CQUniversity Unit Profile
PODI14009 Rheumatology and Musculoskeletal Medicine in Podiatry Practice
Rheumatology and Musculoskeletal Medicine in Podiatry Practice
All details in this unit profile for PODI14009 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 unit will provide you with knowledge of the assessment and management of complex musculoskeletal and inflammatory disorders common to the lower extremity. The foot in rheumatology and arthropathies will be covered in detail with respect to aetiology, pathogenesis, clinical presentation, investigation, and management. You will learn how these disorders can be managed by different interventions, including the use of pressure reducing devices and footwear intervention.

Details

Career Level: Undergraduate
Unit Level: Level 4
Credit Points: 6
Student Contribution Band: 8
Fraction of Full-Time Student Load: 0.125

Pre-requisites or Co-requisites

Pre-requisite: PODI13011 Podiatry Clinical Practice 3. Co-requisite: PODI14008 Podiatry Clinical Practice 4.

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 - 2019

Rockhampton
Sydney

Attendance Requirements

All on-campus students are expected to attend scheduled classes – in some units, these classes are identified as a mandatory (pass/fail) component and attendance is compulsory. International students, on a student visa, must maintain a full time study load and meet both attendance and academic progress requirements in each study period (satisfactory attendance for International students is defined as maintaining at least an 80% attendance record).

Class and Assessment Overview

Recommended Student Time Commitment

Each 6-credit Undergraduate unit at CQUniversity requires an overall time commitment of an average of 12.5 hours of study per week, making a total of 150 hours for the unit.

Class Timetable

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

Assessment Overview

1. Online Quiz(zes)
Weighting: 20%
2. Written Assessment
Weighting: 30%
3. On-campus Activity
Weighting: Pass/Fail
4. Examination
Weighting: 50%

Assessment Grading

This is a graded unit: your overall grade will be calculated from the marks or grades for each assessment task, based on the relative weightings shown in the table above. You must obtain an overall mark for the unit of at least 50%, or an overall grade of ‘pass’ in order to pass the unit. If any ‘pass/fail’ tasks are shown in the table above they must also be completed successfully (‘pass’ grade). You must also meet any minimum mark requirements specified for a particular assessment task, as detailed in the ‘assessment task’ section (note that in some instances, the minimum mark for a task may be greater than 50%). Consult the University’s Grades and Results Policy for more details of interim results and final grades.

Previous Student Feedback

Feedback, Recommendations and Responses

Every unit is reviewed for enhancement each year. At the most recent review, the following staff and student feedback items were identified and recommendations were made.

Feedback from Summary of Student feedback-Have your say

Feedback

Students felt that the lecturer was 'a great lecturer and was above and beyond fantastic in her teaching methods; is easily adaptable to student learning capabilities and is always present when needed for assistance'. The students felt that there were many learning opportunities in the realms of rheumatology. The tasks were set out in a logical manner and approaches different topics at the suitable time e.g. all sero-negative conditions in one lecture.

Recommendation

The positive student feedback is evidence to support conducting this unit face-to-face rather than via distance mode in future years. This would allow ample opportunities for students to clarify queries in a timely manner, and the ability to adapt the pace of the lesson based on students' capabilities.

Feedback from Summary of Student feedback-Have your say

Feedback

The amount of content covered in this course is significant; whilst relevant, some topics can be reduced e.g. Blood and other laboratory investigations (urine) as these are not completely clinically relevant and within a podiatrist scope of practice.

Recommendation

In future lessons, the clinical applications should be highlighted to the students at the start. The lecture on blood and laboratory tests were reduced from 2 lectures in 2017 to 1 lecture in 2018 and further reduction in content is not possible. This lecture, although not directly podiatry related, does provide the students with an understanding of how to interpret blood and laboratory results a patient may bring into a clinical setting. This is directly related to rheumatological conditions and knowledge in this area is crucial.

Feedback from Summary of Student feedback-Have your say

Feedback

The tutorials and practicals were relevant and hands-on. Students also appreciated the ample orthotics lab time to complete our accommodation devices.

Recommendation

This was the first time students were required to fabricate a pair of accommodative orthotic device during their practical sessions as part of their on-campus activity. Having hands-on sessions definitely reduced the monotony of this theoretical unit. It is recommended that the fabrication of the accomodative device continues to be part of the practical session of this unit.

Feedback from Summary of Student feedback-Have your say

Feedback

Students found all of the assessment tasks very helpful and going through example exam questions was very useful.

Recommendation

In Week 12, there was a mock exam where students had to answer questions within a set time frame. It is recommended that this review week continues to be implemented in future years.

Unit Learning Outcomes
On successful completion of this unit, you will be able to:
  1. Recognise and appraise the pathophysiology and clinical pattern of common arthropathies and musculoskeletal disorders specific to the lower extremity
  2. Evaluate conservative therapies applicable to the patient with rheumatic diseases and implement an appropriate patient-centred management plan.
  3. Develop patient education strategies for optimum management of common lower extremity musculoskeletal and inflammatory disorders.
  4. Engage in active learning and apply an evidence based approach to rheumatology and musculoskeletal medicine in podiatry practice.

Per NPC1320

Alignment of Learning Outcomes, Assessment and Graduate Attributes
N/A Level
Introductory Level
Intermediate Level
Graduate Level
Professional Level
Advanced Level

Alignment of Assessment Tasks to Learning Outcomes

Assessment Tasks Learning Outcomes
1 2 3 4
1 - Online Quiz(zes) - 20%
2 - Written Assessment - 30%
3 - Examination - 50%
4 - On-campus Activity - 0%

Alignment of Graduate Attributes to Learning Outcomes

Graduate Attributes Learning Outcomes
1 2 3 4
1 - Communication
2 - Problem Solving
3 - Critical Thinking
4 - Information Literacy
5 - Team Work
6 - Information Technology Competence
7 - Cross Cultural Competence
8 - Ethical practice
9 - Social Innovation
10 - 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 9 10
1 - Online Quiz(zes) - 20%
2 - Written Assessment - 30%
3 - Examination - 50%
4 - On-campus Activity - 0%
Textbooks and Resources

Textbooks

Supplementary

Rheumatology of the Lower Limbs in Clinical Practice

(2012)
Authors: Jose Antonio Pereira de Silva, Anthony D Woolf
Springer
USA
ISBN: 978-1-4471-2252-4
Binding: Other

IT Resources

You will need access to the following IT resources:
  • CQUniversity Student Email
  • Internet
  • Unit Website (Moodle)
Referencing Style

All submissions for this unit must use the referencing style: American Psychological Association 6th Edition (APA 6th edition)

For further information, see the Assessment Tasks.

Teaching Contacts
Merridy Lithgow Unit Coordinator
m.lithgow@cqu.edu.au
Schedule
Week 1 - Overview of Unit PODI14009 and Review of Joints of the Lower Limb Begin Date: 11 Mar 2019

Module/Topic

Functional assessments of hip, knee, ankle and foot joints

Foot Health Surveys

GALS - Gait, Arms, Legs and Spine

Chapter

Merriman's Assessment of the Lower Limb (2009)

Editor: Ben Yates

Churchill Livingstone

ISBN 978-0-7020-5247-7

Chapter 10

Management of Chronic Conditions in the Foot and Lower Leg

Editors: Keith Rome, Peter McNair

Churchill Livingstone

ISBN 978-0-7020-4769-5

Chapter 2

Events and Submissions/Topic

Week 2 - Joint Inflammation in the Lower Limb Begin Date: 18 Mar 2019

Module/Topic

Functional assessment of the lower limb in health and in disease

Foot Impact Score 

REMS - Regional Examination of Musculoskeletal System

Chapter

Neale's Disorders of the Foot (2010)
Authors: Paul Frowen, Maureen O'Donnell, Donald Lorimer, Gordon Burrow
Churchill Livingstone
Elsevier
ISBN 978-0-7020-3029-1
Chapter 8

Events and Submissions/Topic

Week 3 - Diagnostic Tests in Rheumatology Begin Date: 25 Mar 2019

Module/Topic

Diagnostic Tests Part 1
Haematology – blood tests and urine tests

Diagnostic Test Part 2
X-ray and ultrasound

Chapter

Events and Submissions/Topic

Create simple insoles for Rheumatological conditions

Venue: Orthotic laboratory

Week 4 - Inflammatory Sero Positive Arthritides Begin Date: 01 Apr 2019

Module/Topic

Rheumatoid Arthritis
Systemic Lupus Erythematosis
Scleroderma
Sjogren's Syndrome

Chapter

Events and Submissions/Topic

Revise foot casting using foam box, POP and iPad scanner - cast and pour

Venue: Orthotic laboratory


Week 5 - Inflammatory Sero Negative Arthritides Begin Date: 08 Apr 2019

Module/Topic

Psoriatic Arthritis

Reactive arthritis

Ankylosing spondylitis

Enteropathic arthritis

Chapter

Events and Submissions/Topic

Create an accommodative custom orthotic - cast modifications from plaster cast

Venue: Orthotic laboratory


Vacation Week Begin Date: 15 Apr 2019

Module/Topic

Chapter

Events and Submissions/Topic

Week 6 - Self Directed Learning for Online Quiz Begin Date: 22 Apr 2019

Module/Topic

There is no lecture, tutorial and practical session this week as it is a public holiday.

Students are expected to conduct self directed learning for the online quiz which is scheduled on Friday.

Chapter

Events and Submissions/Topic

Online Quiz: Friday 26th April

Venue: Computer lab

Time: 8:00 am


Online Quiz Due: Week 6 Friday (26 Apr 2019) 8:00 am AEST


Online Quiz Due: Week 6 Friday (26 Apr 2019) 8:00 am AEST
Week 7 - Inflammatory Infectious and Crystal Induced Arthritides Begin Date: 29 Apr 2019

Module/Topic

Septic arthritis

Osteomyelitis

Gout

Pseudo-gout

Chapter

Events and Submissions/Topic

Create an accommodative custom orthotic –thermoforming

Venue: Orthotic laboratory


Week 8 - Non-inflammatory Acute Arthritides & Non-inflammatory Chronic Arthritides Begin Date: 06 May 2019

Module/Topic

Torn ligaments

Avascular necrosis

Charcot foot

Osteoarthritis

Chapter

Events and Submissions/Topic

Create an accommodative custom orthotic – grinding

Venue: Orthotic laboratory


Written Assessment Due (30%): Week 8 Tuesday (7th May 2019) 11:59 pm AEST
Written Assessment Due: Week 8 Tuesday (7 May 2019) 11:59 pm AEST
Week 9 - Biomechanical Gait Analysis in Rheumatology Begin Date: 13 May 2019

Module/Topic

Gait analysis of abnormal gait seen in Rheumatological conditions

Plantar pressure analysis and/or video gait analysis

Chapter

Whittle's Gait Analysis Chap 7

Events and Submissions/Topic


Week 10 - Podiatric Conservative Interventions & Other Interventions Begin Date: 20 May 2019

Module/Topic

Podiatric Conservative interventions

Other Interventions:

Pharmacology in Rheumatoid Condition

Injections (Cortisone/ simvisc)

Surgical interventions

Chapter

Events and Submissions/Topic

Create an accommodative custom orthotic – grinding

Venue: Orthotic laboratory

Week 11 - Clinical Skills in Rheumatology Begin Date: 27 May 2019

Module/Topic

Revision of all practical skills undertaken throughout the term

Chapter

Events and Submissions/Topic

Create an accommodative custom orthotic – top cover and finish

Venue: Orthotic laboratory

Week 12 - Review Begin Date: 03 Jun 2019

Module/Topic

Chapter

Events and Submissions/Topic

Attendance, Completion of Foot Health Surveys, and Finish Accommodative Device Due: Week 12 Monday (3 June 2019) 11:59 pm AEST


On Campus Activity (Pass/Fail) Due: Week 12 Monday (3 June 2019) 11:59 pm AEST
Review/Exam Week Begin Date: 10 Jun 2019

Module/Topic

Chapter

Events and Submissions/Topic

Exam Week Begin Date: 17 Jun 2019

Module/Topic

Chapter

Events and Submissions/Topic

Term Specific Information

Attendance: As per the University’s recommendation that "All on-campus students are expected to attend scheduled classes,” students should also be aware that there is clear evidence to show that attendance rates are directly related to academic progress. It is therefore in your best interest and strongly recommended in the Bachelor of Podiatry Practice (Honours) course, that you attend all scheduled learning activities to support your learning.

Uniform: In all practical classes, students are required to wear the nominated uniform. Students must purchase their uniform from the bookshop. This uniform is separate to the mandatory clinical uniform. Please refer to the Podiatry Course Handbook for further details.

Assessment Tasks

1 Online Quiz(zes)

Assessment Title
Online Quiz

Task Description

The Online Quiz in Week 6 (26th April 2019) will consist of 40 multiple choice questions and cover content from Weeks 1-5.

The quiz will have a time limit of 60 minutes. The quiz will take place in a computer lab (or equivalent location) and is a closed book task. Access to books, notes, websites (other than the quiz) and the use of other electronic devices are prohibited during the quiz.

Topics covered include:

- Assessment of lower limb

- Diagnostic Tests

- Inflammatory sero positive arthritides - pathology and management

- Inflammatory sero negative arthritides - pathology and management


Number of Quizzes

1


Frequency of Quizzes


Assessment Due Date

Week 6 Friday (26 Apr 2019) 8:00 am AEST


Return Date to Students

Week 7 Monday (29 Apr 2019)

The quiz will be marked electronically and the results will be available in Moodle.


Weighting
20%

Assessment Criteria

You will need to demonstrate that you are able to:

1) Recognise and appraise the pathophysiology and clinical pattern of common arthropathies and musculoskeletal disorders specific to the lower extremity


Referencing Style

Submission
Online

Learning Outcomes Assessed
  • Recognise and appraise the pathophysiology and clinical pattern of common arthropathies and musculoskeletal disorders specific to the lower extremity


Graduate Attributes
  • Communication
  • Problem Solving
  • Critical Thinking
  • Information Literacy
  • Information Technology Competence

2 Written Assessment

Assessment Title
Written Assessment

Task Description

The written assesment will be in the form of an essay.

The topic will be specific to the field of rheumatology and podiatry practice and will be decided upon after discussion with the Unit Coordinator. You will be expected to review the relevant literature in order to establish the current knowledge of the particular topic/s .

The essay must be 1500 (+/- 10%) words (excluding any references, figures and tables) and should include:

• A cover page which includes assessment title, student’s name and number, Unit Coordinators name, course code and title, due date, word count.

• An introduction

• Argument/case supported with evidence from the literature.

• Conclusion


Assessment Due Date

Week 8 Tuesday (7 May 2019) 11:59 pm AEST


Return Date to Students

Week 10 Tuesday (21 May 2019)

Results will be available in Moodle


Weighting
30%

Assessment Criteria

You will need to demonstrate that you are able to:

1. Evaluate conservative therapies applicable to the patient with rheumatic diseases and implement an appropriate patient-centred management plan.

2. Develop patient education strategies for optimum management of common lower extremity musculoskeletal and inflammatory disorders.

3. Engage in active learning and apply an evidence based approach to rheumatology and musculoskeletal medicine in podiatry practice.


The assessment rubric for the written assessment will be provided to you at the start of term.


Referencing Style

Submission
Online

Learning Outcomes Assessed
  • Evaluate conservative therapies applicable to the patient with rheumatic diseases and implement an appropriate patient-centred management plan.
  • Develop patient education strategies for optimum management of common lower extremity musculoskeletal and inflammatory disorders.
  • Engage in active learning and apply an evidence based approach to rheumatology and musculoskeletal medicine in podiatry practice.


Graduate Attributes
  • Communication
  • Problem Solving
  • Critical Thinking
  • Information Literacy
  • Team Work
  • Information Technology Competence
  • Cross Cultural Competence

3 On-campus Activity

Assessment Title
On Campus Activity (Pass/Fail)

Task Description

You will be expected to complete 8 compulsory competency tasks that forms part of a competency checklist.

The competency tasks will be made available to you at the start of term. Each competency task will be completed during tutorial and/or practical sessions and your attendance is compulsory. More details and information regarding the on campus activities will be made available at the start of term.


Assessment Due Date

Week 12 Monday (3 June 2019) 11:59 pm AEST

All 10 competency tasks must be completed by the start of week 12


Return Date to Students

Review/Exam Week Monday (10 June 2019)

At the completion of term


Weighting
Pass/Fail

Assessment Criteria

You will need to demonstrate that you are able to:

Engage in active learning and apply an evidence based approach to rheumatology and musculoskeletal medicine in podiatry practice.

The on campus activities in this unit consists of competency tasks relating to professional podiatry skills, which are inherent requirements to meet the professional standards. Satisfactory completion of these activities on campus are integral to your achievement of learning outcomes and assessment of this unit and other units within the course. Participation in all competency tasks is required for you to satisfactorily PASS this unit.

If you are unable to attend campus, you must notify the Unit Coordinator (in writing/by e mail) as soon as possible, and provide a medical certificate or statutory declaration supporting any absence within five (5) working days. If the required documentation is not provided to the Unit Coordinator within the stipulated time frame, you will be marked as ‘Absent’ for the session. Failure to maintain a satisfactory competency record for on campus activities may seriously undermine your ability to complete this unit and will result in a ‘Fail’ grade.


Referencing Style

Submission
Offline

Submission Instructions
Hard copies of the competencies tasks are to be handed to the Unit Coordinator when they are completed each week. The completed accommodative devices are to be handed in by Monday Week 12.

Learning Outcomes Assessed
  • Engage in active learning and apply an evidence based approach to rheumatology and musculoskeletal medicine in podiatry practice.


Graduate Attributes
  • Ethical practice

Examination

Outline
Complete an invigilated examination

Date
During the examination period at a CQUniversity examination centre

Weighting
50%

Length
180 minutes

Minimum mark or grade
50

Exam Conditions
Closed Book

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