Open Trauma Course
OverviewPresenters
Course typeThis course is an AHTA Core course. Core courses are suitable for practitioners:
Refer Course types. QualityAHTA courses meet Australian Quality Framework (AQF) Level 8 standards. Presenters are Accredited Hand Therapists and have undertaken a four-stage presenter training program. Pre-requisites
Course contentOpen Trauma will build on existing knowledge of human anatomy, biomechanics, and function as well as tissue injury and repair that is taught in Fundamentals of Hand Therapy. This 3-day course enables therapists to identify appropriate therapeutic strategies, splinting, and treatment guidelines depending on the patient's stage in recovery and complications from surgery. Following this course, you will be able to identify the complex anatomy, biomechanics and pathophysiology involved in upper limb multi-trauma and describe their specific functions, surgical interventions, healing rates and complications to healing following surgery. Examples may include ORIF of fractures, tendon repair, replants, peripheral nerve repair, tendon transfers, and skin grafts/flaps. This course includes a component on the shoulder as this is a core competency requirement for the AHT accreditation. Course deliveryThis 3-day course consists of several lecture modules delivered either face to face or virtually, practical demonstrations and hands on practice. Learning outcomesThis course has been designed for participants to achieve the following learning outcomes. Table 1. Open Trauma learning outcomes and weighting.
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Assessment details |
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Table 2. Assessment schedule and learning outcomes.
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TASK |
VALUE |
DUE DATE |
LEARNING OUTCOMES ASSESSED |
1 |
Practical |
15% |
Last Day of course. 5minutes |
1 & 2 |
2 |
Exam |
45% |
2 options, scheduled at 2 and 4 weeks after course finishes. |
1, 2 & 3 |
3 |
Case Study |
40% |
8 weeks after course finishes |
1, 2 & 3 |
On the final day of the open trauma course, you will be required to complete a 5-minute practical assessment with one of the course presenters.
The principles of anatomy, kinesiology and biomechanics provide the foundation of many aspects of hand therapy practice. Using a case example, students are required to complete a five-minute practical test which requires the application of these principles to hand and upper limb assessment.
There are three parts to this 5-minute practical test:
a. Selection of appropriate diagnostic test (5 marks)
b. Demonstration of the test (5 marks)
c. Explanation of results and theory/justification (5 marks)
Participants will need a marker pen and a “patient” (a friend or family member wearing a singlet if online) to demonstrate their treatment or assessment techniques.
The marking “Rubrics” for the practical is at the end of this document. This guides you and the presenters, who will mark you on the procedure required to pass.
The weighting for the practical assessment is in the table below.
Table 3. Learning outcomes and weighting for practical assessment.
OPEN TRAUMA Learning Outcomes |
Weighting for practical Assessment |
ASSESSMENT POINTS |
Select and perform appropriate tests to assess the upper limb based on anatomical knowledge, assessment findings, contemporary evidence and clinical reasoning |
10% |
10 |
Use clinical reasoning to interpret the assessment results and formulate a diagnosis, treatment plan or prognosis for complex open hand trauma |
5% |
5 |
Justify an evidence-informed treatment plan and specific rehabilitation interventions to optimise client outcomes for complex open trauma conditions of the upper limb |
0% |
0 |
TOTAL |
15% |
15 |
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Administered online using Class Marker
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2 hours
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100 points consisting of ½ multiple choice and ½ short answer questions.
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65% pass mark
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Breakdown of questions by learning outcome:
Table 4. Learning outcomes and weighting for the exam.
OPEN TRAUMA Learning Outcomes |
Weight |
POINTS |
Select and perform appropriate tests to assess the upper limb based on anatomical knowledge, assessment findings, contemporary evidence and clinical reasoning |
20% |
44 |
Use clinical reasoning to interpret the assessment results and formulate a diagnosis, treatment plan or prognosis for complex open hand trauma |
15% |
33 |
Justify an evidence-informed treatment plan and specific rehabilitation interventions to optimise client outcomes for complex open trauma conditions of the upper limb |
10% |
22 |
TOTAL |
45% |
100 |
The final assessment piece for Open Trauma is submission of a narrated and recorded PowerPoint case study presentation in a Pecha Kucha (refer below) format, due eight weeks after the course.
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100 marks
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Early Phase of management: 30 marks
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Middle Phase of management: 30 marks
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Late Phase of management: 30 marks
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Conclusion: 7 marks
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References/Grammar: 3 marks
Table 5. Learning outcomes and weighting for the Pecha Kucha case study.
OPEN TRAUMA Learning Outcomes |
Weighting for case study |
Points |
Select and perform appropriate tests to assess the upper limb based on anatomical knowledge, assessment findings, contemporary evidence and clinical reasoning |
5% |
12 |
Use clinical reasoning to interpret the assessment results and formulate a diagnosis, treatment plan or prognosis for complex open hand trauma |
20% |
48 |
Defend an evidence-informed treatment plan and specific rehabilitation interventions to optimise client outcomes for complex open hand conditions |
15% |
36 |
Academic Convention |
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4 |
TOTAL |
40% |
100 |
Detail therapeutic management of your patient within 3 different phases – early, middle, and late. As an example – Your early phase may be week 1-3, middle phase, week 4 – 12 and late phase 3 months to 6 months post injury or surgery. Adjust these times as appropriate for your patient’s diagnosis.
For each phase, include the following:
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Select and justify the assessments you would use: (4 marks)
Consider what assessments need to be completed during initial assessment include subjective and objective. Give detailed information about the hand therapy assessments that will be completed and instructions to the client. Be explicit.
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Identify goals for therapy: (4 marks)
Incorporate your understanding of your client’s diagnosis to develop your client’s goals. List in point form to a maximum of 3 goals?
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Design a treatment plan based on your assessment: (10 marks)
Give detailed information about the hand therapy treatment techniques you will use, instructions to the client. Your plan needs to be realistically achievable within a 45-minute appointment. Treatment techniques may also include referral to other services.
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Clinically reason to justify your treatment plan and specific rehabilitation intervention based on your knowledge, assessment, and evidence-based research: (9 marks)
With consideration and specific reference to client factors, the practice context and best available research, provide a rationale for the assessments and treatments utilised with your client.
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Select your clinical priorities for this patient and the complications you will look out for: (3 marks)
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Select and justify the assessments you would use: (4 marks)
Consider what assessments need to be completed during middle of treatment when you identify the problem mentioned in your case study. Assessment should include subjective and objective. Give detailed information about the hand therapy assessments that will be completed, instructions to the client, Be explicit.
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Identify goals for therapy: (4 marks)
Incorporate your understanding of your client’s diagnosis to develop your client’s goals. List in point form to a maximum of 3 goals?
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Design a treatment plan based on your assessment: (10 marks)
Give detailed information about the hand therapy treatment techniques you will use, instructions to the client. Your plan needs to be realistically achievable within a 45-minute appointment. Treatment techniques may also include referral to other services.
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Clinically reason to justify your treatment plan and specific rehabilitation intervention based on your knowledge, assessment, and evidence-based research: (9 marks)
With consideration and specific reference to client factors, the practice context and best available research, provide a rationale for the assessments and treatments utilised with your client.
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Select your clinical priorities for this patient and the complications you will look out for: (3 marks)
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Select and justify the assessments you would use: (4 marks)
Consider what assessments need to be completed during a 6-month post injury assessment include subjective and objective. Give detailed information about the hand therapy assessments that will be completed, instructions to the client, Be explicit.
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Identify goals for therapy: (4 marks)
Incorporate your understanding of your client’s diagnosis to develop your client’s goals. List in point form to a maximum of 3 goals?
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Design a treatment plan based on your assessment: (10 marks)
Give detailed information about the hand therapy treatment techniques you will use, instructions to the client. Your plan needs to be realistically achievable within a 45-minute appointment. Treatment techniques may also include referral to other services.
-
Clinically reason to justify your treatment plan and specific rehabilitation intervention based on your knowledge, assessment, and evidence-based research: (9 marks)
With consideration and specific reference to client factors, the practice context and best available research, provide a rationale for the assessments and treatments utilised with your client.
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Select your clinical priorities for this patient and the complications you will look out for: (3 marks)
- Summary of key points of the assignment.
- References listed in APA Author-Date style. This can be in addition to the 20 slides allocated.
- Consider clarity, objectivity, structure, presentation style and readability. Marks will be deducted for spelling and referencing.
Ensure you use four (4) journal articles from the literature to aid your clinical reasoning and justify your treatment/management. Include these in a reference list on your slide or in the notes section.
Choose articles that are, where possible:
- Relevant to the treatment of the specific upper limb condition after surgery.
- Published in the last five years, 2018-present (at least 2 articles in this period)
A Pecha Kucha presentation requires 20 seconds of commentary per slide for 20 consecutive, automatically advancing slides. Your presentation should go for no longer than 6 mins and 40 seconds, or you can shorten your presentation to 15 slides if you can cover the content in that time.
The notes section of your PowerPoint should include details of the case study of no more than 1000 words, which can be your script or slightly more detailed.
In summary
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15 – 20 slides automatically advancing at 20 seconds
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Narrate and record your case study information.
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A Pecha Kucha template will be provided. For help, recording, go to Record a slide show with narration and slide timings (microsoft.com)
Marking rubrics guides you and the presenters who will mark you, on the level of competency required to pass.
OPEN TRAUMA PRAC RUBRICS |
Advanced |
Proficient |
Satisfactory |
Not Yet Achieved |
Select appropriate tests to assess the upper limb based on anatomical knowledge, assessment findings, contemporary evidence, and clinical reasoning. |
List at least 3 correct structures causing the described problem. |
List at least 2 correct structures causing the described problem. |
List 1 structure causing this problem. |
Unable to identify or describe any structures involved. |
Perform appropriate tests to assess the upper limb |
Performs assessment correctly and can explain the steps involved. |
Performs assessment correctly with some verbal prompting |
Adequate attempt was made to perform test or performed incorrect test correctly |
Unable to perform any test for the clinical scenario |
Use clinical reasoning to interpret the assessment results and formulate a prognosis for complex open hand trauma. |
Clinically reasons through choice of assessment/treatment and explains how and why the test is being performed. |
Able to clinically reason through choice of assessment/ treatment with some prompting. |
An attempt was made to clinically reason through assessment/ treatment choices. |
Unable to clinically reason choice of assessment/ treatment. |
RUBRICS |
Advanced |
Proficient |
Satisfactory |
Not yet Achieved |
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Select and justify the assessments you would use. |
Provides a thorough but concise description of the client’s relevant demographic information, presenting symptoms and history, as well as theoretic information on complex upper limb injuries, to select the assessment required for this client. |
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Provides a brief description of the client’s relevant demographic information, presenting symptoms and history, and some theoretic information on complex upper limb tests. |
Answer was not provided or is incomplete. Significant aspects of the client’s demographic information, presenting symptoms and/or relevant history has been omitted. Little to no theoretical information has been provided on complex upper limb injuries. A justification underpinning the tests selected was not provided. |
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Identify goals for therapy |
Demonstrates the ability to interpret the assessment results and integrate the information gained from the client’s presentation to correctly identify goals for therapy. |
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Demonstrates the ability to interpret the assessment results and integrate the information gained from the client’s presentation to correctly identify some goals for therapy and/or some goals were incorrect or not fully addressed. |
Answer was not provided or is incomplete. Significant aspects of the client’s presentation and/or interpretation of assessment results were not integrated to correctly identify goals for therapy. |
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Design a treatment plan based on your assessment |
Demonstrates an advanced level of knowledge and clinical reasoning to develop an evidence-informed treatment plan for the client that: |
Demonstrates a proficient level of knowledge and clinical reasoning to develop an evidence-informed treatment plan appropriate for the client that: |
Demonstrates a satisfactory knowledge and clinical reasoning to develop a treatment plan appropriate for the client that: |
Answer was not provided or is incomplete. Demonstrates limited knowledge and clinical reasoning, with limited information used to develop a treatment plan over time. The treatment plan may not be appropriate for the client. The treatment plan does not fully address concerns over time and/or essential concerns for the case study |
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Clinically reason and defend your treatment plan and specific rehabilitation intervention based on your knowledge, assessment and evidence-based research. |
All aspects of the treatment plan are justified using current, best available evidence/sources, which is beyond what was presented in class and in the assigned readings. |
Specific intervention strategies are supported by research evidence, based on the information presented in class and in the assigned readings. |
Some intervention strategies are supported by research evidence, based on the information presented in class and in the assigned readings. |
Answer was not provided or is incomplete. Demonstrates limited knowledge and clinical reasoning, with limited information used to justify a treatment plan. The treatment plan may not be appropriate for the client. Some interventions are provided but limited evidence is presented to support their use. |
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Select your clinical priorities for this patient and complications you will look out for. |
Demonstrates an advanced level of knowledge and clinical reasoning to correctly select all treatments in order of priority and complications are correctly identified for the time period. |
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Demonstrates developing knowledge and clinical reasoning, with some relevant information used to select treatments in questionable order of priority and/or only some complications are correctly identified for the time period. |
Answer was not provided or is incomplete. Demonstrates limited knowledge and clinical reasoning, limited information used to select treatments in an appropriate order of priority and/or complications are incorrectly identified for the time period |
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Conclusion |
Makes a summative evaluation of the assessment/treatment/clinical priories and reasoning in a logical and succinct and insightful manner. |
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The evaluation of the assessment/treatment/clinical priorities and reasoning was mostly appropriate but may not address all concerns or not specific to the patient. |
Answer was not provided or is incomplete. Demonstrates limited knowledge and clinical reasoning to summarise the assessment/treatment/clinical priorities and reasoning. This may not be appropriate for the client. |
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Academic Convention |
Demonstrates a proficient level of knowledge to accurately lists all appropriate references correctly. The presentation was exemplary and engaging which was well paced for ease of listening |
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Demonstrates developing knowledge to partially list references and/or may be listed correctly |
Does not list references correctly or incomplete |
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