FYBPRA2 Clinical Placement - II Course description

This course is a practical training course that contains the second of two practical training periods in the third year of the programme. The practical training is carried out at locations affiliated to OsloMet - Metropolitan University (OsloMet) through signed cooperation agreements. These are primarily institutions in the municipal or specialist health service. The student will develop the action competence needed to meet the requirements made of physiotherapists. On the basis of ethical reflection and critical thinking, the student should provide professionally sound, person-centred and knowledge-based physiotherapy rooted in research, evidence-based knowledge and user knowledge, and participate in the daily activities at the practical training establishment. The practical study is carried out on all weekdays for ten (10) consecutive weeks, with a workload of 40 hours per week.

Passed first and second year of the programme or equivalent.

Passed FYBPRA1 Clinical Placement - I.

After completing the course, the student should have the following learning outcomes defined in terms of knowledge, skills and general competence:

Knowledge

The student can

• describe the practical training establishment’s professional basis and how the establishment describes the purpose of its activities

Skills

The student can

• obtain information through dialogue with the patient and in other assessment situations, and respond to the complexity of the patient’s life situation
• justify their choice of assessment methods and standardised tests on the basis of the patient’s clinical condition and level of functioning and the tests’ psychometric properties
• give an oral presentation of physiotherapy’s contribution to the interprofessional follow-up of a patient, and present the clinical reasoning forming the basis for decisions
• perform person-centred physiotherapy informed by research, evidence-based knowledge and the patient’s perspective, and demonstrate a broad range of measures that can be adapted in treatment, habilitation, rehabilitation, prevention and palliation
• continuously evaluate the patient’s response to treatment and other measures throughout the course of treatment, and adjust the measures as required
• guide patients undergoing change processes and strengthen their coping resources, and evaluate their development in relation to coping strategies
• adapt orthopedic and technical aids, and propose and contribute  in the adaptation of surroundings to promote movement, functioning and participation
• explore how team members with different professional backgrounds can contribute to person-centred cooperation, and take the initiative to  interprofessional cooperation, and cooperate with health workers involved earlier/later in the course of treatment
• use manual, bodily and educational tools in a clear, precise, confident, sensitive and respectful manner in assessment and treatment
• adapt their own communication in their dealings with patients and next of kin
• write and update patient records in accordance with applicable guidelines and the Regulations related to patient records in a manner that protects privacy, and so that the healthcare provided can be controlled later
• present and discuss a professional issue at professional meetings and/or student meetings that is relevant to the practical training establishment
• plan their own workday/workweek and prioritise tasks in a manner that safeguards their own health, collaboration with colleagues, scheduled appointments and patient safety.

General competence

The student can

• show respect, care and empathy in their dealings with patients/users/next of kin
• use knowledge of inclusion and equality in their own contributions to provide equitable and non-discriminatory services to all groups in society regardless of sex, ethnicity, language, religion or life stance, level of functioning, social background, sexual orientation, gender identity, gender expression and age
• identify and handle ethical issues that arise in encounters with patients and reflect on their own attitudes and behaviour
• carry out tasks in line with requirements for professional responsibility, applicable legislation, and the practical training establishment’s regulations and personnel handbook (including clothing, hygiene and infection control) and can evaluate their own activities
• refer patients to partners and consult the supervisor as needed
• reflect on their own professional practice and competence level and independently identify learning strategies and learning objectives

Anatomy is fundamental in order to be able to assess the functioning and disability of users with problems relating to the musculoskeletal system. Physiology is fundamental to the understanding of normal and pathological processes.

In this course, the students will receive an introduction to functional examinations of upper and lower limbs and the spine. Functioning is mapped and assessed by means of systematic examinations. The topics will be covered in more depth in the orthopaedic technology courses, which will review specific types of prostheses and orthoses.

The student must have been admitted to the study programme.

After completing the course, the student should have the following learning outcomes defined in terms of knowledge, skills and general competence:

Knowledge

The student

• can describe the structure and functioning of the musculoskeletal system
• can describe the structure and functions of the skin
• can describe the structure, mechanisms and functions of the circulatory and respiratory systems
• can describe the structure, mechanisms and function of the peripheral, central and autonomous nervous system
• can describe the mechanisms and functions of the endocrine system and its interaction with the other organ systems in the body
• can describe the mechanisms and functions of the immune system and the composition and function of the blood
• can describe important exercise physiology principles, tests and measurements relevant to a prosthetist's work
• can describe fundamental genetic principles
• can describe embryology and the development of the body

Skills

The student

• can palpate and identify structures on the surface of the body
• can carry out and explain simple functional examinations focusing on the lower limbs

General competence

The student

• can communicate with the user during a functional examination
• can take a respectful approach to the human body in connection with examinations and is aware of ethical dilemmas relating to examinations

The methods used vary between lectures, seminars, skills training in functional examination of fellow students, database searches, use of digital resources and self-study. Parts of the course are taught jointly with other health sciences programmes.

The following coursework requirements must be met before the student can take the exam:

• minimum attendance of 80% at seminars and skills training.

Combined assessment:

Part 1) Supervised individual written exam (multiple choice test), 1 hour.

Part 2) Individual practical and oral exam, up to 30 min.

Weighting: One overall grade is awarded for part 1 and part 2. Part 1, written exam, is weighted 33%. Part 2, oral exam, is weighted 66%.

Resit assessment/exam: If a student fails one part of the exam, they must retake the part in question. Students can appeal the grade awarded for part 1, written exam.

15 credits overlap with FYSIOPRA and MENDIPRA Knowledge-based Clinical Physiotherapy.