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Clinical Internship 1 - #41060


Lab Manual

 

 
Jason R. Bartlett, D.C.
3.0
75
1.0
4.0
Clinical Internship 1 is the first phase in providing clinical patient care. All aspects of doctor-patient interactions are reviewed, discussed and practiced, with special emphasis given to developing skills in clinical thinking, doctor-patient communication and patient education. Clinical practice is centered on early term chiropractic students and care is supervised by faculty mentors. Video review of patient interactions peer review help interns refine the skills necessary for successful progress to the next phase of clinical experience.
Please select from the list on the right.

The Institution-wide learning goals define the common ground that unites the programs within the university. They are purposefully broad so that the various colleges and schools can continue to develop their unique identities through varying ways in which the goals are met.

  1. Effective Communication
    Graduates will demonstrate effective verbal, non-verbal, and written communication skills in a wide variety of contexts, including collaborative activities.
  2. Self Directed and Lifelong Learning
    Graduates will be aware of the limits of one’s personal knowledge and experience and have an intellectual interest in scholarly and creative endeavors. Graduates will actively set appropriate learning goals, pursue them, and apply the knowledge gained.
  3. Ethical Reasoning
    Graduates will demonstrate a willingness to recognize the values of others while maintaining one’s own integrity, and act ethically and professionally in all endeavors.
  4. Individuals, Communities and Cultures
    Graduates will demonstrate awareness and sensitivity to the cultural and health practices of individuals and communities. Graduates will be able to identify appropriate health related resources.
  5. Service to the Community
    Graduates will understand and value the benefits of service to the community.
  6. Influence of Mind, Body and Spirit on Health
    Graduates will recognize the inter-relationship of the mind, body and spirit and the influence of extrinsic factors on an individual’s health.
  7. Critical Thought and Knowledge Acquisition
    Graduates will acquire, appraise and apply scientific information. Graduates will contextually organize and synthesize relevant information to address an issue or problem.
  8. Competence in one's Discipline
    Graduates will demonstrate competence of appropriate depth and scope for one's discipline.

Course Objectives
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  1. Perform a complete and clinically significant history from a patient.
  2. Develop a relevant differential diagnosis based on the clinical presentation and history.
  3. Perform a complete physical examination on a patient related to the differential diagnosis.
  4. Write a narrative case summary based on an analysis of subjective and objective findings.
  5. Formulate a diagnosis and assign appropriate ICD-9 diagnostic codes.
  6. Produce patient records in a professionally detailed, accurate and timely manner in a SOAP format.
  7. Prepare and present a report of findings to a patient.
  8. Develop and apply peer and self-critical evaluation to clinical and interactive communication skills as demonstrated with student patients.
  9. Apply cognitive and affective interactive skills in patient education and intern/patient communication.
  10. Develop and apply clinical rationale and thought process in case management of student patients.
  11. Formulate answers to commonly asked questions related to chiropractic care in appropriate lay language in an accurate and concise manner.
  12. Write a self-relective analysis of recorded interactions with student patients for history, examination and report of findings with focus on communication skills.
Materials
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A. Required Text(s):
None
B. Recommended Text(s):

Texts from prior clinical courses.


C. Required Materials for Lab:

  1. X-ray Marking kit
  2. Examination Equipment
  3. Black Pen
  4. Name tag
  5. Professional attire
  6. Class notes T5 ,T6
  7. DVD +RW
  8. Clipboard
Assignments
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  1. Review and learn all rules and operational procedure related to the operation of University Health Service are laid out in the Clinic Internship handbook.
  2. Maintain regular weekly (or frequency per treatment plan) patient visits.
  3. Produce and maintain accurate and timely patient records using appropriate SOAP format.
  4. Elicit and record a patient history on all assigned patients.
  5. Complete a general physical exam on all assigned patients.
  6. Complete a case summary and diagnosis on all assigned patients.
  7. Develop a treatment plan on all assigned patients.
  8. Consult with assigned supervisor to review case and and approve treatment plan.
  9. Prepare and present a report of findings to each patient.
  10. Perform all necessary patient care only as approved by the supervisor.
  11. Re-evaluate patient and revise treatment plan with supervisor approval, as necessary.
  12. Prepare patient progress reports based on treatment goals and outcomes assessment.
  13. Obtain supervisor review and approval of six (6) specified adjustments (QA).
    Above specified regional adjustment requirements are: two (2) cervical, two (2) thoracic,and two (2) lumbar.
    [ This assignment must be completed before any adjustments in the same region may be performed on any patient, even if a treatment plan has been approved by the supervisor. It is the intern's responsibility to maintain the record of all QA approvals on the ISR.]
  14. Complete 6 extremity exams: 3 upper extremity and 3 lower extremity exams
  15. Complete end of term file review and completion of records.
  16. Consult with assigned supervisor for an evaluation for the term.
  17. Perform all aspects of patient evaluation and treatment in a timely manner.
  18. Produce and participate in recording DVD sessions related to patient interactions during 3 separate regularly scheduled appointments.
  19. Prepare written peer and self critical evaluations on the above DVDs.
  20. Participate in all in-class assignments.
  21. Check your Northwestern Groupwise email regularly for announcements.
Attendance
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Attendance is required for all class sessions, scheduled patient visits and supervisor consultations.
Grading Criteria
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This is a pass/fail course. To pass, the student must complete the following requirements:
  1. Satisfactory completion of all assignments as listed above.
  2. Satisfactory evaluations from supervisors and patients related to clinical skills and performance.
  3. Satisfactory evaluations on review of specified adjustments (QA)
  4. Adhere to all rules and guidelines in the Clinical Internship handbook.
  5. Satisfactory completion and performance on all written and oral quizzes and examinations.
  6. Class attendance
 

Guaranteed grades are as follows:

A = n/a
B = n/a
C = n/a
D = n/a
F = n/a
Course Competencies
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-

COGNITIVE DOMAIN


Demonstrate clinical thinking skills in all intern/patient interactions.



Conditions:
N/A

PSYCHOMOTOR DOMAIN


Perform tests and procedures with skill and competency to elicit clinically significant responses from clinical internship patients as assigned.

AFFECTIVE DOMAIN


Demonstrate thoughtful, considerate and relevant peer review and evaluation of intern/patient interactions.

Apply professional and ethical principles of intern/patient interactions.

Demonstrate caring and compassionate responses during history interview, examination and report of findings to clinical internship patients.

Demonstrate ability to answer patient's questions with clarity and understanding for a lay person.
Weekly Calendar of Learning Objectives
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Week Dates Topics/Learning objectives
Week 1

Jan 3

CLASS SESSION #1:

Review of syllabus and assignments. Introduction to DeRusha Center clinical operations and procedures. Roles and responsibilities of interns, supervisors and patients. Clinic Internship Handbook review. Overview of Clinical Communication skills in intern/patient interactions. Intern/patient goals. Intern/patient introductions. History taking as applied in a clinical setting.

Week 2 Jan 10

CLASS SESSION #2:

John Wolfe, Jr., DC, JD- Mandatory HIPAA training

Clinical communication: Clinical thinking, reflection, and communication skills in patient examinations and case summaries, professional interactions with patients, supervisors, and staff.

 

First week of Clinical Internship 1 lab/clinic.
Week 3 Jan 17

CLASS SESSION #3:

Discuss DVD project self assessments and peer critiques.

Develop treatment plans.

Discuss report of findings, x-ray reports, and SOAP notes.
Week 4 Jan 24

CLASS SESSION #4:

Continue discussion of treatment plans, report of findings, x-ray reports, and SOAP notes.

Discuss excercise software and rehabilitative care
Week 5 Jan 31

CLASS SESSION #5:

Review and discuss the use of thermal scanning and surface EMG in clinical practice.

Discuss the use of orthotics in practice.
Week 6 Feb 7

CLASS SESSION #6

Discuss focused patient exams and patient re-evaluations
Review procedures for the last weeks of clinic.
Week 7 Feb 14

NO CLASS - MIDTERMS. NO REGULARLY SCHEDULED CLINIC VISITS. OPEN ROOM WILL BE AVAILABLE.
Week 8 Feb 21

NO CLASS SESSION
Week 9 Feb 28

NO CLASS SESSION
Week 10 Mar 7

NO CLASS SESSION
Week 11 Mar 14

NO CLASS SESSION
Week 12 Mar 21

NO CLASS SESSION
Week 13 Mar 28

NO CLASS SESSION

Last week of clinic
Week 14 April 4 Finals
Week 15 April 11 Finals
Please Note
This schedule of lecture and lab topics and quizzes and exams may be changed during the course of the trimester as circumstances require. Whenever possible, such changes will be announced in class before the date and time in question. You are responsible for anything that transpires during lectures and labs, even when you are unable to attend. In the event that you miss a class session, make sure you check with a classmate about any announcements or schedule changes which may have been made. Makeup exams are allowed only according to the policies described in the current student handbook, which is available in the Student Affairs office.
Maintained by Northwestern College of Chiropractic
Last updated: 2 January, 2007
 

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