Supervised Clinical Practice 1 (10 cr)

Objective

Students create a confidential patientrelationship. Students interview, examine and treat client, and document the medical records of the patient. Students explain in a concise and clear manner the clinical case to a supervisor using professional language of the field, and make an osteopathic working diagnosis in a guided manner. Students observe the clinical work of their student colleagues in small groups, and appreciate information sharing. Students take responsibility for group learning and sharing the learned. Students plan and implement marketing, sales and client acquisition. Students participate in the planning of the quality management of an osteopath's work, implementation and development. Students participate in multi-professional teamwork. Students evaluate their own activities.

First aid:
Students are able to act correctly in situations requiring public safety, in the event of an accident or seizure. They are able to give first aid for an injured or suddenly ill patient. Students master basic resuscitation.

Content

Interview and documentation skills
Case study and professional interaction
Observation and evaluation of vertical position, study of active and passive movement of the back
Osteopathic work diagnosis
Reception activities
Marketing, sales and client acquisition
Multi-professional problem solving
First aid without aid tools and use of tools of first aid kits content and medicines in acute situations

Location and time

Ensiavun harjoitukset toteutetaan pienryhmissä (A ja B) lähiopiskeluna Myllypuron kampuksella lukujärjestyksen mukaisesti.

Materials

The student applies all previous courses’ material; anatomy, physiology, functional anatomy, pathophysiology etc.

The student reads the Handbook for the Interns and the Quick-Reference Guide for the Customer Service.

Teaching methods

Supervised clinical practise
Client work
Customer service
Small group working
Moodle-course
Learning assignments

Season’s goals and assignments are given in the orientation.

Personal development discussions are held at the end of the season

Employer connections

Course is done in the HyMy-village multidisciplinary learning environment.

Other working life co-operation and events during the period.

Completion alternatives

Mandatory attendance, all absences beyond 16 h must be compensated. If the student comes late to the clinic or leaves early, this must be compensated as well. Absence can be compensated by observing other intern groups or by observing an osteopath at their clinic. Absence can also be compensated by helping at the customer service outside usual clinical practice days.

If the student has individualized educational support or study arrangements, the student must contact the teacher of the course, or course segment, immediately after the end of the registration period or latest before the start of the course.

Student workload

1 sc = 27 hours of student’s work = 10 hours of contact teaching, 17 hours of independent work

Content scheduling

On the 1st through 2nd period

Further information

The teacher may give additional assignments as a pedagogical solution e.g. to cover for absence.

The MATERIALS and assignments designed by the teacher are protected by the Finnish Copyright Law (404/61). It is not allowed to use or distribute any assignments or MATERIALS in any other way than in the student's OWN personal studies. Distributing can be done ONLY with the teacher's personal permission.

Evaluation scale

0-5

Assessment criteria, satisfactory (1)

Fully / largely supported by the supervisor

Generic working life skills
Students have adopted a biopsychosocial approach and ethical guidelines as part of the activities. Students have an open and appreciative attitude towards working. Students participate in community activities. They have versatile interaction skills and they are able to discuss with different kind of people as an expert. Students have problem solving skills. Students seek to observe the clinical work of their student colleagues and apply to multidisciplinary teamwork as guided. Students work reliably for the benefit of the group and their field. They implement marketing, sales and client acquisition. They recognise the self-reflection and pursue to utilize it to develop their action.

Anamnesis skills and clinical reasoning
Students find out the patient's anamnestic information, medical history and person's objectives. Students present the clinical case in a concise and clear manner to the supervisor using professional terminology. Students recognise the possible red flags symptoms and contraindications to osteopathic treatment. They analyse the clinical case and set preliminary hypotheses. They select appropriate examinations and differential diagnostics tests. Students make an osteopathic differential diagnosis and end up with an osteopathic working hypothesis. Students make an osteopathic treatment plan and prognosis mainly supported by the supervisor.

Practical skills
Students perform a basic examination of the patient and the necessary examination routines related to the clinical case under the guidance of the supervisor, taking into account the person´s considerations. Students perform the necessary differential diagnostic tests, and evaluate the importance of the results in making osteopathic work diagnosis under guidance. They implement an individual osteopathic treatment plan. They use various osteopathic manual techniques and approaches appropriately and safely in the treatment.

Osteopathic thinking and action
Students justify their decisions with their knowledge of anatomy and physiology and name osteopathic principles in their activities with the support of the supervisor.

Professionalism
Students demonstrate good work ergonomics and patient encounter skills in their work. They are accurate about time management. They are thorough, neat and hygienic at their actions. They document and report patient information clearly in professional language. They acquire information related to the clinical case independently upon request.

Assessment criteria, good (3)

Generic working life skills
Students have adopted a biopsychosocial approach and ethical guidelines as significant part of the actions. Students have an open, appreciative and self-initiated attitude towards working. Students have a communal, participatory attitude and they have active role in the community. They have versatile interaction skills and they are able to discuss with different kind of people as an expert. Students have extensive and versatile problem solving skills.

Students seek to observe the clinical work of their student colleagues and apply to multidisciplinary teamwork as guided. They work reliably for the benefit of the group and their field. They implement marketing, sales and client acquisition. They are capable of self-reflection and are able to modify their actions according to future situations.

Anamnesis skills and clinical reasoning
Students find out the person's prerequisites, medical history and person's objectives. Students present the clinical case in a concise and clear manner to the supervisor using professional terminology. Students recognise the possible red flags symptoms and contraindications to osteopathic treatment. They analyse the clinical case and set preliminary hypotheses. They select appropriate examinations and differential diagnostics tests. They make an osteopathic differential diagnosis and end up with an osteopathic work hypothesis. They make osteopathic treatment plan and prognosis supported by the supervisor.
Practical skills
Perform a basic examination of the patient and the necessary examination routines related to the clinical case independently considering the client. Perform the necessary differential diagnostic tests and evaluate the importance of the results in making osteopathic diagnosis. Implement an individual osteopathic treatment plan. Use a various osteopathic manual techniques and approaches appropriately/properly, safely and effectively in the treatment.

Osteopathic thinking and action
Students justify their decisions with their knowledge of anatomy and physiology, and combine osteopathic principles in their activities.

Professionalism
Students demonstrate good work ergonomics and patient encounter skills in their work. They are accurate about time management. They are thorough, neat and hygienic at their actions. They document and report patient information clearly in professional language. Students acquire information related to the clinical case independently and on their own initiative.

Assessment criteria, excellent (5)

Expertly and with an excellent work ethic

Generic working life skills
Students have adopted biopsychosocial approach and ethical guidelines as a natural part of their activities. Students have an open, appreciative, unprejudiced and self-initiated attitude towards working. Students have a communal, participatory and developmental attitude and they have active role in the community. They have versatile interaction skills and they are able to discuss empathetically with different kind of people as an expert. Students have extensive, versatile and developing problem solving skills.

Students actively seek to observe the clinical work of their student colleagues and seek to multidisciplinary teamwork, valuing and participating actively to share knowledge. They work for the benefit of the group and their field reliably, with high quality, independently and proactively. They plan, implement and develop high-quality and versatile marketing, sales and client acquisition independently. They are capable of high-quality self-reflection and are able to modify their activities according to situations.

Anamnesis skills and clinical reasoning
Students find out the client's anamnestic information, medical history and client's objectives. Students present the clinical case in a concise and clear manner to the supervisor using professional terminology. They recognise the possible red flags symptoms and contraindications to osteopathic treatment. They analyse the clinical case and set preliminary hypotheses. Students select appropriate examinations and differential diagnostic tests. They make an osteopathic differential diagnosis and end up with an osteopathic work hypothesis. Students prepare osteopathic treatment plan and prognosis.

Practical skills
Students perform a basic examination of the patient and perform the necessary examination routines related to the clinical case independently considering the client. Students perform the necessary differential diagnostic tests and evaluate the importance of the results in making osteopathic diagnosis. They implement a high-quality individual osteopathic treatment plan. They use various osteopathic manual techniques and approaches properly, safely and effectively in the treatment.

Osteopathic thinking and action
Students justify their decisions with their extensive knowledge of anatomy and physiology and combine osteopathic principles in their activities.

Professionalism
Students demonstrate excellent work ergonomics and high-quality patient encounter skills in their work. They are very accurate about time management. They are thorough, neat and hygienic at their actions. They document and report patient information clearly in professional language. Students acquire comprehensive information related to the clinical case on their own initiative and independently.

Assessment criteria, approved/failed

Fully / largely supported by the supervisor

Generic working life skills
Students have adopted a biopsychosocial approach and ethical guidelines as part of the activities. Students have an open and appreciative attitude towards working. Students participate in community activities. They have versatile interaction skills and they are able to discuss with different kind of people as an expert. Students have problem solving skills. Students seek to observe the clinical work of their student colleagues and apply to multidisciplinary teamwork as guided. Students work reliably for the benefit of the group and their field. They implement marketing, sales and client acquisition. They recognise the self-reflection and pursue to utilize it to develop their action.

Anamnesis skills and clinical reasoning
Students find out the patient's anamnestic information, medical history and person's objectives. Students present the clinical case in a concise and clear manner to the supervisor using professional terminology. Students recognise the possible red flags symptoms and contraindications to osteopathic treatment. They analyse the clinical case and set preliminary hypotheses. They select appropriate examinations and differential diagnostics tests. Students make an osteopathic differential diagnosis and end up with an osteopathic working hypothesis. Students make an osteopathic treatment plan and prognosis mainly supported by the supervisor.

Practical skills
Students perform a basic examination of the patient and the necessary examination routines related to the clinical case under the guidance of the supervisor, taking into account the person´s considerations. Students perform the necessary differential diagnostic tests, and evaluate the importance of the results in making osteopathic work diagnosis under guidance. They implement an individual osteopathic treatment plan. They use various osteopathic manual techniques and approaches appropriately and safely in the treatment.

Osteopathic thinking and action
Students justify their decisions with their knowledge of anatomy and physiology and name osteopathic principles in their activities with the support of the supervisor.

Professionalism
Students demonstrate good work ergonomics and patient encounter skills in their work. They are accurate about time management. They are thorough, neat and hygienic at their actions. They document and report patient information clearly in professional language. They acquire information related to the clinical case independently upon request.

Assessment methods and criteria

Continuous assessment
Self-evaluation
Peer-evaluation
Learning assignments
Development conversation

As evaluation criteria for the course
Generic working life skills
History taking skills and clinical reasoning
Practical skills
Osteopathic thinking and action
Professionalism

Qualifications

Orientation to clinical practice, competence of differential diagnostic, competence related to somatic dysfunction