Summative:
1. Reflective Assessment (15 mins) – completed within the teaching clinic by a clinic tutor – 25%
(Learning outcome 8)
2. New Patient Clinic Assessment (90 minutes) - completed within the teaching clinic by a clinic tutor - 25%
(Learning outcomes 1, 2, 3, 4, 5, 6 & 7)
3. Follow-Up Patient Clinic Assessment (45 minutes) - completed within the teaching clinic by a clinic tutor - 25%
(Learning outcomes 1, 2, 3, 4, 5, 6 & 7)
4. Objective Structured Clinical Examination (OSCE) (60 minutes) – 25%
(Learning outcomes 1, 3, 4, 5 & 6)

Additional Assessment Details (include formative feedback / assessment):
Formative:
1. New Patient Clinic Assessment (90 minutes) - 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

Alexander, N (2015) Atlas of Osteopathic Techniques. USA JB Lippincott Co.
Beers, M. et al. (2011). The Merck Manual of Diagnosis and Therapy. (19th Ed.). Whitehouse Station: Merck.
Bickley, L. (2012) Bates' Guide to Physical Examination and Case History Taking (11th Ed) USA. J.B. Lippincott.
Magee, D. (2014) Orthopedic Physical Assessment (6th ed), New York, Saunders.

For Clinical Osteopathy 4 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, 2 and 3 modules, unless exemption has been agreed.

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

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

3. Demonstrate a mature understanding of osteopathic concepts and principles, and the application to individual patients with tutor guidance.
(OPS B1, B3 (1, 2.1, 2.2), B4 (1.1, 1.2))
Knowledge & Understanding
Learning
Application

4. Demonstrate mature development of knowledge and skills to support your work as an osteopath, and the appropriate application to individual patients with tutor guidance.
(OPS B2 (1.1-1.8, {1.9}), B3 (1, 2.1, 2.2), B4 (1.1, 1.2))
Knowledge & Understanding
Learning
Application

5. Be able to conduct, accurately record and present patient evaluation, through developed case history taking and examination to generate a justifiable working diagnosis taking account of pathology, predisposing, maintaining and environmental factors.
(OPS C1, C3, C4, C5, C6 ({5-8}), C7, C8, C9)
Communication
Enquiry
Analysis
Problem Solving

6. Be able to formulate and present a justifiable, prioritised management plan.
(OPS C2 (1-5, 7, {8}, {9}), C3, C4, C5, C6 ({5-8}), C7, C8, C9)
Communication
Analysis
Problem Solving

7. Conduct and record a management plan respecting the patient and adapting to their ongoing clinical and individual needs with support.
(OPS C2 (1-5, 7, {8}, {9}), C3, C4, C5, C6 ({5-8}), C7, C8, C9)
Communication
Application
Problem Solving

8. In light of more autonomous 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 {D1}, D2-3 ({1.1}, 1.3, 1.4), D4, D5, D6, D7, D8, D9, D10, D11-13, D14, D15 (5), D16, D17, D18)
Knowledge & Understanding
Application

This module aims to encourage the student to individualise their approach within osteopathic practice. It will allow them to become competent in a range of skills, including case management, advanced technical approaches within treatment, and to recognise the needs of the patient. Students will be expected to formulate and justify an osteopathic diagnosis and management plan according to individual patient needs, working independently but still under supervision. Students will critically evaluate osteopathy alongside other modes of healthcare provision and begin to understand the scope of osteopathic practice in the treatment of a range of patient groups.

The limited number of taught sessions are supported and developed by 225 hours of clinical practice, spread over the two-semester period. Activities will include interacting with patients, case history taking, osteopathic examination and treatment and management techniques under minimal supervision. Small group presentations, and discussions. Structured or semi-structured tutorials either in groups or individually

Syllabus -
Case history taking.
Clinical examinations, including both orthodox and osteopathic.
Referral of patients for further investigations.
Formulation of diagnosis, prognosis, and treatment plan.
Osteopathic treatment and management interventions.
Evaluating treatment outcomes.
Modification of treatment according to response.
When to re-assess, when to refer and when to discharge patients

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- 4 modules support Clinical Osteopathy 4 where these concepts and skills are integrated into real life practice within the controlled environment of the College clinics.

Contact Hours (300 hours)
- Clinic - 225 hours
- Lectures & seminars - 15 hours
Independent Study Hours– 60 hours