CLINICAL REASONING IN PHYSIOTHERAPY

PTY5CRP

2018

Credit points: 15

Subject outline

In this subject students are given the opportunity to develop skillls in clinical reasoning in a case-based paradigm. Lecturers will present the applied clinical anatomy, tissue pathology, patient presentations, assessment and treatment information, utilising case scenarios to illustrate the clinical reasoning process used by physiotherapists at the masters level.

SchoolSchool of Allied Health

Credit points15

Subject Co-ordinatorHenry Wajswelner

Available to Study Abroad StudentsNo

Subject year levelYear Level 5 - Masters

Exchange StudentsNo

Subject particulars

Subject rules

Prerequisites Must pass (PTY5SEE or PTY5LSE) & (PTY5ACS or PTY5PSM) & (PTY5PDS or PTY5PDM). Must be admitted in one of the following courses: HMSPH - Master of Sports Physiotherapy or HMMSPC - Master of Musculoskeletal Physiotherapy or HZSPMP - Master of Sports Physiotherapy / Master of Musculoskeletal Physiotherapy or HZSPMY - Master of Sports Physiotherapy / Master of Musculoskeletal Physiotherapy

Co-requisitesN/A

Incompatible subjectsN/A

Equivalent subjectsN/A

Special conditions Must pass one of the following courses with a minimum B grade course WAM : HCSP - Graduate Certificate in Sports Physiotherapy or HCMP - Graduate Certificate in Musculoskeletal Physiotherapy

Readings

Resource TypeTitleResource RequirementAuthor and YearPublisher
ReadingsClinical reasoning for manual therapistsRecommendedJones, M & Rivett, D 2004BUTTERWORTH HEINEMANN, EDINBURGH.
ReadingsClinical sports medicineRecommendedBrukner, P and Khan, K 20124TH EDN, MCGRAW HILL MEDICAL, NORTH RYDE.

Graduate capabilities & intended learning outcomes

01. Demonstrate advanced clinical reasoning skills You should be able to: (a) use clinical patterns to guide assessment and management of musculoskeletal disorders and sports injuries; (b) formulate and test hypotheses in the biological, psychological and social domains as appropriate (including the placebo); (c) reflect on your own reasoning and identify possible clinical reasoning errors; (d) progress patient's management appropriately with consideration of response to management program; (e) reflect on your own experience and consider how you may have done things differently in light of new knowledge.

Activities:
1. Lectures, tutorials and practical sessions with APA Titled and Specialist Sports and Musculoskeletal Physiotherapists. 2. Class presentations of case scenarios. 3. Online independent learning resources and links to readings.

02. Demonstrate advanced Differential Diagnosis skills. You should be able to: (a) use an advanced knowledge of anatomy to formulate hypotheses regarding sources of symptoms with clinical case; (b) formulate a prioritised list of multiple hypotheses using a systematic approach, with consideration of supporting and negating evidence; (c) perform a precise, prioritised physical examination; (d) interpret radiological scans; (e) identify red flags; (f) formulate an appropriate action plan when red flags identified.

Activities:
1. Lectures, tutorials and practical sessions with APA Titled and Specialist Sports and Musculoskeletal Physiotherapists. 2. Class presentations of case scenarios. 3. Online independent learning resources and links to readings.

03. Identify the pathomechanical, behavioural and/or psychosocial causes of patient's/client's/athlete's problems using advanced knowledge, clinical reasoning and precise assessment skills. You should be able to: (a) generate and test hypotheses regarding pathomechanical causes of a problem; (b) generate and test hypotheses regarding behavioural and psychosocial causes of a problem.

Activities:
1. Lectures, tutorials and practical sessions with APA Titled and Specialist Sports and Musculoskeletal Physiotherapists. 2. Class presentations of case scenarios. 3. Online independent learning resources and links to readings.

04. Manage and rehabilitate patients/athletes/clients with musculoskeletal conditions and sports injuries using advanced neuro-musculoskeletal knowledge and practical skills. You should be able to: (a) demonstrate a current knowledge of recent advances in surgical procedures; (b) develop a staged, progressive rehabilitation plan using load management and exercise principles to enable a patient/client/athlete to return to previous function; (c) incorporate a practical knowledge of pharmacology into clinical practice; (d) perform precise manual therapy skills, including manipulation of the spine; (e) prescribe and teach specific rehabilitation exercises utilising a motor retraining approach.

Activities:
1. Lectures, tutorials and practical sessions with APA Titled and Specialist Sports and Musculoskeletal Physiotherapists. 2. Class presentations of case scenarios. 3. Online independent learning resources and links to readings.

05. Present clinical thinking and manual skills in a clear and time efficient manner to a group of their peers. You should be able to: (a) present practical skills in a clear, concise and precise manner; (b) communicate the incorporation of clinical reasoning and evidence into the management through a case study presentation.

Activities:
1. Lectures, tutorials and practical sessions with APA Titled and Specialist Sports and Musculoskeletal Physiotherapists. 2. Class presentations of case scenarios. 3. Online independent learning resources and links to readings.

Subject options

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Start date between: and    Key dates

Melbourne, 2018, Summer 3, Day

Overview

Online enrolmentYes

Maximum enrolment sizeN/A

Enrolment information

Subject Instance Co-ordinatorHenry Wajswelner

Class requirements

Lecture Week: 05 - 06
Two 3.0 hours lecture per study period on any day including weekend during the day from week 05 to week 06 and delivered via face-to-face.

Lecture Week: 05 - 06
Ten 2.0 hours lecture per study period on weekdays during the day from week 05 to week 06 and delivered via face-to-face.

Lecture Week: 05 - 06
Two 1.0 hours lecture per study period on weekdays during the day from week 05 to week 06 and delivered via face-to-face.

Practical Week: 05 - 06
Nine 3.0 hours practical per study period on weekdays during the day from week 05 to week 06 and delivered via face-to-face.

Practical Week: 05 - 06
Two 4.0 hours practical per study period on weekdays during the day from week 05 to week 06 and delivered via face-to-face.

Laboratory Class Week: 05 - 06
One 4.0 hours laboratory class per study period on weekdays during the day from week 05 to week 06 and delivered via face-to-face.

Tutorial Week: 05 - 06
Two 4.0 hours tutorial per study period on weekdays during the day from week 05 to week 06 and delivered via face-to-face.

Examination Week: 05 - 06
One 8.0 hours examination per study period on weekdays during the day from week 05 to week 06 and delivered via face-to-face.

Examination Week: 05 - 06
One 2.0 hours examination per study period on weekdays during the day from week 05 to week 06 and delivered via face-to-face.

WorkShop Week: 05 - 06
Three 2.0 hours workshop per study period on weekdays during the day from week 05 to week 06 and delivered via face-to-face.

Assessments

Assessment elementComments% ILO*
One 15-minute oral presentation40 01, 02, 03, 04, 05
One 2-hour written examHurdle requirement40 01, 02, 03, 04, 05
35 minute Objective Structured Clinical Examination20 01, 02, 03, 04, 05