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Unit of study_

PHTY5209: Advanced Clinical Reasoning

Intensive November, 2022 [Normal day] - Camperdown/Darlington, Sydney

This UOS is the capstone unit of the Graduate Entry Masters program in which students undertake major individual pieces of scholarly work (Case study with extended answers part 1 & Case study with extended answers part 2) on a complex case of a common condition/disease. Skills that underpin effective communication of advanced clinical reasoning and evidence-based practice will be practised in tutorials and will be drawn upon in the assessment tasks. Lectures will comprise evidence-based practice, ethical practice, ethical dilemmas and cultural competency, and Master classes presenting complex cases that require advanced clinical reasoning. In tutorials, students will practice evidence-based physiotherapy skills and present their clinical reasoning. There will also be opportunity during two tutorials for feedback on aspects of the two assessments (Case study with extended answers part 1 & Case study with extended answers part 2).

Unit details and rules

Unit code PHTY5209
Academic unit Movement Sciences
Credit points 6
Prohibitions
? 
None
Prerequisites
? 
PHTY5206 and PHTY5197
Corequisites
? 
PHTY5208
Assumed knowledge
? 

None

Available to study abroad and exchange students

No

Teaching staff

Coordinator Anita Amorim, anita.amorim@sydney.edu.au
Lecturer(s) Sarah Dennis, sarah.dennis@sydney.edu.au
Susan Coulson, susan.coulson@sydney.edu.au
Vincent Singh Paramanandam, vincent.paramanandam@sydney.edu.au
Emma Walke, emma.walke@sydney.edu.au
Mark Elkins, mark.elkins@sydney.edu.au
Marie March, marie.march@sydney.edu.au
Tania Gardner, tania.gardner@sydney.edu.au
Mi-Joung Lee, mi-joung.lee@sydney.edu.au
Alison Harmer, alison.harmer@sydney.edu.au
Anita Amorim, anita.amorim@sydney.edu.au
Tutor(s) Paulo Ferreira, paulo.ferreira@sydney.edu.au
Type Description Weight Due Length
Assignment Case Study with extended answers Part 1
Qualitative and quantitative paper critique for your case study
40% Week 05
Due date: 02 Nov 2022 at 15:00
1500 words
Outcomes assessed: LO1 LO3 LO4
Assignment Case Study with extended answers Part 2
Clinical reasoning, complexity identification & treatment for case study
60% Week 08
Due date: 23 Nov 2022 at 15:00
2000 words
Outcomes assessed: LO1 LO2 LO3 LO4

Assessment summary

 

  • Case study with extended answers parts 1 and 2: In the first week of the unit, students will select from one of four case studies of patients with common conditions. Case study with extended answers part 1 will contain a critique of an original paper or systematic review that addresses qualitative evidence related to the common condition and critique of a systematic review or high quality clinical trial of therapy (quantitative evidence) related to the common condition. Case study with extended answers part 2 will be a detailed and scholarly discussion of the case’s impairments, activity limitations and participation restrictions, the complexities of the case, choice of main therapies and any modifications required.
Detailed information for each assessment can be found on Canvas.

Assessment criteria

The University awards common result grades, set out in the Coursework Policy 2014 (Schedule 1).

As a general guide, a high distinction indicates work of an exceptional standard, a distinction a very high standard, a credit a good standard, and a pass an acceptable standard.

Result name

Mark range

Description

High distinction

85 - 100

 

Distinction

75 - 84

 

Credit

65 - 74

 

Pass

50 - 64

 

Fail

0 - 49

When you don’t meet the learning outcomes of the unit to a satisfactory standard.

For more information see sydney.edu.au/students/guide-to-grades.

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:

In accordance with University policy, these penalties apply when written work is submitted after 3pm 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.

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 01 1. Introduction & Assessments; 2. Evidence-based practice: Importance of EBP and Advanced PEDro searching; 3 - 5. Evidence-based practice (EBP) I: Qualitative studies I, II & III; Lecture (5 hr) LO1
Evidence-based practice skills 1: Qualitative studies Tutorial (3 hr) LO1
Week 02 6 & 7. Evidence-based practice II: Therapy I and II; 8 & 9. Complex cases master class 1: Neurology Lecture (4 hr) LO1
Evidence-based practice skills 2: Quantitative studies of therapy Tutorial (3 hr) LO1
Week 03 10 & 11. Complex cases master class 2: Peripheral Neuropathy; 12 & 13. Complex cases master class 3: Musculoskeletal (fractured NOF) Lecture (4 hr) LO1
Week 04 14 & 15. Complex cases master class 4: Chronic pain; 16 & 17. Complex cases master class 5: Cancer and exercise Lecture (4 hr) LO1
Dissertation writing: feedback 1 Online class (3 hr) LO1 LO2 LO3 LO4
Week 05 Online Q&A Online class (1 hr) LO1 LO4
18 & 19. Complex cases master class 6: Low Back Pain Lecture (2 hr) LO1
Week 06 20-22. Ethical dilemmas; 23-24. Cultural Competency Lecture (5 hr) LO2 LO3
Dissertation writing: feedback 2 Online class (3 hr) LO1 LO2 LO3 LO4
Week 07 25. EBP - Prognosis; 26. EBP - Diagnosis Lecture (2 hr) LO1

Attendance and class requirements

Attendance: There are 26 hours of lectures and 12 hours of supervised tutorials across the 7 weeks. Students are expected to attend a minimum of 80% of tutorials for a unit of study, unless granted exemption by the Dean, Head of School, or Professor most concerned. The Dean, Head of School, or Professor most concerned may determine that a student fails a unit of study because of inadequate tutorial attendance. Alternatively, at their discretion, they may set additional assessment items where attendance is lower than 80%. Students are expected to attend all lectures in this unit of study. Lecture recordings will be made available with the possible exception of the ethical dilemmas lecture. 

Under exceptional circumstances, swapping to alternate tutorials on one-off occasions is possible only by prior agreement with the unit of study coordinator. However, this may be limited if the tutorial is already at capacity or if there are no other tutorials available.

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

Textbooks

Sections on qualitative research and effects of therapy from:

Herbert RD, Jamtvedt G, Hagen KB, Mead J. (2011) 2nd ed. Practical Evidence-Based Physiotherapy. Oxford: Elsevier. 

Two further suggested resources are:

Straus SE, Glasziou P, Richardson WS, Haynes, RB (2011) Evidence-Based Medicine. How to Practice and Teach it (4th edition). Edinburgh: Churchill Livingstone.

Hoffmann T, Bennett S & Del Mar, C. (Eds.) (2010) Evidence-Based Practice Across the Health Professions. Sydney: Churchill Livingstone Elsevier.

Journal articles

Detailed information on weekly readings is provided on Canvas.

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. Apply understanding of evidence-based practice in relation to complex conditions in terms of a qualitative approach (attitudes, thoughts, feelings of patients) and evaluation of therapeutic interventions
  • LO2. Demonstrate understanding of complex ethical dilemmas and determine a professional and ethical course of action
  • LO3. Apply the principles of cultural competency training to the management of patients with complex health problems
  • LO4. Demonstrate evidence in the capstone major individual pieces of scholarly work of integration of skills required for evidence-based practice, advanced clinical reasoning and reflective practice applied to a prevalent and complex health condition.

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
Physiotherapy Practice Threshold Statements - APC
1.2. involve the client and relevant others in the planning and implementation of safe and effective physiotherapy using evidence-based practice to inform decision-making
3.1. use clear, accurate, sensitive and effective communication to support the development of trust and rapport in professional relationships with the client and relevant others
4.1. assess their practice against relevant professional benchmarks and take action to continually improve their practice
4.3. efficiently consume and effectively apply research and commit to practice informed by best available research evidence and new knowledge
5.2. engage in safe, effective and collaborative interprofessional practice
7.1. organise and prioritise their workload and resources to provide safe, effective and efficient physiotherapy autonomously and, where relevant, as a team member
LO2
Physiotherapy Practice Threshold Statements - APC
2.1. comply with legal, professional, ethical and other relevant standards, codes and guidelines
2.2. make and act on informed and appropriate decisions about acceptable professional and ethical behaviours
3.3. deal effectively with actual and potential conflict in a proactive and constructive manner
4.1. assess their practice against relevant professional benchmarks and take action to continually improve their practice
4.4. proactively apply principles of quality improvement and risk management to practice
4.5. recognise situations that are outside their scope of expertise or competence and take appropriate and timely action
7.2. lead others effectively and efficiently within relevant professional, ethical and legal frameworks
LO3
Physiotherapy Practice Threshold Statements - APC
1.1. plan and implement an efficient, effective, culturally responsive and client-centred physiotherapy assessment
1.2. involve the client and relevant others in the planning and implementation of safe and effective physiotherapy using evidence-based practice to inform decision-making
1.3. review the continuation of physiotherapy and facilitate the client’s optimal participation in their everyday life
3.1. use clear, accurate, sensitive and effective communication to support the development of trust and rapport in professional relationships with the client and relevant others
4.1. assess their practice against relevant professional benchmarks and take action to continually improve their practice
5.1. engage in an inclusive, collaborative, consultative, culturally responsive and client-centred model of practice
LO4
Physiotherapy Practice Threshold Statements - APC
1.2. involve the client and relevant others in the planning and implementation of safe and effective physiotherapy using evidence-based practice to inform decision-making
1.3. review the continuation of physiotherapy and facilitate the client’s optimal participation in their everyday life
3.2. record and effectively communicate physiotherapy assessment findings, outcomes and decisions
4.3. efficiently consume and effectively apply research and commit to practice informed by best available research evidence and new knowledge
5.1. engage in an inclusive, collaborative, consultative, culturally responsive and client-centred model of practice
5.2. engage in safe, effective and collaborative interprofessional practice
6.1. use education to empower themselves and provide knowledge to themselves and others.
7.2. lead others effectively and efficiently within relevant professional, ethical and legal frameworks

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

The feedback from the students who respond to the USS is positive reflecting an appreciation for how to apply EBP in clinical practice. This year we have approval to remove the multiple-choice quiz from the unit’s assessment schedule and the assessments are now Case study with extended answers part 1 and Case study with extended answers part 2. The word count for the scholarly pieces of work has increased. We will be offering a new master class on low back pain. We will maintain recent unit changes which have received positive feedback - two individual dissertation feedback sessions offered via zoom and co-teaching of tutorials affirming consistency across the teaching team.

Work, health and safety

Please refer to current COVID-19 safety protocols.

Disclaimer

The University reserves the right to amend units of study or no longer offer certain units, including where there are low enrolment numbers.

To help you understand common terms that we use at the University, we offer an online glossary.