Download Practical Medical Applications I-II-III

MPAS 571
Practical Applications in Medicine I
1. Course Description: This course introduces the application of medical knowledge in
emergency treatment and surgical procedures. Skills are learned which are necessary to
treat patients in a variety of life threatening and surgical situations. Students learn
appropriate diagnostic and hands on therapeutic and procedural measures relating to the
following modules: infectious disease, EENT, ophthalmology, gastrointestinal, pulmonary,
allergy, immunology, dermatology, genetics, and tropical medicine. This class is taught
using a variety of learning methods, including traditional lectures, case-based learning,
simulated patient encounters, and laboratory exercises.
2. Course Materials:
2.1. Essential Clinical Procedures, Richard W. Dehn, ISBN: 978-1416030010
2.2. Emergency Medicine Manual, O. John Ma ISBN: 978-0071410250
2.3. Essential Emergency Procedures, Kaushal Shah, ISBN: 978-0781774901
2.4. Advanced Cardiovascular Life Support Provider Manual, American Heart Association,
ISBN: 978-0874934960
2.5. Pediatric Advanced Life Support Course Guide, American Heart Association
3. Course Objectives
3.1. Know what signifies an emergency according to the following modules infectious
disease, EENT, ophthalmology, gastrointestinal, pulmonary, allergy, immunology,
dermatology, genetics, and tropical medicine.
3.2. Demonstrate the critical thinking involved in setting priorities in an emergency setting.
3.3. List life-threatening signs and symptoms for both adults and children in the following
modules: infectious disease, EENT, ophthalmology, gastrointestinal, pulmonary, allergy,
immunology, dermatology, genetics, and tropical medicine.
3.4. Assess and treat emergencies in the following modules: Infectious disease, EENT,
ophthalmic, pulmonary, allergic, immunologic, gastroenterological, and tropical medicine.
3.6. Demonstrate an understanding of the basic concepts of trauma care relative to each
system/module studied. Demonstrate knowledge of the pre-operative evaluation, intraoperative and post-operative care of the surgical patient relating to the following modules:
infectious disease, EENT, ophthalmology, gastrointestinal, pulmonary, allergy, immunology,
dermatology, genetics, and tropical medicine.
3.7 Demonstrate an understanding of the operating room environment, including asceptic
technique, and the importance of teamwork.
3.8 Evaluate and present case studies of patients with surgical and emergency conditions,
demonstrating an understanding of pertinent history, physical examination findings,
pertinent diagnostic studies, surgical procedures, and appropriate treatment plan
relative to each module studied.
3.9 Describe the anatomy, physiology, pathophysiology, clinical presentation, indications,
and evaluation of patients with common surgical problems relating to the following
modules: infectious disease, EENT, ophthalmology, gastrointestinal, pulmonary, allergy,
immunology, dermatology, genetics, and tropical medicine.
3.10 Demonstrate the skills required to perform the basic emergency and surgical
procedures learned in this course relating to the following modules: infectious disease,
EENT, ophthalmology, gastrointestinal, pulmonary, allergy, immunology, dermatology,
genetics, and tropical medicine.
3.11 Describe the ethical rationale, legal requirements, and procedure for obtaining an
informed consent for surgery.
3.12 Recognize and describe the purpose and use of each of the following surgical
instruments: Scalpel, tissue scissors, forceps, retractor, needle holder, hemostat,
cautery, suture scissors, towel clip, and staple gun.
3.13 Communicate appropriate discharge instructions to the treated patient in the
included modules as related to emergent situations including follow up
recommendations, pain control, patient education, and the importance of risk
management strategies in the ED.
3.14 Demonstrate the ability to write and interpret the following surgical medical records
relating to the following modules: infectious disease, EENT, ophthalmology,
gastrointestinal, pulmonary, allergy, immunology, dermatology, genetics, and tropical
medicine.
3.14.1 pre-operative history and physical examination
3.14.2 post-operative note
3.14.3 post-operative progress/SOAP notes
3.14.4 recovery room notes
3.15 pre- and post-operative order writing
3.16 Describe and discuss assessment of the patient for fitness for surgery, including:
3.16.1 Preoperative assessment and risk scoring systems
3.16.2 Preoperative laboratory testing and imaging
3.16.3 Management of complicating medical conditions
3.16.4 Management of current medications
3.17 Modular objectives:
3.17.1.1 Introductory Module:
3.17.1.1.1 Demonstrate a complete understanding of the following: Informed
consent, standard precautions, and sterile technique.
3.17.1.2 Gastrointestinal module:
3.17.1.2.1 Describe the indications for, know when a surgical consultation is
warranted, and demonstrate the ability to perform and/or explain in detail the
following surgical and emergency procedures related to gastroenterology:
3.17.1.2.1.1 Emergency stabilization for GI bleed
3.17.1.2.1.2 NG tube placement
3.17.1.2.1.3 Anoscopy
3.17.1.2.1.4 Flexible sigmoidoscopy
3.17.1.2.1.5 Endoscopy for perforation or foreign body removal
3.17.1.2.1.6 Appendectomy
3.17.1.2.1.7 Hernia repair
3.17.1.2.1.8 Hemrrhoidectomy
3.17.1.2.1.9 Anorectal abcess drainage and care
3.17.1.2.1.10 Gastric decontamination for poison or medication overdose
3.17.1.2.1.11 Rectal prolapse reduction
3.17.1.2.1.12 Bowel resection
3.17.1.2.1.13 Cholecystectomy
3.17.1.2.1.14 Fecal disimpaction
3.17.1.2.2 Describe and discuss common surgical and emergency conditions their
presentation, differential diagnosis, diagnostic criteria, labs and special studies,
appropriate referral, and treatment for the following:
3.17.1.2.2.1 Inguinal hernia, umbilical hernia, incisional (ventral) hernia
3.17.1.2.2.2 Gastrectomy and bariatric s-urgical procedures
3.17.1.2.2.3 PUD, gastritis, and GI bleed
3.17.1.2.2.4 Esophageal emergencies (dysphagia, GERD, perforation)
3.17.1.2.2.5 Ingested foreign bodies
3.17.1.2.2.6 Bowel obstruction
3.17.1.2.2.7 Appendicitis
3.17.1.2.2.8 Cholecystitis and biliary colic
3.17.1.2.2.9 Pancreatitis
3.17.1.2.2.10 Anoretal disorders and colorectal cancer
3.17.1.2.2.11 Acute abdominal pain
3.17.1.2.2.12 Ileitis, colitis, and divereticulitis
3.17.1.2.2.13 Vomiting, diarrhea, and constipation
3.17.1.2.2.14 Jaundice and hepatic disorders
3.17.1.3 Dermatology Module:
3.17.1.3.1.1 Describe the indications for, know when a surgical consultation is
warranted, and demonstrate the ability to perform and/or explain in detail the
following surgical and emergency procedures related to dermatology:
3.17.1.3.1.1.1 Local anesthesia
3.17.1.3.1.1.2 Wound closure and dressing (varied suture closures)
3.17.1.3.1.1.3 Abcess I&D
3.17.1.3.1.1.4 Biopsies
3.17.1.3.1.1.5 Cryosurgery and electrosurgery
3.17.1.3.1.1.6 Ingrown toenail removal
3.17.1.3.1.1.7 Subungual hematoma drainage
3.17.1.3.2 Describe and discuss common surgical and emergency conditions their
presentation, differential diagnosis, diagnostic criteria, labs and special studies, and
treatment for the following:
3.17.1.3.2.1.1 Lacerations
3.17.1.3.2.1.2 Soft tissue and foreign body injuries
3.17.1.3.2.1.3 Nail injuries
3.17.1.3.2.1.4 Puncture wounds
3.17.1.3.2.1.5 Exfoliative dermatitis 9chemical and drug eruptive rash)
3.17.1.3.2.1.6 Erythema multiforme
3.17.1.3.2.1.7 Toxic epidermal necrolysis
3.17.1.3.2.1.8 Toxic infectious rash
3.17.1.3.2.1.9 Photosensitivity
3.17.1.3.2.1.10 Skin burns
3.17.1.3.2.1.11 Frostbite and pernio
3.17.1.3.2.1.12 Bites and stings
3.17.1.3.2.1.13 Contact dermatitis
3.17.1.3.2.1.14 infectious dermatological conditions
3.17.1.3.2.2 Describe the stages of wound healing and how to dress wounds.
3.17.1.3.2.3 Select appropriate method for closing wounds, achieving hemostasis,
closure of dead space, approximation of like tissues.
3.17.1.3.2.4 Discuss the use of different types of suture materials and needles.
3.17.1.3.2.5 Describe and demonstrate wound care, closure techniques, and the
indications/contraindications for each.
3.17.1.4 HEENT and ophthalmology Module:
3.17.1.4.1 Describe the indications for, know when a surgical consultation is
warranted, and demonstrate the ability to perform and/or explain in detail the
following surgical and emergency procedures related to HEENT and ophthamology:
3.17.1.4.1.1 Removal of cerumen and foreign bodies from the ear
3.17.1.4.1.2 Ocular foreign body removal
3.17.1.4.1.3 Trauma oriented ocular examination
3.17.1.4.2 Describe and discuss common surgical and emergency conditions their
presentation, differential diagnosis, diagnostic criteria, labs and special studies, and
treatment for the following:
3.17.1.4.2.1 Corneal abrasion
3.17.1.4.2.2 Optic and otic foreign body
3.17.1.4.2.3 Ocular infections (sty, conjunctivitis, chalazion, herpes, periorbital
cellulitis, corneal ulcer)
3.17.1.4.2.4 Ocular trauma (subconjunctival hemorrhage, lid laceration, blunt
trauma, hyphema, blowout fractures, ruptured globe, chemical
injury, burns)
3.17.1.4.2.5 Keratitis
3.17.1.4.2.6 Acute visual loss (acute angle closure glaucoma, optic neuritis,
retinal artery or vein occlusion, giant call arteritis.)
3.17.1.4.2.7 TM perforation
3.17.1.4.2.8 Facial infections (impetigo, erysipelas, cellulitis)
3.17.1.4.2.9 Salivary gland disorders (parotitis, abcess, sialolithiasis)
3.17.1.4.2.10 Mandibular disorders (TMJ dysfunction, dislocation)
3.17.1.4.2.11 Otologic infection (Otitis externia, otitis media, mastoiditis,
bullous myringitis)
3.17.1.4.2.12 Ear trauma
3.17.1.4.2.13 Tinnitus and hearing loss
3.17.1.4.2.14 Nasal emergencies (epistaxis, sinusitis, and fracture)
3.17.1.4.2.15 Dental emergencies
3.7.1.1.1 Describe diagnostic imaging including radiographs, CT, MRI procedures in ENT
disease.
3.7.1.1
Pulmonology Module:
3.7.1.1.1
Describe the indications for, know when a surgical consultation is
warranted, and demonstrate the ability to perform and/or explain in detail the
following surgical and emergency procedures related to pulminology:
3.7.1.1.1.1 Office pulmonary function testing
3.7.1.1.1.2 Endotrachial intubation and other advanced airway techniques
3.7.1.1.1.3 Arterial blood gasses
3.7.1.1.1.4 peripheral IV catheter placement
3.7.1.1.1.5 needle/chest tube thoracostomy
3.7.1.1.2
Describe and discuss common surgical and emergency conditions their
presentation, differential diagnosis, diagnostic criteria, labs and special studies, and
treatment for the following:
3.7.1.1.2.1 acute asthma and COPD exacerbations
3.7.1.1.2.2 pulmonary embolism
3.7.1.1.2.3 pulmonary contusion
3.7.1.1.2.4 pneumothorax
3.7.1.1.2.5 hemothorax
3.7.1.1.2.6 dyspnea
3.7.1.1.2.7 hypoxemia
3.7.1.1.2.8 hypercapnia
3.7.1.1.2.9 wheezing
3.7.1.1.2.10 cyanosis
3.7.1.1.2.11 bronchitis, pneumonia, and SARS
3.7.1.1.2.12 TB and HIV pulmonic emergencies
3.7.1.1.2.13 hemoptysis
3.7.1.1.3
Properly identify metabolic and respiratory acidosis and alkalosis when
given the results of an arterial blood gas.
3.7.1.1.4
When given a chest x-ray, describe a proper technique in evaluating the
film and demonstrate the ability to diagnose lung disorders based on the chest x-ray.
3.7.1.2 Tropical medicine module:
3.7.1.2.1
Describe the indications for and demonstrate the ability to perform
and/or explain in detail the following procedures related to tropical medicine:
3.7.1.2.1.1 Injections and vaccinations
3.7.1.2.2
Describe and discuss common surgical and emergency conditions their
presentation, differential diagnosis, diagnostic criteria, labs and special studies, and
treatment for the following:
3.7.1.2.2.1 environmental emergencies (hypothermia, hyperthermia, near
drowning, burns (thermal, chemical, electrical), smoke inhalation,
stings/bites.)
3.7.1.2.2.2 shock of various types
3.7.1.2.2.3 various illnesses specific to tropical regions
3.7.1.1 Allergy and Immunology Module:
3.7.1.1.1
Describe the indications for, know when a surgical consultation is
warranted, and demonstrate the ability to perform and/or explain in detail the
following surgical and emergency procedures related to allergy and immunology:
3.7.1.1.1.1 Intubation for respiratory allergic reactions
3.7.1.1.1.2 System stabilization
3.7.1.1.2
Describe and discuss common surgical and emergency conditions their
presentation, differential diagnosis, diagnostic criteria, labs and special studies, and
treatment for anaphalaxis and acute allergic reactions
3.7.1.1.3 Identify the 4 different hypersensitivity reactions and distinguish which one a
patient may have based on the history and physical examination.
3.7.1.1.4 Evaluate and present case studies of patients that have allergic and
immunologic emergencies, demonstrating an understanding of pertinent history,
physical examination findings, pertinent diagnostic studies, and appropriate treatment
plans.
3.7.1.1.5 Describe the pathogenesis, classification, and principles of resuscitation of
anaphylactic and septic shock.
3.7.1.1 Infectious Disease Module:
3.7.1.1.1
Describe the indications for, know when a surgical consultation is
warranted, and demonstrate the ability to perform and/or explain in detail the
following surgical and emergency procedures related to infectious disease:
3.7.1.1.1.1 Obtaining blood cultures
3.7.1.1.1.2 Venipuncture
3.7.1.1.1.3 Lumbar puncture
3.7.1.1.2
Describe and discuss common surgical and emergency conditions their
presentation, differential diagnosis, diagnostic criteria, labs and special studies, and
treatment for the following:
3.7.1.1.2.1 Sexually transmitted diseases
3.7.1.1.2.2 Toxic shock
3.7.1.1.2.3 Common viral infections
3.7.1.1.2.4 HIV and AIDS
3.7.1.1.2.5 Infective endocarditis
3.7.1.1.2.6 Tetanus and Rabies
3.7.1.1.2.7 Malaria
3.7.1.1.2.8 Helminth infections
3.7.1.1.2.9 Zoonotic infections
3.7.1.1.2.10 Soft tissue infections
3.7.1.1.2.11 Bioterrorism
3.7.1.1.2.12 Management of the transplant patient
4. Student Activities and Experiences (Instructional techniques)
4.1 Case studies that provide opportunity to analyze clinical correlations
4.2 Guided faculty Lecture
4.3 Group discussion
4.4 Independent reading assignments
4.5 Patient vignettes to synthesize and integrate the materials into a real life
clinical context.
4.6 Integrated computer technology will be utilized to enhance learning.
4.7 Faculty demonstration of procedures and diagnostic techniques
4.8 Hands-on experience through the use of simulated patients and procedures
4.9 Collaborative experience will be gained through cooperative laboratory learning
groups
5. Assessment Techniques
5.1 Comprehensive final examination (30% of total grade)
5.2 End of module practical exams and demonstrations of procedures (30 % of
total grade)
5.3 Cooperative Group Clinical correlation case studies given each module (15 %
of total grade)
5.4 Pre-Prep Notes (15 % of total grade)
5.5 Full attendance and participation with professional behavior (10 % of total
grade)
6. Grading: Examinations and quizzes will be based on classroom lectures, assignments, and
textbook material. The ability to synthesize and manipulate concepts as they relate to
clinical situations will be emphasized. Exams may be multiple choice, short answer, essay,
practical, problem based, true and false, matching, or fill-in-the-blank. Students will refer to
the academic bulletin and the PA department grading policies for requirements for
progression in the PA program. Grades are based not only on exam performance but on
Pre-prep notes, Cooperative Group Assignments, and attendance with participation.
7. Course grades: are calculated on a percentage basis. All final course grade percentages are
rounded to the nearest integer. (XX.50% or higher is rounded up to the next higher integer.
XX.49% or less is rounded down.) Final course grades are assigned according to the
following academic standards:
Didactic & Research Courses
Percent Grade
Letter Grade
90 – 100
A
student has exceeded expectations
80 – 89
B
student has met expectations
70-79
C
student is below expectations
Less than 70
F
student has failed expectations
An “I” may be temporarily awarded to individuals who fail to complete course requirements
within the defined time. A final grade of “F” in any PA course is a non-passing grade and
results in automatic and immediate dismissal from the PA Program.
8. Tentative Schedule:
Module Lecture topics
Intro to health care
and laboratory
medicine
Infectious Disease
Otorhinolaryngology
Ophthalmology
Pulminology
Allergy and
Immunology
Dermatology
Genetics
Gastroenterology
Tropical Medicine
Dates
Jan 15-21
Jan 22-Feb 5
Feb 8-17
Feb 18-25
Feb26-March10
March 11-26
March 29-April 7
April 8-9
April 10-22
April 23-28
April 30
Lecture and laboratory TOPICS
Intro to surgery and emergency in
health care and laboratory
medicine
surgery and emergency in
Infectious Disease
surgery and emergency in
Otorhinolaryngology
surgery and emergency in
Ophthalmology
surgery and emergency in
Pulminology
surgery and emergency in Allergy
and Immunology
surgery and emergency in
Dermatology
surgery and emergency topics
surgery and emergency in
Gastroenterology
surgery and emergency in Tropical
Medicine
Cumulative Final
9. Pre-Prep Note system: This learning and evaluation method is an effective vehicle for
students to prepare for in-class discussions and maximize learning styles. By participating in
the Pre-Prep note system, the student will be using multiple learning methods; such as,
reading, writing, kinesthetic, and connecting the knowledge with in-class clinical
discussions.
Students will write an average of one page of pre-prep notes for each topic
assigned that day using the template outlined below. Students can use all reading
resources. If any topic assigned for a particular day does not have a specific reading
assignment in the required textbooks for the course, the student can use internet
database or other resources. The faculty will supplement resources as needed if the
textbooks have an inadequate amount of information for assigned topics.
8.1 Template for Pre-Prep Notes:
8.1.1 Definition
8.1.2 Etiology
8.1.3
8.1.4
8.1.5
8.1.6
8.1.7
Pathogenesis
Clinical symptoms
Physical Examination (PE)
Differential Diagnoses (at least 3)
Evaluation with a diagnostic approach i.e. history, PE,
laboratory studies, X-ray, CT, MRI, etc.
8.1.8 Treatment
8.1.9 Rehabilitation/referral to specialists if applicable
8.2 Evaluation of Pre-Prep Notes: Students will be required to compile pre-prep
notes for every designated topic assigned for certain class periods. At the
completion of each module and on the date of the written exam, students
will turn in their binders for faculty to review. This assignment is considered
a learning method and completion demonstrates competency. The students
are encouraged to organize the pre-prep notes in a system that best supports
his/her learning style. Examples might include organizing into a chart or
table. The final product should be a vehicle to assist the student when
studying for course exams and ultimately for the PANCE exam. The pre-prep
notes should be considered a portfolio where the information is organized
into a binder with materials that might include the recommended template
written prior to class, and the class notes that can be combined into an
organized format. The assignment might be expressed in a variety of
methods.
8.2.1
Faculty will review each student’s pre-prep notes for the
following:
8.2.1.1
Completeness: each topic assigned must have an organized preprep note. The pre-prep notes may be combined with course handouts to
provide a better system to study for examinations
8.2.1.2
Clarity: students must follow some recognizable system.
8.2.1.3
Depth and Breadth: There is no exact length for each topic, but
about 1 to 1½ pages for each topic should be the approximate amount in
typed form. Charts or tables can be used if indicated. Course notes can be
combined with pre-prep notes.
8.2.2 Faculty will review the student’s pre-prep notes at the conclusion of
each module. If the portfolio is incomplete and has no organized system the
faculty reserves the right to require further organization or improvement to
receive full credit. This system is meant to enhance learning and not to be
unnecessary extra work. The faculty will award full credit for this assignment
unless the student fails to show adequate effort, does not hand in their
binder by the end of the school day of the module’s exam, or refuses to turn
in the pre-prep notes at which time, the student will receive a “0” as their
Pre-prep note component grade.
10. Cooperative Learning Assignments: Cooperative learning is the instructional use of small
groups that allows students to work together to maximize their own and each others’
learning. The cooperative learning method uses a group study task structure with an
incentive structure in which students receive a group reward for a group product. This
involves a high degree of cooperation between students. Assignments will be case-based
upon the module that is being completed. Grades will be based on the accuracy and the
completeness of the group’s responses to the questions in each case. Each group will
receive one grade for the cases (each member will receive that grade therefore, it is
expected that each member contribute fully to this group assignment).
11. Academic Honesty Policy: At a Christian liberal arts university, committed to the pursuit of
truth and understanding, any act of academic dishonesty is especially distressing and
cannot be tolerated. In general, academic dishonesty involves the abuse and misuse of
information or people to gain an undeserved academic advantage or evaluation. The
common forms of academic dishonesty include:
11.1. Cheating: using deception in the taking of tests or the preparation of written work,
using unauthorized materials, copying another person’s work with or without consent,
or assisting another in such activities;
11.2. Lying: falsifying fabricating, or forging information n either written or spoken
presentations;
11.3. Plagiarism: using the published writings, data, interpretations of ideas of another
without proper documentation
Episodes of academic dishonesty are reported to the Vice President for Academic
Affairs. The potential penalty for academic dishonesty includes:
1.) A failing grade on a particular assignment
2.) A failing grade for the entire course
3.) Charges against the student with the appropriate discipline body
12. ADA Statement: In accordance with Americans with Disabilities Act, any student in this
class who has a documented learning disability will be provided with reasonable
accommodations designed to meet his/her needs. Before any such assistance can occur, it is
the responsibility of the student to see that documentation is on file with Academic Affairs.
If you have documented special needs you must make them known to the instructor prior
to the third week of class.
13. Emergency Contact:All cell phones and pagers need to remain OFF during lectures and labs,
Monday through Friday. If someone needs to reach you during that time, the administrative
assistant for the program will take any important phone messages.
MPAS 572
Practical Medical Applications II
1. Course Description: This course builds upon previous acquisition of procedural and
emergency care skills and focuses on applying that knowledge to additional emergency and
surgical situations. Students learn appropriate diagnostic, therapeutic, and surgical
measures relating to the following modules: cardiology, hematology, oncology, neurology,
psychiatry, geriatrics, rehabilitation, and palliative care. This class is taught using a variety
of learning methods, including traditional lectures, case-based learning, simulated patient
encounters, and laboratory exercises.
2. Course Materials:
2.1. Essential Clinical Procedures, Richard W. Dehn, ISBN: 978-1416030010
2.2. Emergency Medicine Manual, O. John Ma ISBN: 978-0071410250
2.3. Essential Emergency Procedures, Kaushal Shah, ISBN: 978-0781774901
2.4. Advanced Cardiovascular Life Support Provider Manual, American Heart Association,
ISBN: 978-0874934960
2.5. Pediatric Advanced Life Support Course Guide, American Heart Association
3. Course Objectives:
3.1. Know what signifies an emergency according to the following modules: cardiology,
hematology, oncology, neurology, psychiatry, geriatrics, rehabilitation, and palliative
care.
3.2. Demonstrate the critical thinking involved in setting priorities in an emergency setting.
3.3. List life-threatening signs and symptoms for both adults and children in the following
modules: cardiology, hematology, oncology, neurology, psychiatry, geriatrics,
rehabilitation, and palliative care.
3.4. Assess and treat emergencies in the following modules: cardiology, hematology,
oncology, neurology, psychiatry, geriatrics, rehabilitation, and palliative care.
3.5. Demonstrate an understanding of the basic concepts of trauma care relative to each
system/module studied.
3.6. Demonstrate knowledge of the pre-operative evaluation, intra-operative and postoperative care of the surgical patient relating to the following modules: cardiology,
hematology, oncology, neurology, psychiatry, geriatrics, rehabilitation, and palliative
care.
3.7. Evaluate and present case studies of patients with surgical and emergency conditions,
demonstrating an understanding of pertinent history, physical examination findings,
pertinent diagnostic studies, surgical procedures, and appropriate treatment plan
relative to each module studied.
3.18 Describe the anatomy, physiology, pathophysiology, clinical presentation, indications,
and evaluation of patients with common surgical problems relating to the following
modules: cardiology, hematology, oncology, neurology, psychiatry, geriatrics,
rehabilitation, and palliative care.
3.19 Demonstrate the skills required to perform the basic emergency and surgical
procedures learned in this course relating to the following modules: cardiology,
hematology, oncology, neurology, psychiatry, geriatrics, rehabilitation, and palliative
care.
3.20 Communicate appropriate discharge instructions to the treated patient in the
included modules as related to emergent situations including follow up
recommendations, pain control, patient education, and the importance of risk
management strategies in the ED.
3.21 Demonstrate the ability to write and interpret the following surgical medical records
relating to the following modules: cardiology, hematology, oncology, neurology,
psychiatry, geriatrics, rehabilitation, and palliative care.
3.21.1 pre-operative history and physical examination
3.21.2 post-operative note
3.21.3 post-operative progress/SOAP notes
3.21.4 recovery room notes
3.22 Describe and discuss assessment of the patient for fitness for surgery, including:
3.22.1 Preoperative assessment and risk scoring systems
3.22.2 Preoperative laboratory testing and imaging
3.22.3 Management of complicating medical conditions
3.22.4 Management of current medications
3.23 Understand medico legal and ethical problems encountered in the Emergency
Department.
3.24 Describe and demonstrate an understanding of operating room protocol and
etiquette, policies, and procedures, including:
3.24.1 General operating room setup
3.24.2 The roles and responsibilities of common OR personnel, including the role of the
PA as first assist
3.24.3 Sterile technique
3.24.4 Gowning and gloving
3.24.5 Pass (must achieve an 80% or better) an AORN-based practicum on scrubbing,
gowning, gloving, and maintaining sterile field.
3.25 Modular objectives:
3.25.1 Cardiology:
3.25.1.1.1 Describe the indications for, know when a surgical consultation is
warranted, and demonstrate the ability to perform and/or explain in
detail the following surgical and emergency procedures related to
cardiology:
3.25.1.1.1.1 Recording and reading an electrocardiogram
3.25.1.1.1.2 Stress testing
3.25.1.1.2 Describe and discuss common surgical and emergency conditions
their presentation, differential diagnosis, diagnostic criteria, labs and
special studies, appropriate referral, and treatment for the following:
3.25.1.1.2.1 Chest pain (angina, aortic dissection, pericarditis, pericardial
tamponade, pulmonary embolus, myocardial infarction)
3.25.1.1.2.2 Syncope
3.25.1.1.2.3 Congestive heart failure
3.25.1.1.2.4 Valvular heart disease
3.25.1.1.2.5 Cardiomyopathy
3.25.1.1.2.6 Myocarditis
3.25.1.1.2.7 Cardiogenic shock
3.25.1.1.2.8 Hypertensive urgencies/emergencies
3.25.1.1.2.9 Aortic dissection
3.25.1.1.2.10 Aneurysms
3.25.1.1.2.11 Peripheral vascular disorders
3.25.1.1.3 Evaluate the pathophysiology of acute arrhythmias, and using
BCLS/ACLS standards, utilize appropriate therapies in an emergent
setting including defibrillation, cardioversion, pharmacologic
resuscitation and stabilization.
3.25.1.1.4 Score a passing grade on BLS and ACLS classes.
3.25.1.1.5 Recognize common EKG findings, presenting symptomology,
treatment and stabilization standards of care in the face of acute
myocardial infarction/unstable angina.
3.25.2 Hematology:
3.25.2.1.1 Describe the indications for, know when a surgical consultation is
warranted, and demonstrate the ability to perform and/or explain in
detail the following surgical and emergency procedures related to
hematology
3.25.2.1.1.1 Venipuncture
3.25.2.1.1.2 Transfusion therapy
3.25.2.1.1.3 Antiplatelet and anticoagulant therapy
3.25.2.1.2 Describe and discuss common surgical and emergency conditions
their presentation, differential diagnosis, diagnostic criteria, labs and
special studies, appropriate referral, and treatment for the following:
3.25.2.1.2.1 Anemia
3.25.2.1.2.2 Bleeding disorders
3.25.2.1.2.3 Hemophilias
3.25.2.1.2.4 Von willebrand disease
3.25.3 Oncology;
3.25.3.1.1 Describe the indications for, know when a surgical consultation is
warranted, and demonstrate the ability to perform and/or explain in
detail surgical and emergency procedures related to oncology.
3.25.3.1.2 Describe and discuss common surgical and emergency conditions
their presentation, differential diagnosis, diagnostic criteria, labs and
special studies, appropriate referral, and treatment for the following:
3.25.3.1.2.1 Oncologic Bone emergencies
3.25.3.1.2.2 Oncologic spinal cord compression
3.25.3.1.2.3 Oncologicairway obstruction
3.25.3.1.2.4 Tumor lysis syndrome
3.25.3.1.2.5 Adrenal crisis
3.25.3.1.2.6 SAIDH
3.25.3.1.2.7 Neutropenic fever
3.25.3.1.2.8 Hyperviscosity syndrome
3.25.3.1.2.9 Oncologic nausea and vomiting
3.25.3.1.2.10 Oncologic pain control
3.25.4 Neurology:
3.25.4.1.1 Describe the indications for, know when a surgical consultation is
warranted, and demonstrate the ability to perform and/or explain in
detail surgical and emergency procedures related to neurology.
3.25.4.1.2 Describe and discuss common surgical and emergency conditions
their presentation, differential diagnosis, diagnostic criteria, labs and
special studies, appropriate referral, and treatment for the following:
3.25.4.1.2.1 Neurogenic shock
3.25.4.1.2.2 Stroke and TIA
3.25.4.1.2.3 vertigo/dizziness
3.25.4.1.2.4 Syncope
3.25.4.1.2.5 Acute peripheral neurologic lesions
3.25.4.1.2.6 Chronic neurologic disorders
3.25.4.1.2.7 altered mental status and coma
3.25.4.1.2.8 Ataxia and gait disturbances
3.25.4.1.2.9 Seizures
3.25.4.1.2.10 Headache
3.25.4.1.2.11 Temporal arteritis
3.25.4.1.2.12 head trauma
3.25.4.1.2.13 C-spine injury
3.25.4.1.2.14 Meningitis, encephalitis, and brain abcess
3.25.5 Psychology:
3.25.5.1.1 Describe the indications for, know when a surgical consultation is
warranted, and demonstrate the ability to perform and/or explain in
detail surgical and emergency procedures related to psychological
disorders.
3.25.5.1.2 Describe and discuss common surgical and emergency conditions
their presentation, differential diagnosis, diagnostic criteria, labs and
special studies, appropriate referral, and treatment for the following:
3.25.5.1.2.1 Behavioral disorders
3.25.5.1.2.2 Panic and conversion disorders
3.25.5.1.2.3 Emergency stabilization of the psychotic patient
3.25.5.1.3 Identify risks and concerns of acutely poisoned patients, the
appropriate gastric decontamination/treatment of such patients and
the role of mental health examination in cases of purposeful
overdose situations.
3.25.6 Geriatrics:
3.25.6.1.1 Describe the indications for, know when a surgical consultation is
warranted, and demonstrate the ability to perform and/or explain in
detail surgical and emergency procedures in a geriatric population.
3.25.6.1.2 Describe and discuss common surgical and emergency conditions
their presentation, differential diagnosis, diagnostic criteria, labs and
special studies, appropriate referral, and treatment for the following:
3.25.6.1.2.1 Elder abuse
3.25.6.1.2.2 Trauma
3.25.6.1.2.3 falls
3.25.7 Rehab, occupational medicine, and palliative care:
3.25.7.1.1 Describe and discuss common surgical and emergency conditions
their presentation, differential diagnosis, diagnostic criteria, labs and
special studies, appropriate referral, and treatment common to rehab
and occupational medicinepatients.
3.25.7.1.2 Describe appropriate intervention/treatment of the patient exhibiting
narcotic seeking behavior.
3.25.7.1.3 Describe appropriate evaluation and management of common
emergent workplace/occupational injuries/exposures including:
4. Student Activities and Experiences (Instructional techniques)
4.10 Case studies that provide opportunity to analyze clinical correlations
4.11 Guided faculty Lecture
4.12 Group discussion
4.13 Independent reading assignments
4.14 Patient vignettes to synthesize and integrate the materials into a real life clinical
context.
4.15 Integrated computer technology will be utilized to enhance learning.
4.16 Faculty demonstration of procedures and diagnostic techniques
4.17 Hands-on experience through the use of simulated patients and procedures
4.18 Collaborative experience will be gained through cooperative laboratory learning groups
5. Assessment Techniques
5.6 Comprehensive final examination (30% of total grade)
5.7 End of module practical exams and demonstrations of procedures (30 % of
total grade)
5.8 Cooperative Group Clinical correlation case studies given each module (15 %
of total grade)
5.9 Pre-Prep Notes (15 % of total grade)
5.10 Full attendance and participation with professional behavior (10 % of
total grade)
6. Grading: Examinations and quizzes will be based on classroom lectures, assignments, and
textbook material. The ability to synthesize and manipulate concepts as they relate to
clinical situations will be emphasized. Exams may be multiple choice, short answer, essay,
practical, problem based, true and false, matching, or fill-in-the-blank. Students will refer to
the academic bulletin and the PA department grading policies for requirements for
progression in the PA program. Grades are based not only on exam performance but on
Pre-prep notes, Cooperative Group Assignments, and attendance with participation.
7. Course grades: are calculated on a percentage basis. All final course grade percentages are
rounded to the nearest integer. (XX.50% or higher is rounded up to the next higher integer.
XX.49% or less is rounded down.) Final course grades are assigned according to the
following academic standards:
Didactic & Research Courses
Percent Grade
Letter Grade
90 – 100
A
student has exceeded expectations
80 – 89
B
student has met expectations
70-79
C
student is below expectations
Less than 70
F
student has failed expectations
An “I” may be temporarily awarded to individuals who fail to complete course requirements
within the defined time. A final grade of “F” in any PA course is a non-passing grade and
results in automatic and immediate dismissal from the PA Program.
8. Tentative Schedule:
Module
Dates
Cardiology
May 10-June 4
Hematology
Oncology
Neurology
Psychology
CAM and Occupational
Medicine
Geriatrics
June7-15
June16-24
June25-July 9
July 12-24
Lecture and small group discussion
TOPICS
Emergency and surgery related to
Cardiology
Emergency and surgery related to
Hematology
Emergency and surgery related to
Oncology
Emergency and surgery related to
Neurology
Emergency and surgery related to
Psychiatry
July 25-26
Emergency and surgery topics
July 27-August 6
Emergency and surgery related to
Rehabilitation and end
of life care
August 9-11
August 13
Geriatrics
Emergency and surgery related to
Rehabilitation and palliative care
Cumulative Final
9. Pre-Prep Note system: This learning and evaluation method is an effective vehicle for
students to prepare for in-class discussions and maximize learning styles. By participating in
the Pre-Prep note system, the student will be using multiple learning methods; such as,
reading, writing, kinesthetic, and connecting the knowledge with in-class clinical
discussions.
Students will write an average of one page of pre-prep notes for each topic
assigned that day using the template outlined below. Students can use all reading
resources. If any topic assigned for a particular day does not have a specific reading
assignment in the required textbooks for the course, the student can use internet
database or other resources. The faculty will supplement resources as needed if the
textbooks have an inadequate amount of information for assigned topics.
8.3 Template for Pre-Prep Notes:
8.3.1 Definition
8.3.2 Etiology
8.3.3 Pathogenesis
8.3.4 Clinical symptoms
8.3.5 Physical Examination (PE)
8.3.6 Differential Diagnoses (at least 3)
8.3.7 Evaluation with a diagnostic approach i.e. history, PE,
laboratory studies, X-ray, CT, MRI, etc.
8.3.8 Treatment
8.3.9 Rehabilitation/referral to specialists if applicable
8.4 Evaluation of Pre-Prep Notes: Students will be required to compile pre-prep
notes for every designated topic assigned for certain class periods. At the
completion of each module and on the date of the written exam, students
will turn in their binders for faculty to review. This assignment is considered
a learning method and completion demonstrates competency. The students
are encouraged to organize the pre-prep notes in a system that best supports
his/her learning style. Examples might include organizing into a chart or
table. The final product should be a vehicle to assist the student when
studying for course exams and ultimately for the PANCE exam. The pre-prep
notes should be considered a portfolio where the information is organized
into a binder with materials that might include the recommended template
written prior to class, and the class notes that can be combined into an
organized format. The assignment might be expressed in a variety of
methods.
8.4.1 Faculty will review each student’s pre-prep notes for the
following:
8.4.1.1 Completeness: each topic assigned must have an
organized pre-prep note. The pre-prep notes may be
combined with course handouts to provide a better
system to study for examinations
8.4.1.2 Clarity: students must follow some recognizable
system.
8.4.1.3 Depth and Breadth: There is no exact length for
each topic, but about 1 to 1½ pages for each topic should
be the approximate amount in typed form. Charts or
tables can be used if indicated. Course notes can be
combined with pre-prep notes.
8.2.2 Faculty will review the student’s pre-prep notes at the
conclusion of each module. If the portfolio is incomplete
and has no organized system the faculty reserves the right
to require further organization or improvement to receive
full credit. This system is meant to enhance learning and
not to be unnecessary extra work. The faculty will award
full credit for this assignment unless the student fails to
show adequate effort, does not hand in their binder by the
end of the school day of the module’s exam, or refuses to
turn in the pre-prep notes at which time, the student will
receive a “0” as their Pre-prep note component grade.
10. Cooperative Learning Assignments: Cooperative learning is the instructional use of small
groups that allows students to work together to maximize their own and each others’
learning. The cooperative learning method uses a group study task structure with an
incentive structure in which students receive a group reward for a group product. This
involves a high degree of cooperation between students. Assignments will be case-based
upon the module that is being completed. Grades will be based on the accuracy and the
completeness of the group’s responses to the questions in each case. Each group will
receive one grade for the cases (each member will receive that grade therefore, it is
expected that each member contribute fully to this group assignment).
4. Academic Honesty Policy: At a Christian liberal arts university, committed to the pursuit of
truth and understanding, any act of academic dishonesty is especially distressing and
cannot be tolerated. In general, academic dishonesty involves the abuse and misuse of
information or people to gain an undeserved academic advantage or evaluation. The
common forms of academic dishonesty include:
4.1. Cheating: using deception in the taking of tests or the preparation of written
work, using unauthorized materials, copying another person’s work with or
without consent, or assisting another in such activities;
4.2. Lying: falsifying fabricating, or forging information n either written or spoken
presentations;
4.3.
Plagiarism: using the published writings, data, interpretations of ideas of another
without proper documentation
Episodes of academic dishonesty are reported to the Vice President for Academic
Affairs. The potential penalty for academic dishonesty includes:
1.) A failing grade on a particular assignment
2.) A failing grade for the entire course
3.) Charges against the student with the appropriate discipline body
5. ADA Statement: In accordance with Americans with Disabilities Act, any student in this
class who has a documented learning disability will be provided with reasonable
accommodations designed to meet his/her needs. Before any such assistance can occur, it
is the responsibility of the student to see that documentation is on file with Academic
Affairs. If you have documented special needs you must make them known to the instructor
prior to the third week of class.
6. Emergency Contact: All cell phones and pagers need to remain OFF during lectures and
labs, Monday through Friday. If someone needs to reach you during that time, the
administrative assistant for the program will take any important phone messages.
MPAS 573
Practical Applications in Medicine III
1.
Course Description: This culminating course ties together previous acquisition of
procedural and emergency care skills and focuses on applying that knowledge to additional
emergency and surgical situations. Students learn appropriate diagnostic, therapeutic, and
surgical measures relating to the following modules: endocrine, nephrology, urology, sexual
health, gynecology, obstetrics, pediatrics, rheumatology, and orthopedics. This class is taught
using a variety of learning methods, including traditional lectures, case-based learning,
simulated patient encounters, and laboratory exercises. Students will also learn principles of
surgery including pre-operative, intra-operative, and post-operative care.
2.
a.
b.
c.
d.
e.
Course Materials:
Essential Clinical Procedures, Richard W. Dehn, ISBN: 978-1416030010
Emergency Medicine Manual, O. John Ma ISBN: 978-0071410250
Essential Emergency Procedures, Kaushal Shah, ISBN: 978-0781774901
Advanced Cardiovascular Life Support Provider Manual, American Heart Association,
Pediatric Advanced Life Support Course Guide, American Heart Association
3. Course Objectives: Upon successful completion of this course, the student will be able to:
3.1 Know what signifies an emergency according to the following modules: endocrine,
nephrology, urology, sexual health, gynecology, obstetrics, pediatrics, rheumatology, and
orthopedics. Demonstrate the critical thinking involved in setting priorities in an
emergency setting.
3.2 List life-threatening signs and symptoms for the following modules: endocrine,
nephrology, urology, sexual health, gynecology, obstetrics, pediatrics, rheumatology,
and orthopedics.
3.3 Assess and treat emergencies in the following modules: endocrine, nephrology, urology,
sexual health, gynecology, obstetrics, pediatrics, rheumatology, and orthopedics.
3.4 Demonstrate an understanding of the basic concepts of trauma care relative to each
system/module studied.
3.5 Demonstrate knowledge of the pre-operative evaluation, intra-operative and postoperative care of the surgical patient relating to the following modules: endocrine,
nephrology, urology, sexual health, gynecology, obstetrics, pediatrics, rheumatology,
and orthopedics.
3.6 Evaluate and present case studies of patients with surgical and emergency conditions,
demonstrating an understanding of pertinent history, physical examination findings,
pertinent diagnostic studies, surgical procedures, and appropriate treatment plan
relative to each module studied.
3.7 Describe the anatomy, physiology, pathophysiology, clinical presentation, indications,
and evaluation of patients with common surgical problems relating to the following
modules: endocrine, nephrology, urology, sexual health, gynecology, obstetrics,
pediatrics, rheumatology, and orthopedics.
3.8 Demonstrate the skills required to perform the basic emergency and surgical procedures
learned in this course relating to the following modules: endocrine, nephrology, urology,
sexual health, gynecology, obstetrics, pediatrics, rheumatology, and orthopedics.
3.9 Communicate appropriate discharge instructions to the treated patient in the included
modules as related to emergent situations including follow up recommendations, pain
control, patient education, and the importance of risk management strategies in the ED.
3.10
Demonstrate the ability to write and interpret surgical medical records relating
to the following modules: endocrine, nephrology, urology, sexual health, gynecology,
obstetrics, pediatrics, rheumatology, and orthopedics.
3.11
Discuss the prophylaxis, recognition, evaluation, and treatment of common post-operative
problems, including: Wound infection, DVT, pulmonary embolism, Atelectasis, Pneumonia, Anxiety, Ileus,
bowel obstruction, Pain management, Nausea and vomiting, and Urinary retention.
3.12
Modular objectives:
3.12.1 Endocrinology and Nutrition:
3.12.1.1 Describe the indications for, know when a surgical consultation is warranted, and
demonstrate the ability to perform and/or explain in detail surgical and emergency
procedures related to endocrinology.
3.12.1.2 Describe and discuss common surgical and emergency conditions their presentation,
differential diagnosis, diagnostic criteria, labs and special studies, appropriate referral, and
treatment for the following:
3.12.1.2.1 Diabetic emergencies
3.12.1.2.2 Alcoholic ketoacidosis
3.12.1.2.3 Thyroid emergencies
3.12.1.2.4 Adrenal insufficiency and crisis
3.12.2 Nephrology:
3.12.2.1 Describe the indications for, know when a surgical consultation is warranted, and
demonstrate the ability to perform and/or explain in detail the following surgical and
emergency procedures related to nephrology:
3.12.2.1.1 Urinary bladder catherization
3.12.2.1.2 Replacement and maintenance of fluid and electrolytes.
3.12.2.1.3 Post-operative fluid orders
3.12.2.1.4 Pre- and postoperative nutritional orders
3.12.2.2 Describe and discuss common surgical and emergency conditions their presentation,
differential diagnosis, diagnostic criteria, labs and special studies, appropriate referral, and
treatment for the following:
3.12.2.2.1 Acute renal failure
3.12.2.2.2 UTI’s
3.12.2.2.3 Hematuria
3.12.2.2.4 Urologic stone disease
3.12.2.2.5 Complications of urologic devices
3.12.3 Men’s Health and Urology:
3.12.3.1 Describe the indications for, know when a surgical consultation is warranted, and
demonstrate the ability to perform and/or explain in detail surgical and emergency
procedures related to men’s health and urology.
3.12.3.1.1 Describe and discuss common surgical and emergency conditions
their presentation, differential diagnosis, diagnostic criteria, labs and
special studies, appropriate referral, and treatment for male genital
and urologic problems.
3.12.4 Women’s Health/Gynecology:
3.12.4.1 Describe the indications for, know when a surgical consultation is warranted, and
demonstrate the ability to perform and/or explain in detail surgical and emergency
procedures related to women’s health and gynecology.
3.12.4.2 Describe and discuss common surgical and emergency conditions their presentation,
differential diagnosis, diagnostic criteria, labs and special studies, appropriate referral, and
treatment for the following:
3.12.4.2.1.1
3.12.4.2.1.2
3.12.4.2.1.3
3.12.4.2.1.4
3.12.4.2.1.5
Rape
Abnormal uterine bleeding
Vulvovaginitis
PID
Ovarian cyst and abcess
3.12.5 Obstetrics:
3.12.5.1 Describe the indications for, know when a surgical consultation is warranted, and
demonstrate the ability to perform and/or explain in detail t surgical and emergency
procedures related to obstetrics.
3.12.5.2 Define and integrate shock trauma resuscitation in pregnancy.
3.12.5.3 Describe and discuss common surgical and emergency conditions their presentation,
differential diagnosis, diagnostic criteria, labs and special studies, appropriate referral, and
treatment for the following:
3.12.5.3.1.1
3.12.5.3.1.2
3.12.5.3.1.3
precipitous delivery
ectopic pregnancy
emergencies during pregnancy and the postpartum period
3.12.6 Pediatrics:
3.12.6.1 Describe the indications for, know when a surgical consultation is warranted, and
demonstrate the ability to perform and/or explain in detail surgical and emergency
procedures related to pediatrics.
3.12.6.2 Score a passing grade on PALS class.
3.12.6.3 Discuss pediatric sedation issues.
3.12.6.4 Define and integrate shock trauma resuscitation in pediatric populations.
3.12.6.5 Determine the appropriate parental education in pediatric surgery and
emergency.
3.12.6.6 Describe and discuss common surgical and emergency conditions their presentation,
differential diagnosis, diagnostic criteria, labs and special studies, appropriate referral, and
treatment for the following:
3.12.6.6.1.1
3.12.6.6.1.2
3.12.6.6.1.3
3.12.6.6.1.4
3.12.6.6.1.5
3.12.6.6.1.6
croup/epiglottitis
foreign body emergencies
fever
poison ingestion
medication overdose
pediatric trauma
3.12.7 Orthopedics/rheumatology:
3.12.7.1 Describe the indications for, know when a surgical consultation is warranted, and
demonstrate the ability to perform and/or explain in detail the following surgical and
emergency procedures related to orthopedics:
3.12.7.1.1 Casting and splinting
3.12.7.1.2 Joint and bursal aspiration
3.12.7.2 Describe and discuss common surgical and emergency conditions their
presentation, differential diagnosis, diagnostic criteria, labs and special
studies, appropriate referral, and treatment for the following:
3.12.7.2.1 Orthopedic injuries
3.12.7.2.2 Strains and sprains
3.12.7.2.3 Fractures
3.12.7.2.4 Compartment syndromes
3.12.7.2.5 Rhabdomyolysis
3.12.7.2.6 Joint pain
3.12.7.2.7 Emergencies in systemic rheumatic disease
3.12.7.2.8 Soft tissue problems
4. Student Activities and Experiences (Instructional techniques)
4.19 Case studies that provide opportunity to analyze clinical correlations
4.20 Guided faculty Lecture
4.21 Group discussion
4.22 Independent reading assignments
4.23 Patient vignettes to synthesize and integrate the materials into a real life clinical
context.
4.24 Integrated computer technology will be utilized to enhance learning.
4.25 Faculty demonstration of procedures and diagnostic techniques
4.26 Hands-on experience through the use of simulated patients and procedures
4.27 Collaborative experience will be gained through cooperative laboratory learning groups
5. Assessment Techniques
5.11 Comprehensive final examination (30% of total grade)
5.12 End of module practical exams and demonstrations of procedures (30 %
of total grade)
5.13 Cooperative Group Clinical correlation case studies given each module
(15 % of total grade)
5.14 Pre-Prep Notes (15 % of total grade)
5.15 Full attendance and participation with professional behavior (10 % of
total grade)
6. Grading: Examinations and quizzes will be based on classroom lectures, assignments,
and textbook material. The ability to synthesize and manipulate concepts as they relate
to clinical situations will be emphasized. Exams may be multiple choice, short answer,
essay, practical, problem based, true and false, matching, or fill-in-the-blank. Students
will refer to the academic bulletin and the PA department grading policies for
requirements for progression in the PA program. Grades are based not only on exam
performance but on Pre-prep notes, Cooperative Group Assignments, and attendance
with participation.
7. Course grades: are calculated on a percentage basis. All final course grade percentages
are rounded to the nearest integer. (XX.50% or higher is rounded up to the next higher
integer. XX.49% or less is rounded down.) Final course grades are assigned according to
the following academic standards:
Didactic & Research Courses
Percent Grade
Letter Grade
90 – 100
A
student has exceeded expectations
80 – 89
B
student has met expectations
70-79
C
student is below expectations
Less than 70
F
student has failed expectations
An “I” may be temporarily awarded to individuals who fail to complete course requirements
within the defined time. A final grade of “F” in any PA course is a non-passing grade and
results in automatic and immediate dismissal from the PA Program.
8. Tentative Schedule:
Module
Endocrine
Dates
August 25-September 10
Lecture and discussion TOPICS
Emergency and surgery related to the
Endocrine system
Nephrology
September 13-27
Emergency and surgery related to
Nephrology
Urology and men’s
health
September 28-October 5
GYN and women’s
health
October 5-13
OB
October 18-26
Emergency and surgery related to
Urological and men’s health
Emergency and surgery related to GYN and
women’s health topics
Emergency and surgery related to Ob
Pediatrics
October 27-November 10
Emergency and surgery related to
Pediatrics
Rheumatology
November 15-23
Emergency and surgery related to
Rheumatology
Orthopedics
November 29-December 8
Emergency and surgery related to
orthopedics
December 10
Cumulative Final
9. Pre-Prep Note system: This learning and evaluation method is an effective vehicle for
students to prepare for in-class discussions and maximize learning styles. By
participating in the Pre-Prep note system, the student will be using multiple learning
methods; such as, reading, writing, kinesthetic, and connecting the knowledge with inclass clinical discussions.
Students will write an average of one page of pre-prep notes for each topic
assigned that day using the template outlined below. Students can use all reading
resources. If any topic assigned for a particular day does not have a specific reading
assignment in the required textbooks for the course, the student can use internet
database or other resources. The faculty will supplement resources as needed if the
textbooks have an inadequate amount of information for assigned topics.
8.5 Template for Pre-Prep Notes:
8.5.1 Definition
8.5.2 Etiology
8.5.3 Pathogenesis
8.5.4 Clinical symptoms
8.5.5 Physical Examination (PE)
8.5.6 Differential Diagnoses (at least 3)
8.5.7 Evaluation with a diagnostic approach i.e. history, PE,
laboratory studies, X-ray, CT, MRI, etc.
8.5.8 Treatment
8.5.9 Rehabilitation/referral to specialists if applicable
8.6 Evaluation of Pre-Prep Notes: Students will be required to compile pre-prep
notes for every designated topic assigned for certain class periods. At the
completion of each module and on the date of the written exam, students
will turn in their binders for faculty to review. This assignment is considered
a learning method and completion demonstrates competency. The students
are encouraged to organize the pre-prep notes in a system that best supports
his/her learning style. Examples might include organizing into a chart or
table. The final product should be a vehicle to assist the student when
studying for course exams and ultimately for the PANCE exam. The pre-prep
notes should be considered a portfolio where the information is organized
into a binder with materials that might include the recommended template
written prior to class, and the class notes that can be combined into an
organized format. The assignment might be expressed in a variety of
methods.
8.6.1
Faculty will review each student’s pre-prep notes for the
following:
8.6.1.1 Completeness: each topic assigned must have an
organized pre-prep note. The pre-prep notes may be
combined with course handouts to provide a better
system to study for examinations
8.6.1.2 Clarity: students must follow some recognizable
system.
8.6.1.3 Depth and Breadth: There is no exact length for
each topic, but about 1 to 1½ pages for each topic should
be the approximate amount in typed form. Charts or
tables can be used if indicated. Course notes can be
combined with pre-prep notes.
8.2.2 Faculty will review the student’s pre-prep notes at the
conclusion of each module. If the portfolio is incomplete
and has no organized system the faculty reserves the right
to require further organization or improvement to receive
full credit. This system is meant to enhance learning and
not to be unnecessary extra work. The faculty will award
full credit for this assignment unless the student fails to
show adequate effort, does not hand in their binder by the
end of the school day of the module’s exam, or refuses to
turn in the pre-prep notes at which time, the student will
receive a “0” as their Pre-prep note component grade.
10. Cooperative Learning Assignments: Cooperative learning is the instructional use of
small groups that allows students to work together to maximize their own and each
others’ learning. The cooperative learning method uses a group study task structure
with an incentive structure in which students receive a group reward for a group
product. This involves a high degree of cooperation between students. Assignments will
be case-based upon the module that is being completed. Grades will be based on the
accuracy and the completeness of the group’s responses to the questions in each case.
Each group will receive one grade for the cases (each member will receive that grade
therefore, it is expected that each member contribute fully to this group assignment).
11. Academic Honesty Policy
At a Christian liberal arts university, committed to the pursuit of truth and understanding,
any act of academic dishonesty is especially distressing and cannot be tolerated. In general,
academic dishonesty involves the abuse and misuse of information or people to gain an
undeserved academic advantage or evaluation. The common forms of academic dishonesty
include:
a. Cheating: using deception in the taking of tests or the preparation of written
work, using unauthorized materials, copying another person’s work with or
without consent, or assisting another in such activities;
b. Lying: falsifying fabricating, or forging information in either written or spoken
presentations;
c. Plagiarism: using the published writings, data, interpretations of ideas of another
without proper documentation
Episodes of academic dishonesty are reported to the Vice President for Academic Affairs.
The potential penalty for academic dishonesty includes
1. a failing grade on a particular assignment
2. a failing grade for the entire course
3. charges against the student with the appropriate disciplinary body.
12. ADA Statement
a. In accordance with Americans with Disabilities Act, any student in this class who
has a documented learning disability will be provided with treasonable
accommodations designed to meet his/her needs. Before any such assistance
can occur, it is the responsibility of the student to see that documentation is on
file with Academic Affairs. I you have documented special needs you must make
them known to the instructor prior to the third week of class
13. Emergency Contact
a. All cell phones and pagers need to remain OFF during lectures and labs, Monday
through Friday. If someone needs to reach you during that time, the
administrative assistant for the program will take any important phone
messages.