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This course will begin to assist the student through
the transition from the classroom to the clinical environment
by introducing the patient care and record keeping procedures
of the Internship I lab and the University Health Service.
This in an introductory class covering aspects of documentation
and the clinic procedures students will follow during
their initial patient care experience in the subsequent
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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.
- Effective Communication
Graduates will demonstrate effective verbal, non-verbal, and written communication
skills in a wide variety of contexts, including collaborative activities.
- 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.
- 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.
- 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.
- Service to the Community
Graduates will understand and value the benefits of service to the community.
- 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.
- 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.
- Competence in one's Discipline
Graduates will demonstrate competence of appropriate depth and scope for
one's discipline.
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- Know the legal aspect of health care record keeping
- Become acquainted with the different styles of record
keeping.
- Understand the principles of patient care protocols,
guidelines, and standards of care.
- Know the legal aspects of HIPPA compliance.
- Be able to identify the forms used in the Internship
I lab and the University Health Service for record keeping.
- Know the purpose and placement of all relevant and necessary
forms used in problem-oriented file management.
- Understand the clinical thought process in selecting
additional tests and procedures for patient care management.
- Participate in active Intern/student patient encounters
in the Internship I lab.
- Know and utilize the GroupWise e-mail system as a communication
option for T5 and as a routine function for T6/T7 clinic.
- Know the appropriate use of language and acceptable
abbreviations.
- Be able to make corrections in a patient's file in an
acceptable manner.
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A. Required Text(s):
- T5 Class notes.
B. Recommended Text(s):
- N/A
C. Required Materials for Lab:
- Professional attire for T5 observations
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- Mandatory classroom attendance--see grading below.
- Read and be prepared to discuss class notes and Journal
Articles as assigned.
- Attendance for guest speakers.
- There will be various assignments to demonstrate your
understanding of the material.
- Final--25 question, open note examination.
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- Weekly classroom attendance is mandatory. Without weekly
attendance, the student will not have the understanding
that is necessary to develop the flow of patient care
and file management--see grading below.
- If you have an official excused absence, I will help
you make up the missed work. If you just choose to miss
the class, you will need to find out what went on from
your classmates.
- Typed History, General History, Case Summary and Treatment
Plan as assigned.
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Introduction to Clinical Internship is a PASS/NO PASS class.
To PASS this course the student must complete all assignments
in the time allotted and attain a minimum score of 70%
on the final examination.
Guaranteed grades are as follows:
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PASS/ NO PASS as described above.
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- COGNITIVE DOMAIN
- Know the legal requirements for health care patient
record keeping.
- Know the principals of protocols, guidelines, and
standards of care used as it relates to outcome assessment.
- Know the components of patient care file management.
- Understand the interrelationship of the patient
care forms.
- Select the appropriate special tests based upon
history and examination.
- Know how to prepare a Case Summary and Treatment
Plan.
- Understand the purpose and function of a Report
of Findings.
- Thoroughly understand how to write SOAP notes.
- Understand when and how to conduct a Reevaluation.
- Know the proper use of ICD-9 codes.
- Know the implication of the HIPPA regulations.
Conditions:
N/A
- PSYCHOMOTOR DOMAIN
A. Be able
to accurately and efficiently conduct a comprehensive
physical, neurological and chiropractic examination.
- AFFECTIVE DOMAIN
- Develop an appreciation for the complexity of patient
care file management.
- Develop an understanding for the transition from
mostly didactic to increasingly more clinical emphasis.
- Develop a service-centered attitude as you prepare
to take on more responsibility for patient care.
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| Weekly
Calendar of Learning Objectives |
Top
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| Week |
Dates |
Topics/Learning
objectives |
| Week 1 |
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Legal aspects of patient care record keeping.
Overview of different styles of record keeping--pros
and cons.
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| Week 2 |
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Standards of care, Treatment protocols, outcome
assessment.
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| Week 3 |
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Overview of patient care flow and file management.
Chief complaint history and General History taking
with accompanying SOAP notes.
DDX
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| Week 4 |
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Examination and special tests.
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| Week 5 |
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Case
Summary and Treatment Plan |
| Week 6 |
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Report of Findings.
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| Week 7 |
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Wellness plans for Internship I lab.
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| Week 8 |
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Progress Notes
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| Week 9 |
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Progress Notes
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| Week 10 |
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Re-evaluation and interim Progress Report
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| Week 11 |
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TBA
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| Week 12 |
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TBA
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| Week 13 |
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TBA
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| Week 14 |
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Finals
Week |
| Week 15 |
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Finals
Week |
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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: 25 January,
2006
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