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CHIR891 – Clinical Chiropractic 1

2017 – S1 Day

General Information

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Unit convenor and teaching staff Unit convenor and teaching staff Unit convenor & Lecturer
Christopher Burrell
Contact via christopher.burrell@mq.edu.au
C5C 341
By appointment
Lecturer and Lead Tutor
Stephen Esposito
Contact via stephen.esposito@mq.edu.au
Tutor
Natasha Eggers
Contact via natasha.eggers@mq.edu.au
Tutor
Alison Griffiths
Contact via alison.griffiths@mq.edu.au
Lecturer and Lead Tutor
Scott Philipson
Contact via scott.philipson@mq.edu.au
Tutor
Camille Rahme
Contact via camille.rahme@mq.edu.au
Tutor
Simon Rahme
Contact via simon.rahme@mq.edu.au
Tutor
Mei Wong
Contact via mei.wong@mq.edu.au
Tutor
Hossain Tefaili
Contact via hossain.tefaili@mq.edu.au
Credit points Credit points
4
Prerequisites Prerequisites
Admission to MChiroprac and (CHIR311 or CHIR316 or (CHIR602 and CHIR603 and CHIR604 and CHIR605 and CHIR606 and CHIR607))
Corequisites Corequisites
Co-badged status Co-badged status
Unit description Unit description
This unit provides a thorough coverage of chiropractic technique including spinal and peripheral joint manipulative procedures, as well as physical assessment procedures such as static and motion palpation. The unit covers one technique in detail; Diversified, as well as peripheral joint mobilisation and manipulation. By the completion of this unit students will be well grounded in a range of spinal manipulative techniques. Major themes relating to evidence-based practice (EBP) continue to be developed.

Important Academic Dates

Information about important academic dates including deadlines for withdrawing from units are available at http://students.mq.edu.au/student_admin/enrolmentguide/academicdates/

Learning Outcomes

  1. The ability to perform spinal adjustments and/or mobilisations with the appropriate associated skills; i.e. advanced tactile/palpatory skills and hand/body/eye co-ordination of practitioner movements.
  2. The ability to control adjustment/mobilisation procedures with regard to patient body type, patient position, practitioner position, primary contact, secondary contact, lock-up/set-up, speed, amplitude and line of drive.
  3. The ability to perform advanced static and motion palpation of spinal and peripheral joint systems.
  4. Understanding of spinal joint normal and pathological biomechanics
  5. Have the ability to assess and treat a variety of basic musculo-skeletal complaints at the proficiency of "clinician".
  6. Become proficient in research skills at the level of open inquiry within structured guidelines as part of a research skills development (RSD) progression

Assessment Tasks

Name Weighting Hurdle Due
Tutorial attendance 0% Ongoing
Video Assignment 0% Rolling
iLearn Quiz 1 10% 6pm Thursday of week 7
iLearn Quiz 2 10% 6pm Friday of week 12
FoCA (2x10%) 20% Week 6 & week 11
OSCE 30% Week 13
End of semester written exam 30% No University Examination Period

Tutorial attendance

Due: Ongoing
Weighting: 0%

As this is a chiropractic technique unit tutorial attendance is vital.

Tutorial attendance will be recorded by tutors.

A minimum tutorial attendance of 85% is expected.


This Assessment Task relates to the following Learning Outcomes:
  • The ability to perform spinal adjustments and/or mobilisations with the appropriate associated skills; i.e. advanced tactile/palpatory skills and hand/body/eye co-ordination of practitioner movements.
  • The ability to control adjustment/mobilisation procedures with regard to patient body type, patient position, practitioner position, primary contact, secondary contact, lock-up/set-up, speed, amplitude and line of drive.
  • The ability to perform advanced static and motion palpation of spinal and peripheral joint systems.
  • Understanding of spinal joint normal and pathological biomechanics
  • Have the ability to assess and treat a variety of basic musculo-skeletal complaints at the proficiency of "clinician".
  • Become proficient in research skills at the level of open inquiry within structured guidelines as part of a research skills development (RSD) progression

Video Assignment

Due: Rolling
Weighting: 0%

A Technique Video Assignment is a task that aims to help you develop the challenging skill of 'putting it all together'. You will need to address the clinical presentation of a fellow student. You need to take a case history, conduct a physical examination, develop a treatment plan, deliver the first adjustment of that treatment plan, conduct a post treatment examination and appropraitely record all aspects of this clinical interaction. 

You will work independently up to the point of performing the adjustment. At that point you shall consult a tutor about the case you have worked up. Your tutor will discuss the clinical presentation with you and provide feedback on your clinical interaction, reasoning and records up to that point. Your tutor will then either agree with your proposed adjustment or propose an alternate approach. You will then video record the performance of the adjustment in a supervised environment (in class or in supervised practice). You will then submit the video and associated paperwork through the iLearn system. A tutor will then grade the performance offer feedback. You will then be able to watch your performance again in light of this feedback to help your technique development.


This Assessment Task relates to the following Learning Outcomes:
  • The ability to perform spinal adjustments and/or mobilisations with the appropriate associated skills; i.e. advanced tactile/palpatory skills and hand/body/eye co-ordination of practitioner movements.
  • The ability to control adjustment/mobilisation procedures with regard to patient body type, patient position, practitioner position, primary contact, secondary contact, lock-up/set-up, speed, amplitude and line of drive.
  • The ability to perform advanced static and motion palpation of spinal and peripheral joint systems.
  • Have the ability to assess and treat a variety of basic musculo-skeletal complaints at the proficiency of "clinician".

iLearn Quiz 1

Due: 6pm Thursday of week 7
Weighting: 10%

Online Quiz covering material from weeks 1, 2, 3, 4, 5 & 6.

The quiz will be available online Wednesday evening at 6pm and will stay open for 24 hours closing 6pm Thursday evening of week 7.


This Assessment Task relates to the following Learning Outcomes:
  • Understanding of spinal joint normal and pathological biomechanics
  • Have the ability to assess and treat a variety of basic musculo-skeletal complaints at the proficiency of "clinician".
  • Become proficient in research skills at the level of open inquiry within structured guidelines as part of a research skills development (RSD) progression

iLearn Quiz 2

Due: 6pm Friday of week 12
Weighting: 10%

Online Quiz covering material from weeks 7, 8, 9, 10 & 11.

The quiz will be available online Thursday evening at 6pm and will stay open for 24 hours closing 6pm Friday evening of week 12.


This Assessment Task relates to the following Learning Outcomes:
  • Understanding of spinal joint normal and pathological biomechanics
  • Have the ability to assess and treat a variety of basic musculo-skeletal complaints at the proficiency of "clinician".
  • Become proficient in research skills at the level of open inquiry within structured guidelines as part of a research skills development (RSD) progression

FoCA (2x10%)

Due: Week 6 & week 11
Weighting: 20%

Feedback on Chiropractic Assessment (FoCA): You will preform a chiropractic practical exam within normal tutorial time. Immediately afterward (i.e. during the same class), you will be given feedback on your performance. The layout of the exam will help prepare you for the OSCE.


This Assessment Task relates to the following Learning Outcomes:
  • The ability to perform spinal adjustments and/or mobilisations with the appropriate associated skills; i.e. advanced tactile/palpatory skills and hand/body/eye co-ordination of practitioner movements.
  • The ability to control adjustment/mobilisation procedures with regard to patient body type, patient position, practitioner position, primary contact, secondary contact, lock-up/set-up, speed, amplitude and line of drive.
  • The ability to perform advanced static and motion palpation of spinal and peripheral joint systems.
  • Understanding of spinal joint normal and pathological biomechanics
  • Have the ability to assess and treat a variety of basic musculo-skeletal complaints at the proficiency of "clinician".

OSCE

Due: Week 13
Weighting: 30%
This is a hurdle assessment task (see assessment policy for more information on hurdle assessment tasks)

Objective Structural Clinical Exam (OSCE): You will perform a practical exam over a number of stations during the end of semester practical examination period.


This Assessment Task relates to the following Learning Outcomes:
  • The ability to perform spinal adjustments and/or mobilisations with the appropriate associated skills; i.e. advanced tactile/palpatory skills and hand/body/eye co-ordination of practitioner movements.
  • The ability to control adjustment/mobilisation procedures with regard to patient body type, patient position, practitioner position, primary contact, secondary contact, lock-up/set-up, speed, amplitude and line of drive.
  • The ability to perform advanced static and motion palpation of spinal and peripheral joint systems.
  • Understanding of spinal joint normal and pathological biomechanics

End of semester written exam

Due: University Examination Period
Weighting: 30%

The end of semester written exam is a closed book examination of all the material covered in the unit.


This Assessment Task relates to the following Learning Outcomes:
  • Understanding of spinal joint normal and pathological biomechanics
  • Have the ability to assess and treat a variety of basic musculo-skeletal complaints at the proficiency of "clinician".
  • Become proficient in research skills at the level of open inquiry within structured guidelines as part of a research skills development (RSD) progression

Delivery and Resources

 

Classes

  • The timetable for classes can be found on the University web site at: http://www.timetables.mq.edu.au/
  • Tutorials begin on Thursday of week 1 - this is an organisational tutorial in which tutorial enrolment will be finalised.
  • Tutorial attendance/participation is required and will be factored in to the final grade
  • There are 12 x 2 x 1hr lecture times & 11 x 3 x 2hr tutorials 

Required and Recommended Texts and/or Materials

TEXT

  • Esposito & Philipson, Manual of Spinal Technique (compilation) - adjustment available from the Co-op Bookshop.
  • Oatis. Kinesiology “Kinesiology The Mechanics and Pathomechanics of Human Movement,” 2nd edition 2008, Lippincott, Williams and Wilkins (2nd and 3rd year Chiropractic Text)
  • Manual of Peripheral Technique, Department of Chiropractic, Macquarie University  - online adjustment compilation available via iLearn download

 

  • RECOMMENDED READING
  • Bergmann & Peterson: Chiropractic technique, principles and procedures 3rd Ed. 2011, Mosby

  • Sackett & Straus, et al. Evidence-based Medicine: how to practice and teach Ebm. Churchill Livingson.
  • Specific resources available as links via iLearn each week

Teaching and Learning Strategy / electronic resources

  • This unit is comprised of lectures and technique tutorials. There will also be some self directed learning within the course.
  • The unit is an internal offering.
  • Students are expected to attend lectures and tutorials (tutorial minimum attendance 85%)
  • iLearn is not a substitute for lecture attendance. Complex concepts are discussed as a group within the lecture format.
  • Quizzes will be entered via iLearn

 

Changes to CHIR891 in 2017

In 2017 the marks available for the video assignments have been removed. We have observed in other technique units that students have a better learning experience when there are no marks recorded for the video assignment task as the aim is to receive useful feedback and not for a student to just keep taking videos until they perform an 'ideal' demonstration of an adjustment. 

The amount of marks that the iLearn quizzes contribute to the cumulative assessment mark has been increased to 10% each.

The marks from the theory and practical components now contribute 50/50 to the overall grade. 

In 2015, video assignments were introduced. 2017 will be the third year video assignments are used.

In 2017 the final OSCE has been designated a 'hurdle' assessment.

Unit Schedule

Refer to CHIR891 iLearn 2017 for unit schedule

Learning and Teaching Activities

Lecture

Lecture/class discussion

Tutorial

Demonstration/tutorial

Case

Case analysis

FoCA

Feedback on Chiropractic Assessment

iLearn Quiz

On line quiz

Theory Assessment

End of semester exam

OSCE

End of semester practicum

Video assignment

Video assignment

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_2016.html

Grade Appeal Policy http://mq.edu.au/policy/docs/gradeappeal/policy.html

Complaint Management Procedure for Students and Members of the Public http://www.mq.edu.au/policy/docs/complaint_management/procedure.html​

Disruption to Studies Policy (in effect until Dec 4th, 2017): http://www.mq.edu.au/policy/docs/disruption_studies/policy.html

Special Consideration Policy (in effect from Dec 4th, 2017): https://staff.mq.edu.au/work/strategy-planning-and-governance/university-policies-and-procedures/policies/special-consideration

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/

Results

Results shown in iLearn, or released directly by your Unit Convenor, are not confirmed as they are subject to final approval by the University. Once approved, final results will be sent to your student email address and will be made available in eStudent. For more information visit ask.mq.edu.au.

Passing the unit

To pass CHIR891, students need to pass the practical component of the unit AS WELL AS an overall passing grade. The passing grade is 50%. Tutorial attendance needs to be ≥85% in addition to the condition above. Attendance will be recorded at each tutorial.

You are required to read and understand the marking criteria found at the link below:

http://ilearn.mq.edu.au/mod/resource/view.php?id=2817457

 

Late submission

Late submission of assignments (video) will incur a penalty of you not receiving value feedback on that task. The tutors are overwhelming made up of practising chiropractors and they schedule time to mark the video assignments. They are unlikely to have time available to mark video assignments that are submitted late. 

Late submission of iLearn Quiz will incur a penalty of 50%. A quiz will not be accepted after 48 hours past the due date without adequate certification.

 

 

Serious and unavoidable disruption: The University classifies a disruption as serious and unavoidable if it:

  • could not have reasonably been anticipated, avoided or guarded against by the student; and
  • was beyond the student's control; and
  • caused substantial disruption to the student's capacity for effective study and/or completion of required work; and
  • occurred during an event critical study period and was at least three (3) consecutive days duration, and/or
  • prevented completion of a final examination.

 

Students with a pre-existing disability/health condition or prolonged adverse circumstances may be eligible for ongoing assistance and support.  Such support is governed by other policies and may be sought and coordinated through Campus Wellbeing and Support Services.

Examination(s)

The University Examination period in for First Half Year 2017 is from Monday 12th June to Friday 30th June.

You are expected to present yourself for examination at the time and place designated in the University Examination Timetable. The timetable will be available in Draft form approximately eight weeks before the commencement of the examinations and in Final form approximately four weeks before the commencement of the examinations. https://iexams.mq.edu.au/timetable

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 submit a 'Notification of disruption to studies'. Information about unavoidable disruption and the notification process is available at Policy Central: http://www.mq.edu.au/policy/

If you apply for a Supplementary Examination through the 'Notification of disruption to studies' process, you must make yourself available for the week of July 24 - 28, 2017. If you are not available at that time, there is no guarantee an additional examination time will be offered. Specific examination dates and times will be determined at a later date.

Supplementary examination dates will not be negotiated. If you are granted a supplementary examination you must ensure that you are available for the exam. The university cannot accommodate holidays you may have booked.

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.

Second-chance hurdle examinations will also be offered in the week of July 24 - 28, 2017. Results will be released on July 13. You will be notified shortly after that date of your eligibility for a hurdle retry and you must also make yourself available during that week to take advantage of this opportunity.

 

If you are granted a supplementary exam via the Disruption to Studies process, you will have to write a supplementary exam in the supplementary exam period. In this scenario, only your supplementary exam mark will count towards your final exam mark, irrespective of whether or not you attended the final exam in the normal examination period. The submission of a Disruption to Studies form SHOULD NOT be used as a ‘just in case’ strategy.

You are advised that it is Macquarie University policy not to set early examinations for individuals or groups of students. You are expected to ensure that you are available until the end of the teaching semester that is the final day of the official examination period.

 

Assessment Policy 2017 http://www.mq.edu.au/policy/docs/assessment/schedule_2.html

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 Enquiry Service

For all student enquiries, visit Student Connect at ask.mq.edu.au

Equity 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.

IT Help

For help with University computer systems and technology, visit http://www.mq.edu.au/about_us/offices_and_units/information_technology/help/

When using the University's IT, you must adhere to the Acceptable Use of IT Resources Policy. The policy applies to all who connect to the MQ network including students.

Graduate Capabilities

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

  • The ability to perform spinal adjustments and/or mobilisations with the appropriate associated skills; i.e. advanced tactile/palpatory skills and hand/body/eye co-ordination of practitioner movements.
  • The ability to control adjustment/mobilisation procedures with regard to patient body type, patient position, practitioner position, primary contact, secondary contact, lock-up/set-up, speed, amplitude and line of drive.
  • The ability to perform advanced static and motion palpation of spinal and peripheral joint systems.
  • Understanding of spinal joint normal and pathological biomechanics
  • Have the ability to assess and treat a variety of basic musculo-skeletal complaints at the proficiency of "clinician".
  • Become proficient in research skills at the level of open inquiry within structured guidelines as part of a research skills development (RSD) progression

Assessment tasks

  • Tutorial attendance
  • Video Assignment
  • FoCA (2x10%)
  • OSCE
  • End of semester written exam

Learning and teaching activities

  • Demonstration/tutorial
  • Case analysis
  • Video assignment

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

  • The ability to perform spinal adjustments and/or mobilisations with the appropriate associated skills; i.e. advanced tactile/palpatory skills and hand/body/eye co-ordination of practitioner movements.
  • The ability to control adjustment/mobilisation procedures with regard to patient body type, patient position, practitioner position, primary contact, secondary contact, lock-up/set-up, speed, amplitude and line of drive.
  • The ability to perform advanced static and motion palpation of spinal and peripheral joint systems.
  • Have the ability to assess and treat a variety of basic musculo-skeletal complaints at the proficiency of "clinician".

Assessment tasks

  • Tutorial attendance
  • Video Assignment
  • iLearn Quiz 1
  • iLearn Quiz 2
  • FoCA (2x10%)
  • OSCE
  • End of semester written exam

Learning and teaching activities

  • Lecture/class discussion
  • Demonstration/tutorial
  • Case analysis
  • Feedback on Chiropractic Assessment
  • On line quiz
  • End of semester exam
  • End of semester practicum
  • Video assignment

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

  • The ability to perform advanced static and motion palpation of spinal and peripheral joint systems.
  • Understanding of spinal joint normal and pathological biomechanics
  • Have the ability to assess and treat a variety of basic musculo-skeletal complaints at the proficiency of "clinician".
  • Become proficient in research skills at the level of open inquiry within structured guidelines as part of a research skills development (RSD) progression

Assessment tasks

  • Tutorial attendance
  • Video Assignment
  • iLearn Quiz 1
  • iLearn Quiz 2
  • FoCA (2x10%)
  • End of semester written exam

Learning and teaching activities

  • Lecture/class discussion
  • Demonstration/tutorial
  • Case analysis
  • On line quiz
  • End of semester exam
  • Video assignment

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

  • Have the ability to assess and treat a variety of basic musculo-skeletal complaints at the proficiency of "clinician".
  • Become proficient in research skills at the level of open inquiry within structured guidelines as part of a research skills development (RSD) progression

Assessment tasks

  • Tutorial attendance
  • iLearn Quiz 1
  • iLearn Quiz 2
  • End of semester written exam

Learning and teaching activities

  • Lecture/class discussion
  • Case analysis
  • On line quiz
  • End of semester exam

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

  • The ability to perform spinal adjustments and/or mobilisations with the appropriate associated skills; i.e. advanced tactile/palpatory skills and hand/body/eye co-ordination of practitioner movements.
  • The ability to perform advanced static and motion palpation of spinal and peripheral joint systems.

Assessment tasks

  • Tutorial attendance
  • iLearn Quiz 1
  • iLearn Quiz 2
  • FoCA (2x10%)
  • End of semester written exam

Learning and teaching activities

  • Demonstration/tutorial
  • Case analysis
  • Feedback on Chiropractic Assessment
  • End of semester practicum

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

  • The ability to perform advanced static and motion palpation of spinal and peripheral joint systems.
  • Become proficient in research skills at the level of open inquiry within structured guidelines as part of a research skills development (RSD) progression

Assessment tasks

  • Tutorial attendance
  • FoCA (2x10%)
  • OSCE
  • End of semester written exam

Learning and teaching activities

  • Demonstration/tutorial
  • Case analysis