FACULTY OF HEALTH AND WELLBEING BSc (Hons) PHYSIOTHERAPY Clinical Education Modules STUDENT HANDBOOK 2: Assessment Information THE CLINICAL EDUCATION TEAM Jo Adams Sue Dale Myles Butler Lorna Campbell Carol Garcia Additional documentation can be copied from the placements website: http://www3.shu.ac.uk/hwb/placements/physiotherapy Placement team: Sue Green 0114 225 5575; Myles Butler 0114 225 2231; Jo Adams 0114 225 2490; Sue Dale 0114 225 5376 © SHEFFIELD HALLAM UNIVERSITY 2013/14 1 Assessment of Module Performance Clinical report information and forms Assessment Criteria Student evaluation forms Additional documentation can be copied from the placements website: http://www3.shu.ac.uk/hwb/placements/physiotherapy Placement team: Sue Green 0114 225 5575; Myles Butler 0114 225 2231; Jo Adams 0114 225 2490; Sue Dale 0114 225 5376 © SHEFFIELD HALLAM UNIVERSITY 2013/14 2 MODULE ASSESSMENT Assessment of your progress takes place throughout the clinical education blocks and is carried out by your clinical/practice educator in discussion with the visiting tutor. The practice educator is essential to the assessment process and will provide the student and the University with evidence of progression of your clinical competence and professional development. The learning outcomes differ between the different academic levels in order to recognise the changing expectations of student abilities; expectations increase in line with the increase in academic levels to reflect the student's ability to accept increasing responsibility in preparation for professional life. The module is supported by university based seminars spread throughout the blocks. They prepare learners for clinical placements and support the organisation and assessment of clinical experience. These seminars also help prepare the student for their Continued Professional Development (CPD) required for HPC registration. The rules of professional conduct as published by the HPC and CSP are also considered during these preparatory sessions. Following the first clinical placement, the identification of areas for ongoing clinical and professional development are facilitated during the seminar, based on the feedback students received from placement. This should form the basis of the subsequent action plan to take forward to the second placement and so on. The development of effective action plans to guide and structure practice based learning is encouraged which is facilitated by reflection on practice based experiences, guiding students towards planning future placements. Additional documentation can be copied from the placements website: http://www3.shu.ac.uk/hwb/placements/physiotherapy Placement team: Sue Green 0114 225 5575; Myles Butler 0114 225 2231; Jo Adams 0114 225 2490; Sue Dale 0114 225 5376 © SHEFFIELD HALLAM UNIVERSITY 2013/14 3 CLINICAL FORMS - you need to take these to all your placements; all forms and assessment criteria are available via the website INTERMEDIATE FEEDBACK FORM Clinical educators are expected to complete an intermediate feedback form and discuss your performance with you during the clinical block in order to provide guidance for the achievement of a satisfactory standard. You are encouraged to take a copy of the mid way form and complete it yourself. Educators are advised not to discuss specific potential marks at this stage. FINAL ASSESSMENT FORM Assessment will take place at the end of each clinical education block. At the start of each new placement you should hand the clinical report form to your clinical educator. This form will be completed by your clinical educator and discussed with you at the end of the clinical block. The placement final mark will be the average of the 4 LO’s and the student will need to achieve a mark of 40% to pass. Only if the average mark is lower than 40% will the placement be a refer. Achieving a mark below 40% in any of the learning outcomes will trigger an ‘area of concern’ to the placement team leads to be discussed with the course lead, and ‘fitness to practice’ referrals will be made where necessary. This will apply even if the overall mark is above 40%. All assessments must be passed at 40%. Moderation of the clinical education final marks is achieved during the discussion between the clinical educator and the visiting university tutor in the final week of placement. This process should happen before feedback is given to the student. REFERRED PERIODS OF CLINICAL EDUCATION In the event of a student failing to achieve a satisfactory standard, you should have received adequate verbal warning and advice on areas of weakness. In addition, a 'notification of referral' form will normally be completed in conjunction with the visiting University tutor and the clinical educator. Occasionally in extreme circumstances this may not occur and will be at the discretion of the placement team. The notification of potential referral form should be constructive and support you in identifying the key areas for development and objectives to be met. This should provide opportunity to progress and hopefully pass the placement block. It is important that students who receive this notification are provided with ongoing feedback and support. Where the student makes good progress and meets the pass criteria they will be informed of this and the notification of potential referral form will be removed. Arrangements for retaking clinical blocks The results of clinical education at each academic level will be considered at the semester two examination boards. The marks awarded for placements across each academic level will be presented as a mean result worth 10 academic credits at Level 5 and 20 at Level 6. You are required to pass each individual placement and will be Additional documentation can be copied from the placements website: http://www3.shu.ac.uk/hwb/placements/physiotherapy Placement team: Sue Green 0114 225 5575; Myles Butler 0114 225 2231; Jo Adams 0114 225 2490; Sue Dale 0114 225 5376 © SHEFFIELD HALLAM UNIVERSITY 2013/14 4 asked to retake any clinical blocks in which you have been referred following the decision of the board. In the event of being referred in a clinical education block, the next available clinical education block following the exam board will be considered as your second attempt. This will not necessarily be in the same clinical area. However, you will be given the opportunity to gain those skills in which you were not initially successful at some point during your placement experience. If you are in the position of failing the second attempt no re-registration back onto the course is permitted. The university will not routinely inform the placement provider in the event of a student being referred in a previous clinical block. However, you are encouraged to discuss with your clinical educators your key development skills taken from your e-portfolio in order to guide objective setting at the start of each placement. NB Students are assessed in four areas; professionalism, communication, assessment and treatment. A fail in any one section is a Refer/Fail overall. Therefore if a student scores on average 42% but scores only 35% in one section the block (task) is marked as a Refer/Fail. NB No re registration is allowed following referral. Students that are referred or fail In the unfortunate event of a student referring a placement, they will not proceed to the next level until all tasks (clinical blocks) have been completed. If you refer in 2 or more blocks during a module you may be referred to the Professional Issues Team. Level 5 Module Level 6 Module B2 B3 B4 B5 B6 Normal Pattern P P P >40% >40% Passed both modules Example 1 P P R P >40% Completed following an extra block Example 2 P P P R R A referral in 2 or more Blocks within any module (5 or 6) could result in a referral to the professional issues panel Example 3 R P P P R >40% Example 4 p p R R/ Fail In this example following a refer in Block 3 & 4 you will be asked to leave the course FEB BOARD Blocks >40% Board >40% Completed following 2 extra blocks STUDENT EVALUATION Clinical educators should welcome constructive feedback from students as this can help in planning the programme for future placements. During the final week of each placement you are required to complete a placement evaluation form which should be presented to your clinical educator following your final assessment. As part of your professional development you are encouraged to discuss your placement evaluation with your educator. You should be constructive and professional throughout this process. Additional documentation can be copied from the placements website: http://www3.shu.ac.uk/hwb/placements/physiotherapy Placement team: Sue Green 0114 225 5575; Myles Butler 0114 225 2231; Jo Adams 0114 225 2490; Sue Dale 0114 225 5376 © SHEFFIELD HALLAM UNIVERSITY 2013/14 5 A copy should be given to the clinician and one to be retained by the student. Copies of the evaluation form and accompanying guidelines are available via the placement website under 'Assessment criteria and Forms'. Additional documentation can be copied from the placements website: http://www3.shu.ac.uk/hwb/placements/physiotherapy Placement team: Sue Green 0114 225 5575; Myles Butler 0114 225 2231; Jo Adams 0114 225 2490; Sue Dale 0114 225 5376 © SHEFFIELD HALLAM UNIVERSITY 2013/14 6 COMPLETED CLINICAL REPORT FORMS It is your responsibility to ensure that all clinical placement forms are correctly submitted after placement finishes. Feedback/mark forms should be uploaded to the clinical education blackboard site via the link under placements/forms, within seven working days of the end of each placement. Forms uploaded after this 7 day deadline will be capped at 40% when processed through the exam board. Timesheets must be printed and signed by your clinical tutor and either handed in or posted to RWB reception: Sheffield Hallam University RWB F401 11-15 Broomhall Rd Sheffield S10 2BP All forms can be accessed on the Website under placement forms. Students posting forms to the University must ensure they have proof of postage and if haning in timesheets ensure you receivea receipt. Additional documentation can be copied from the placements website: http://www3.shu.ac.uk/hwb/placements/physiotherapy Placement team: Sue Green 0114 225 5575; Myles Butler 0114 225 2231; Jo Adams 0114 225 2490; Sue Dale 0114 225 5376 © SHEFFIELD HALLAM UNIVERSITY 2013/14 7 LEARNING OUTCOMES AND KEY CONTENT Additional documentation can be copied from the placements website: http://www3.shu.ac.uk/hwb/placements/physiotherapy Placement team: Sue Green 0114 225 5575; Myles Butler 0114 225 2231; Jo Adams 0114 225 2490; Sue Dale 0114 225 5376 © SHEFFIELD HALLAM UNIVERSITY 2013/14 8 This section provides detailed information regarding the structure of the Clinical Education Modules at Levels 5 and 6 in relation to the academic and professional development of under-graduate students. It includes the aims and content of the modules and provides a framework to structure your development. CLINICAL EDUCATION: LEVEL 4 Refer to Transition to Professional Practitioner (TPP) Module for more detailed information related to the first clinical placement. CLINICAL EDUCATION: LEVEL 5 AIM OF THIS MODULE 1 The Clinical Education Module aims to develop skills in the assessment and team management of healthcare service users. The formative portfolio will promote reflection on and consolidation of placement based learning. 2 BY ENGAGING SUCCESSFULLY WITH THIS MODULE THE STUDENT WILL BE ABLE TO: Demonstrate an understanding of and adherence to the rules of professional conduct in the healthcare setting Communicate appropriately with service users and the multi-disciplinary team within a variety of practice settings Identify key clinical problems by planning and leading complete subjective and objective assessments Plan and carry out safe and appropriate physiotherapy programmes for a variety of service users Reflect upon clinical development and present evidence of practice based experience Develop an action plan to promote the ongoing development of practice skills in preparation for Level 6 study Additional documentation can be copied from the placements website: http://www3.shu.ac.uk/hwb/placements/physiotherapy Placement team: Sue Green 0114 225 5575; Myles Butler 0114 225 2231; Jo Adams 0114 225 2490; Sue Dale 0114 225 5376 © SHEFFIELD HALLAM UNIVERSITY 2013/14 9 THESE ARE EXAMPLES OF THE CONTENT OF THE MODULE: CLINICAL Students will be exposed to a variety of practice settings, multi-disciplinary teams and service users. Students will work alongside designated clinical educators to gain experience in the assessment and management of service users. During the first few days of each placement, students will be mostly engaged in the observation of qualified practitioners to gain some understanding of the specific clinical area in which they are placed. Towards the end of the first week students will be expected to take responsibility for a small caseload by leading clinical assessments and implementing supervised treatment programmes. Students will be expected to communicate with the multi-disciplinary team regarding the holistic care of their caseload. Depending upon the nature of the clinical area, students will work with increased responsibility and autonomy during the course of the placement, although direct contact with a designated qualified clinician will be available at all times. EXAMPLES OF SEMINAR CONTENT Preparation for placements and development of effective action plans Introduction to the administrative processes, policies and standards Facilitation of critical reflective practice in line with Key Skills Placement debriefing and clinical case studies / scenarios Formative portfolio guidance Teaching and learning strategies Students will experience a wide range of learning opportunities, including: guided practice, self-directed learning, formal one-to-one or small group teaching, the opportunity to visit and experience other environments, student-led presentations, collection of data and report writing, discussions, professionalism and observation of role models, and teaching based seminars. During the first week of placement, students should be gradually introduced to a caseload of service users and take some lead in the supervised assessment and management of designated individuals. At some point during the first week of the Additional documentation can be copied from the placements website: http://www3.shu.ac.uk/hwb/placements/physiotherapy Placement team: Sue Green 0114 225 5575; Myles Butler 0114 225 2231; Jo Adams 0114 225 2490; Sue Dale 0114 225 5376 © SHEFFIELD HALLAM UNIVERSITY 2013/14 10 placement, there should be an arranged meeting with the clinical educator(s) to discuss the student's objectives for placement and agree a detailed action plan to structure learning and professional development throughout the duration of the placement. The academic visiting tutor should be contacted during the first week to arrange a visit at approximately the halfway point of the placement. If the educator or student has any early concerns regarding the placement then an early visit will be arranged. During the successive weeks of the placement, the educator should support the student in increasing their autonomy in practice. Where local policy permits, students may work without direct supervision, but a qualified clinician should always be immediately available if required. The student should receive regular constructive feedback regarding their performance and this should include reference to their placement objectives and action plan. Students should have the opportunity to shadow other members of the MDT or visit other departments if this is deemed relevant to their development within the placement setting. At Level 5 it is expected that students will contribute towards the holistic management of service users through participation in team meetings, case conferences or home visits. Where appropriate, students should be guided in making ongoing referrals to other agencies and plan for discharge from the designated service. Students will be guided in accurately documenting all contact with and communication related to each service user according to local policy. At approximately the halfway point of the placement, the designated academic tutor should visit the placement site and meet with both the educator and the student individually. The meeting with the student should include a review of the action plan and a general discussion regarding their support and placement progress. The student should have the opportunity to freely express any concerns regarding the placement experience during this meeting. If requested, the tutor may observe the student working with a service user, but this is no longer common practice. The meeting between the educator and the visiting tutor should include a discussion regarding the student's performance and progression with reference to the assessment criteria, learning objectives and action plan. The formative halfway assessment should be reviewed and the visiting tutor should support the educator in providing a balance of positive and constructive feedback to the student. Wherever significant concerns are raised by the student or educator then a subsequent visit may be arranged by the visiting tutor to ensure ongoing support of the placement experience. Unless extenuating circumstances apply, the student should be prepared to work according to local requirements; including weekend or evening hours. The educator may allocate the student up to three hours each week for personal study including the preparation of presentations, case study analysis or formal reflection on learning experiences. The evidence accumulated during this personal study should support development of the portfolio. Students should be aware that this time is allocated at the discretion of the educator and is likely to vary between placements. If you are allocated study time, the hours are counted as part of your overall placement hours. Feedback from students regarding their placement experience is supported and encouraged throughout the module. The clinical educator courses emphasise the importance of gaining feedback from students throughout each placement in order that Additional documentation can be copied from the placements website: http://www3.shu.ac.uk/hwb/placements/physiotherapy Placement team: Sue Green 0114 225 5575; Myles Butler 0114 225 2231; Jo Adams 0114 225 2490; Sue Dale 0114 225 5376 © SHEFFIELD HALLAM UNIVERSITY 2013/14 11 any concerns can be promptly resolved. The visiting tutors will also seek to gather feedback from students regarding their placement experiences and will support the relay of this information between educator and student where required. At the end of each placement, students are required to complete an evaluation form to provide formal feedback to their educator upon their experiences. This is supported by guidelines which outline reasonable expectations of placement providers. Students are encouraged to discuss their placement feedback with their educator to develop skills in giving positive and constructive comments. Most placement settings will offer library and IT access to students. This will enable students to access the university Blackboard site, the SHU physiotherapy placement website and other appropriate electronic resources. However, a small number of providers do not hold such facilities and students should be made aware of this prior to the placement so that they can make alternative arrangements if required. Relationship with other modules The first main clinical placement, Block 1 is now part of TPP and is intended as an introduction to the clinical education, with particular emphasis on developing skills of Professional Ability and Communication. The rationale for this period of clinical education is to expose the student to a variety of clinical professional environments as part of their experiential professional development. They will be expected to utilise knowledge and skills acquired during the first year of their studies to contribute fully in a skilful way to the subjective assessment of patients and to the planning of appropriate physical examinations and treatment under the direct guidance of the clinical educator. Consequently, all teaching and learning at Level 4 (Year 1) is considered to underpin this first Clinical Block. Blocks 2, 3 and 4 will develop these skills further and also support the assessments in the modules that follow (Rehabilitation of Functional Movement and Promoting Wellness through Physiotherapy). The Reflective Portfolio at the end of Level 5 will help students prepare for the assessment of the PWTP and RFM modules at Level 5 and facilitate the integration of their clinical and academic development. Additional documentation can be copied from the placements website: http://www3.shu.ac.uk/hwb/placements/physiotherapy Placement team: Sue Green 0114 225 5575; Myles Butler 0114 225 2231; Jo Adams 0114 225 2490; Sue Dale 0114 225 5376 © SHEFFIELD HALLAM UNIVERSITY 2013/14 12 CLINICAL EDUCATION: LEVEL 6 AIM OF THIS MODULE The Level 6 Clinical Education Module aims to develop autonomous skills in the assessment and team management of healthcare service users. Continued development of the portfolio will promote reflection on practice experience and a commitment towards lifelong learning. However, this is no longer formally assessed in the Clinical Education Level 6 module so that all credits gained are now purely as a result of the assessment of clinical performance. 2 BY ENGAGING SUCCESSFULLY WITH THIS MODULE YOU WILL BE ABLE TO: Demonstrate consistent adherence to the rules of professional conduct and take responsibility for your development as an autonomous physiotherapist Communicate appropriately and effectively with service users and the multidisciplinary team in all aspects of clinical practice Identify and analyse all key clinical problems by planning and leading complete subjective and objective assessments Plan, carry out and justify safe and effective physiotherapy programmes for all allocated service users Critically reflect upon clinical development and relate this to relevant published sources and practice based evidence Develop a detailed action plan to promote the ongoing development of practice skills Content In discussion with the clinical educator, students will be expected to take an increasingly greater responsibility for: - the planning and organisation of student work load - assessment and clinical decision making - the implementation of interventions - critical reflection on personal practice and the work of others The opportunity to acquire these skills will be offered across a range of clinical settings. Additional documentation can be copied from the placements website: http://www3.shu.ac.uk/hwb/placements/physiotherapy Placement team: Sue Green 0114 225 5575; Myles Butler 0114 225 2231; Jo Adams 0114 225 2490; Sue Dale 0114 225 5376 © SHEFFIELD HALLAM UNIVERSITY 2013/14 13 Teaching and learning strategies The student will experience a wide range of learning opportunities, including: guided practice, self-directed learning, formal one-to-one or small group teaching, the opportunity to visit and experience other environments, student-led presentations, collection of data and report writing, discussions, professional development and the observation of role models. Relationship with other modules During Clinical Blocks 5 and 6 you will be expected to gradually take an increased responsibility for the planning of your own learning, the planning, implementation and evaluation of your own practice and for the management of your own time. The rationale for this period of clinical education is to expose you to the whole available range of specific clinical professional environments as part of your experiential professional development. Students will be expected to utilise knowledge and skills acquired during the first, second and third years of study to contribute fully, in a skilful way, to the subjective assessment of patients and to the planning of appropriate physical examinations and treatments under the diminishing guidance of the clinical educator. Consequently, all teaching and learning at Levels 4, 5, and 6 is considered to underpin these clinical blocks. Assessment Assessment of the period of clinical education is provided by the practice educator and moderation by the visiting tutor. Indicative reading You will normally be given guidance regarding background reading by your clinical educators and referred to appropriate texts and papers from selected journals. You will also be expected to identify and research relevant topics to investigate via independent study relevant to your own practice during the module. YOUR PORTFOLIO DEVELOPMENT Although this is no longer formally assessed in the Clinical Education Module the Portfolio is still encouraged in order to promote Continued Professional Development and facilitate achievement of a Band 5 post. (See the Transition to Qualified Practitioner Module for more detailed information). For Each Clinical Placement: A personal action plan for each clinical placement must be devised either prior to or early in the placement. This will enable you: to direct your preparation Additional documentation can be copied from the placements website: http://www3.shu.ac.uk/hwb/placements/physiotherapy Placement team: Sue Green 0114 225 5575; Myles Butler 0114 225 2231; Jo Adams 0114 225 2490; Sue Dale 0114 225 5376 © SHEFFIELD HALLAM UNIVERSITY 2013/14 14 to focus your learning form some of the discussion with your visiting university tutor Documenting the action plan in an organised and systematic manner will enable you to recall information for use in the assessment of a number of modules throughout the course. It will also encourage you to be an active participant in deciding about your learning, personal and professional development needs. Placement Guidelines 1. Before the placement consider your feelings and learning needs with regard to the forthcoming placement and translate these into learning outcomes 2. Review the general placement outcomes and prioritise them 3. Consult any previous reflective accounts from placements you have already done and identify any areas which can be incorporated into your present learning outcomes for this placement 4. Keep week to week notes on the diary sheet provided; record your achievements and identify areas where you consider personal improvement is necessary 5. During the placement constantly review your original learning outcomes on a week by week basis; try to link these outcomes in with the content of your week by week diary 6. Complete the half way review form on yourself to make the discussion at the half way point with your clinical educator as interactive as possible (reflective accounts and personal diary sheets can also be used for this purpose); they can also be used to focus discussion with the visiting tutor 7. Always ensure that you discuss your own personal learning objectives with the clinical educator; it is extremely important that you consider how to achieve them and that solutions are realistic and manageable 8. The reflective process is a personal one and you will get out of it what you put into it. This information is confidential to you, the clinical educator and the visiting tutor. It is hoped you will make this process as active and as meaningful as possible. Additional documentation can be copied from the placements website: http://www3.shu.ac.uk/hwb/placements/physiotherapy Placement team: Sue Green 0114 225 5575; Myles Butler 0114 225 2231; Jo Adams 0114 225 2490; Sue Dale 0114 225 5376 © SHEFFIELD HALLAM UNIVERSITY 2013/14 15
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