PODIATRIC CLINICAL STUDIES 3

SHE Level 3
SCQF Credit Points 40.00
ECTS Credit Points 20.00
Module Code M3B322755
Module Leader Allan Thomson
School School of Health and Life Sciences
Subject Podiatry
Trimester
  • A (September start)-B (January start)

Summary of Content

This is a practice placement module. This module provides the clinical context for the students to further develop, enhance and apply their clinical skills in diagnosis, clinical reasoning and management with higher risk categories of patients, presenting with a variety of clinical pathologies of varying complexities affecting the lower limb and foot. Students will demonstrate a wide range of clinical abilities in assessment, diagnosis, treatment and management of podiatric conditions recognising and utilising the opportunities for multidisciplinary care. The students will learn how professional principles are expressed and translated into action through a number of different approaches to practice, and how to select or modify approaches to meet the needs of an individual, groups or communities. The students will recognise the role of other professions in health and social care, understand the theoretical basis of, and the variety of approaches to, assessment and intervention, understand, in the context of podiatry: - podiatric orthopaedics and biomechanics - systemic and podiatric pathology - podiatric therapeutic sciences - behavioural sciences - foot health promotion and education

Syllabus

Students will visit acute and primary care podiatry services and gain experience delivering a range of integrated care pathways including: wound care, ulcer management, audit and review clinics and local anaesthesia practical experience clinics. Orthoses assessment, prescription, manufacture, fitting and review clinics. Pathomechanics assessment, management and review clinics. Personal case load assessments and management clinics. Diagnostic equipment, its clinical application for assessment, diagnosis and monitoring of the foot and lower limb. The role of health promotion. Emphasis on clinical placements will be on testing the students ability to act in the best interests of service users at all times, to practise in a non-discriminatory manner and understand the importance of and be able to maintain confidentiality; understand the importance of and be able to obtain informed consent in anaesthesia. Students will be expected to show they can exercise a professional duty of care, assess a situation, determine the nature and severity of the problem and call upon the required knowledge and experience. They will clearly demonstrate effective self-management of workload and resources and be able to practise accordingly. They will work, where appropriate, in partnership with other professionals, support staff, service users and their relatives and carers. They will understand the need to build and sustain professional relationships as both an independent practitioner and collaboratively as a member of a team. Communication skills are further developed which affect the assessment of service users and how the means of communication should be modified to address and take account of factors such as age, physical ability and learning ability. The students will demonstrate how to provide service users (or people acting on their behalf) with the information necessary to enable them to make informed decisions. Students will have the opportunity to experience applied podiatric research by observing/assisting in data collection sessions. Tutorials will focus on research topics such as ethics, consent, protocols, and hypothesis testing and data analysis. Students will also have the opportunity to observe diagnostic ultrasound used in a research context.

Learning Outcomes

On successful completion of this module students should be able to:1. Effectively plan, negotiate, monitor and evaluate the delivery of podiatric care2. Practice basic local anaesthesia techniques3. Know and be able to interpret the signs and symptoms of systemic disorders as they manifest in the lower limb and foot 4. Demonstrate clinical risk management principles by assessing clinical situations, determining the nature and severity of problems by utilising the required knowledge and experience5. Initiate resolution of problems by exercising personal initiative6. Contribute efficiently and effectively to work undertaken as part of a multi-disciplinary team7. Demonstrate effective and appropriate skills in communicating information, advice, instruction and professional opinion to colleagues, service users, their relatives and carers8. Practice essential elements of clinical governance9. Implement enhanced, evidence based patient assessment and management strategies

Teaching / Learning Strategy

Tuition is by individual supervision, teaching, facilitation of learning combined with demonstrations and tutorial support. Personal tutoring and counselling are offered where appropriate. Structured clinical practical sessions to reinforce, integrate and apply theoretical knowledge and experience. Integrate internal and external specialists from various medical/surgical disciplines in conjunction with podiatry staff to encourage broad multidisciplinary holistic care. This will be delivered on a group and individual basis. Problems based learning, external placements of varying duration, including a two block placement, and exposure supported reflective learning and self-directed learning.

Indicative Reading

Frowen, P. et al. (2010) Neale's Disorders of the Foot (8th Ed), Churchill Livingstone: Edinburgh Frowen, P. et al. (2010) Neale's Disorders of the Foot Clinical Companion, Churchill Livingstone: Edinburgh Mandy, A. et al. (2009) Podiatry: a Psychosocial Approach, John Wiley & Sons: Chichester Menz, H.B. (2008) Foot Problems in Older People: Assessment and Management, Churchill Livingstone: Edinburgh Mooney, J. (2009) Illustrated Dictionary of Podiatry and Foot Science, Churchill Livingstone: Edinburgh Ousey, K. & McIntosh, C. (Eds) Lower Extremity Wounds: A Problem-Based Learning Approach, John Wiley & Sons: Chichester Turner W. & Merriman L (2005) Clinical Skills in Treating the Foot (2nd Ed), Churchill Livingstone: Edinburgh Thomson, C.E. & Gibson, A. (2009) 50+ Foot Challenges: Assessment and Management (2nd Ed) Churchill Livingstone: Edinburgh Tyrell, W. & Carter, G. (2008) Therapeutic Footwear: a Comprehensive Guide, Churchill Livingstone: Edinburgh Williams, A.E. et al.(2010) Pocket Podiatry: Footwear and Foot Orthoses, Churchill Livingstone: Edinburgh Yates, B (2012) Merriman's Assessment of the Lower Limb (3 rd Ed), Churchill Livingstone: Edinburgh Kumar, P. & Clark, M. (2012) Kumar and Clarks Clinical Medicine. Elsevier: Spain Hurwitz, S.R. & Parekh, S. G. (2012) Musculoskeletal Examination of the Foot and Ankle. Slack: USA Levine, D. Richards, J. Whittle, M.(2012) Whittle's Gait Analysis (5 th edition). Churchill and Livingstone: Michaud, T. C. (2011) Human Locomotion: The Conservative Management of Gait- Related Disorders. Newton Biomechanics: Massachusetts USA Journals:. Journal of Foot and Ankle Research. The Diabetic Foot. Journal of Wound Care. The Foot. http// wwwfeetforlife.org

Transferrable Skills

Communications skills, verbal, non-verbal, written and computer based. Skills of negotiation, empowerment, reflection, counselling, analysis, synthesis and evaluation. Independent study, auditing outcomes, logical planning, applying evidence based medicine and podiatry Professionalisms, psychosocial skills of diplomacy, persuasion and empathy. Professional ethics, team working, time management, case load management, self-assurance, self-reliance and self-esteem .

Module Structure

Activity Total Hours
Tutorials (FT) 24.00
Independent Learning (FT) 82.00
Practicals (FT) 254.00
Assessment (FT) 40.00

Assessment Methods

Component Duration Weighting Threshold Description
Exam (Dept) 01 1.00 20.00 40% Summative biomechanics OSCE
Coursework 1 n/a 20.00 40% Sumative portfolio including evidence based case study
Exam (Dept) 02 3.00 60.00 40% Summative Clinical