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SOUTHERN CALIFORNIA UNIVERSITY OF HEALTH SCIENCES

Los Angeles College of Chiropractic
DEPARTMENT OF INTERNSHIP
COURSE INFORMATION
Course Title:

Assuring Quality Record Keeping

Course Numbers(s): CLI107
Term: 9
Time Requirement: (hours/week)
Online Course

Total Units: 2

Prerequisites: Term 1-8
COMMUNICATION WITH INSTRUCTOR
Lead Faculty: Dr. Mike Sackett
Contact Information: mikesackett@scuhs.edu
(562) 947-8755 ext.433
Virtual Office Hours- Please e-mail me for a time. I am available in the evenings and
certain times during the day depending on my other course schedules.
Course Description:
This course is designed to improve intern’s record keeping skills so that they may
meet all federal, state and university guidelines. Interns are required to keep
records on every patient, especially in an electronic format. The course will cover
four main areas of record keeping. This includes the first visit, the management
plan, daily treatment notes and outcome assessments. This is an online class and
assignments are submitted to the instructor. The feedback is received in the form of
cyber coaching along with individual coaching from their clinicians. Student
collaboration is encouraged through discussion groups. The course is not fully selfpaced but there is flexibility to help the students manage their time
DC Program Learning Outcomes:

Assessment & Diagnosis
o The graduate will utilize appropriate clinical reasoning skills to
accurately assess and diagnose patient conditions. (1)

Management Plan
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o The graduate will develop a comprehensive patient care plan. (2,3)
Communication and Record Keeping
o The graduate will communicate professionally. (4)

Objectives: At the conclusion of this course, a successful student should be able to:
1.
2.
3.
4.

Create a differential diagnosis by applying clinical reasoning
Create a management plan that effectively addresses all aspects of care
Evaluate patient progress utilizing Outcome Assessments
Generate and maintain accurate patient records

COURSE SCHEDULE
MODULE 1: DIFFERENTIAL DIAGNOSIS (March 7-March 20)

Obtain an organized history
Select case-appropriate examination procedures
Create working diagnoses

MODULE 2: MANAGEMENT PLAN (March 21-April 3)


Create an appropriate prognosis
Develop an appropriate treatment Plan
Modify management plan as needed

MODULE 3: PATIENT PROGRESS (April 4-April 17)

Select appropriate Outcome Assessment
Analyze Outcome Assessments to determine Patient Progress

MODULE 4: DAILY VISITS (April 18-May 1)
 Document SOAP notes according to established guidelines
  Document PART guidelines
COMMUNICATION
E-mail is still the official University method of communication. However, please feel
free to contact the instructor via phone, if needed. Please review your e-mails on a
daily basis as there may be messages that are pertinent to this course.

POSTING/DISCUSSIONS/SUBMISSIONS
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Please post your discussions within 72 hours of the start of the module. This will
allow your classmates time to respond. Posting attachments to the Discussion Board
can be in Microsoft Word but PDF is recommended.
Please go to the link for COURSE CALENDAR AND ASSIGNMENT DUE DATES

MODULES

POSTINGS

PEER REVIEW

SUBMISSIONS

MODULE I
MODULE II

X
X

X
X

Algorithm
Treatment Plan

MODULE III

X

X

MODULE IV

X

X

Outcome
Assessments
Self-Reflection

As this is an online, asynchronous class, you have the ability to work on this
material and participate according to your own schedule.
LATE POLICY
As per university policy, you will only be allowed to turn in a late assignment if your
absence has been excused by the Instructor.
CLASS PARTICIPATION
You will have an opportunity to participate with your class through the Discussion
Board. Please remember to follow the rules of discussion board netiquette; these are
contained within the university policies. Please be aware of the posting timelines
and be considerate of your classmates. Posting early will allow them to have the
chance to respond to your post and make the learning experience more meaningful.
In addition, while this course is online, you will have an opportunity to work with
your base clinician for further understanding of the material, if need be. This course
instructor is in contact with the clinicians as they will use this information as part of
their evaluation of your progress in internship.
ACCESSIBILITY
If you should require accommodations, please contact the Academic Support Office.
They are experienced in this area and are always willing to help you. If you need
specific accommodations, they will work with you to document the need and inform
the instructor so the accommodations can be made for the class.
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INSTRUCTIONAL MATERIALS
Required Text(s):
Kassierer, J., Kopelman, R. & Wong, J. Learning Clinical Reasoning. Lippincott,
Williams & Wilkins, 2010. Edition: 2nd. ISBN-13: 978-0781795159.
Souza, Thomas A. Differential Diagnosis and Management for the
Chiropractor. Jones and Bartlett, 2009. Edition: 4th. ISBN: 978-0-7637-5282-8.
Additional Resources: Relevant articles will be posted on the courses e-Learning
LMS
TECHNOLOGY REQUIREMENTS: Please go to the following IT link.
EVALUATION OF STUDENT LEARNING
Grading procedures:
Assessment
Discussions
Submissions
Peer-Review
TOTAL

Weight/
%/Points
100 Points
100 Points
100 Points
300 Points

Grading scale:
Letter grades will be assigned only at the end of the trimester.
A = 90% to 100%
B = 80% - less than 90%
C = 70% - less than 80%
D = 60% - less than 70%
F = less than 60%
I = Incomplete
W = Withdrawal
University Policies
Students are expected to spend at least two hours for each lecture or practicum
hour and one hour for every two laboratory hours of course time per week in
activities and assessments outside the classroom. Examples of activities include,
but are not limited to: writing papers; reading articles or text; small group work;
presentations; completing assignments; preparation for assessments; online
activities and other activities that do not include direct instructor interaction and
involvement.
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All university policies apply to this course and all others. For full policy information
please consult the university SCU Policy Manual. For a quick reference guide to the
following policies: make-up examination, F-challenge examination, grade posting,
results of failing grades, student support information, syllabus amendments, special
needs, student conduct, and attendance, please consult the academic policies
document housed on the Online Student Services [the preceding is a hyperlink].

Syllabus prepared by: Dr. Mike Sackett
Revised: 2-3-2016

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