Bickley, L. (2012) Bates' Guide to Physical Examination and Case History Taking (11th Ed) USA. J.B. Lippincott.
Bolton, G. (2014) Reflective practice : writing and professional development. (4th ed.). London: Sage
Magee, D. (2014) Orthopedic Physical Assessment (6th ed), New York, Saunders.
Ward (2010) Foundations of Osteopathic Medicine. 3rd Edition. USA. Williams & Wilkins

For Clinical Osteopathy 6 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.

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

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

3. Demonstrate mastery of osteopathic concepts and principles, and the appropriate application to individual patients with autonomy, recognising limitations and opportunities for developing self and the profession.
(OPS B1, B3, B4)
Knowledge & Understanding
Learning
Application

4. Demonstrate mastery of knowledge and skills to support your work as an osteopath, and the appropriate application to individual patients, recognising limitations and opportunities for developing self and the profession.
(OPS B2, B3, B4)
Knowledge & Understanding
Learning
Application

5. Be able to conduct, accurately record and present patient evaluation of complex cases, through sophisticated case history taking and triangulated examination to generate an integrated and justifiable working diagnosis and sharing good practice.
(OPS C1, C3, C4, C5, C6, C7, C8, C9)
Communication
Enquiry
Analysis
Problem Solving

6. Be able to formulate and present a justifiable, individualised evidence based management plan coping with ambiguity and clinical uncertainty.
(OPS C2, C3, C4, C5, C6, C7, C8, C9)
Communication
Enquiry
Analysis
Problem Solving

7. Conduct and record a management plan respecting the patient and adapting to their ongoing clinical and individual needs working in partnership with a professional network.
(OPS C2, C3, C4, C5, C6, C7, C8, C9)
Communication
Application
Problem Solving

8. Demonstrate professionalism, as required by the OPS standard and uphold the reputation of the profession; setting a positive example for peers and supporting them in their understanding of professionalism.
(OPS D1, D2-3, D4, D5, D6, D7, D8, D9, D10, D11-13, D14, D15, D16, D17, D18)
Knowledge & Understanding
Communication
Application

This module represents the final step in the student's development. This module facilitates the transition from `osteopathic student' to becoming an independent, safe and competent practitioner of Osteopathy able to critique personal capabilities. Students will have achieved the requirements and areas of capability, outlined by the General Osteopathic Council (GOsC), to become Professional Osteopaths.

The students will use this module to gain full responsibility for patient management, including referral to other healthcare professionals where appropriate. Supervision from clinic tutors will be minimal, though structured tutorials will take place throughout the module. Students will be able to demonstrate the desired advanced attitude to learning and teaching within the clinical environment.

Independent osteopathic management of patients.
Peer learning
Referral of patients.
Clinic Audit and analysis of data.
Inter-professional, Legal and ethical aspects of osteopathic practice.

300 hours of clinical practice, spread over the three-semester period. Activities will include interacting with patients, case history taking, osteopathic examination and treatment and management techniques under minimal supervision. Communication of this information to tutors and peers should facilitate debate. Practice of becoming an assistant tutor within the teaching clinic, encouraging peer learning, and making decisions in clinical uncertainty.

All elements of the module assessment must be passed in order to complete the module and all 300 clinical hours completed.

Summative:
1. Reflective Clinic Assessment (20mins) - completed within the teaching clinic - 25%
(Learning outcomes 1,2,3,4,5,6,7 and 8)

2. Clinical Competency Assessment (CCA) (90Mins NP + 45mins FU) - completed within the teaching clinic - 50%
(Learning outcomes 1,2,3,4,5,6 and 7)

3. Clinic Workshop Delivery (30mins) - completed within the teaching clinic ¿ 25%
(Learning outcomes 1,3,4,5 and 8)


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

3. Clinic Workshop Delivery (30mins) ¿ completed within the teaching Clinic

Clinical Osteopathy is a complex undertaking central to the course, with the award of MOSt ultimately being determined by the Final Clinical Competency Clinical Osteopathy 6. Therefore all other year 1-6 modules support Clinical Osteopathy 6 where these concepts and skills are integrated within the controlled environment of the College clinics for the student to achieve the requirements of a Registered Osteopath.

Contact Hours (324 hours)
- Clinic - 300 hours
- Lectures & seminars - 24 hours

The total learning hours for this module exceed the 'normal' 300 hours for a 30 credit module as they include 300 clinic hours which are a PSRB requirement

Admission requirements for students are that they have enhanced disclosure clearance from the Disclosure Barring Service, that they have fulfilled the criteria set out in the Fitness To Practise 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, 3 and 4, unless exemptions have been agreed.