CHIR13009 Professional Chiropractic Practice 2

Term 2 - 2019

Profile information current as at 20/07/2019 03:39 pm

All details in this unit profile for CHIR13009 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 follows on from Professional Chiropractic Practice 1. In order to further develop your clinical reasoning skills,
this unit utilises case scenarios at a greater difficulty level, compared with that covered in Professional Chiropractic
Practice 1. You will continue to practise, and further refine, your case history taking. You will formulate a differential
diagnosis, utilising your assessment and diagnostic skills, gained in Professional Chiropractic Practice 1 and Clinical
Assessment and Diagnosis 1 and 2, with a greater focus on neuro-musculoskeletal conditions. You will be required to
formulate a chiropractic treatment/management approach, according to the case scenario studied. Spinal and peripheral
psychomotor techniques will be further ‘fine-tuned’ and practised as they are applied. You will be required to undergo
clinic placement with a chiropractic practitioner in the field. You will be required to interpret and reflect on the
respective clinical chiropractic practice with a deeper level of understanding.

Details
Career Level: Undergraduate
Unit Level: Level 3
Credit Points: 6
Student Contribution Band: 2
Fraction of Full-Time Student Load: 0.125

Pre-requisites or Co-requisites
For 2015:
Pre-requisite: CHIR13008
Effective 2016:
Pre-requisites: CHIR13008, CHIR12006 & CHIR12007
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 2 - 2019

Brisbane
Mackay
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).

Website
This unit has a website, within the Moodle system, which is available two weeks before the start of term. It is important
that you visit your Moodle site throughout the term. Please visit Moodle for more information.
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
Regional Campuses
Bundaberg, Cairns, Emerald, Gladstone, Mackay, Noosa, Rockhampton, Townsville
Metropolitan Campuses
Adelaide, Brisbane, Melbourne, Perth, Sydney

Assessment Overview
1. On-campus Activity
Weighting: Pass/Fail
2. Portfolio
Weighting: 20%
3. Practical Assessment
Weighting: 50%
4. Examination
Weighting: 30%

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.

CQUniversity Policies
All University policies are available on the CQUniversity Policy site.
You may wish to view these policies:

Grades and Results Policy

Assessment Policy and Procedure (Higher Education Coursework)
Review of Grade Procedure
Academic Misconduct Procedure – title changing to Student Academic Integrity Policy and Procedure
Monitoring Academic Progress (MAP) Policy and Procedure – Domestic Students
Monitoring Academic Progress (MAP) Policy and Procedure – International Students
Student Refund and Credit Balance Policy and Procedure
Student Feedback – Compliments and Complaints Policy and Procedure
Information and Communications Technology Acceptable Use Policy and Procedure

This list is not an exhaustive list of all University policies. The full list of University policies are available on the
CQUniversity Policy site.
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 Moodle 'Have your say'

Feedback
I feel it would be beneficial for students to see their OSCE rubrics after the results are out to see where they can
improve.
Recommendation
It is recommended that in future the weekly schedule will be re-arranged to include a mid-term OSCE assessment so
that feedback can be given in-class. At the end of term, a feedback session will be arranged for students.

Feedback from Moodle 'have your say'

Feedback
Recorded material needs to have different play-back speeds.
Recommendation
It is recommended that Echo 360 be utilised in future recordings.

Feedback from Moodle 'have your say'

Feedback
The portfolio should be pass/fail instead of the graded 20% weighting
Recommendation
It is recommended that the portfolio be pass/fail instead of the current graded 20% weighting.

Feedback from Moodle 'have your say'

Feedback
The OSCE cards in Mackay were changed mid term.
Recommendation
It is recommended that greater communication with the Mackay tutors will take place to ensure students only access the
2018 OSCE cards (and not 2017 cards) which were uploaded in week 7.

Unit Learning Outcomes

On successful completion of this unit, you will be able to:

1. Perform history taking at a competent level for difficult case scenarios, with a focus on neuro-musculoskeletal
conditions.
2. Interpret clinical case findings in order to form a differential diagnosis.
3. Perform appropriate physical examination procedures in order to eliminate or confirm a differential diagnosis.
4. Interpret the information gathered from the physical examination in order to determine a likely diagnosis.
5. Provide a comprehensive report of findings for a given case study.
6. Demonstrate appropriate patient handling skills, including effective communication skills.
7. Develop an appropiate chiropractic management course according to given case scenarios.
8. Critically reflect on relevant sources of information.

Alignment of Learning Outcomes, Assessment and Graduate Attributes

Introductory Intermediate Graduate Professional Advanced

⚫ ⚫ ⚫ ⚬ ⚬
Level Level Level Level Level
Alignment of Assessment Tasks to Learning Outcomes
Assessment Tasks Learning Outcomes

1 2 3 4 5 6 7 8

1 - On-campus Activity - 0% ⚫ ⚫ ⚫ ⚫ ⚫ ⚫ ⚫

2 - Portfolio - 20% ⚫ ⚫ ⚫ ⚫ ⚫ ⚫ ⚫

3 - Practical Assessment - 50% ⚫ ⚫ ⚫ ⚫ ⚫ ⚫ ⚫

4 - Examination - 30% ⚫ ⚫ ⚫ ⚫

Alignment of Graduate Attributes to Learning Outcomes

Graduate Attributes Learning Outcomes

1 2 3 4 5 6 7 8

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

Alignment of Assessment Tasks to Graduate Attributes

Assessment Tasks Graduate Attributes

1 2 3 4 5 6 7 8 9

1 - On-campus Activity - 0% ⚫ ⚫ ⚫ ⚫

2 - Portfolio - 20% ⚫ ⚫ ⚫ ⚫

3 - Practical Assessment - 50% ⚫ ⚫ ⚫

4 - Examination - 30% ⚫ ⚫ ⚫
Textbooks and Resources

Textbooks
Prescribed
Differential Diagnosis and Management for the Chiropractor 5th edn (2016)
Authors: Souza, Thomas
Jones & Bartlett Learning
Sudbury, MA, USA
ISBN 9781284022308
Binding: Paperback

Prescribed
Orthopedic Physical Assessment 6th edn revised (2014)
Authors: Magee, David
Elsevier
London, UK
ISBN 9781455709779
Binding: Paperback

Supplementary
Orthopedic Assessment Textbook (2018)
Authors: Vizniak,N
Professional Health Systems
Sydney, NSW, Australia
ISBN 9780993619168
Binding: Spiral
Additional Textbook Information
All texts can be purchased at the CQUni Bookshop here: http://bookshop.cqu.edu.au (search on the Unit code)

View textbooks at the CQUniversity Bookshop

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 (APA)
For further information, see the Assessment Tasks.

Teaching Contacts
Kenneth Lorme Unit Coordinator
k.lorme@cqu.edu.au
Schedule - Professional Chiropractic Practice 2 - Term 2 2019

Week 1 - 15 Jul 2019

Module/Topic Chapter Events and Submissions/Topic

Resources and readings will be given
in Moodle. Refer to technique schedule
and workbook for week 1. Differential
Diagnosis and Management for the
chiropractor 5th ed. Barlett and Jones
Learning. Chapter 1, read pages 31-48
‘General approaches to
management’.Differential Diagnosis
and Management for the chiropractor
5th ed. Barlett and Jones Learning.
Read pages 31-48 ‘General Answer questions in the
Lectures: approaches to management’. workbook for week 1
• Principles of treatment Resources and readings will be Complete On-campus activity.
Tutorial: given in Moodle. Refer to Refer to schedule in Moodle
• Case history simulation radicular technique schedule and
neck pain
workbook for week 1.
Practical: Differential Diagnosis and
Management for the
• Cervical assessment and chiropractor 5th ed. Barlett and
spinal manipulative techniques Jones Learning. Chapter 1, read
pages 31-48 ‘General
approaches to
management’.Differential
Diagnosis and Management for
the chiropractor 5th ed. Barlett
and Jones Learning. Read
pages 31-48 ‘General
approaches to management’.

Review Clinical Guidelines

Review RAGCP Neck pain

Week 2 - 22 Jul 2019

Module/Topic Chapter Events and Submissions/Topic

Lectures:
• Instability and Hypermobility
Tutorial: Resources and readings are
Answer questions in the
• Case history simulation for a person provided in Moodle. Refer to
with instability and hypermobility workbook for week 2
the technique schedule and
Complete On-campus activity.
Practical: workbook for week 2.
Refer to schedule in Moodle
• Review ‘neck pain evidence
Lumbar: assessment and spinal
manipulative techniques
summary’ and joint
hypermobility

Week 3 - 29 Jul 2019

Module/Topic Chapter Events and Submissions/Topic

Lectures:
• Nerve entrapment and
double crush
Tutorial:
• Case history simulation for a Resources and readings are
Answer questions in the
person with nerve entrapment provided in Moodle. Refer to
workbook for week 3
the technique schedule and
Complete On-campus activity.
Practical: workbook for week 3.
Refer to schedule in Moodle.
Review double crush syndrome
•
Pelvic assessment and spinal
manipulative techniques

Week 4 - 05 Aug 2019

Module/Topic Chapter Events and Submissions/Topic

Lectures: Resources and readings are

• Thoracic Outlet Syndromes provided in Moodle. Refer to
Tutorial: the technique schedule and
• Case history simulation for a workbook for week 4.
Answer questions in the
person with thoracic outlet Review non-invasive
workbook for week 4
syndrome. Treatments for
Complete On-campus activity.
Practical: Acute,Subacute,and Chronic
Refer to schedule in Moodle.
Low Back Pain: A Clinical
• Practice Guideline by American
Thoracic assessment and spinal College of Physicians Amir
manipulative techniques Qaseem, MD, PhD, MHA; et al

Week 5 - 12 Aug 2019

Module/Topic Chapter Events and Submissions/Topic

Lectures:
• Intervertebral Disc lesions Answer questions in the
Tutorial: Resources and readings are workbook for week 5
• Case history simulation for a provided in Moodle. Refer to Complete On-campus activity.
person with a disc lesion the technique schedule and Refer to schedule in Moodle.
Practical: workbook for week 5. On Campus Activity Due: to
Review Petersen el al and NZ week 5 Friday (16 August
• Guidelines 2019) 5:00 pm AEST
Cervical: assessment and spinal
manipulative techniques

Vacation Week - 19 Aug 2019

Module/Topic Chapter Events and Submissions/Topic

Review Review Review

Week 6 - 26 Aug 2019

Module/Topic Chapter Events and Submissions/Topic

Lectures:
Answer questions in the
• Neurogenic claudication.
Resources and readings are workbook for week 6
Tutorial:
provided in Moodle. Refer to Complete On-campus activity.
• Case history simulation for a
the technique schedule and Refer to schedule in Moodle.
person with Neurogenic or
vascular claudication. workbook for week 6.
Review Nice pathways. Low
Practical: back pain early management
• guidelines.
Pelvic assessment and spinal
manipulative techniques

Week 7 - 02 Sep 2019

Module/Topic Chapter Events and Submissions/Topic

Lectures:
• Catch-up, review and
reflection
Tutorial:
Review practice exam.
• Case history taking:
Complete On-campus activity.
simulation of MSK conditions
Refer to schedule in Moodle.
studied in weeks 1-6.
Review of content/material to-date.
Practical:
•
Practice spinal assessment and
spinal adjustments to relevant
area.
Practice OSCE cards
On-campus activity.

Week 8 - 09 Sep 2019

Module/Topic Chapter Events and Submissions/Topic

Lecture
• Head pain and headaches Resources and readings are Answer questions in the
Tutorial: provided in Moodle. Refer to workbook for week 8.
• Case history simulation for a the technique schedule and Complete On-campus activity.
person with headaches. workbook for week 8. Refer to schedule in Moodle.
Review the Headache
Practical: guidelines for classification and
•
management, chiropractic
Thoracic assessment and spinal
manipulative techniques
management, and dietary and
lifestyle effects
Practice OSCE cards

Week 9 - 16 Sep 2019

Module/Topic Chapter Events and Submissions/Topic

 Answer questions in the
workbook for week 9
Lectures: Complete On-campus activity.
• Whiplash Refer to schedule in Moodle.
Tutorial:
Resources and readings are
• Case history simulation for a
provided in Moodle. Refer to
person with WAD.
the technique schedule and
workbook for week 9.
Practical:
•
Review the whiplash guidelines
Full spine assessment and spinal for management, VBI and Task
manipulative techniques. Force on neck pain
Practice OSCE cards

Week 10 - 23 Sep 2019

Module/Topic Chapter Events and Submissions/Topic

Answer questions in the

workbook for week 10.
Complete On-campus activity.
Refer to schedule in Moodle.
On Campus Activity Due: Week
10 Friday (27 Sep. 2019) 5:00
Lectures: pm AEST
• Torticollis, vertigo, tinnitus, Reflective Portfolio Due: Week
neck tongue syndrome Resources and readings are 10 Friday (27 Sep. 2019) 5:00
Tutorial: provided in Moodle. Refer to pm AEST
• Case history simulation for athe technique schedule and
person with torticollis, vertigo,
workbook for week 10.
tinnitus, neck tongue Review ‘The Role of Activity in
syndrome. the Therapeutic Management
of Back Pain’ Report of the
Practical: International Paris Task Force
• on Back Pain.
Full spine assessment and Review articles on tongue tie,
spinal manipulative techniques torticollis and dizziness.
•
Practice OSCE cards

On Campus Activity Due: Week 10

Friday (27 Sep. 2019) 5:00 pm AEST
Reflective Portfolio Due: Week 10
Friday (27 Sep. 2019) 5:00 pm AEST

Week 11 - 30 Sep 2019

Module/Topic Chapter Events and Submissions/Topic

•
Lectures:
Fibromyalgia, complex regional
syndrome

Tutorial:
⚬ Case history simulation for
Answer questions in the
a person with fibromyalgia and
Resources and readings are workbook for week 11.
CPRS
provided in Moodle. Refer to
the technique schedule and
Practical:
⚬ workbook for week 11.
Full spine assessment and spinal Review readings on
manipulative techniques fibromyalgia.

Practice OSCE cards

Mock group OSCE

Week 12 - 07 Oct 2019

Module/Topic Chapter Events and Submissions/Topic

OSCE
Practical Assessment: OSCE Due:
Week 12 Friday (11 Oct. 2019) 6:00
pm AEST
Review and reflection Review only

Practical Assessment: OSCE Due:

Week 12 Friday (11 Oct. 2019) 6:00
pm AEST

Review/Exam Week - 14 Oct 2019

Module/Topic Chapter Events and Submissions/Topic

Review None

Exam Week - 21 Oct 2019

Module/Topic Chapter Events and Submissions/Topic

Written Examination
Assessment Tasks

1 On Campus Activity
Assessment Type
On-campus Activity
Task Description
In order to provide students with on-going feedback, the On-Campus Activity will be assessed
via a series of short activities (i.e. practical demonstrations, quizzes and case studies) during
each class until the end of week 10. These short activities will be marked on a pass/fail basis in
class thus providing immediate feedback. A record of completing these activities will be kept by
the student. Students must submit their completed record to their Weebly portfolio at the end of
the fifth and tenth weeks.
A minimum grade of 80% is required to pass this assessment.
Please refer to the technique schedule for the weekly on-campus activity.

Assessment Due Date

Week 10 Friday (27 Sep. 2019) 5:00 pm AEST
Post on student's Weebly Portfolio in Week 10
Return Date to Students
Exam Week Friday (25 Oct. 2019)
Via Moodle
Weighting
Pass/Fail
Minimum mark or grade
80%
Assessment Criteria
A minimum grade of 80% is required to pass this assessment. You will be required to
demonstrate an acceptable standard of knowledge or skill in the on-campus tasks for each
class. You will be provided with feedback and given the opportunity to repeat the activity if you
have not performed to an acceptable standard.
Referencing Style

American Psychological Association (APA)

Submission
Online
Submission Instructions
Post on students Weebly Portfolio in Week 10
Learning Outcomes Assessed

Perform history taking at a competent level for difficult case scenarios, with a focus on neuro-musculoskeletal
conditions.
Interpret clinical case findings in order to form a differential diagnosis.
Perform appropriate physical examination procedures in order to eliminate or confirm a differential diagnosis.
Interpret the information gathered from the physical examination in order to determine a likely diagnosis.
Provide a comprehensive report of findings for a given case study.
Demonstrate appropriate patient handling skills, including effective communication skills.
Develop an appropiate chiropractic management course according to given case scenarios.

Graduate Attributes

Communication
Problem Solving
Team Work
Ethical practice
2 Reflective Portfolio
Assessment Type
Portfolio
Task Description
This unit aims to develop further your understanding of the role and skills sets required of a chiropractor
in a modern and integrated health care community. To help with your development on this journey of self-
discovery, you will create a clinically focussed reflective portfolio. The criteria are outlined in the Rubric
provided in Moodle. You are to organise your reflection as either the 4 step table or the 6 step Chese Melt
is preferred. The six step CHESE melt may be more challenging, but it is an excellent method and has
recently been updated as a result of student feedback.

This portfolio assessment should be a summary of your week by week reflections. Therefore, there will be
one entry per week between 100-150 words. The focus should be placed on adjusting and diagnostic skills.
You will be graded on the timeliness of your submissions over the term in addition to the quality of your
work.

Your reflection for the term should be no longer than 1500 words +/- 10% in total and include appropriate
references. Your final submission will be via your Weebly website by the end of Week 10.

Assessment Due Date

Week 10 Friday (27 Sep. 2019) 5:00 pm AEST
Via your Weebly URL
Return Date to Students
Exam Week Friday (25 Oct. 2019)
Via Moodle
Weighting
20%
Minimum mark or grade
50%
Assessment Criteria
Reflections can be performed on either the 4-step reflective model or on the CHESE Melt model.
Criteria include completion of task assessments, grammar and language, critical self-reflection and logic, references and
use of external resources, general composition and overall written presentation.
Please see assessment full rubric in Moodle.
Referencing Style

American Psychological Association (APA)

Submission
Online
Submission Instructions
Via Weebly on a weekly basis. Final submission being the Friday of week 10.
Learning Outcomes Assessed

Perform history taking at a competent level for difficult case scenarios, with a focus on neuro-musculoskeletal
conditions.
Interpret clinical case findings in order to form a differential diagnosis.
Perform appropriate physical examination procedures in order to eliminate or confirm a differential diagnosis.
Interpret the information gathered from the physical examination in order to determine a likely diagnosis.
Demonstrate appropriate patient handling skills, including effective communication skills.
Develop an appropiate chiropractic management course according to given case scenarios.
Critically reflect on relevant sources of information.

Graduate Attributes

Communication
Problem Solving
Cross Cultural Competence
Ethical practice

3 Practical Assessment: OSCE

Assessment Type
Practical Assessment
Task Description
For the OSCE you will be required to perform a practical examination, and integrate the findings
to determine the primary area to treat. You will then be required to perform a set up for an
adjustment/ manipulation on the cervical, thoracic,and lumbo-pelvic areas.
Assessment Due Date
Week 12 Friday (11 Oct. 2019) 6:00 pm AEST
In lab practical exam
Return Date to Students
Exam Week Friday (25 Oct. 2019)
Via Moodle
Weighting
50%
Minimum mark or grade
A minimum grade of 50% is required to pass this assessment.
Assessment Criteria
A minimum grade of 50% is required to pass this assessment. You will be required to
demonstrate an acceptable standard of skill in demonstrating that you can perform a practical
examination, and integrate the findings to determine the primary area to treat. You will need to
demonstrate an acceptably skilled set up for an adjustment/ manipulation on the cervical,
thoracic,and lumbo-pelvic areas.

Referencing Style

American Psychological Association (APA)

Submission
Offline
Submission Instructions
Tutors will collect and grade this assessment
Learning Outcomes Assessed

Perform history taking at a competent level for difficult case scenarios, with a focus on neuro-musculoskeletal
conditions.
Interpret clinical case findings in order to form a differential diagnosis.
Perform appropriate physical examination procedures in order to eliminate or confirm a differential diagnosis.
Interpret the information gathered from the physical examination in order to determine a likely diagnosis.
Provide a comprehensive report of findings for a given case study.
Demonstrate appropriate patient handling skills, including effective communication skills.
Develop an appropiate chiropractic management course according to given case scenarios.

Graduate Attributes

Communication
Problem Solving
Ethical practice

Examination
Outline
Complete an examination
Date
During the University examination period
Weighting
30%
Length
120 minutes
Minimum mark or grade
50%
Details
Dictionary - non-electronic, concise, direct translation only (dictionary must not contain any notes or comments).
No calculators permitted
Closed Book