate time frame.
• Appropriate optimisation of 2D imaging, colour Doppler and spectral Doppler throughout the scan.
• Correct application of continuous-wave Doppler, pulsed-wave Doppler and use of the non-imaging continuous-wave probe where indicated.
• Appropriate measurements performed suited to the complexity of the study and student competency level.
• Satisfactory measurement technique demonstrated, consistent with American Society of Echocardiography best practice guidelines.

Documentation

• Appropriately de-identified DICOM images and labelled images (where acquired by student supervisor).
• Appropriate annotations and body markers used where applicable.

Case studies submitted without accompanying echocardiographic DICOM images will not be marked, and will automatically be awarded a FAIL grade.

Submissions not up to standard, will be returned to the student with appropriate feedback. Only one opportunity for re-submission will be provided if the first submission is deemed a FAIL.

• From the time of feedback provision, failing students will be provided with 2 weeks to resubmit case study.
• Failed students may be asked to resubmit further imaging exemplars and/or an amended written submission, dependent upon deficits identified in the first submission.
• Should the imaging component need to be re-submitted, the second submission does not need to be from the same patient.

The quiz will assess your understanding of the content presented within this unit as outlined below. Questions may be drawn from lectures, additional resources provided (e.g. prescribed readings) or tutorial presentations.

• Questions will be drawn from a resource bank, to allow tests to be different for each student.
• Questions may include multiple choice, short answer, or image interpretation format.
• It is recommended that you have a calculator available when sitting a quiz.

Quiz can be accessed through the assessment tab on Moodle at the assigned time.

• Students will have 60 minutes to complete the quiz.
• Open book conditions.

Once started, the quiz cannot be paused or restarted. Only one attempt per quiz is permitted.

Please note:

• It is the student's responsibility to commence the online quiz before 7:00pm Thursday 14th April 2022 (AEST).
• The quiz will automatically close and submit completed student answers once the allocated time has elapsed.
• The duration of the quiz is tailored to promote recall of fact, rather than research of answers unknown.
• In the absence of an approved extension, given there is no opportunity to apply a late penalty, students will receive a mark of zero (or fail for this assessment) if not completed by the scheduled date and time.

Students are reminded that IT support from the university Information and Technology Division (TASAC) is only available during AEST business hours (Monday to Friday).

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.

Students will be required to answer a variety of online questions.

Question responses will be assessed according to the:

• Use of appropriate terminology and descriptors as well as grammar and spelling.
• Student’s ability to appropriately interpret presented sonographic images and cardiac assessment data.
• Student's ability to succinctly respond with accurate answers.

The number of marks allocated for each question will be indicated within the quiz. Question marks are allocated based on the accuracy, depth and breath of required responses.

This online test will assess your understanding of the content presented within this unit. Questions may be drawn from content presented in lectures, additional resources provided (e.g. prescribed readings) and tutorial presentations.

• Perusal time and online test duration will be 130 minutes in total.
• Open book conditions.
• It is recommended that you have a calculator available when sitting the online test.

Once started, the online test cannot be paused or restarted. Only one attempt is permitted.

Please note:

• It is the student's responsibility to commence the online test before 5:50pm Tuesday 14th June 2022 (AEST).
• The online test will automatically close and submit completed student answers once the allocated time has elapsed.
• The duration of this test is tailored to promote recall of fact, rather than research of answers unknown.

Students will be required to answer a variety of online questions. Questions:

• may include multiple choice, short answer, essay style or image interpretation format.
• will be drawn from a resource bank, to allow tests to be different for each student.

Students will be required to be familiar with both normal and pathological echocardiographic and anatomical images.

Students are reminded that IT support from the university Information and Technology Division (TASAC) is only available during AEST business hours (Monday to Friday).

In the absence of an approved extension, given there is no opportunity to apply a late penalty, students will receive a mark of zero (or fail for this assessment) if not completed by the scheduled date and time.

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.

Question responses will be assessed according to the:

• use of appropriate terminology and descriptors as well as grammar and spelling.
• student’s ability to appropriately interpret presented sonographic images and cardiac assessment data.
• student's ability to succinctly respond with accurate answers.

The number of marks allocated for each question will be indicated within the online test. Question marks are allocated based on the accuracy, depth and breath of required responses.

The Clinical Case Log Book is a document designed to track clinical experience. This log book documents all observed, partially or fully completed echocardiography cases that a student is exposed to during clinical employ. It is recommended that you update this logbook daily.

This assessment task requires the submission of a clinical case log book, detailing clinical experience since last requested log book submission.

A template for the Clinical Case Log book is supplied in a word document format on the Moodle site. Students were supplied this same Clinical Case Log Book at the time of course enrolment.

• The word document is designed to facilitate easy electronic submission at various checkpoints throughout unit and course enrolment. The clinical supervisor's digital signature can be used to verify authenticity of entries on the word document.
• Alternatively, the word document can be printed, manually completed and scanned to a digital file format for submission.

A Clinical Case Log book submission can be requested at any point during course enrolment, at the discretion of the university course coordinator.

The 'Clinical Case Log book' incorporates the following data:

1. The date of each examination.
2. Allocation of a unique identifier for each patient to ensure anonymity.
3. Referral indications
4. Type of echocardiogram performed (i.e. Adult, Paediatric, Stress/Dobutamine, TOE)
5. Student level of scan participation (Observed, partially, or fully completed examination)
6. Case Findings

It is recommended that a student participate in an average of 180 echocardiographic studies per 12 week term of course enrolment. (This is an average of 5 scans per day, 3 days per week.)

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

The Clinical Case Log book will be reviewed to ensure that:

• An acceptable volume of clinical work has been achieved.
• Exposure to sufficient case study complexity has been demonstrated to support ongoing knowledge and practical skill development.
• Cases have been documented appropriately.