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FINAL ND Module 09-10.pdf - AaronsWorld.com

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• The student incorporates the use of the naturopathic principles and the therapeutic order into<br />

the treatment plan and can document their action over time.<br />

To rectify a PC grade, the student will be assigned five cases from the supervisor’s caseload and be<br />

required to formulate specific alternative treatment plants for the given conditions. These treatments<br />

will be reviewed and discussed with the supervisor. The skills indicated above must be demonstrated in<br />

at least four of the cases.<br />

SANCTIONS/FAILURE EVENTS<br />

If a student does not adequately perform one or more of any of the critical shift <strong>com</strong>petencies on any<br />

given day or does not achieve <strong>com</strong>petency on any two or more of the non-critical <strong>com</strong>petencies, the<br />

supervisor has the right to issue a sanction to the student. A written warning may precede this sanction,<br />

though that depends on the nature of the event. A second incident must result in a written sanction. A<br />

written sanction results in the loss of all of the daily shift hours and patient contacts for the shift under<br />

review, and may include additional penalties. Two sanctions on the same shift will automatically result<br />

in a failure grade for that entire shift with the loss of all patient contacts and hours earned on that shift.<br />

This means the student must pay for and retake an entire shift.<br />

Students will be issued a sanction when they are found to have violated any of the policies of the clinic,<br />

including, but not limited to:<br />

• Breaching patient confidentiality.<br />

• Removing any patient ID information from the clinic.<br />

• Acting in an unprofessional or disrespectful manner to patients, staff, faculty and peers at any<br />

time, including when present in the clinic and not on shift.<br />

<br />

• Failing to <strong>com</strong>ply with Blood Borne Pathogen and other safety policies and procedures.<br />

Practicing medicine without a license.<br />

The severity of the sanction will depend on the severity of the offense and may range from loss of<br />

clinical hours and patient contacts to suspension from the clinic or school. The involved supervisor and<br />

the program dean, or their designate, will determine the type of sanction.<br />

Sanctions are not grades and therefore are not subject to appeal under the appeal of grade policy. A<br />

student may issue a grievance according to the grievance procedure as outlined in the student<br />

handbook.<br />

PHYSICAL EXAM GUIDELINES<br />

Clinicians are expected to know all physical exams. The Physical/Clinical Diagnosis class teaches<br />

clinicians to perform a thorough PE. Even if clinicians haven’t performed this type of exam recently,<br />

they must be adept in performance of each exam at all times, so constant practice is re<strong>com</strong>mended.<br />

Vitals must be taken at each visit, including physical medicine shifts. Vitals include height and weight.<br />

Clinicians must have their equipment in working order for each shift. It should be checked the day<br />

before to ensure that everything works well, batteries are recharged, etc.<br />

A doctor must be present in the room during breast and genitourinary exams of both male and<br />

female patients. This is to guard the safety of the patient, protect the clinic, clinician and supervisor<br />

legally and to ensure accurate performance and education.<br />

Alert the supervisor of all questionable or abnormal findings obtained during the physical examination.<br />

The attending physician must recheck all positive findings. Failure to notify the physician of<br />

abnormal findings obtained during a physical exam so they can verify those findings makes the<br />

student eligible for sanctions. Repeated failure to notify the supervisor of positive findings will<br />

result in sanctions that may include failure of the shift.<br />

40

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