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Unit of study_

EXSS4015: Exercise Physiology in Clinical Cases 2

Semester 1b, 2023 [Block mode] - Camperdown/Darlington, Sydney

This unit will develop a higher level of knowledge, clinical decision making and problem-solving skill by using complex cases related to clinical exercise physiology practice. The cases will include chronic diseases such as asthma, chronic obstructive pulmonary disease, cancers and mental illness. The clinical scenarios will present more complex cases than previously covered.

Unit details and rules

Unit code EXSS4015
Academic unit Health Sciences
Credit points 6
Prohibitions
? 
None
Prerequisites
? 
EXSS3075
Corequisites
? 
None
Assumed knowledge
? 

None

Available to study abroad and exchange students

No

Teaching staff

Coordinator Che Fornusek, che.fornusek@sydney.edu.au
Lecturer(s) Shelley Kay, shelley.kay@sydney.edu.au
Che Fornusek, che.fornusek@sydney.edu.au
Georgia Frydman, georgia.frydman@sydney.edu.au
Yorgi Mavrou, yorgi.mavros@sydney.edu.au
Troy Cross, troy.cross@sydney.edu.au
Type Description Weight Due Length
Supervised exam
? 
Final Exam
A 2-hour written case-based exam
30% Formal exam period 2 hours
Outcomes assessed: LO1 LO2 LO3 LO4 LO5 LO6
Small test Oral Case Exam
15-minute oral examination where students defend one of two EMPs submitted.
20% STUVAC 15 minutes
Outcomes assessed: LO1 LO6 LO5 LO4 LO3 LO2
Assignment Exercise Management Plans
Students submit two exercise management plans based on case studies given
20% Week 08
Due date: 23 Apr 2023 at 23:59
2 A4 pages
Outcomes assessed: LO1 LO2 LO4 LO5
Small test Quiz A
Quiz designed to assess knowledge relating to Cancer Block
15% Week 10
Due date: 03 May 2023 at 10:00
50 minutes
Outcomes assessed: LO1
Small test Quiz B
Quiz designed to assess knowledge relating to Mental Health Block
15% Week 13
Due date: 24 May 2023 at 10:00
50 minutes
Outcomes assessed: LO1

Assessment summary

Quizzes - Two individual quizzes designed to assess knowledge derived from pre-reading material, lectures, and in-class content. There are two 50-min quizzes, each worth 15%.

Exercise Management Plans (A & B) – Two Exercise Management Plan (EMP) will be submitted. Each is worth 10% and comprises 2 A4 pages covering SMART goals, a detailed exercise program, reassessments, and other details, plus 1 page listing of references supporting each EMP.  Additional details will be provided in a student handout.

Oral Examination - Students will explain and defend one of the Exercise Management Plans (A or B randomly selected) during a 15-minute oral examination. Additional details will be provided in a student handout.

Final exam - A 2-hour written case-based exam assessing students’ knowledge across each of the learning outcomes. Students will be given detailed case notes for various fictional clients who have one of the clinical conditions covered and will need to answer questions on this material and design EMPs.

All assessments must be attempted to pass this unit of study.

Assessment criteria

 

Result name Mark Range Description
High Distinction (HD) 85- 100 Awarded when you demonstrate the learning outcomes for the unit at an exceptional standard, as defined by grade descriptors or exemplars outlined by your faculty or school.
Distinction (DI) 75 - 84 Awarded when you demonstrate the learning outcomes for the unit at a very high standard, as defined by grade descriptors or exemplars outlined by your faculty or school.
Credit (CR) 65 - 74 Awarded when you demonstrate the learning outcomes for the unit at a good standard, as defined by grade descriptors or exemplars outlined by your faculty or school.
Pass (PS) 50 - 64 Awarded when you demonstrate the learning outcomes for the unit at an acceptable standard, as defined by grade descriptors or exemplars outlined by your faculty or school.
Fail (FA) 0 - 49 When you don’t meet the learning outcomes of the unit to a satisfactory standard.

 

For more information see guide to grades.

Late submission

In accordance with University policy, these penalties apply when written work is submitted after 11:59pm on the due date:

  • Deduction of 5% of the maximum mark for each calendar day after the due date.
  • After ten calendar days late, a mark of zero will be awarded.

This unit has an exception to the standard University policy or supplementary information has been provided by the unit coordinator. This information is displayed below:

Exercise Management Plans (EMP): There will be a 10% penalty if an EMP is not submitted after the deadline within 3 days. There will be a 25% penalty if EMP is submitted more than 3 days after the deadline

Academic integrity

The Current Student website  provides information on academic integrity and the resources available to all students. The University expects students and staff to act ethically and honestly and will treat all allegations of academic integrity breaches seriously.  

We use similarity detection software to detect potential instances of plagiarism or other forms of academic integrity breach. If such matches indicate evidence of plagiarism or other forms of academic integrity breaches, your teacher is required to report your work for further investigation.

You may only use artificial intelligence and writing assistance tools in assessment tasks if you are permitted to by your unit coordinator, and if you do use them, you must also acknowledge this in your work, either in a footnote or an acknowledgement section.

Studiosity is permitted for postgraduate units unless otherwise indicated by the unit coordinator. The use of this service must be acknowledged in your submission.

Simple extensions

If you encounter a problem submitting your work on time, you may be able to apply for an extension of five calendar days through a simple extension.  The application process will be different depending on the type of assessment and extensions cannot be granted for some assessment types like exams.

Special consideration

If exceptional circumstances mean you can’t complete an assessment, you need consideration for a longer period of time, or if you have essential commitments which impact your performance in an assessment, you may be eligible for special consideration or special arrangements.

Special consideration applications will not be affected by a simple extension application.

Using AI responsibly

Co-created with students, AI in Education includes lots of helpful examples of how students use generative AI tools to support their learning. It explains how generative AI works, the different tools available and how to use them responsibly and productively.

WK Topic Learning activity Learning outcomes
Week 06 Introduction to Respiratory Disease Lecture (2 hr) LO1 LO3
Exercise and Covid-19: Lecture (2 hr) LO1 LO2 LO3 LO4 LO5
Week 07 Asthma and COPD Lecture (2 hr) LO1 LO2 LO3 LO4 LO5
Tutorial: Case studies in Asthma & COPD. Lecture and tutorial (2 hr) LO2 LO4
Week 08 Lecture: Introduction to Cancer (MSB) Lecture (2 hr) LO1 LO3
Lecture: Cancer pharmacology (MSB) Lecture (2 hr) LO1 LO2 LO3 LO4 LO5
Tutorial: Impact of cancer and exercise considerations Lecture and tutorial (2 hr) LO2 LO4
Lecture: Role of exercise and physical activity in cancer, and developing an exercise plan Lecture (2 hr) LO1 LO2 LO3 LO4 LO5
Respiratory Practical Practical (2 hr) LO2 LO5
Week 09 Tutorial: Developing an exercise plan for clients with cancer Lecture and tutorial (2 hr) LO2 LO4
Spare Lecture Slot for MH (in case of strike WK 10) Lecture (2 hr) LO1 LO2 LO3 LO4 LO5
Week 10 Lecture: Introduction to mental health Part 1. Lecture (2 hr) LO1 LO3
Week 11 Lecture: Introduction to mental health Part 2. Lecture (2 hr) LO1 LO2 LO3 LO4 LO5
Lecture: Mental health disorders Lecture (2 hr) LO1 LO2 LO3 LO4 LO5
Week 12 Lecture: Working in mental health settings Lecture (2 hr) LO3 LO6
Tutorial: Case studies with mental health disorders Lecture and tutorial (2 hr) LO2 LO4

Study commitment

Typically, there is a minimum expectation of 1.5-2 hours of student effort per week per credit point for units of study offered over a full semester. For a 6 credit point unit, this equates to roughly 120-150 hours of student effort in total.

Required readings

There is no text book for this UoS. Required readings will be provided on Canvas or via reading lists.

Learning outcomes are what students know, understand and are able to do on completion of a unit of study. They are aligned with the University's graduate qualities and are assessed as part of the curriculum.

At the completion of this unit, you should be able to:

  • LO1. Demonstrate advanced knowledge and understanding of human structural, functional, and behavioural aetiology for chronic diseases (respiratory, asthma, chronic obstructive pulmonary disease, cancer areas) and mental illness (depression, anxiety, schizophrenia, bipolar, PTDS, substance abuse).
  • LO2. Design, revise and deliver client-centred exercise plans that consider scientific evidence, client goals, medical history including clinical status and other influencing factors for persons with chronic diseases (respiratory, asthma, chronic obstructive pulmonary disease, cancer areas) and mental illness (depression, anxiety, schizophrenia, bipolar, PTDS, substance abuse).
  • LO3. Interact effectively with key stakeholders including clientele and health professionals in the healthcare framework to participate in delivering multi-disciplinary care to individuals with chronic diseases (respiratory, asthma, chronic obstructive pulmonary disease, cancer areas) and mental illness (depression, anxiety, schizophrenia, bipolar, PTDS, substance abuse).
  • LO4. Appropriately monitor, evaluate and modify physical activity interventions for clientele with chronic diseases (respiratory, asthma, chronic obstructive pulmonary disease, cancer areas) and mental illness (depression, anxiety, schizophrenia, bipolar, PTDS, substance abuse)
  • LO5. Use effective and specific tools and techniques to safely assess client clinical status and, with evidence-based rationale, adapt/innovate elements of PA-based therapy to suit individual clients with chronic diseases (respiratory, asthma, chronic obstructive pulmonary disease, cancer areas) and mental illness (depression, anxiety, schizophrenia, bipolar, PTDS, substance abuse).
  • LO6. Demonstrate ethical and professional conduct and behaviour, understand the scope of practice of AEPs and comply with the ESSA code of professional conduct and ethical practice.

Graduate qualities

The graduate qualities are the qualities and skills that all University of Sydney graduates must demonstrate on successful completion of an award course. As a future Sydney graduate, the set of qualities have been designed to equip you for the contemporary world.

GQ1 Depth of disciplinary expertise

Deep disciplinary expertise is the ability to integrate and rigorously apply knowledge, understanding and skills of a recognised discipline defined by scholarly activity, as well as familiarity with evolving practice of the discipline.

GQ2 Critical thinking and problem solving

Critical thinking and problem solving are the questioning of ideas, evidence and assumptions in order to propose and evaluate hypotheses or alternative arguments before formulating a conclusion or a solution to an identified problem.

GQ3 Oral and written communication

Effective communication, in both oral and written form, is the clear exchange of meaning in a manner that is appropriate to audience and context.

GQ4 Information and digital literacy

Information and digital literacy is the ability to locate, interpret, evaluate, manage, adapt, integrate, create and convey information using appropriate resources, tools and strategies.

GQ5 Inventiveness

Generating novel ideas and solutions.

GQ6 Cultural competence

Cultural Competence is the ability to actively, ethically, respectfully, and successfully engage across and between cultures. In the Australian context, this includes and celebrates Aboriginal and Torres Strait Islander cultures, knowledge systems, and a mature understanding of contemporary issues.

GQ7 Interdisciplinary effectiveness

Interdisciplinary effectiveness is the integration and synthesis of multiple viewpoints and practices, working effectively across disciplinary boundaries.

GQ8 Integrated professional, ethical, and personal identity

An integrated professional, ethical and personal identity is understanding the interaction between one’s personal and professional selves in an ethical context.

GQ9 Influence

Engaging others in a process, idea or vision.

Outcome map

Learning outcomes Graduate qualities
GQ1 GQ2 GQ3 GQ4 GQ5 GQ6 GQ7 GQ8 GQ9

Alignment with Competency standards

Outcomes Competency standards
LO1
Accredited Exercise Physiologist Professional Standards (2023) - ESSA
2.2.1. Integrate knowledge of anatomy, physiology, pathophysiology, and other determinants of health and function and apply these to inform safe and effective movement, physical activity, and exercise-based interventions for individuals and population groups throughout all stages of their life.
2.2.3. Evaluate physiological responses and adaptations to acute and chronic exercise for clients across the full health spectrum.
LO2
Accredited Exercise Physiologist Professional Standards (2023) - ESSA
2.2.2. Examine principles of biopsychosocial care, value-based care, person-centred care and social and cultural determinants of health and apply this to promote health and well-being for individual clients and population groups.
2.2.3. Evaluate physiological responses and adaptations to acute and chronic exercise for clients across the full health spectrum.
2.2.4. Evaluate the effect of commonly prescribed medications, diagnostic procedures, medical, surgical, and other interventions on both resting and exercise-related physiological responses across the full health spectrum.
2.2.5. Evaluate research findings and apply exercise prescription principles to develop recommendations and interventions, including targeted exercise prescription for the purposes of optimising health status, function, recovery, independence, and participation.
2.2.6. Apply clinical, ethical, and evidence-based decision-making to formulate appropriate interventions and recommendations and communicate the expected outcomes.
2.2.8. Evaluate and apply contextual learning principles and behaviour change strategies to improve health outcomes, increase engagement, motivation, and adherence, and empower self-management of health conditions.
3.2.3. Formulate appropriate assessments and outcome measures relevant to treatment and client goals, and evaluate health status, function, capacity, and progress, to inform clinical reasoning and to monitor the delivery and outcomes of interventions.
3.2.4. Distinguish, record, report, and appropriately action changing risk factors and adverse signs and symptoms that may arise before, during, and after assessments and interventions.
3.2.7. Distinguish when client needs are outside of scope or competence and take appropriate, timely actions including engaging effectively with other professionals.
3.2.8. Choose and use relevant technology and equipment efficiently, effectively, and safely.
4.2.1. Formulate evidence-based exercise prescription, interventions, and recommendations that address health and treatment related client needs, preferences, goals, and abilities, assessment findings, and social and cultural determinants of health.
4.2.2. Design, prescribe, deliver, and monitor safe and effective movement, physical activity, and exercise-based interventions for clients with complex presentations, including those with acute and chronic health conditions and multiple comorbidities.
LO3
Accredited Exercise Physiologist Professional Standards (2023) - ESSA
1.2.1. Practise with integrity within the scope of practice for an AEP, the ESSA Code of Professional Conduct and Ethical Practice, and jurisdictional Codes of Conduct.
1.2.5. Practise in a culturally safe, inclusive, sensitive, respectful, and responsive way and according to person-centred care principles.
1.2.6. Practise collaboratively and effectively with other professionals, including seeking feedback and input to inform decision-making, delegating tasks, and referring to other professionals and services where appropriate.
1.2.8. Demonstrate leadership and the ability to advocate for client access to AEP services and appropriate health care.
4.2.7. Communicate effectively and respectfully with clients and relevant others about progress and outcomes of interventions, including appropriate reporting.
LO4
Accredited Exercise Physiologist Professional Standards (2023) - ESSA
4.2.1. Formulate evidence-based exercise prescription, interventions, and recommendations that address health and treatment related client needs, preferences, goals, and abilities, assessment findings, and social and cultural determinants of health.
4.2.2. Design, prescribe, deliver, and monitor safe and effective movement, physical activity, and exercise-based interventions for clients with complex presentations, including those with acute and chronic health conditions and multiple comorbidities.
4.2.3. Formulate and apply strategies to manage risks, evaluate progress, and adapt recommendations and interventions in partnership with clients based on needs and measured outcomes.
4.2.4. Create and apply inclusive, respectful, and effective communication strategies to educate and engage clients in informed decision-making about purpose, benefits, risks, options, and costs for proposed interventions, expected outcomes, and strategies for future prevention.
4.2.6. Formulate strategies during treatment to empower clients to undertake safe and effective self-management during and following discharge from interventions.
4.2.8. Evaluate effectiveness of interventions and their outcomes including the selection, interpretation, and reporting of outcome measures to inform future practice.
LO5
Accredited Exercise Physiologist Professional Standards (2023) - ESSA
2.2.4. Evaluate the effect of commonly prescribed medications, diagnostic procedures, medical, surgical, and other interventions on both resting and exercise-related physiological responses across the full health spectrum.
2.2.5. Evaluate research findings and apply exercise prescription principles to develop recommendations and interventions, including targeted exercise prescription for the purposes of optimising health status, function, recovery, independence, and participation.
2.2.6. Apply clinical, ethical, and evidence-based decision-making to formulate appropriate interventions and recommendations and communicate the expected outcomes.
2.2.8. Evaluate and apply contextual learning principles and behaviour change strategies to improve health outcomes, increase engagement, motivation, and adherence, and empower self-management of health conditions.
3.2.1. Formulate appropriate screening processes to evaluate and stratify risk for participation in assessments and interventions, including consideration of appropriate service modalities for clients.
3.2.2. Formulate safe, effective, and culturally sensitive assessments to collect relevant information, social and cultural determinants of health, client history, and client needs, preferences, barriers, facilitators, and goals.
3.2.3. Formulate appropriate assessments and outcome measures relevant to treatment and client goals, and evaluate health status, function, capacity, and progress, to inform clinical reasoning and to monitor the delivery and outcomes of interventions.
3.2.4. Distinguish, record, report, and appropriately action changing risk factors and adverse signs and symptoms that may arise before, during, and after assessments and interventions.
3.2.5. Evaluate and record assessment outcomes in a timely and accurate manner to inform practice and communicate outcomes and relevance to goals effectively to clients and relevant others.
3.2.8. Choose and use relevant technology and equipment efficiently, effectively, and safely.
LO6
Accredited Exercise Physiologist Professional Standards (2023) - ESSA
1.2.1. Practise with integrity within the scope of practice for an AEP, the ESSA Code of Professional Conduct and Ethical Practice, and jurisdictional Codes of Conduct.
1.2.6. Practise collaboratively and effectively with other professionals, including seeking feedback and input to inform decision-making, delegating tasks, and referring to other professionals and services where appropriate.
1.2.7. Develop reflective practices through self-reflection, seeking and engaging with feedback from colleagues and clients, critically evaluating service delivery and outcomes, and engaging in ongoing learning.
1.2.8. Demonstrate leadership and the ability to advocate for client access to AEP services and appropriate health care.
3.2.7. Distinguish when client needs are outside of scope or competence and take appropriate, timely actions including engaging effectively with other professionals.
Accredited Exercise Physiologist Professional Standards (2023) -
Competency code Taught, Practiced or Assessed Competency standard
1.2.1 T A Practise with integrity within the scope of practice for an AEP, the ESSA Code of Professional Conduct and Ethical Practice, and jurisdictional Codes of Conduct.
1.2.5 T A Practise in a culturally safe, inclusive, sensitive, respectful, and responsive way and according to person-centred care principles.
1.2.6 T A Practise collaboratively and effectively with other professionals, including seeking feedback and input to inform decision-making, delegating tasks, and referring to other professionals and services where appropriate.
1.2.7 T A Develop reflective practices through self-reflection, seeking and engaging with feedback from colleagues and clients, critically evaluating service delivery and outcomes, and engaging in ongoing learning.
1.2.8 T A Demonstrate leadership and the ability to advocate for client access to AEP services and appropriate health care.
2.2.1 T A Integrate knowledge of anatomy, physiology, pathophysiology, and other determinants of health and function and apply these to inform safe and effective movement, physical activity, and exercise-based interventions for individuals and population groups throughout all stages of their life.
2.2.2 T A Examine principles of biopsychosocial care, value-based care, person-centred care and social and cultural determinants of health and apply this to promote health and well-being for individual clients and population groups.
2.2.3 T A Evaluate physiological responses and adaptations to acute and chronic exercise for clients across the full health spectrum.
2.2.4 T A Evaluate the effect of commonly prescribed medications, diagnostic procedures, medical, surgical, and other interventions on both resting and exercise-related physiological responses across the full health spectrum.
2.2.5 T A Evaluate research findings and apply exercise prescription principles to develop recommendations and interventions, including targeted exercise prescription for the purposes of optimising health status, function, recovery, independence, and participation.
2.2.6 T A Apply clinical, ethical, and evidence-based decision-making to formulate appropriate interventions and recommendations and communicate the expected outcomes.
2.2.8 T A Evaluate and apply contextual learning principles and behaviour change strategies to improve health outcomes, increase engagement, motivation, and adherence, and empower self-management of health conditions.
3.2.1 T A Formulate appropriate screening processes to evaluate and stratify risk for participation in assessments and interventions, including consideration of appropriate service modalities for clients.
3.2.2 T A Formulate safe, effective, and culturally sensitive assessments to collect relevant information, social and cultural determinants of health, client history, and client needs, preferences, barriers, facilitators, and goals.
3.2.3 T A Formulate appropriate assessments and outcome measures relevant to treatment and client goals, and evaluate health status, function, capacity, and progress, to inform clinical reasoning and to monitor the delivery and outcomes of interventions.
3.2.4 T A Distinguish, record, report, and appropriately action changing risk factors and adverse signs and symptoms that may arise before, during, and after assessments and interventions.
3.2.5 T A Evaluate and record assessment outcomes in a timely and accurate manner to inform practice and communicate outcomes and relevance to goals effectively to clients and relevant others.
3.2.7 T A Distinguish when client needs are outside of scope or competence and take appropriate, timely actions including engaging effectively with other professionals.
3.2.8 T A Choose and use relevant technology and equipment efficiently, effectively, and safely.
4.2.1 T A Formulate evidence-based exercise prescription, interventions, and recommendations that address health and treatment related client needs, preferences, goals, and abilities, assessment findings, and social and cultural determinants of health.
4.2.2 T A Design, prescribe, deliver, and monitor safe and effective movement, physical activity, and exercise-based interventions for clients with complex presentations, including those with acute and chronic health conditions and multiple comorbidities.
4.2.3 T A Formulate and apply strategies to manage risks, evaluate progress, and adapt recommendations and interventions in partnership with clients based on needs and measured outcomes.
4.2.4 T A Create and apply inclusive, respectful, and effective communication strategies to educate and engage clients in informed decision-making about purpose, benefits, risks, options, and costs for proposed interventions, expected outcomes, and strategies for future prevention.
4.2.5 T A Apply and evaluate exercise prescription, health behaviour, and lifestyle change strategies and education, in partnership with clients to increase engagement, motivation and adherence, and improve health and well-being.
4.2.6 T A Formulate strategies during treatment to empower clients to undertake safe and effective self-management during and following discharge from interventions.
4.2.8 T A Evaluate effectiveness of interventions and their outcomes including the selection, interpretation, and reporting of outcome measures to inform future practice.

This section outlines changes made to this unit following staff and student reviews.

This year (2023) is the first year this unit has run.

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