PODIATRIC CLINICAL STUDIES 4

SHE Level 4
SCQF Credit Points 40.00
ECTS Credit Points 20.00
Module Code MHB322758
Module Leader Ruth Barn
School School of Health and Life Sciences
Subject Podiatry
Trimester
  • A (September start)-B (January start)

Pre-Requisite Knowledge

Meeting University/Programme requirements to proceed to level 4.

Summary of Content

This is a practice placement module. This module will enable students to clinically apply advanced therapeutic techniques in a competent manner. The wide variety of clinical environments to which the students are exposed is a central focus of this year of study and includes a block placement within a community clinic setting to prepare the students for the workplace. The students will implement a range of therapeutic treatment strategies in specialist clinics to patients presenting with a diverse range of complex medical/surgical and podiatric pathologies. They will practice independently and autonomously by the end of the module.

Syllabus

Clinical rotations undertaken in the acute and primary care settings, with additional external placements to private practitioners, will enhance clinical skills and practice. The students will experience a range of different clinical settings exposing them to: private practice; domicillary care; podopaediatrics; vascular/dermatological/rheumatological specialist clinics; extended scope practitioners. The block placement allows the student to become immersed within a community team and reflect on and monitor progress through the development of competencies and mentored sessions. Audit as applicable to podiatry Students will contribute effectively to work undertaken as part of a multi-disciplinary team. Apply and evaluate the need to be aware of the characteristics and consequences of non-verbal communication and how this can be affected by culture, age, ethnicity, gender, religious beliefs and socio-economic status. Students will apply the concepts of the need to provide service users (or people acting on their behalf) with the information necessary to enable them to make informed decisions. To use an appropriate interpreter to assist service users whose first language is not English, wherever possible. Recognise that relationships with service users should be based on mutual respect and trust and be able to maintain high standards of care even in situations of personal incompatibility. Demonstrate the ability to empower patients to manage their foot health and related issues and recognise the need to provide advice to the patient on self-treatment where appropriate.

Learning Outcomes

On completion of this module student should be able to:1. Understand the need to act in the best interests of service users2. Make reasoned decisions to initiate, continue, modify or cease treatment or the use of techniques or procedures, and record the decisions and reasoning appropriately3. Provide enhanced therapeutic initiatives for patients with complex and challenging needs4. Understand and adhere to the requirements of the HCPC5. Achieve fitness to practice6. Practice as an autonomous professional, exercising their own professional judgement, recognising that they are personally responsible for and must be able to justify their decisions7. Apply current UK legislation applicable to the work of their profession8. Effectively self-manage work load and resources and be able to practice accordingly9. Practice effectively within a multidisciplinary, holistic approach to patient management10. Implement enhanced, evidence based patient assessment and management strategies11. Undertake audit 12. Recognise situations where relevant prescription only medicines may be supplied or administered13. Interpret any relevant pharmacological history and recognise potential consequences for patient treatment14. Safely and effectively administer local anaesthesia and perform nail surgery

Teaching / Learning Strategy

Clinical teaching by visiting consultants and podiatry staff enables a broad, integrated holistic delivery on an individual patient basis ensuring individualised teaching, facilitation and learning strategies are applied. Tuition is by individual supervision, teaching, facilitation of learning combined with demonstrations, case studies and tutorial support. Structured clinical practical sessions to reinforce, integrate and apply theoretical knowledge and experience. Integrated internal and external specialists from various medical and surgical disciplines in conjunction with podiatry staff encourage broad multi-disciplinary holistic care. This will be delivered in groups and on an individual basis. Problem based learning, external placements of varying duration and exposure support reflective learning and self-directed learning will be encouraged.

Indicative Reading

Anthony, R.J. (1991) The manufacture and use of the functional foot orthosis. Karger and Karger Foster, A. (2011) Diabetic foot care: Case studies in clinical management Wiley Gosling J.A. (2008) A Colour Atlas of Human Anatomy. 5 th edition Mosby Hunter S. (1995) Foot orthotics in therapy and sport. Human Kinetics Helliwell et al (2007) The Foot and Ankle in Rheumatoid Arthritis. Elsevier Jahss M.H., (1991) Disorders of the foot: Medical and surgical management: 3 vols W.B. Saunders Kirtley, C. (2006) Clinical Gait Analysis: theory and practice. Churchill Livingstone Lorimer D. et al (2006) Neale's Disorders of the Foot: Diagnosis and Management. 7 th edition W.B. Saunders Mandy A. et al (2003) Psychosocial Approaches to Podiatry -A companion for practice. Churchill Livingstone Ranawat C. and Positano R.G. Disorders of the heel, rearfoot and ankle. Churchill Livingstone Valmassey R. Clinical biomechanics of the lower extremity. Mosby Journals and websites: The Journal of Foot and Ankle Research <http://www.jfootankleres.com/> The Diabetic Foot, The Foot, Journal of Wound Care, Clinical Biomechanics HCPC documents (available from <http://www.hpc-uk.org/> ) including Standards of Conduct, Performance and Ethics, Standards of Proficiency for Podiatrists, Standards for Continuing Professional Development. SIGN guidelines (available from <http://www.sign.ac.uk> ) including: No 97 Risk estimation and prevention of cardiovascular disease, No 116 Management of Diabetes, No 123 Management of early rheumatoid arthritis, No 89 Diagnosis and management of peripheral arterial disease, No 104 Antibiotic prophylaxis in surgery. NHS Education for Scotland <http://www.nes.scot.nhs.uk> Scotland's Health on the Web <http://show.scot.nhs.uk> Scottish Government Health Directorates <http://www.sehd.scot.nhs.uk/>

Transferrable Skills

Communication 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. Professionalism, psychosocial skills of diplomacy, persuasion and empathy. Professional ethics, team working, time management, case load management, self-assurance, self-reliance, self-esteem.

Module Structure

Activity Total Hours
Independent Learning (FT) 12.00
Practicals (FT) 336.00
Assessment (FT) 40.00
Tutorials (FT) 12.00

Assessment Methods

Component Duration Weighting Threshold Description
Exam (Dept) 02 1.00 30.00 40% OSCE/OSPE (at Clinical site)
Exam (Dept) 01 n/a 20.00 40% Practical exam - Summative LA/Nail Surgery
Coursework 1 n/a 20.00 40% Portfolio including reflective essay
Exam (Dept) 03 2.00 30.00 40% OSCE (at GCU)