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Course Syllabus PHYS 612 : ENDOCRINOLOGY Course Prefix : PHYS 612 Course Endocrinology Credit Hours: 4 Course Start Date: 17 August 2009 Prerequisites: PHYS 605 Course End Date: 23 October 2009 Lecture: Monday Friday: Course Location/Times: 3:00 - 4:50 pm 10:00 – 11:50 am Required Text: Greenspan, F. S. & Gardner, D. G., Basic & Clinical Endocrinology, 8th Ed., Lange Medical Books/McGraw Hill, New York, NY, 2007. Recommended Text Wilson, J. D., Foster, D. W., Kronenberg, H. M. & Larsen, P. R. (eds.), Williams Textbook of Endocrinology,10th Ed., W. B. Saunders Co, Philadelphia, PA, 2003. Recommended Study ANY MEDICAL DICTIONARY Aids Electronic Resources: http://my.scnm.edu (Jenzabar) Online grade book, lecture notes, announcements A web site is established for this course on: my.scnm.edu. The course is listed under its course number: PHYS 612. All students enrolled in this course will be REQUIRED to periodically monitor this web site. This web site will be used to make official announcements regarding the course. It is the individual student’s responsibility to check for those announcements. Online grades lecture notes and PowerPoint presentations will be made available to students only on campusweb.scnm.edu. There is no password required to register on the website. Instructor’s Name: Richard F. Laherty, Ph.D. Telephone: 480-222-9239 (SCNM) 480-967-4781 (Home) SCNM E-mail Address: [email protected] [email protected] Availability: Monday & Wednesday: 12:00 – 1:00 pm Other times by Appointment PHYS 612: ENDOCRINOLOGY Biography Professor/Chair of Basic Science. B.S., M.S., University of San Francisco; Ph.D., University of California at Berkeley. Dr. Laherty received his B.S. and M.S. degrees (biology) from the University of San Francisco. His Ph.D. in human anatomy was awarded by the University of California, Berkeley. His research interest in reproductive endocrinology led him to a postdoctoral fellowship at the Reproductive Endocrinology Center, in the Department of Obstetrics and Gynecology, at the University of California, San Francisco, School of Medicine. From there he joined the faculty of the University of California, San Francisco, School of Dentistry, teaching Gross Anatomy and Neuroanatomy. Dr. Laherty left the University of California to join the Indiana University School of Medicine faculty to teach Histology. From Indiana University, Dr. Laherty became a member of the faculty of the University of Kentucky, teaching anatomy and physiology and general biology. Dr. Laherty left the University of Kentucky to join the faculty here at Southwest College in 1996, where he teaches Gross Anatomy, Neuroanatomy, and Endocrinology. Course Description This course examines the functions and the physiologic relationships found in the endocrine system. This course also examines how the endocrine system responds to initial pathophysiologic changes Course Format and Summary Endocrinology is the study of internal secretions and how these internal secretions work to regulate the body’s physiological functions and thus maintain homeostasis. The course will be presented primarily in a lecture format. In addition, students will be divided into groups and will work on solving hypothetical cases outside of class. These cases then will be discussed during the class period. EVALUATIONS OF STUDENT PERFORMANCE: Evaluations during the course will consist of written lecture exams and papers from group discussion. There will be two midterm exams, each worth 50 points. These exams will consist of both multiple choice and essay/short answer type of questions. The lecture final will be worth 100 points and be of a similar composition. The lecture final examination will be comprehensive. GROUP ACTIVITIES: Students will be divided into groups. Periodically throughout the quarter, groups will be assigned a series of endocrinology cases to review and diagnose. Each group will work through the case history outside of class time by exploring the case on the computer. These case histories are found on MySCNM. Then the student should choose one of the histories assigned for that segment of the course. You will find a short presenting complaint for the case and then several hypertext links (usually appear in blue type) to obtain additional information. Click on those links that you find most useful to gather sufficient information with which to make a diagnosis. Please note that many of the links on the “Laboratory” and “Diagnostic Imaging” page contain normal data. It is up to the student to choose which information they feel will be most useful in making the diagnosis. Once you are sure of your diagnosis, write up the case giving your diagnosis and describing how you came to your diagnosis. Finally, research the pathology you decide upon and explain how naturopathic physicians would treat this disorder. Due dates for particular case histories will be found in the course schedule. One Write-up ;containing all the cases assigned for that due date shall be turned in using the MySCNM file exchange. Copyright 2003 Southwest College of Naturopathic Medicine, All Rights Reserved Page 2 of 7 PHYS 612: ENDOCRINOLOGY Course Objectives At the conclusion of this course students will be able to: 1. List the endocrine organs of the body and the hormone(s) produced by each. 2. Describe the actions of each of the hormones of the body. 3. Describe the mechanism of action of each of the hormones of the body. 4. Explain the control and regulation of each of the hormones. 5. Describe the effects of either excessive or insufficient amounts of hormone in the body. 6. Describe common endocrine pathologies and how those pathologies will manifest themselves. 7. Discuss possible therapies for endocrine pathologies. 8. Predict the effect of exogenous hormone administration on the body. 9. Recognize and diagnose common endocrine abnormalities and describe common allopathic and naturopathic treatment of those disorders. Principles of Naturopathic Medicine Incorporated into this Course: 1. Primum non nocere—First Do No Harm 2. Vis medicatrix naturae—The Healing Power of Nature 3. Tolle causam—Discover and Treat the Cause 4. Tolle totum—Treat the Whole Person 5. Docre—The Physician as Teacher Principals of Naturopathic Medicine will be Incorporated by: 1. Students will work in groups to solve problems and answer questions related to defining the cause of various illnesses. 2. Students will learn the great diversity that exists within the human race, necessitating treating each person as the unique individual that they are and thus treating the whole person. 3. Students will work in groups to solve problems and thus will begin to teach one another. 4. Students will discover and report on various naturopathic approaches to treatments of illnesses discussed in this course. 5. Iatrogenic diseases will be discussed as they relate to this course’s subject matter to emphasize the physician’s pledge to “do no harm.” Copyright 2003 Southwest College of Naturopathic Medicine, All Rights Reserved Page 3 of 7 PHYS 612: ENDOCRINOLOGY Course Schedule and Point Values for the Course Assignments ASSIGNMENTS Greenspan & Gardner DUE POINTS 9/4 20 CHAPTER(S) Week 1 8/17: Hormones and their Mechanism of Action 1-4 8/21: Hormones and their Mechanism of Action, Cont 1-4 Week 2 8/24: Anterior Pituitary & Hypothalamus Begin Case Studies 1-4 5&6 8/28: Anterior Pituitary & Hypothalamus (Cont.) 5&6 Week 3 8/314: Posterior Pituitary 5 9/4: Discuss Cases 1-4 Thyroid Gland 7 Week 4 9/7: EXAM #1 (Through Posterior Pituitary) 9/11: Thyroid Gland Begin Case Studies 5-8 50 7 9/18 20 9/25 20 Week 5 9/14: Endocrine Pancreas, Diabetes, and Hypoglycemia 9/18: Discuss Cases 5-8 Energy Homeostasis, and Hormones Gut Hormones Begin Case Studies 9-12 17 & 18 20 Week 6 9/21: Regulating Blood Cell Production Calcium and Phosphate Homeostasis 9/25: Discuss Cases 9-12 Adrenal Cortex 8 9 Week 7 9/28: EXAM #2 (Thyroid through Calcium and Phosphate homeostasis) Begin Cases 13-16 10/2: Adrenal Medulla, and Cardiovascular Homeostasis 50 10/8 20 10 & 11 Copyright 2003 Southwest College of Naturopathic Medicine, All Rights Reserved Page 4 of 7 PHYS 612: ENDOCRINOLOGY Week 8 10/5 Adrenal Medulla, and Cardiovascular Homeostasis (Cont.) Discuss Cases 13-16 Begin Cases 17-20 10/9: Male Reproductive System 10 & 11 10/16 20 12 Week 9 10/12: Female Reproductive System 10/16: Pregnancy, Puberty & Sexual Differentiation Discuss Cases 17-20 Environmental Toxins and the Endocrine System (Dr. Crinnion) 13 14-16 Week 10 FINAL EXAMINATION 100 Total 300 Attendance Attendance in lecture is voluntary. I believe that all students will benefit from attending lecture, however, I will not require their presence in lecture. All students in this class are adults, and as such they may decide how to best spend their time. I do expect students to come to class on time. Students here are in training for a profession, and professionals are punctual. It is the individual student’s responsibility to obtain any information handed out or announced in lecture. Any announcements made in lecture will be binding on all students regardless of their presence or absence for that announcement. If a student is absent on a day where group work is performed, the other members of the group will determine if the absent student will receive full, partial, or no credit for that assignment. If a student must be absent for one of the midterm examinations, they may make arrangements to take a make-up examination provided that the absence is due to unforeseeable and significant reasons. The make-up examination may be significantly more difficult and may be a different format that the original examination. If a student must be absent for the final examination, then the student must contact both the instructor and the Registrar prior to the final examination date. Upon presenting adequate documentation to the Registrar of the unavoidability of missing the final exam, and paying a "Late Examination Fee," the student may then schedule a time to take a make-up final examination. Note: a make up final examination may be a different format than the standard final exam, and it may be significantly more difficult than the original examination. The instructor reserves the right to make exceptions to the above policy in extraordinary situations. Cell Phones and Pagers As a courtesy to the instructor and to the other students in the class, all cell phones and pagers should be set to vibrate, or turned off completely. If an emergency exists where you will have to take a cell phone call or a page, please sit on the end of a row and exit the classroom before answering the call. Copyright 2003 Southwest College of Naturopathic Medicine, All Rights Reserved Page 5 of 7 PHYS 612: ENDOCRINOLOGY Academic Honesty Academic honesty is highly valued at SCNM. A student must always submit work that represents his or her original words or ideas. If any words or ideas are used that do not represent the student's original words or ideas, the student must cite all relevant sources both in the text and in the references listing at the end of the paper. The student should also make clear the extent to which such sources were used. Words or ideas that require citations include, but are not limited to, all hardcopy or electronic publications, whether copyrighted or not, and all verbal or visual communication when the content of such communication clearly originates from an identifiable source. Academic dishonesty could involve: Having a tutor or friend complete a portion of your assignments Having a reviewer make extensive revisions to an assignment Copying work submitted by another student Using information from online information services without proper citation Taking exam answers from another student’s paper Utilizing materials not allowed to answer exam questions Allowing another student to copy your work. Grading Formula To make grading easier to calculate, the total number of points you can receive in this course is 400. The letter grade you will receive will directly relate to the points as indicated below. Grade Percentage Points A 90% or above 270 points B 80%-89% 240 points C 70%-79% 210 points F 69% and below Total 300 points NPLEX Contents: All items in the Basic Sciences Blueprint pertaining to endocrine physiology will be covered in this course. Copyright 2003 Southwest College of Naturopathic Medicine, All Rights Reserved Page 6 of 7 PHYS 612: ENDOCRINOLOGY COURSE SYLLABUS APPROVED BY: 30 July 2009 _________________ _______________________________ Faculty Date 30 July 2009 _____________________________________ Department Chairperson ____________________ Date _________________________________________ Dean of Medical Education ____________________ Date 9-12-09 Copyright 2003 Southwest College of Naturopathic Medicine, All Rights Reserved Page 7 of 7