Clinical Affiliation

Assignments Year 1
International Program Physiotherapy
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Content

Introduction

Assignments

1. SWOT, Learning Objectives and Plan of Approach

2. Competency Physiotherapist
A. HOAC II
B. SOAP notes
3. Competency Health Advocate
4. Competency Organiser
5. Competency Communicator and Cooperator
6. Competency Researcher
7. Reflection Report including reflective document
8. Appendix
A. SWOT model
B. SMART criteria
C. Plan of Approach
D. STARR method

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Introduction

During the clinical affiliation for the first year, the student will be orientating
him/herself to the practical field of Physiotherapy, as well as gaining practical skills
in an authentic work environment, knowledge and insight into patient care. As a first
year student, he/she has introductory knowledge regarding evaluation and
treatment. During the three weeks that the student is in clinical affiliation, he/she
needs to complete assignments regarding evaluation, treatment and prevention
(Competencies Physiotherapist and Health Advocate). The student needs to work
with a patient or patients that fit within the dimension or level of the first year,
meaning the level of a beginner in low complex client situation, interventions,
autonomy and familiar context (see Competency Levels Physiotherapy). During the
clinical affiliation the student needs to discuss the assignments with the clinical
supervisor. All documents need to be written in English and uploaded on BlackBoard
Course Physiotherapy International Class Year 1 before the official deadlines. This
document contains a description of the assignments.

Assignments

1. SWOT, Learning Objectives and Plan of Approach

Before the start of the Clinical Affiliation period you need to write a personal SWOT-
analysis (see Appendix), SMART learning objectives (see Appendix) and a Plan of
Approach. The learning objectives need to be related to the personal SWOT, the
Saxion Learning Competencies (see Appendix) and the professional profile (see
Appendix). You need to discuss the SWOT-analysis, learning objectives and Plan of
Approach with your clinical supervisor in the first days of your affiliation. Also
explain the mandatory assignments, clinical reasoning according to HOAC II. At last
show your supervisor the content of the curriculum, the competency levels and the
assessment form.

2. Competency Physiotherapist

A. Under direct supervision of the Clinical Affiliation Supervisor, the students will
perform and document, with minimally one patient, meeting the criteria for a
Beginner, the following assignments:

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 A Patient interview
A Physiotherapeutic assessment
Determine and document physiotherapeutic diagnosis
Determine Plan of Care
Product: Completed HOAC II Form

B. Under direct supervision of the Clinical Affiliation Supervisor, the student will
perform and document, of the patient that the student assessed during the previous
assignment, a physiotherapeutic intervention using SOAP notes:
S-Subjective information provided by the patient
O-Objective information regarding the detailed description of the contents of
the treatment session
A-Assessment of the outcome of the treatment session
P-Plan for the following treatment session
Product: Document describing treatment session.

3. Competency Health Advocate

Following the assessment of the patient, the student will, based on the findings from
the assessment, develop a home exercise program for the patient including relevant
patient information and education under the supervision of the Clinical Affiliation
Supervisor and explains it to the patient in a methodical and effective way.
Product: Document describing home exercise program and patient information and
education.

4. Competency Organizer
Describe the patient registration system in your practice.
Describe the multidisciplinary activities at your clinical affiliation site:
- How many therapists work at the site?
- Are all the therapists physiotherapists, or are there other professionals
working at the site (occupational or speech therapist, social workers)? Do
regularly scheduled meetings take place at your affiliation site?
- If yes, who attends these meetings and how often do they take place? Were
you able to attend a meeting during your affiliation period?
Describe the physical setting of your clinical Affiliation site and make an
inventory of the equipment of the practice. Make a detailed drawing of the
practice/setting including rooms and equipment overview.
Product: Document describing the above mentioned topics.

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5. Competency Communicator and Cooperator
Describe the network of the affiliation address; who are the doctors,
physiotherapists, hospitals, rehabilitation centres, other health care providers the
affiliation address cooperates with.
Product: Document describing the above mentioned topics.

6. Compentency Researcher
Formulate a clinical question for the patient described in your patient file during
your clinical affiliation period.

7. Reflection Report
The student is required to complete a reflection report regarding the experiences
during the clinical affiliation based on the 3 learning objectives and the plan of
approach. The student will use the STARR method to reflect on his/her learning
process and personal developments.

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Appendix

A: SWOT Model
Strength Weakness
- -
- -
- -
- -
- -
Opportunity Threats
- -
- -
- -
- -
- -

B: SMART Criteria
Specific
Measurable
Attainable
Realistic
Time-bound

C: Plan of Approach
Motivation
Strategy
Intensity
Frequency

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E: STARR Method
S Situation Describe the situation in which this competency played a role.
Who was involved?
Where and when did it happen?
Exactly what was it about?
What was the cause?
T Task What was your task/role/function during that specific situation?
What did you have to do?
What was expected from you?
What was your objective/intention?
What was your plan of action?
A Action What did you do or how did you behave?
How did you approach it?
How did others react to you?
What did you think/say/feel?
What was your part or share?
R Result What was the effect or result of your action?
What was the effect of the action on you/on others?
What was the effect on the atmosphere?
What was the result/the effect of your part in that situation
regarding task, process and feeling?
R Reflection How do you look back upon it?
What conclusions can you draw from it?
What have you learned from it?
What would you do differently next time?
What would you need for that?