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Clinical Education V
Scholar Year: 2022/2023
Code: |
LICFT050 |
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Acronym: |
ECV |
Scientific area: |
Fisioterapia |
Section/Department: |
Physiotherapy Department |
Term: |
1st Semester |
Courses
Acronym |
N. of students |
Study Plan |
Curricular year |
ECTS |
Contact hours |
Total Time |
LICFT |
42 |
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4º |
11,0 |
175 |
297,0 |
Teaching language
Portuguese/English
Intended learning outcomes (Knowledges, skills and competencies to be developed by the students)
At the end of the curricular unit, the student must demonstrate:
Knowledge and understanding of the theoretical basis regarding the assessment of health problems and needs of patients/populations
Ability to define physiotherapy goals and measurable objectives in partnership with patients.
Ability to make informed decisions about the physiotherapy diagnosis, based on clinical reasoning and patient’s expectations
Ability to define the functional prognosis and to establish the rationale for physiotherapy intervention
Ability to select the most effective strategies based on the best evidence available, best physiotherapy practice and patient’s preferences
Ability to select the adequate indicators to evaluate treatment effectiveness
Ability to implement a safe and effective treatment program
Critical and autonomous thinking about the outcomes
Communicate effectively with patients, carers and other staff
Ability to assume the responsibility for the care provided, in full respect for patient’s rights, dignity and individuality
Ability to maintain clinical records according to best practice
Ability to plan for owns continuous professional development
Ability to identify improvement opportunities in the clinical context
Ability to use clinical audit as an improvement tool
Syllabus
This curricular unit is focused on the development of clinical skills and reasoning in clinical contexts and also on critical thinking and self-development. Students will be presented with patients in mandatory areas (musculoskeletal, cardiorespiratory or neurological conditions) or optional areas (geriatric, paediatrics, mental health, sports or community):
Activity 1: Continuous improvement of care: critical thinking about the service planning and management and strategies available to collect patient views.
Activity 2: Patient safety- Learning from incidents, near misses and errors: Record and critical thinking about errors and/or incidents and how they are dealt with in the clinical context
Activity 3: Clinical indicators: Identification of relevant clinical indicators to the clinical context and how they may be beneficial to patients
Activity 4: Clinical records: Record and critically think about the different purposes of clinical records
Activity 5: Full cycle intervention in at least 5 patients with different conditions.
Activity 6: How can I improve the care I provide?
Identification of opportunities for improvement in the clinical placement and development of an audit project.
Identification of educational needs and development of the learning contract.
Identification of opportunities for improvement in the clinical placement and development of an audit project.
Identification of educational needs and development of the learning contract.
Demonstration of the syllabus coherence with the UC intended learning outcomes
This course focuses on the development of assessment, intervention and reasoning skills and on critical reflection and self-development, in the context of real practice. The student will have the opportunity to develop the skills through the experience with patients in one of the mandatory areas (musculoskeletal, cardio-respiratory and neurological conditions) or elective areas (paediatrics, geriatrics, community, mental health, sport…). Additionally the contents facilitate the final year student critical reflection on own performance and to plan self-development and also increase his awareness about the importance of proper management of errors / incidents to a culture of safety in the provision of care and to the individual responsibilities in clinical governance and quality in health. The preparation of the draft audit results from the identification of an improvement opportunity within the context of care and uses research and critical analysis of the literature skills.
Teaching methodologies
This curricular unit is focused on the development of clinical skills and reasoning in clinical contexts and also on critical thinking and self-development. Students will be presented with patients in mandatory areas (musculoskeletal, cardiorespiratory or neurological conditions) or optional areas (geriatric, paediatrics, mental health, sports or community).
Demonstration of the teaching methodologies coherence with the curricular unit's intended learning outcomes
The development in each student of the expected competency profile at the end of the degree is the result of a collaborative work between the student, the clinical educator and teacher of ESS, promoting increased autonomy of students in the context of professional practice.
Learning and teaching methodologies include learning in clinical setting through professional practice with patients (children, adults or elderly) with different clinical conditions, using a collaborative model (2 students / clinical educator), under permanent supervision from the Clinical educator and monitoring by the teaching staff at ESS_IPS.
The methods used include instruments that define activities to be undertaken, which guide students in the development of the expected competencies and facilitate feedback from the clinical educator. The performance criteria represent a reference framework for the qualified physical therapy practice, allowing students to understand what they have to develop and guiding clinical educators to the relevant aspects they should consider for feedback and assessment.
The learning contract, is a central element, that organizes the whole process of learning in the context of professional practice by promoting students self-management skills, a key element their personal and professional development. It focuses on self-evaluation and planning of learning activities, according to the skills to be developed. It also allows the clinical educator to know the student and to facilitate the learning process.
The logbook includes a set of activities, according to the areas and target skills of the course ensuring equity between students learning in different contexts. It gives students the opportunity to develop and / or demonstrate the skills already in place.
The Performance Evaluation is meant to express the student's performance in the different areas of competence during the clinical placement.
The clinical audit project is discussed and student must demonstrate the relevance of the topic, to justify the standards used and the methodology defined
Assessment methodologies and evidences
For the successful completion of this unit, the student must have 9.5/20 in each of the following activities:
Clinical performance assessment;
Learning contract assessment;
Clinical audit project assessment (written project and discussion);
Logbook assessment;
The classification of this unit is calculated based on the classifications obtained in each of the following activities:
Clinical performance assessment and Learning contract assessment; (40%)
Clinical audit project assessment (45%)
Logbook assessment (15%).
Attendance system
the student must attend 90% of the contact hours
Keywords
Health sciences > Medical sciences > Medicine > Physical medicine > Physiotherapy
Mandatory Bibliography
Robinson, S. (1996) Audit in the therapy professions: some constraints on progress.;5;206-214 Qual. Saf. Health Care doi:10.1136/qshc.5.4.206 |
Goodwin, V; Martin, F C; Husk, J; Lowe, D; Grant, R; Potter, J (2009) The National Clinical Audit of Falls and Bone Health – secondary prevention of falls and fractures: a physiotherapy perspective Physiotherapy doi:10.1016/j. |
Gumery, L; Sheldon, J; Bayliss, H; Mackle, R; Sableforth, D; Honeybourne, D & Reade, C (2001) Do physiotherapy records meet professional standards? Committement to good practice and improved patient care through audit within Birmingham Heartlands adult cystic |
Rudd, AG; Lowe, D; Irwin, P; Ruthledge, Z & Pearson, M (2001) National stroke audit: a tool for change? Quality in Health Care 10 141-151 |
Mcpherson, KM (2001) What changes are needed to provide better standards of stroke care? Quality in Health Care 10 131-132 |
Hammond, R; Lennon, S; Walker, MF; Hoffman, P Irwin; Lowe, D (2005) Changing occupational therapy and physiotherapy practice though guidelines and audit in the United Kingdom Clinical Rehabilitation 19 365-371 |
Mainz, Jan; Krog, Birgitte Randrup,; Bjornshave, Bodil & Bartels Paul (2004) Nationwide continuous quality improvement using clinical indicators: the Danish National Indicator Project International Journal for Quality In Health Care 16 supp 1 145-150 |
Abilleira, Sònia; Gallofré, Miquel; Ribera, Aida; Sánchez, Emília; Tresserras, Ricard (2008) Quality of In-Hospital Stroke Care According to Evidence-Based Performance Measures: Results from the first audit of stroke; Catalonia (Spain) 2005/2006 Stroke 40 1433 |
Gumery, L; Sheldon, J; Bayliss, H; Mackle, R; Sableforth, D; Honeybourne, D & Reade, C (2001) Do physiotherapy records meet professional standards? Committement to good practice and improved patient care through audit Birmingham Heartlands |
Sparkes, Valerie (2005) Treatment of low back pain: monitoring clinical practice through audit Physiotherapy 91 171-177 |
van der Wees, Philip J; Hendriks, Erik JM; Jansen, Mariette J; van Beers, Hans; de Bie, Rob A; Dekker, Joost (2007) Adherence to physiotherapy clinical guideline acute ankle injury and determinants of adherence: a cohort study BMC Musculoskeletal Disorders 8 ( |
Observations
Additional references for this unit are dependent on the specific clinical area where the placement takes place
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