Advanced Clinical Competence & Professional Practice


This module includes case-based discussion, evaluation (and critical reflection of one’s learning), in-depth osteopathic considerations and an opportunity to demonstrate mastery via an open teaching clinic & viva assessment.

Module content includes: online webinars, assessments, assignments, a practical assimilation clinic, open practical assessment, case studies, self-directed study/practice time and clinical reflection).

This module is designed to instil and concrete our student’s knowledge, skills and confidence to ensure that by the end of the Advanced Diploma Pathway, they can:

  1. Safely and competently assess a range of suitable canine patients who present with MSK or neurological signs and symptoms;
  2. Identify cases that present with MSK signs and symptoms but turn out to be pathological in nature, requiring immediate referral; 
  3. Fully evaluate all aspects of a canine case to reach a genuinely holistic hypothesis in line with osteopathic considerations and thinking;
  4. Skilfully create treatment and management plans to suit each canine patient, supported by a well-considered osteopathic hypothesis; 
  5. Develop safe, valuable and empathetic advice for canine owners to support the needs of canine patients., where lifestyle and/or environment changes are necessary for a successful outcome;
  6. Manage uncertainty where it arises; 
  7. Critically reflect on any given scenario and 
  8. Perform within a professional veterinary environment at a level that makes them a valuable member of the team; 
  9. Refer whenever necessary, providing supportive reports that suit the veterinary profession; 
  10. Start up their own practice in the knowledge that they can successfully manage most referred cases. 


  • Discussion of the course to date and the layout of the practicums, assessments and teaching clinic;
  • Checklist and support with student portfolios; 
  • Open practical clinic to concrete any challenges and fine-tune skills; 
  • End of Level II teaching clinic – build and concrete your confidence in assessing and treating the canine patient in a supportive environment;
  • Undertake “start to finish” assessments and treatment protocols utilising the osteopathic sieve;
  • Form working hypotheses, discuss effective technique and management plans with rationale (osteopathic, anatomical and biomechanical) to support your conclusions;
  • Undertake practical application of suitable techniques in a clinical situation;
  • Demonstrate your knowledge to date via viva-style questions from your tutor;
  • Interact with your peers to enhance your learning process by offering/receiving feedback;
  • High practical content with feedback and support from the teaching team.

Teaching Ratios: Lecturer to student ratio is typically 1:6

Location of the practicum

Owing to the nature of this particular practical event and the need for the inclusion of internal and external examiners, we do not envisage running a level three modules event outside the UK before 2025. This is because we must be able to guarantee the quality of the event and all associated assessments. Our canine location is based in Lyndhurst, New Forest, UK.


We are happy to take national and international students, but all students MUST be proficient in all aspects of the English language (both written and spoken) so as to ensure that they can make the most of the course and its contents. The AOI will not be held responsible for any language challenges that arise, and no refunds will be made on these grounds. As a guide, we typically expect students to have skills equivalent to IELTS with an overall score of 6.5 (or equivalent).

If you are interested in taking our Advanced Academic Pathway, please click on the fish to contact us today. Applications are ongoing due to the part-online nature of the content.