Course Outline Code: SPX413 Title: Case Management and Occupational Rehabilitation Faculty of: Science, Health, Education and Engineering Teaching Session: Session 6 Year: 2017 Course Coordinator: Meegan Walker: mwalker4@usc.edu.au Course Moderator: Kieran Broome 1. What is this course about? 1.1 Course Description In this course you will add to your knowledge of exercise for clinical rehabilitation and further develop skills in evidence-based clinical decision making through the study of work-related illnesses and injuries in the context of employee compensation systems. You will learn related skills in worksite occupational health and safety assessment, occupational case management, functional capacity evaluations, clinical assessment, exercise management, multidisciplinary care, referral, and discharge required for the clinical care of people with work-related conditions. 1.2 Course Content Aspects of health law and governance relevant to exercise physiology practice in Australia, including health record keeping, privacy, consent to treatment, financial and taxation requirements, communication with other parties, negligence, professional indemnity, public liability. Employee compensation systems, and other third party payer schemes. Occupational injuries, and the role of exercise interventions in the management of work-related illnesses and injuries; return to work planning for injured / recovering employees. Employee health, wellbeing, and injury prevention; corporate health; occupational health and safety; risk reduction. Exercise testing in the ; pre-employment exercise testing; functional capacity evaluations; task analysis and employee-job matching. Stages of exercise behaviour change, and self-management strategies for occupational rehabilitation. 2. Unit Value 12 units Session 6 2017 RecFind file number: F19267
Page 2 3. How does this course contribute to my learning? On successful completion of this course you should be able to: You will be assessed on the learning outcome in task/s: Completing these tasks successfully will contribute to you becoming: Explain the legal rights and obligations of working as an exercise physiologist in the Australia health system, including employee compensation systems. Explain the role, skills, and scope of practice of an exercise physiologist in occupational rehabilitation, multidisciplinary care, referral, and discharge within the Australian health system. Apply knowledge of medical, surgical, and allied health management of work-related illnesses and injuries within the scope of practice of an exercise physiologist. Apply clinical decision making in order to undertake functional capacity evaluations, clinical assessment, exercise management, suitable for occupational rehabilitation practice. Apply clinical decision making to the recognition of signs and symptoms of clinical conditions before, during, and after exercise. Identify contraindications to exercise for occupational rehabilitation, and apply this knowledge by taking appropriate action. Access and apply scientific research and current clinical guidelines to clinical decision-making in occupational rehabilitation 1 Court case 2 - Portfolio of documents and stationery 1 Court case 2 - Portfolio of documents and stationery 1 - Court case 3 Practical examination 1 - Court case 3 - Practical examination Empowered, having both the Empowered, having both the Knowledgeable, building disciplinary and interdisciplinary knowledge through a scholarly approach incorporating global and regional perspectives Empowered, having both the 3 - Practical examination Empowered, having both the 1 - Court case 3 - Practical examination Empowered, having both the 1 - Court case Creative and critical thinkers, generating original ideas and concepts, and appreciating innovation and entrepreneurship 4. Am I eligible to enrol in this course? Refer to the Undergraduate Coursework Programs and Awards - Academic Policy for definitions of prerequisites, co-requisites and anti-requisites 4.1 Enrolment Restrictions This course is available to students enrolled in SC346 Bachelor of Clinical Exercise Science only. This course is specifically for the clinical development of trainee exercise physiologists, and is restricted to students in a program accredited (or pending accreditation) with Exercise and Sport Science Australia at the Exercise Physiologist level.
Page 3 4.2 Pre-requisites SPX300 and PUB351 and SPX411 4.3 Co-requisites Nil 4.4 Anti-requisites Nil 4.5 Specific assumed prior knowledge and skills (optional) It is assumed that you will build upon your knowledge of the Australian health system, health promotion, public health, and epidemiology gained in PUB351, and your skills in clinical history taking, record keeping, physical examination, clinical assessment, and evidence-based clinical decision-making gained in SPX300 Introduction to Clinical Placement and SPX411 Exercise in Musculoskeletal Rehabilitation. 5. How am I going to be assessed? 5.1 Assessment Tasks Task No. SPX413 Assessment Tasks Individual or Group Weighting % What is the duration / length? When should I submit? 1 Court case Group 30 60 minutes Friday of second week 2 Portfolio Individual 30 6 A4 pages / Friday of second not to exceed week 4000 words 3 Practical examination Individual 40 30 minutes Friday of first week 100% Where should I submit it? In class In class In class Assessment Task 1: Court case. Goal: Product: Format: To identify and apply health law and governance relevant to exercise physiology practice in Australia. You will randomly select a case from a small series. You will form a group with students who selected the same case description as yourself. Together you will research the health laws that are relevant to your case and the evidence-base for best practice and you will prepare a court case for your client. The group will make a fully prepared presentation, including opening statements, presentation of testimony and evidence, closing statements and likely penalties, in the event that the defendant exercise physiologist is found guilty. You (plural) will have preparation time as a group ahead of your class presentation. This presentation will be role played in a mock court room. You will divide the roles in this presentation among members of the group. It is likely that roles will include playing the part of an "exercise physiologist", lawyers for the plaintiff and defence, and a "client". You may also choose to appoint an expert witness or have students play roles of other people who can give evidence to support the client or the exercise physiologist (eg: family member, employer, other health care professional). All students are required to contribute to the group presentation.
Page 4 Criteria Demonstrate your understanding of the role, skills, and scope of practice of an exercise physiologist in occupational rehabilitation within the Australian health system. Demonstrate your understanding of ethical, evidence-based practice and your legal obligations as a health practitioner within the Australian health system. Gather information, and read, apply and debate current clinical guidelines and your legal obligations as a health practitioner in occupational rehabilitation and Australian employee compensation schemes. Peer feedback regarding contributions to the group will be required (shared statement of contribution). Unless peers agree an alternate proportional allocation of marks, the same result will be allocated to all group members. You will receive a numerical result (mark out of 30) against a grading rubric. Generic skill assessed Skill assessment level Communication Organisation Information literacy Assessment Task 2: Portfolio of documents and stationery Goal: To design, create, and test a set of 5 documents and stationery templates for clinical exercise physiology practice in the Australian health system. Product: Design and create your own: letterhead and business card, invoice and receipt for exercise physiology services, and clinical case record. Please provide copies of each document as listed below: Letterhead x 2: 1 letter of referral for a client who requires alternate care, 1 letter of referral for a client whom you are no longer able to see. Business card x 1 Invoice: 1 invoice for 3 consultations with a client. Receipt: 1 receipt for a client who has paid for 3 consultations. Clinical case record: 1 completed for 3 consultations with a client. Format: Individual written documents in electronic or hard copy. Criteria Application of discipline knowledge of exercise physiologists' rights and obligations under the Australian health system in the design of these documents. Documents demonstrate your understanding of the role, skills, and scope of practice of an exercise physiologist. Documents demonstrate the ways that an exercise physiologist could record and share clinical and financial information with other stakeholders in the Australian health system. You will receive a numerical result against a grading rubric. You will also receive examiner feedback to improve the structure of the documents in your portfolio. You retain copyright of these documents, and may find them useful in your work following graduation from USC. Generic skill assessed Skill assessment level Problem solving Organisation
Page 5 Assessment Task 3: Practical Examination Goal: To demonstrate skills in the selection and performance of functional capacity evaluations, clinical assessment, exercise management, suitable for occupational rehabilitation practice. Product: Using a written case description as a prompt, you will select three functional capacity tests to conduct with the client. You will instruct the client through these tests, gather and interpret clinical assessment data, and using these data as a guide, recommend to the client exercise interventions to maintain or improve work performance. Format: You will perform the role of the "exercise physiologist". Another student (not under assessment) will play the role of the "client". Criteria Applies clinical decision making to scenario Applies recognised procedures to physical assessment practices Applies knowledge to identify signs & symptoms Applies knowledge to identify contraindications to exercise for rehabilitation Presentation and use of appropriate terminology Demonstrates understanding of scope of practice Represents and explains key discipline concepts to assessment You will receive a numerical result against a grading rubric. Generic skill assessed Skill assessment level Problem solving Organisation 5.2 Additional Assessment Requirements Blackboard As a student enrolled in this course you will have access to course information on the Blackboard site. You are strongly recommended to log onto the course site on a regular basis. All course announcements, course changes, posting of course materials and grades (via My Interim Results) will be accessed through Blackboard. It is your responsibility to ensure you have adequate internet access (either off campus or oncampus) in order to access Blackboard regularly and to complete required assessment tasks. Safe Assign In order to minimise incidents of plagiarism and collusion, this course may require that some of its assessment tasks are submitted electronically via Safe Assign. This software allows for text comparisons to be made between your submitted assessment item and all other work that Safe Assign has access to. If required, details of how to submit via Safe Assign will be provided on the Blackboard site of the course. 5.3 Submission Penalties Penalties may apply for late submission of assessment tasks. You must contact your course coordinator if you require an extension or alternate assessment. 6. How is the course offered? 6.1 Directed Study Hours Course delivered as an intensive over 2 weeks full time. Each week comprises workshops and practical / simulation sessions, as well as written and practical assessments. First week: Monday Thursday mornings 4 x 3hour workshops, Monday Thursday afternoon 4 x 3.5 hour practical / simulation, Friday allocated for practical assessments. Second week: Monday-Thursday mornings 4 x 3hour workshops, Monday Thursday afternoon 4 x 3.5 hour practical / simulation, Friday allocated for moot court, practical and written assessments.
Page 6 6.2 Teaching Semester/Session(s) Offered Sippy Downs: Session 6 6.3 Course Activities Teaching What key concepts/content will I Week / learn? Module Monday of first week Tuesday of first week Wednesday of first week Thursday of first week Friday of first week Monday of second week Introduction to functional capacity evaluations (FCE) Pre-employment exercise testing Return to work assessments Tools for FCE assessment and interpretation of results Exercise testing: environmental conditions, equipment, clothing. Exercise rehabilitation at the worksite Task analysis and physical demands analysis Work in extreme environments Using task analysis to inform FCE and return to work planning Job task analysis Ergonomics Chronic pain Pain behaviour Catastrophising Fear-avoidance behaviour Somatisation Analgesic medications in the Self-management tools for occupational rehabilitation part 1: resilience, managing pain, communication, graduated return to work. Using FCE data well Exercise for work hardening Exercise for work re-training Programming exercise for work hardening Programming exercise for work retraining Exercise testing: pre-employment, injured employee, return to work. Assessment Task 3: Practical Examination Health legislation and governance in Australia What activities will I engage in to learn the concepts/content? Directed Study Independent Study Activities Activities Serving of summons for moot court Possible site visit: Sunshine Coast business with on-site health promotion scheme including exercise. Preparation for practical examination Possible site visit: Manufacturing worksite with in-line production, repetitive tasks Preparation of portfolio of documents Practical Practical Preparation for practical examination Preparation for practical examination Preparation for practical exam Group preparation for court case
Page 7 Tuesday of second week Wednesday of second week Thursday of second week Health records acts Privacy acts Freedom of information acts Consent to clinical examination and treatment Boundary and reporting issues for practitioners in s Occupational health and safety legislation Epidemiology of work-related injuries, illnesses. Absenteeism Presenteeism Employee compensation systems Role of the occupational rehabilitation case manager Medicolegal report writing Clinical record keeping Self-management tools for occupational rehabilitation part 2: stages of change, health system navigation, health literacy, goal setting. Planning for return to work: goals and barriers d return to work: risks and benefits for employee, employer, colleagues, insurer. Assessment of permanent impairment Management of clients with permanent impairment Workplace "disasters": Harassment, bullying, negligence, fraud. Legal processes: mediation, hearing, trial (criminal). Corporate health schemes Exercise for health promotion in the Case studies in occupational rehabilitation and legal obligations of Practical: Sport Lab Simulation practical: Sport Lab Practical Simulation the health care practitioner Week 2: Assessment Task 1: Moot court cases involving exercise Friday physiologists in court proceedings Assessment Task 2: Portfolio of documents and stationery Please note that the course activities may be subject to variation. Preparation of portfolio of documents Preparation of portfolio of documents Group preparation for court case
Page 8 7. What resources do I need to undertake this course? 7.1 Prescribed Text(s) Please note that you need to have regular access to the resource(s) listed below: By Year 4 you are expected to have acquired a selection of textbooks that will form resources for this course. Content for this course it not drawn from a single principal text, but from a wide range of sources, including journal articles, clinical guidelines, government reports, and textbooks. Open access resources will be provided via Blackboard. The texts listed below are suggested if you do not own suitable alternatives: McIlwraith J, Madden B. (2010) Health Care and the Law, 5th ed. Thompson Reuters. O'Sullivan SB, Schmitz TJ. (2006) Physical Rehabilitation, 5th ed. FA Davis.. 7.2 Required and Recommended Readings Lists of required and recommended readings may be found for this course on its Blackboard site. These materials/readings will assist you in preparing for tutorials and assignments, and will provide further information regarding particular aspects of your course. 7.3 Specific Requirements You are expected to already own a personal set of clinical tools, comprising: reflex hammer, tailor's tape measure (150cm, flexible), large plastic goniometer, sphygmomanometer, stethoscope. It is expected that you will retain these tools throughout your working life. 7.4 Risk Management Risks associated with this course include: a) embarrassment to students when required to disrobe in the company of, touch, and be touched by, other students within the class. b) harm or the perception of harm to individuals during physical examination and exercise procedures. The course co-ordinator and teaching team will take all reasonable steps to ensure these risks are minimised. Participation in the practical activities is a requirement of this course, thus you are advised of these risks in advance of this course. 8. How can I obtain help with my studies? In the first instance you should contact your tutor, then the Course Coordinator. Additional assistance is provided to all students through Peer Advisors and Academic Skills Advisors. You can drop in or book an appointment. To book: Tel: +61 7 5430 2890 or Email: studentcentral@usc.edu.au
Page 9 9. Links to Relevant University Policies and Procedures For more information on Academic Learning & Teaching categories including: Assessment: Courses and Coursework Programs Review of Assessment and Final Grades Supplementary Assessment Administration of Central Examinations Deferred Examinations Student Academic Misconduct Students with a Disability http://www.usc.edu.au/university/governance-and-executive/policies-and-procedures#academiclearning-and-teaching 10. Faculty Specific Information General enquiries Student Central - Building C Tel: +61 7 5430 2890 Fax: +61 7 5430 2882 Email: Studentcentral@usc.edu.au