The aim of the module is to give the students the opportunity to take responsibility for the clinical assessment and osteopathic treatment of real patients within the clinical environment. It is at this stage where they will be given the opportunity to take an osteopathic case history, present the case history to a tutor, and to present and perform a thorough osteopathic examination plan, based on the information gleaned and interpreted in the case history. With the support and supervision of senior students and tutors they will also apply aspects of osteopathic case management relevant to this level of study, including techniques such as basic manipulation of joints, as well as diet and lifestyle advice.

The module covers:
Personal skills in professional practice.
Case history taking and recording details accurately.
Performing osteopathic biomechanical assessment and medical screening examinations in the clinical setting, taking account of sensitivity to the patient/ tissue needs.
Developing rationales, prioritisation and justification with guidance.
Promotion of health education where applicable and the need for the holistic approach, regarding the patient in the context of psycho-social and environmental factors.
Indications and contra-indications for osteopathic practice and specific techniques.

Summative:
1. Reflective Assessment (15 mins) – completed within the teaching clinic by a clinic tutor – 20%
2. New Patient Clinic Assessment (90 minutes) - completed within the teaching clinic by a clinic tutor - 40%
3. Follow-Up Patient Clinic Assessment (45 minutes) - completed within the teaching clinic by a clinic tutor - 40%
Learning outcomes 1 and 8 are assessed in the Reflective Clinical Assessment.
Learning outcomes 1 - 7 are assessed in the New and Follow-Up Patient Clinical Assessments.

Additional Assessment Details (include formative feedback / assessment):
Formative:
1. New Patient Clinic Assessment (90 minutes) to peers - completed within the teaching clinic by a clinic tutor
2. Follow-Up Patient Clinic Assessment (45 minutes) - completed within the teaching clinic by a clinic tutor
3. A formative clinical OSCE takes place in this module to prepare students for the summative OSCE in Clinical Osteopathy 4.

Alexander, N (2015) Atlas of Osteopathic Techniques. USA JB Lippincott Co.
Browning, S. (2004). Hands on : a clinical companion : steps to confidence in musculoskeletal diagnosis Harley: TFM.
Douglas, G., Nicol, F. & Robertson, C. (2009). Macleod's clinical examination. (12th ed.). Edinburgh : Churchill Livingstone.
Goodman, C. & Snyder, T. (2012). Differential Diagnosis for Physical Therapists: Screening for Referral (5th ed). St.Louis: Saunders/Elsevier.

For Clinical Osteopathy 3 the key physical resource is the clinical environment provided by the College. The majority of teaching for clinical modules is delivered in the Osteopathic Teaching Clinic where there is access to all the necessary equipment and learning resources within an environment that meets standards specified and inspected by the General Osteopathic Council and Quality Assurance Agency for Higher Education.

Admission requirements for students are that they have enhanced clearance from the Disclosure and Barring Service, that they have fulfilled the criteria set out in the Fitness To Practice form (updated and completed annually) and that they have completed the Clinic Induction which includes the issuing of clinic log books (with clinic procedures and the code of conduct) and clinic uniform. Students must have successfully completed all year 1 and 2 modules, unless exemption has been agreed.

1. Demonstrate a range of communication skills (to include verbal, non verbal, listening, presentation and written) and employ those strategies with support to ensure specific patient needs and preferences are met.
(OPS A1, A2)
Communication

2. Develop the skills to work in partnership with patients, demonstrating informed continuous consent and supporting patient independence in health maintenance with tutor direction and guidance.
(OPS A1, A2, A3, A4, {A5}, {A6})
Communication

3. Demonstrate evolving development of osteopathic concepts and principles, and application to individual patients with appropriate tutor support.
(OPS B1 (1.1, {1.2}, 1.3, {1.4}), B3 (1, 2.1), B4 (1.1, 1.2))
Knowledge & Understanding
Learning
Application

4. Demonstrate evolving development of knowledge and skills to support your work as an osteopath, and the appropriate application to individual patients with tutor support.
(OPS B2 (1.1, 1.5, {1.6}, 1.8), B3 (1, 2.1), B4 (1.1, 1.2))
Knowledge & Understanding
Learning
Application

5. Be able to conduct, accurately record and present patient evaluation of simple cases, through basic case history taking and examination, to generate a justifiable working diagnosis with tutor support.
(OPS C1 (1.2, {1.5}), C3, C4, C5, C6 ({5-8}), C7, C8, C9)
Communication
Enquiry
Analysis
Problem Solving

6. Be able to formulate and present a justifiable basic management plan.
(OPS C2 ({1-5, 7}), C3, C4, C5, C6 ({5-8}), C7, C8, C9)
Communication
Analysis
Problem Solving

7. Conduct and record a management plan respecting the patient's individual needs with tutor support.
(OPS C2 ({1-5, 7}), C3, C4, C5, C6 ({5-8}), C7, C8, C9)
Communication
Application
Problem Solving

8. In light of increasing patient responsibility, act with professionalism, integrity and respect to ensure patient welfare; and uphold the reputation of the profession through appropriate demeanour and conduct at all times.
(OPS D4, D5, D6, D7 ,D8, D9, D10, D11-13, D14, D15 (5), D16, D17, D18)
Knowledge & Understanding
Application

Clinical Osteopathy is a complex undertaking central to the course, with the award of MOSt/BOst ultimately being determined by the Final Clinical Competency examination in CO5/6. Therefore all other year 1, 2 & 3 modules support Clinical Osteopathy 3 where these concepts and skills are integrated into real life practice within the controlled environment of the College clinics.

Contact Hours (199 hours)
- Clinic 175 hours
- Lectures & seminars 24 hours

Independent Study Hours (101 hours) ¿
- Log Book preparation - 50 hours
- Background reading - 51 hours