Students
CHIR919 – Clinical Management
2014 – S2 Day
General Information
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| Unit convenor and teaching staff |
Unit convenor and teaching staff
Unit Co-Convener
Rosemary Giuriato
Contact via rosemary.giuriato@mq.edu.au
Unit Co-Convener
Curtis Rigney
Contact via curtis.rigney@mq.edu.au
C5C 367
Tuesday 10-12 or by appointment
Lecturer
Matthew Fernandez
Lecturer
Hazel Jenkins
Tutor
Kym Abbott
Tutor
Melissa Tan
Tutor
Lucinda Slavin
Tutor
Catherine Blacke
Tutor
Jakob Dolan
Tutor
Christopher Jolliffe
Tutor
Felipe Baccan
Tutor
Farouk Badawi
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|---|---|
| Credit points |
Credit points
4
|
| Prerequisites |
Prerequisites
CHIR873 and CHIR916 and CHIR918
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| Corequisites |
Corequisites
CHIR874 and CHIR917
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| Co-badged status |
Co-badged status
|
| Unit description |
Unit description
There are three areas of focus within this unit. Clinical reasoning skills are enhanced through experiential case presentations. This focus will allow the students to formulate clinical decisions based on the integrated knowledge gained from the varied clinical sciences and from the analyses learned from previous units. Rehabilitation of the spine is another focus; rehabilitation of the extremities is introduced. The third focus is on preparation for clinic internship.
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Important Academic Dates
Information about important academic dates including deadlines for withdrawing from units are available at https://www.mq.edu.au/study/calendar-of-dates
Learning Outcomes
On successful completion of this unit, you will be able to:
- Determine differential diagnoses based on historical, physical, functional information as well as information from special investigations
- Construct an appropriate approach to a patient interview and determine appropriate investigations based on individual patient needs
- Demonstrate appropriate use of and performance of post – isometric relaxations
- Describe the rationale for and perform afferent therapies, core stabilization, spinal loading, and progressive exercise
- Further develop research skills
- Undertake a junior internship period meeting assessments relating to the operations of the clinic systems
General Assessment Information
Examination(s)
You are expected to present yourself for examination at the time and place designated in the University Examination Timetable. http://www.timetables.mq.edu.au/exam
The only exception to not sitting an examination at the designated time is because of documented illness or unavoidable disruption. In these circumstances you may wish to consider applying for Special Consideration. Information about unavoidable disruption and the special consideration process is available at Policy Central: http://www.mq.edu.au/policy/
If a Supplementary Examination is granted as a result of the Special Consideration process the examination will be scheduled after the conclusion of the official examination period. You are advised that it is Macquarie University policy not to set early examinations for individuals or groups of students. All students are expected to ensure that they are available until the end of the teaching semester, that is, the final day of the official examination period.
Extensions and penalties
Extensions to assignments is at the discretion of the unit convener. It is the responsibility of the student to prove to the convener that there has been unavoidable disruption. If accepted, marks will be deducted for late submissions in the absence of an approved extension.
Returning Assessment Tasks
1. The results of the first practical will be posted within 10 working days and will be returned to the student
2. Assignment: Will be returned by Week 10. General feedback will be given during lecture and tutorial time
3. Case management results will be posted within 10 working days of completion.
4. Jr. Internship will involve regular and rapid feedback.
5. Group project results will be posted within 10 working days of completion.
6. Practice Assessment: Results will NOT be posted in accordance with Departmental policy.
7. OSCE results will not be made available in accordance with Departmental policy.
8. Examination: Papers will not be returned. Marks will be incorporated into the final unit grade.
Assessment Tasks
| Name | Weighting | Due |
|---|---|---|
| Practical assessment 1 | 5% | week 7 |
| Assignment 1 | 10% | week 7 |
| Case Management | 15% | Week 7 |
| Junior Internship | 10% | Ongoing |
| Group Presentation | 10% | Week 9 |
| Practical Assessment 2 | 25% | week 13 |
| Clinical Competency Exam | 0% | week 13 |
| Theory Final Exams | 25% | Exam Period |
Practical assessment 1
Due: week 7
Weighting: 5%
Assessment of understanding and performance of Post-isometric Relaxation and Sensory Motor Stimulation
On successful completion you will be able to:
- Demonstrate appropriate use of and performance of post – isometric relaxations
- Describe the rationale for and perform afferent therapies, core stabilization, spinal loading, and progressive exercise
Assignment 1
Due: week 7
Weighting: 10%
Will assess a student’s ability to document procedures, perform and interpret functional assessments, and diagram a rational aetiology. The assignment will also assess a student’s knowledge of anatomy and muscle function.
On successful completion you will be able to:
- Demonstrate appropriate use of and performance of post – isometric relaxations
- Describe the rationale for and perform afferent therapies, core stabilization, spinal loading, and progressive exercise
Case Management
Due: Week 7
Weighting: 15%
Will occur during a Tuesday tutorial and will be a written assessment related to the process of making a diagnosis and developing a management plan.
On successful completion you will be able to:
- Determine differential diagnoses based on historical, physical, functional information as well as information from special investigations
- Construct an appropriate approach to a patient interview and determine appropriate investigations based on individual patient needs
Junior Internship
Due: Ongoing
Weighting: 10%
You will participate in 20 hours in one of the Department’s clinics in the role as a junior intern. Attendance is mandatory. Punctuality, personal cleanliness and appropriate dress, as well as appropriate participation are also mandatory. Students will complete both reception duties in addition to observing senior interns whilst delivering treatment. During this internship period, every intern must competently complete the 'Consent Clinical Assessment' task.
On successful completion you will be able to:
- Determine differential diagnoses based on historical, physical, functional information as well as information from special investigations
- Construct an appropriate approach to a patient interview and determine appropriate investigations based on individual patient needs
- Describe the rationale for and perform afferent therapies, core stabilization, spinal loading, and progressive exercise
- Undertake a junior internship period meeting assessments relating to the operations of the clinic systems
Group Presentation
Due: Week 9
Weighting: 10%
Students will assign themselves to a group to research and present management of common neuromusculoskeletal conditions.
On successful completion you will be able to:
- Further develop research skills
Practical Assessment 2
Due: week 13
Weighting: 25%
Comprehensive assessment of rehab skills (assessment and management).
On successful completion you will be able to:
- Demonstrate appropriate use of and performance of post – isometric relaxations
- Describe the rationale for and perform afferent therapies, core stabilization, spinal loading, and progressive exercise
Clinical Competency Exam
Due: week 13
Weighting: 0%
Integrated assessment involving knowledge from orthopaedics, neurology, physical examination, functional assessment, technique, and rehabilitation. This assessment requires a passing grade to continue into clinic. This assessment is a Pass / Fail assessment
On successful completion you will be able to:
- Determine differential diagnoses based on historical, physical, functional information as well as information from special investigations
- Construct an appropriate approach to a patient interview and determine appropriate investigations based on individual patient needs
- Describe the rationale for and perform afferent therapies, core stabilization, spinal loading, and progressive exercise
Theory Final Exams
Due: Exam Period
Weighting: 25%
These will cover the discipline specific content of the entire semester.
On successful completion you will be able to:
- Determine differential diagnoses based on historical, physical, functional information as well as information from special investigations
- Construct an appropriate approach to a patient interview and determine appropriate investigations based on individual patient needs
- Demonstrate appropriate use of and performance of post – isometric relaxations
- Describe the rationale for and perform afferent therapies, core stabilization, spinal loading, and progressive exercise
Delivery and Resources
Delivery mode
Will be comprised of a combination of face-to-face lectures, pre-recorded lectures, self-directed learning, and hands-on tutorials:
1. 1 x two hour rehabilitation lecture per week
2. 1 x one hour clinical management lecture per week
3. 2 x two hour tutorials/practicals per week; 1 tutorial for rehabilitation, 1 tutorial for clinical management
4. 20 hours of junior internship during the mid-semester break
5. 2-3 hours per week self instructional learning
Class times and locations
Lectures: will be held in C5C 230 (Forum)
L1; Friday 10-12
L2; Tuesday 8-9am
Monday Tutorials (T1): held in E5A 330 & 340
Tuesday Tutorials (T2): held in E5A 320
NB: Check with the University’s timetable webpage to confirm room locations.
Required and recommended resources
- Required texts:
- Liebenson. Rehabilitation of the Spine: a practitioner’s manual 2nd ed. Raven Press
- Beirman. Cases in the differential diagnosis for physical and manipulative therapists
ISBN: 9780729539975
- Required Course Notes: (available in co-op)
- CHIR919 Workbook
- Recommended texts:
- Morris. Low Back Pain: Integrated. McGraw-hill
- 2014 Department of Chiropractic Clinic Manual
Unit Schedule
|
WEEK |
TUTORIAL 1 REHAB (Mon) |
LECTURE 1 REASONING (Tue) |
TUTORIAL 2 REASONING (Tue) |
LECTURE 2 REHAB (Fri) |
|
Week 1 4-8/8 |
No Tutorial |
Unit Intro/ scope of clinical management |
No Tutorial
|
PNF/PIR (Chapter 19) CTR |
|
Week 2 11-15/8 |
Length/PIR |
The geriatric patient 1 |
Intro to tutorial format Case 1 Preparation for case 2 |
Spinal Loading (Chapter 15) MF |
|
Week 3 18-22/8
|
Length/PIR |
The geriatric patient 2 |
Case 2 |
Nerve Tension (Chapter 20) MF |
|
Week 4 25-29/8
|
Length/PIR Bullet Presentations (75min) |
The geriatric patient 3 |
Case 2
Written communication |
Sensory Motor Stim./Management (Chapter 22) CTR |
|
Week 5 1-5/9 Class test |
SMS |
Assessing mental status |
Case 3 |
Exercise Science
MF |
|
Week 6 8-12/9 Spot |
SMS Plus |
Clinic |
Case 4/ Professionalism Integrity |
Spinal Stabilization (Chapters 25 & 26) MF |
|
Week 7 15-19/9 Assign. |
Spinal Stabilisation PIR / SMS Assessment |
Cases |
Case 5 Individual work |
Strength & Fitness
MF (pre-recorded) |
|
Week 8 6-10/10 Labour day |
No tutorial
Labour Day |
The paediatric patient 1 |
Working with paediatric patients Case 6 |
Cervical/Thoracic Rehab HJ |
|
Week 9 13-17/10 |
Exercise Therapy/ Core Stab
|
The paediatric patient 2 |
Case 6 |
Group Presentations
CTR |
|
Week 10 20-24/10 |
Exercise Therapy/ Cervical/Thoracic |
The paediatric patient 3 |
Case 7 |
Group Presentations
CTR |
|
Week 11 27-31/10 |
Exercise Therapy/ Core Stab |
The pregnant patient |
Case 7 |
Group Presentations
CTR |
|
Week 12 3-7/11 |
Revision |
Unit Summary |
OSCE preparation |
Group Presentations
CTR |
|
Week 13 10-14/11 |
Final Practical |
OSCE |
OSCE (ortho, neuro, x-ray, physical, functional, technique) |
NO LECTURE |
Policies and Procedures
Macquarie University policies and procedures are accessible from Policy Central. Students should be aware of the following policies in particular with regard to Learning and Teaching:
Academic Honesty Policy http://mq.edu.au/policy/docs/academic_honesty/policy.html
Assessment Policy http://mq.edu.au/policy/docs/assessment/policy.html
Grading Policy http://mq.edu.au/policy/docs/grading/policy.html
Grade Appeal Policy http://mq.edu.au/policy/docs/gradeappeal/policy.html
Grievance Management Policy http://mq.edu.au/policy/docs/grievance_management/policy.html
Disruption to Studies Policy http://www.mq.edu.au/policy/docs/disruption_studies/policy.html The Disruption to Studies Policy is effective from March 3 2014 and replaces the Special Consideration Policy.
In addition, a number of other policies can be found in the Learning and Teaching Category of Policy Central.
Student Code of Conduct
Macquarie University students have a responsibility to be familiar with the Student Code of Conduct: https://students.mq.edu.au/support/student_conduct/
In addition to the code of conduct as outlined in the Department's Clinic Manual, all student interns are bound by the Code of Conduct as outlined by the Chiropractic Board of Australia (CBA) whilst in attendance in the University Clinics http://www.chiropracticboard.gov.au/Codes-guidelines/Code-of-conduct.aspx
Student Support
Macquarie University provides a range of support services for students. For details, visit http://students.mq.edu.au/support/
Learning Skills
Learning Skills (mq.edu.au/learningskills) provides academic writing resources and study strategies to improve your marks and take control of your study.
Student Services and Support
Students with a disability are encouraged to contact the Disability Service who can provide appropriate help with any issues that arise during their studies.
Student Enquiries
For all student enquiries, visit Student Connect at ask.mq.edu.au
IT Help
For help with University computer systems and technology, visit http://informatics.mq.edu.au/help/.
When using the University's IT, you must adhere to the Acceptable Use Policy. The policy applies to all who connect to the MQ network including students.
Graduate Capabilities
PG - Discipline Knowledge and Skills
Our postgraduates will be able to demonstrate a significantly enhanced depth and breadth of knowledge, scholarly understanding, and specific subject content knowledge in their chosen fields.
This graduate capability is supported by:
Learning outcomes
- Determine differential diagnoses based on historical, physical, functional information as well as information from special investigations
- Construct an appropriate approach to a patient interview and determine appropriate investigations based on individual patient needs
- Demonstrate appropriate use of and performance of post – isometric relaxations
- Describe the rationale for and perform afferent therapies, core stabilization, spinal loading, and progressive exercise
- Further develop research skills
- Undertake a junior internship period meeting assessments relating to the operations of the clinic systems
Assessment tasks
- Practical assessment 1
- Assignment 1
- Case Management
- Junior Internship
- Group Presentation
- Practical Assessment 2
- Clinical Competency Exam
- Theory Final Exams
PG - Critical, Analytical and Integrative Thinking
Our postgraduates will be capable of utilising and reflecting on prior knowledge and experience, of applying higher level critical thinking skills, and of integrating and synthesising learning and knowledge from a range of sources and environments. A characteristic of this form of thinking is the generation of new, professionally oriented knowledge through personal or group-based critique of practice and theory.
This graduate capability is supported by:
Learning outcomes
- Determine differential diagnoses based on historical, physical, functional information as well as information from special investigations
- Construct an appropriate approach to a patient interview and determine appropriate investigations based on individual patient needs
- Demonstrate appropriate use of and performance of post – isometric relaxations
- Describe the rationale for and perform afferent therapies, core stabilization, spinal loading, and progressive exercise
- Further develop research skills
- Undertake a junior internship period meeting assessments relating to the operations of the clinic systems
Assessment tasks
- Practical assessment 1
- Assignment 1
- Case Management
- Junior Internship
- Group Presentation
- Practical Assessment 2
- Clinical Competency Exam
- Theory Final Exams
PG - Research and Problem Solving Capability
Our postgraduates will be capable of systematic enquiry; able to use research skills to create new knowledge that can be applied to real world issues, or contribute to a field of study or practice to enhance society. They will be capable of creative questioning, problem finding and problem solving.
This graduate capability is supported by:
Learning outcomes
- Determine differential diagnoses based on historical, physical, functional information as well as information from special investigations
- Construct an appropriate approach to a patient interview and determine appropriate investigations based on individual patient needs
- Demonstrate appropriate use of and performance of post – isometric relaxations
- Describe the rationale for and perform afferent therapies, core stabilization, spinal loading, and progressive exercise
- Further develop research skills
- Undertake a junior internship period meeting assessments relating to the operations of the clinic systems
Assessment tasks
- Practical assessment 1
- Assignment 1
- Case Management
- Junior Internship
- Group Presentation
- Practical Assessment 2
- Clinical Competency Exam
- Theory Final Exams
PG - Effective Communication
Our postgraduates will be able to communicate effectively and convey their views to different social, cultural, and professional audiences. They will be able to use a variety of technologically supported media to communicate with empathy using a range of written, spoken or visual formats.
This graduate capability is supported by:
Learning outcomes
- Determine differential diagnoses based on historical, physical, functional information as well as information from special investigations
- Construct an appropriate approach to a patient interview and determine appropriate investigations based on individual patient needs
- Demonstrate appropriate use of and performance of post – isometric relaxations
- Describe the rationale for and perform afferent therapies, core stabilization, spinal loading, and progressive exercise
- Further develop research skills
- Undertake a junior internship period meeting assessments relating to the operations of the clinic systems
Assessment tasks
- Practical assessment 1
- Assignment 1
- Case Management
- Junior Internship
- Group Presentation
- Practical Assessment 2
- Clinical Competency Exam
- Theory Final Exams
PG - Engaged and Responsible, Active and Ethical Citizens
Our postgraduates will be ethically aware and capable of confident transformative action in relation to their professional responsibilities and the wider community. They will have a sense of connectedness with others and country and have a sense of mutual obligation. They will be able to appreciate the impact of their professional roles for social justice and inclusion related to national and global issues
This graduate capability is supported by:
Learning outcomes
- Determine differential diagnoses based on historical, physical, functional information as well as information from special investigations
- Construct an appropriate approach to a patient interview and determine appropriate investigations based on individual patient needs
- Demonstrate appropriate use of and performance of post – isometric relaxations
- Describe the rationale for and perform afferent therapies, core stabilization, spinal loading, and progressive exercise
- Further develop research skills
- Undertake a junior internship period meeting assessments relating to the operations of the clinic systems
Assessment tasks
- Practical assessment 1
- Assignment 1
- Case Management
- Junior Internship
- Group Presentation
- Practical Assessment 2
- Clinical Competency Exam
- Theory Final Exams
PG - Capable of Professional and Personal Judgment and Initiative
Our postgraduates will demonstrate a high standard of discernment and common sense in their professional and personal judgment. They will have the ability to make informed choices and decisions that reflect both the nature of their professional work and their personal perspectives.
This graduate capability is supported by:
Learning outcomes
- Determine differential diagnoses based on historical, physical, functional information as well as information from special investigations
- Construct an appropriate approach to a patient interview and determine appropriate investigations based on individual patient needs
- Demonstrate appropriate use of and performance of post – isometric relaxations
- Further develop research skills
- Undertake a junior internship period meeting assessments relating to the operations of the clinic systems
Assessment tasks
- Practical assessment 1
- Assignment 1
- Case Management
- Junior Internship
- Group Presentation
- Practical Assessment 2
- Clinical Competency Exam
- Theory Final Exams
Changes from Previous Offering
Grade and Attendance Requirements
Attendance Requirements
You are to attend the tutorial in which you are enrolled. Permission to attend an alternative tutorial requires permission from the unit convenor. Attendance is mandated at a minimum of 85% attendance. Failing to meet this minimum attendance will have a negative impact on your grade. You must attend at your allocated time and clinic in order to meet a minimum of 90% attendance at your junior clinic internship shift.
Grades
Achievement of grades will be based on the following criteria:
High Distinction: provides consistent evidence of deep and critical understanding in relation to the learning outcomes. There is substantial originality and insight in identifying, generating and communicating competing arguments, perspectives or problem solving approaches; critical evaluation of problems, their solutions and their implications; creativity in application.
Distinction: provides evidence of integration and evaluation of critical ideas, principles and theories, distinctive insight and ability in applying relevant skills and concepts in relation to learning outcomes. There is demonstration of frequent originality in defining and analysing issues or problems and providing solutions; and the use of means of communication appropriate to the discipline and the audience.
Credit: provides evidence of learning that goes beyond replication of content knowledge or skills relevant to the learning outcomes. There is demonstration of substantial understanding of fundamental concepts in the field of study and the ability to apply these concepts in a variety of contexts; plus communication of ideas fluently and clearly in terms of the conventions of the discipline.
Pass: provides sufficient evidence of the achievement of learning outcomes. There is demonstration of understanding and application of fundamental concepts of the field of study; and communication of information and ideas adequately in terms of the conventions of the discipline. The learning attainment is considered satisfactory or adequate or competent or capable in relation to the specified outcomes.
A passing mark for the final OSCE is required.
Fail: does not provide evidence of attainment of all learning outcomes.
There is missing or partial or superficial or faulty understanding and application of the fundamental concepts in the field of study; and incomplete, confusing or lacking communication of ideas in ways that give little attention to the conventions of the discipline.
Sometimes it helps to ‘translate’ these descriptions into numbers. So, what we expect from you in this unit, in order for you to attain a specific grade, is outlined below:
|
GRADE |
REQUIREMENT |
|
Pass |
A minimum of 60% in each of assessment PLUS a minimum 60% total raw mark; Must receive a passing mark for the OSCE assessment |
|
Credit |
A minimum of 60% in each of assessment; PLUS a minimum 70% total raw mark; Must receive a passing mark for the OSCE assessment |
|
Distinction |
A minimum of 60% in each of assessment; PLUS a minimum 80% total raw mark; Must receive a passing mark for the OSCE assessment |
|
High Distinction |
A minimum of 60% in each of assessment tasks; PLUS a minimum 85% total raw mark; Must receive a passing mark for the OSCE assessment |