This module aims to develop in students, an understanding of `abnormal' physiological functioning in the body. Building on the knowledge of `normal' physiological functioning from level four. This knowledge of abnormal function will include pathological processes, epidemiology, signs and symptoms associated with diseases of the various body systems. The module will also introduce clinical testing procedures that can be used within osteopathic practice to diagnose medical disorders. Students will learn and, put into practice medical case history taking and examination skills and link these skills to their understanding of the disease processes.

The students will focus their attention on the mechanisms of pathological and disease processes; local and general responses to tissue injury; the principles of infection and immunity; disorders of cell growth and genetic disorders; pathological changes in cardio-vascular, respiratory, neurological, gastro-intestinal, genito-urinary, musculo-skeletal, dermatological, and reproductive systems.

Examination for the following groups of disorders; musculo-skeletal, cardiovascular, respiratory, gastrointestinal, urinary tract , nervous system disorders, eye, ear, nose and throat, endocrine and metabolic disorders, blood and lymph, skin. Radiological imaging, their application and interpretation.

(Subject Benchmark Statement: Osteopathy: A, B,D,E,F,G,H,J,K, L,M)

OSPE (50%) 1 hour assessed by LO 1,2,3,4
Written Examination (50%) 2 hours assessed by LO 3, 4, 5, 6

Formative Feedback will be given in class during practical sessions

All elements of the module assessment must be passed in order to complete the module.


Additional Assessment Details (include formative feedback / assessment):

Students will be required to contribute to an in-class formative class discussion with peers during practice of clinical examinations.
Opportunities for formative feedback, will be given during group work in practice for OSPE

CONTACT HOURS (66):
Lectures / workshops

INDEPENDENT STUDY HOURS (234):
Peer-group practice of clinical investigative routines - 50 hours
Assessment preparation - 84 hours
Background reading - 100 hours

Bates B. (2013) Bates' Guide to Physical Examination and Case History Taking (11h Ed) USA. J.B. Lippincott
Fuller, G (2008): Neurological Examination Made Easy. Churchill Livingstone. Edinburgh.
Crash Course on neurology
Goodman & Snyder Differential Diagnosis for Physical Therapists Screening for Referral 5th ed (2012) Saunders Elsevier
Longmore, M., Wilkinson I, Torok E, (2010) `Oxford Handbook of Clinical Medicine' (6th Ed) Oxford University Press. Mosby-Wolfe.

Students have access and can borrow books from any other university library participating in the SCONUL scheme.

Students must have successfully completed all Level four modules unless exemption has been agreed.

1. Demonstrates sound knowledge of human structure and function sufficient to recognise clinical signs of dysfunction for m/s and systemic presentations (OPS: B1, B2, C1)
Knowledge & Understanding, Enquiry, Analysis

2. Selects and conducts appropriate clinical investigations, taking into account the nature of the complaint(s) and the case history (OPS: C1, 2, 7)
Enquiry, Problem Solving, Communication

3. Has the ability to recognise where a presenting problem may mask underlying pathologies (OPS: B2,3, C3,9)
Application, Problem Solving, Reflection

4. Has sound knowledge of human disease that informs clinical judgement and identifies where patients may require additional investigations or treatments from another healthcare professional. (OPS: BS, C7)
Knowledge & Understanding, Enquiry, Application, Problem Solving, Reflection

5. Communicates clearly appropriate diagnostic hypotheses to explain the patient’s presenting complaint(s) and utilises osteopathic skills to develop a working diagnosis. (OPS: C1,2, 3, 7,9,D1)
Communication, Reflection, Problem Solving

6. Keeps up to date with contemporary advice related to osteopathic healthcare and integrates it to clinical practice. (OPS: B4,D11,12)
Application, Enquiry, Learning