Required Text: Differential Diagnosis and Management for the Chiropractor. Souza, TA. Ones and Bartlett.

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1 Course Syllabus: Spring 2013 Course Number: CLIN-7203 Course Title: Internship Practicum 1 (IP 1) Credit Hours: 16- Lecture: 5 hrs/wk Lab: 11 hrs/wk Course Co-Director: Lovonne Beaird, D.C. lbeaird@parker.edu ext Office Hours: By appointment Lecture Time: Thurs. 8:00 1:00 Lab Time: Clinic Assigned Hours Total Contact Hours Per Trimester: 405 Lecture Contact Hours Per Trimester: 75 Lab Contact Hours Per Trimester: 330 Course Co-Director: Mike Raper, D.C. mraper@parker.edu ext Course Description: In this course, interns will demonstrate mastery of skills in patient history, examination, and treatment planning and application via case-based scenarios in lumbo-pelvic-hip complex, cross syndromes, knee, ankle, and shoulder topics. General Approach to Teaching: Interns will be participating in patient service via doctor-led teams and lecture and activity-based hours. During time spent in their doctor teams, interns will be interacting with patients throughout the course of assessment and treatment and participating in patient acquisition activities. Lecture and activity hours will consist of case-based scenario review and practice of topic-associated diagnostics, treatments, and outcome assessments. Learner Centered Outcomes: By the end of this practicum, interns will be able to: Conduct a comprehensive history relevant to the scope of the patient's signs, symptoms, and needs. Conduct a physical examination relevant to the patient's signs, symptoms, and needs Formulate a working diagnoses, documentable in a narrative format Formulate a basic treatment plan Generate an effective chiropractic adjustment that yields a measureable change in a patient Prerequisites: Completion of trimesters 1-7. Required Text: Differential Diagnosis and Management for the Chiropractor. Souza, TA. Ones and Bartlett. Recommended Texts: The Parker System for Professional Success. Quick Reference Evidence-Based Conditions Manual, 3 rd Edition. Carnes, M, Vizniak, N. Professional Health Systems. Physical Diagnosis for the Chiropractor. Brown, E. Photographic Manual of Regional Orthopaedic and Neurological Tests, Cipriano, JJ. Williams & Wilkins. Rehabilitation of the Spine, 2 nd Edition. Liebenson, C. Lippincott Williams & Wilkins. Illustrated Orthopedic Physical Assessment. Evans, RC. Mosby. i

2 Spring 2013 Essentials of Skeletal Radiology, 3 rd Edition. Yochum, TR, Rowe, LJ. Williams & Wilkins. Activator Methods Technique, 2 nd Edition. Fuhr. Mosby. Table Assisted Adjusting Technique. Hyman, R. Enchantment Publishing. Chiropractic Technique: Principles and Procedures. Bergman, TF, Peterson, DH. Mosby. Chiropractic Management of Spine Related Disorders, 2 nd Edition. Gaterman, MI. Williams & Wilkins. Foundations of Chiropractic: Subluxation, 2 nd Edition. Gaterman, MI. Mosby. Principles and Practice of Chiropractic. Haldeman, S. McGraw Medical. The Chiropractic Theories: A Textbook of Scientific Research. Leach, RA. Williams & Wilkins. Crash Course in Pharmacology, 2 nd Edition. Barnes. Mosby Emergency Response. American Red Cross. Mosby Lifeline. Mosby Diagnostic and Laboratory Test Reference, 10 th Edition. Pagana. Mosby. AMA CPT Professional Edition (Current Year) AMA Stedman s CPT Dictionary ACA Coding Solutions Manual (Current Year) ChiroCode Desk Book (Current Year) EVALUATION AND GRADING POLICY: Criteria Weight of Criteria 1 Intern Competency Assessments: One History (History of Present Illness or HPI) 07% One Physical Examination (PE) 07% Three Adjustments (07% each) 21% 35% 2 Meta-competency Practicals: Practical 1 10% Practical 2 10% Practical 3 10% 30% Hours of Clinic Participation 10% 4 Clinic Camp Participation (Required for completion of course) 05% 5 Compliance and Operations Exam (Original score stands as the course grade) 20% * 69.5% minimum is required for the ability to provide patient service. TOTAL 100% ii

3 Grade Numerical Value Grade Point Average Interpretation A Excellent B Above Average C Satisfactory F < Unacceptable The course grade is earned when the intern submits required documented proof for completing the practicum criteria: The Intern Competency Assessments are doctor observed evaluations of an intern s competency in performing the learner centered outcomes of this practicum. Interns are evaluated in the following areas: Case History Patient Examination Doctor-Patient Relationship Diagnostic Studies : Imaging/ Lab/ Ancillary Studies Treatment Plan Progress or Re-evaluation Record Keeping Passive modality or Therapeutic exercise Report of Findings Diagnosis Treatment Record (Daily Record) Clinical Outcome Measure Health Maintenance Promotion Spinal Adjustment Extremity Adjustment The topics for the written Compliance and Operations Exam are reviewed during the clinic orientation and include: Imaging and lab requests Marketing Forms / Signatures Tally procedures Clock and hours Clinic camp Dress code ICA explanation Medicare Red Flags HIPAA/ Compliance Credit and Ethics The metacompetency practicals will consist of material and skills taught in the lecture portion of this internship practicum. >324 hours of clinic participation (minimum of 264 hours in clinic operational and patient participation and 60 hours in lecture participation) will earn a 100% for a portion of the course s final grade. Hours less than previously described will result in a 0% for this portion of the final grade. iii

4 Spring 2013 The Required Quantitative Services for graduation are: 15x New Patient Recruit 15x Physical Examination 300x Spinal Adjustment There is a cumulative limit of 50 non-paying spinal adjustments throughout IP 1, 2, and 3. 3x Extremity Adjustment 50x Physical Therapeutics There is a cumulative limit of 10 passive physical therapeutics throughout IP 1, 2, and 3. Interns are responsible to provide documentation (copies of fee slips, confirming slips, and ICAs) to substantiate quantitative and qualitative tallies and grade claims. All patient file X-ray recommendations / lab risks / referrals must be addressed prior to completion of this course. Failure to complete this course will result in additional trimester(s); as Parker University policies, regulatory laws, and statues allow in order to satisfy the Doctor of Chiropractic Program. Failure of and internship practicum will result in at least a 2 week or more delay in receiving a student loan check for the next trimester. ESTIMATE OF STUDENT WORK LOAD: Becoming a chiropractor requires dedication, sacrifice, and self-less service. Interns are required to participate for a minimum of 405 hours. Clinic hours can only be awarded for participation in Parker University IP 1 Labs, Clinic service and events, clinic in-services by faculty (including administration) and official adjunct faculty, approved community outreach events (Texas State Fair, Dallas and Rock n Roll Marathons, Irving ISD Athletic Physical Night, and Komen 3-Day), and approved screenings and health talks. There are no excused absences. Interns, who need to schedule time away because of documented circumstances such as illness, hardship, emergencies, and bereavement, may do so based on assigned Clinical Faculty pre-approval only. Interns have a direct responsibility for each patient s well-being so there is limited opportunity for interns to be absent from their clinic team. Therefore, absences meeting documented circumstances, previously mentioned, are approved on a first-come first-serve basis and are not guaranteed. Intern success requires substantial commitment to tasks associated with patient acquisition, case management, learning quality patient care, preparing for boards and graduation, and beginning a career. It is expected that interns will devote all necessary efforts and energies to achieving patient and practice success. Therefore, interns should budget professional hours per week and plan a personal campaign to complete evaluation and management, treatment, and continued case management services for 30 new external patients, throughout IP 1, IP 2, and IP 3. CONDUCT A professional, caring, and team-based atmosphere is an essential part of successful patient care. As such, it is important that interns support the passion to help our patients through professional behavior. Everyone will contribute to the team by doing the following: iv

5 Follow the dress code at all times. Interns who are not dressed in accordance with the dress code may be sent home, be removed from patient care, experience other corrective action, or lose credit for rendered patient care. Keep all patient documentation in the clinics. Refrain from social gathering around faculty areas and hallways. Interns may gather in designated areas lounge and break areas. Refrain from eating in public areas and loitering in the hallways. STUDENTS WITH SPECIAL NEEDS: Parker University, College of Chiropractic in accordance with Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990 provides assistance to eligible students. Institutions of higher education are required to provide reasonable accommodations to qualified and eligible persons with disabilities that are logically associated with the type and level of impairment of the student. If you believe you are eligible for these services please contact the Student Assistance Program which is located in the Student Affairs office. The Clinic policies may be found on the Parker Website: Policies/: IMPORTANT NOTE: The provisions contained in this syllabus do not constitute a binding contract between the student and the Parker University, College of Chiropractic. These provisions may be changed at any time and for any reason at the discretion of the Course Director. When it is necessary to make changes to this document, appropriate notice (at least one week, if at all possible) will be given to the student(s). v