CQUniversity Unit Profile.

This online quiz will assess your understanding of the content presented within this unit up to and including week 6. Questions may be drawn from lectures, additional resources provided (e.g. prescribed readings) or tutorial presentations.

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

• The online quiz will be open for 60 minutes.
• The online quiz will automatically close at 8:00 pm (AEST) on Monday 4th September.
• It is the student's responsibility to commence the online quiz before 7:00 pm Monday 4th September 2023 (AEST).
• The online quiz will automatically close and submit completed student answers once the allocated time has elapsed.
• The duration of the online quiz is tailored to promote recall of facts, rather than research of answers unknown.
• You will be required to answer a variety of online questions. Questions may include multiple-choice, short answers, essay style, or image interpretation format.
• The number of marks allocated for each question will be indicated within the online quiz. Question marks are allocated based on the accuracy, depth and breadth of required responses.
• All questions are to be answered in the space provided.
• The online quiz question pool in its entirety will not be released to students.

You are permitted ONE attempt to complete the online quiz, and once started, the quiz cannot be paused or restarted. Students are reminded that IT support from the university Information and Technology Division (TaSAC) is only available during AEST business hours. It is recommended that the online quiz is completed during business hours.

As the quiz is online and open book, you will find it useful if you have produced your own notes from the lectures and you are familiar with the unit information. Questions will be drawn from a resource bank and randomised to allow the quiz to be different for each student. You may benefit from having a calculator available when sitting the test. This assessment is to be undertaken as an individual.

In the absence of an approved extension, there will be no opportunity to complete the task after this date, and there will be no opportunity to apply a late penalty of five percent per day. Students will receive a mark of zero (or fail) for this assessment if they have not completed it by the scheduled date and time and do not have an extension.

As with all other university examinations, colluding with other students on non-group work tasks is considered academic misconduct, and may lead to action being taken by the Deputy Dean of Learning and Teaching HMAS.

This assessment result is summative toward the final unit grade. Students are advised to refer to the 'Assessment Policy and Procedure (Higher Education Coursework) document' for additional university guidelines regarding assessments.

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

Question responses will be assessed according to the student's:

• Use of appropriate terminology and descriptors as well as grammar and spelling.
• Ability to differentiate various congenital cardiac pathologies
• Ability to succinctly respond with accurate answers.

Students must submit one case study. The purpose of this case study submission is to:

• Provide a member of the Echocardiography faculty an opportunity to critically evaluate and moderate 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.

The submitted case study should meet the following descriptive criteria:

• An exemplar of congenital heart disease

This may include findings such as a bicuspid aortic valve, mitral valve prolapse, atrial or ventricular septal defects, patent ductus arteriosus or coarctation.

There are two components to this case study submission:

• Component 1: Written case report
• Component 2: Echocardiographic study (image presentation and submission)

BOTH components must be passed to pass the case study overall.

The student must have completed the majority of the echocardiographic scan submitted (i.e. obtained no less than 60% of the submitted digital clips). Images obtained by the clinical supervisor should be identified in the written case study or on the DICOM digital clips themselves. The student must have performed the submitted case study during the current academic term.

The case study submission should include:

• Referral details provided by requesting doctor.
• Details of expected findings based on clinical indications.
• Patient care considerations.
• A brief discussion of any previous imaging or medical testing available.
• Variations in scanning protocol used, including justification. Identification of study limitations (imaging and/or measurement).
• A detailed description of study findings and pathology identified, including grading of severity in accordance with ASE guidelines.
• Discussion of aetiology and pathophysiology.
• Discussion of appropriate additional investigations indicated (i.e. stress or dobutamine echocardiography, transesophageal echocardiography, left or right heart catheterisation, MRI etc).
• A brief explanation of likely or expected disease progression and patient management (including any follow-up consultation or testing details if available at the time of case study completion).
• The anonymised provisional or final echocardiographic report must be included as an appendix to the case study.
• Clear identification of any supervisor assistance provided to complete the examination.
• 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 display.

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.

The case study will be deemed an automatic fail if the images are not de-identified or patient consent not provided.

Image submission:

The written case report must be accompanied by the submission of de-identified digital images in DICOM format. The student will be required to present the images to a member of the Echocardiography faculty via a scheduled zoom meeting 2 weeks prior to the case study due date. The deidentified DICOM images must also be uploaded to Google drive, and a link shared with a member of the Echocardiography faculty. The case study presentation is mandatory, however it is formative, and students will not be assessed on presentation skill and ability. Case study presentations must be completed 2 weeks prior to the submission date via Zoom, please contact the assigned facilitator to schedule a suitable time. The purpose of the case study presentation prior to submission is to allow for provision of feedback to enable any refinements to be made, as well as to ensure DICOM images are accessible and appropriate.

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 Moodie site. This patient consent from must be submitted with the case study.

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

Word count: Strictly 1500 - 2000 words. Word count does not include headings or references but does include diagram captions and labelling. Excess words will not be marked.

Referencing: Vancouver. Minimum 8 peer reviewed journal articles/relevant textbooks 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.

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 by 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.

• The diagnostic quality of the examination performed, in particular, the scan technique and protocol adopted by the student.
• Image optimisation and image selection representative of pathology.
• Apply haemodynamic calculations used in complex cardiac assessment.
• Analyse and critically reflect upon the outcome of a comprehensive and complex echocardiographic scan.
• Discussion of clinical presentation, aetiology, pathophysiology, echocardiographic findings, patient management and likely follow-up.
• Student's reflective analysis identifying components of the scan that could have been improved.
• Student's ability to construct a scholarly report that is succinct and demonstrates the appropriate application of scientific language conventions.
• Referencing.

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

• Online Test duration will be 90 minutes in total.
• 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.
• The online test will automatically close and submit completed student answers once the allocated time has elapsed.
• It is the student's responsibility to commence the online test before 6.30 pm Monday 9th October 2023 (AEST).
• The duration of this test is tailored to promote recall of facts, rather than research of answers unknown.
• You will be required to answer a variety of online questions. Questions may include multiple-choice, short answers, essay style or image interpretation format.
• 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 breadth of required responses.
• All unit content is assessable in this test.
• The online test question pool in its entirety will not be released to students.

Students are reminded that IT support from the university Information and Technology Division (TaSAC) is only available during AEST business hours. It is recommended that the online test is completed during business hours.

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

In the absence of an approved extension, there will be no opportunity to complete the task after this date, and there will be no opportunity to apply a late penalty of five percent per day. Students will receive a mark of zero (or fail) for this assessment if they have not completed it by the scheduled date and time and do not have an extension.

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

• Be able to differentiate the aetiology and related cardiac assessment data of congenital cardiac pathologies across the life span of a patient.
• Compare and contrast advanced imaging modalities involved in the assessment of congenital heart disease.
• Apply haemodynamic calculations used in complex cardiac assessment.
  

Question responses will be assessed according to the student's:

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

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 the student is exposed to during clinical employment. It is recommended that you update this logbook daily. This assessment task requires the submission of a Clinical Case Log Book, detailing clinical experience. A template for the Clinical Case Log Book is supplied in a word document format on the Moodle site. Students were supplied with 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 the unit and course enrolment. The clinical supervisor's digital signature can be used to verify the 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 the student participates 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 skills development.
• Cases have been documented appropriately.