The unit addresses the clinical integration of naprapathic manual medicine in acute to more complex and long-term neuromusculoskeletal pain and functional conditions. Teaching focuses on how naprapathic diagnosis, manual treatment and specific rehabilitation strategies can be combined in different treatment approaches, and how collaboration with other healthcare professions can be considered and integrated. Furthermore, clinical and differential diagnostic reasoning is analysed in complex patient presentations where neuromusculoskeletal complaints occur in relation to sports injuries, traumatology, comorbidity and chronic pain. This includes pain analysis, assessment of functional limitations, risk assessment, referral considerations and clinical priorities in direct relation to patient safety.
Particular attention is paid to how person-centred care and health-promoting interventions can be integrated into naprapathic clinical practice. Concepts of key importance for naprapathic person-centred care, such as therapeutic alliance, shared decision-making, pain physiology and the patient's history, are analysed in relation to clinical reasoning and treatment strategies. Clinical components include in-depth practice in neuromusculoskeletal examination, biomechanical assessment and the adaptation of naprapathic treatment techniques and rehabilitation strategies to the patient's demand profile, functional presentation and treatment response. Particular emphasis is placed on sports medicine assessments, including physical tests adapted to different sports and evidence-based criteria for safe return to sport after injury. This also includes internal and external observation, legally correct clinical documentation, quality assurance, evaluation via e-portfolio and cross-professional collaboration.
The unit also addresses professional, health economic and ethical issues in naprapathic practice, including medical responsibility, patient autonomy, informed consent, sustainable clinic leadership, and equitable care and diversity in interactions with patients. Furthermore, it examines how social determinants, intersectionality, norms, grounds for discrimination and different living conditions can influence health, access to care and the encounter between patient and healthcare provider.
The unit includes work-integrated learning (WIL) in the form of practice-based education (PBE), focusing on further developing the student's ability to apply clinical skills, clinical reasoning and a professional approach independently, safely and analytically in a supervised clinical context. Through progressively increasing responsibility in patient care, students are given the opportunity to integrate, apply and critically reflect on theoretical and practical knowledge in relation to complex clinical situations. The unit also includes internal observation with reflective co-assessment (peer learning) and external observation with practising naprapaths and other licensed healthcare providers, in order to broaden and deepen understanding of clinical practice, professional working methods and the naprapath's role in the healthcare context. Within the module, Entrustable Professional Activities (EPA) are used as a tool to highlight key clinical tasks, formative feedback and progression in relation to the content and intended learning outcomes of the unit. In this unit, EPA are addressed and assessed at an independent and integrated level.
Clinical teaching also includes the practical use and critical evaluation of AI-based tools in manual medicine, with a particular focus on clinical decision support, record-keeping and documentation. Opportunities, limitations and risks are addressed from the perspectives of patient safety, data protection and professional responsibility, with an emphasis on independent review and quality assurance of AI-generated content.