Clinical reasoning in physical assessment: lifespan perspectives


Clinical reasoning in physical assessment: lifespan perspectives

This module is a core compulsory module for the advanced practice pathway of the Healthcare Practice PgCert/PgDip/MSc.

The module offers health and social care professionals advanced knowledge, skills and abilities to expertly assess and manage patients presenting with an undifferentiated illness. The emphasis of the module is on integrating subjective and objective data into the complex clinical reasoning process and on synthesis of evidential practice in the context of undifferentiated urgent care.

The module provides the healthcare professional with the opportunity to equip themselves to promptly and efficiently respond to the rapidly changing health landscape. It will allow the professional to make a balanced clinical decision based on systematic patient assessment.

The educational delivery and ethos of this module emphasises and builds on autonomous self-directed learning for independent practice.

This course is also available as an undergraduate (level 6) award.

Learning outcomes:

  1. Demonstrate critical responses through comprehensive history taking and physical examination and takes the initiative and responsibility in decision making and problem solving in clinical and ethical dimensions of practice.
  2. Integrate deep and systematic knowledge of human life sciences in altered physiology and pathology across the lifespan.
  3. To demonstrate in-depth ways of knowing that embrace physical, psychological personal, social, economical and ethical factors which impact on individuals, families and communities.
  4. Deconstruct clinical problems resulting from disease process into the component elements and then reconstruct synthesising clinical decisions and professional reasoning in a holistic way.
  5. Demonstrate expert diagnostic interpretative knowledge in requesting relevant tests and examinations and consider the personal and organisational costs in the clinical reasoning process.
  6. Demonstrate ability to analyse complex investigative findings and empirical evidence in formulating diagnosis.
  7. Identify, evaluate and maintain capabilities and qualities to support effective communication in a range of complex and specialised contexts.

Who is the module for? Registered healthcare practitioners normally with one year’s post-qualifying practice experience who have an identified clinical mentor able to provide 50 hours of supervised practice.

Module code: HP7019Y

Entry criteria:

Applicants will be required to meet all of the following criteria:

  • Hold a recognised health-related professional qualification and current professional registration.
  • Hold an Honours degree 2(ii) or above from a UK or Republic of Ireland university. An Honours degree equivalent to a 2(ii) or above from an approved institution of higher education outside the UK and Republic of Ireland will be accepted. Advice on equivalence of overseas awards will be obtained from the National Recognition and Information Centre for the UK (NARIC).
  • Normally have a minimum of one year’s post-qualifying practice experience. Module specific practice related requirements and additional entry criteria will apply to some modules and these will be indicated in the module outlines.

Non-standard applicants

Applications will be considered from non-standard applicants who can demonstrate the following certificated learning:

  • a DipHE from a UK or Republic of Ireland university or equivalent qualification from an approved institution of higher education outside the UK and Republic of Ireland

and one of the following completed within the last five years:

  • successful completion of a standalone module at level M OR
  • a minimum of 30 credits from standalone modules at level 6, at or above grade B (60%).

Proficiency in English language

Evidence of English language testing will be required from all applicants for whom English is not their first language and who have not previously undertaken studies in English. The required level of proficiency will be a minimum overall International English Language Testing System (IELTS) score (or equivalent) of 6.5, with no section achieving less than 6.0. Evidence of proficiency must be dated within the last two years. Applicants who have taken the examination more than twice in one year will not be considered.

International applicants

All international applicants must satisfy the requirements of the UK Border Agency in relation to St George’s responsibilities as a Highly Trusted Sponsor for students (Tier 4).

Advanced practice route

Applicants for this route will be required to meet all the following additional requirements:

  • a minimum of two years full-time experience (or the equivalent in part-time hours) in health or social care employment
  • be employed in a senior role
  • demonstrate they are working in a practice setting which enables the achievement of the specialist compulsory module outcomes relating to the Advanced Practice competencies (Great Britain, Department of Health, 2010).

Number of credits and level of study: 30 credits at level 7. This course is also offered as an undergraduate (level 6) award.

Assessment: Combined objective structured clinical examination (OSCE)/viva and reflective assignment

Location: St George’s, University of London

Pattern of Delivery: 10 days

Module dates:*

  • (9.30am – 4.30pm)
  • 25, 26 September, 2, 3, 9, 10, 16, 17, 23, 24 October, OSCE 5 December 2017
  • 30, 31 October, 6, 7, 13, 14, 20, 21, 27, 28 November 2017, OSCE 9 January 2018
  • 23, 24, 30, 31 January, 6, 7, 13, 14, 20, 21 February, OSCE 10 March 2018
  • 17, 18, 24, 25 April, 1, 2, 8, 9, 15, 16 May, OSCE 26 June 2018
  • 22, 23, 29, 30 May, 5, 6, 12, 13, 19, 20 June, OSCE 31 July 2018

*Dates may change

Fee: £1600

Module leaderGemma Hurley

Programme: This module is part of Healthcare Practice PgCert/PgDip/MSc