CSH534 Podiatric Medicine 4


To view more information for this unit, select Unit Outline from the list below. Please note the teaching period for which the Unit Outline is relevant.


Unit Outline: Semester 2 2024, Kelvin Grove, Internal

Unit code:CSH534
Credit points:12
Pre-requisite:CSB533
Equivalent:PUB639, CSB534
Coordinator:Matthew Rixon | m2.rixon@qut.edu.au
Disclaimer - Offer of some units is subject to viability, and information in these Unit Outlines is subject to change prior to commencement of the teaching period.

Overview

This unit is a work integrated learning (WIL) unit in which you will complete clinical placements in the QUT Podiatry Clinic. This unit will extend your clinical expertise by fostering independent case management and communication. You will gain exposure to complex cases requiring higher order problem solving ability and the ability to link information from your previous studies, including podiatric therapeutics. Your diagnostic skills will be developed with a wider range of patients presenting for management of lower limb conditions. Case management for special populations including paediatric and chronic disease populations, including high risk foot care, will be emphasised. You will demonstrate clinical competencies at a developing level aligned with AHPRA Professional capabilities for podiatrists, professional guidelines and codes of conduct.

Please note that mandatory elements may start in Orientation week. 

This is a designated unit which is essential to your course progression. Designated units include professional experience units, units requiring the development of particular skills, and units requiring demonstration of certain personal qualities. If you fail to achieve a satisfactory level of performance in a designated unit, you may be excluded from enrolment or will be put on academic probation. If you fail a designated unit twice within your course, you may be excluded. Supplementary assessment is not available on designated units.

Learning Outcomes

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

  1. Analyse and synthesise information from patient history and targeted assessments to facilitate clinical decision making.
  2. Integrate knowledge of paediatric and high risk foot, with application to clinical practice and alignment to relevant professional, ethical and legal frameworks.
  3. Communicate and collaborate in a culturally responsive manner with patients, healthcare providers and relevant others, in the context of paediatrics and chronic disease.
  4. Plan and implement safe and effective person-centered management plans, incorporating podiatric therapeutics and mechanical therapies.
  5. Identify challenges and recognise learning opportunities, through an enquiry and reflective practice approach centred around the integration of evidence into clinical practice.

Content

     Practise podiatry in a professional manner:

  • Practises to accepted standards and within the limitations of the individual and of the profession
  • Displays efficient organisation to complete administrative responsibilities safely and effectively
  • Demonstrates ethical behaviour and practise in an appropriate manner around children
  • Matters of consent with children
  • Development of professional relationships during clinical sessions
  • Engage in culturally appropriate, safe, empathetic and sensitive communication that facilitates trust and the building of respectful relationships, including with Aboriginal and Torres Strait Islander Peoples and those from culturally and linguistically diverse backgrounds

    Specialised knowledge and skills:

  • Theory and treatment of paediatric conditions (neurological, rotational, leg length, cutaneous and connective tissue)
  • Theory and treatment of diabetes-related (and other 'high risk') foot disorders (neurological and vascular assessments, ulceration, offloading and diabetes foot guidelines) including the indigenous diabetic foot
  • About the role of footwear in managing foot complaints particularly in diabetes and paediatrics
  • Orthoses manufacturing included computed aided design and manufacture
  • Analyse and interpret paediatric findings in a clinical setting to establish an appropriate differential diagnosis
  • Implement and evaluate patient/client focused treatment plans

    Communication skills:

  • Develop special communication skills (interview) required to adequately manage paediatric conditions of the foot
  • Written professional communications directed to appropriate health professionals and inter-colleague exchange

These elements relate to AHPRA’s Professional Capabilities for Podiatrists. Students are registered with the Podiatry Board of Australia which recognises these capabilities as the minimum standards for professional practice.

Please refer to Podiatry Board of Australia for more information.

 

Learning Approaches

This unit utilises contemporary approaches to learning and teaching in a clinical environment that places you at the centre of all clinical activities, clinical reasoning and reflection. You will engage in on site clinical activities (Work Integrated Learning) in the QUT Podiatry Clinic and practical sessions for the supervised development of knowledge and skills specific to foot orthoses. Clinical experiences will include high risk foot, paediatric, musculoskeletal and general clinics. Clinical skills workshops and tutorials will also be used to facilitate the refinement of practical skills to ensure you are at a developing level expected of a student progressing into the final year of study.
In consultation with staff, you will be required to undertake a self-audit of performance against relevant Professional capabilities for podiatrists, with a view to goal setting. This activity will guide your learning throughout the unit.

This unit requires compulsory attendance at on-campus clinical placement (90 hours), and any absence from clinical placements will reduce the opportunity for development of your professional capabilities. Where absence is due to special or unforeseeable circumstances independently supported by documentation (e.g. medical certificate), make-up clinical placement days will be facilitated wherever possible. In certain circumstances, involving a substantial number of missed clinical hours, you may be advised to seek withdrawal from the unit without academic penalty. Standard course progression cannot be guaranteed following withdrawal from a clinical placement unit (or fail grade). 

Feedback on Learning and Assessment

Formative feedback on your progress in this unit will include self and staff reflection on your achievement of skills with reference to the Professional capabilities for podiatrists. Feedback on the element being monitored will occur on a week to week basis. Students will be given verbal feedback of performance during the clinical placement.

Assessment

Overview

The learning outcomes in this unit address elements of the Professional Capabilities for Podiatrists. The Podiatry Board of Australia recognises these capabilities as the minimum standards for professional practice. As such, this unit contains specified threshold assessment conditions as indicated below. 

Your first assessment item is a Clinical Portfolio that consists of case studies and reflection upon your attainment of the Professional Capabilities for Podiatrists. Your second assessment item is an OSCE that will provide opportunity for you to demonstrate clinical decision making skills and integration of knowledge acquired in this unit and through the course.

Unit Grading Scheme

7- point scale

Assessment Tasks

Assessment: Clinical Portfolio

In your work as a Podiatrist you will regularly encounter situations that require you to adopt an enquiry and reflective practice approach centred around the integration of evidence into clinical practice. In your Portfolio you will present evidence of your developing reflective practice skills. Portfolio items will relate to your clinical placements and practicals, including (but not limited to): clinical reflections, case studies and professional letter writing. In your Clinical Portfolio you will document completion of the required number of clinical hours (90 hours) and this will also be recorded in InPlace. 

This assignment is eligible for the 48-hour late submission period and assignment extensions.

Threshold Assessment:

In order to receive a grade for this assessment item, fulfilment of all clinical hours must be documented in your Portfolio and you must achieve the minimum pass level as indicated by a criterion-referenced assessment rubric mapped to AHPRA’s professional capabilities for podiatrists. You will be eligible for one reattempt at the minimum pass level, only when your achieved mark/grade is within 10% (or 1 grade) of the pass level. You are advised to seek feedback on your performance from the unit coordinator prior to the reattempt. 

Weight: 50
Individual/Group: Individual
Due (indicative): Week 13
First case study submission in Week 6, remaining items submitted in Week 13
Related Unit learning outcomes: 3, 4, 5

Assessment: Objective Structured Clinical Examination (OSCE)

You will be assessed through an objective structured clinical examination. You will be required to apply theoretical concepts of podiatric medicine to paediatric and high risk case scenarios. You will ultilise relevant clinical and diagnostic skills to identify common foot conditions, interpret clinical information, form a preliminary diagnosis and discuss podiatric management pathways from an evidence-based perspective.

Threshold Assessment:

Threshold conditions apply to this assessment item. If you do not achieve the pass level as indicated by a criterion-referenced assessment rubric mapped to AHPRA's professional capabilities for podiatrists, you will be eligible for one reattempt at the minimum pass level, only when your achieved mark/grade is within 10% (or 1 grade) of the pass level. You are advised to seek feedback on your performance from the unit coordinator prior to the reattempt.

Weight: 50
Individual/Group: Individual
Due (indicative): Central Examination Period
Central exam duration: 1:40 - No perusal
School-based assessment
Related Unit learning outcomes: 1, 2, 3

Academic Integrity

Students are expected to engage in learning and assessment at QUT with honesty, transparency and fairness. Maintaining academic integrity means upholding these principles and demonstrating valuable professional capabilities based on ethical foundations.

Failure to maintain academic integrity can take many forms. It includes cheating in examinations, plagiarism, self-plagiarism, collusion, and submitting an assessment item completed by another person (e.g. contract cheating). It can also include providing your assessment to another entity, such as to a person or website.

You are encouraged to make use of QUT’s learning support services, resources and tools to assure the academic integrity of your assessment. This includes the use of text matching software that may be available to assist with self-assessing your academic integrity as part of the assessment submission process.

Further details of QUT’s approach to academic integrity are outlined in the Academic integrity policy and the Student Code of Conduct. Breaching QUT’s Academic integrity policy is regarded as student misconduct and can lead to the imposition of penalties ranging from a grade reduction to exclusion from QUT.

Requirements to Study

Requirements

The Health Work Integrated Learning Support (WILS) team supports checking of mandatory documentation required for all student clinical placements.  

Failure to comply with these requirements will result in your exclusion from clinical activities.  

  • Vaccine Preventable Diseases Evidence:  It is a mandatory requirement for students to be vaccinated against a number of vaccine preventable diseases. For more information, please refer to QUT Health students placements website.   
  • First Aid Certificate: You are required to have a current Senior First Aid Certificate before you begin your podiatry placement. There are a variety of First Aid certificate courses that are delivered by approved providers and duly authorised under the Ambulance Service Act 1991.  

All documentation needs to be provided to Work Integrated Learning Support (via InPlace) before the commencement of clinical placements. 

Specific disclosure: Students will be required to disclose specific personal or medical information where:  

  • A medical condition or medication use may increase the risk of injury to yourself or others (e.g. use of sedative medications or communicable disease).  
  • Adjustments may be required for a disability, injury, health condition or pregnancy (e.g. access to facilities, manual tasks such as scalpel work or orthosis fabrication, working with chemicals).  
      

Please seek advice about disclosure from your Disability Advisor. Refer to Disability Services homepage for information.  

Further information regarding WIL policies and procedures, such as health and safety, risk management, confidentiality, intellectual property, disclosure and insurance, are available via the following QUT Health student placements website.  

Blue Card

A blue card is required to complete this unit. A blue card confirms that you have passed a screening of your criminal history (the Working with Children Check) and have been approved to work with children and young people. For more information on the blue card and how to apply please visit the QUT website.

Resources

The primary learning resource will be the textbook listed below. Additional learning resources will be outlined to supplement this text will be provided throughout the semester via the unit Canvas site. Students are encouraged to curate and critically apply open educational resources from relevant and appropriate online sources.

Resource Materials

Prescribed text(s)

Evans, A. (2010) Pocket Podiatry. Paediatrics. Edinburgh: Churchill Livingstone. Thomson, P., and Volpe, R.G. (2001). Introduction to podopediatrics. (2nd Edition). Edinburgh: Churchill Livingstone.

Risk Assessment Statement

This unit will involve lab-based and clinic-based sessions in on campus clinic facilities. You will be required to attend a mandatory induction session in Orientation week and/or at the commencement of the semester, where the safety precautions to be observed while working in the labs and clinic will be outlined. You are required to read the Clinic Policies and Procedures documents, and sign forms indicating that you have read and understood the material contained in these manuals. Please direct any questions regarding safe working procedures to the unit coordinator. Protective clothing outlined in the Policies and Procedures documentation must be worn at all times in the laboratories (e.g. face mask, goggles/face shield, lab coat) along with closed in footwear and the clinic uniform during all clinic sessions. This unit involves contact with patients, and risks associated with the clinical environment (e.g. scalpel injury and exposure to patients with a blood borne virus) are outlined in the policies and procedures manuals for podiatry students. You are expected to comply with these procedures and guidelines at all times.