Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
CATALOGUE #MLT 280 CIP #51.1004 DATE: March 12, 2010 Moberly Area Community College COMMON SYLLABUS MLT 280: Clinical Microbiology Current Term Office Number: Office Hours: Contact information: Classroom number: Class days and time: Catalogue Description: MLT280 Clinical Microbiology The course covers the role of bacteria and other microorganisms play in relation to human health and disease. Laboratory work emphasizes culturing, differentiation, and identification of human normal flora and disease-causing microorganisms. Prerequisites: BOE 171 Medical Terminology, BIO 205 Human Anatomy, BIO 206 Microbiology, BIO 209 Physiology and MLT 210 Immunology (with clinicals). Text: Mahon, C.R., Manuselis, G., Lehman, D.C. (2007). Textbook of Diagnostic Microbiology. (3rd ed.) Philadelphia, PA.: Saunders, ISBN: 978-1-4160-2581-8. Other Required Materials: Handouts, videos, training aids and transparencies as provided by the instructor. Purpose of the Course: The purpose of this course is to assist MLT students in acquiring a foundation of knowledge and skills in clinical microbiology. With this foundation, and after a practical training period, they should be able function competently in the clinical microbiology laboratory. Cognitive Course Objectives: It is the responsibility of the student to learn the following course material presented in Microbiology lectures, handouts, textbooks, audiovisuals, and computer-assisted learning. 1. Identify measures to safely handle and control microorganisms and state factors that influence the degree of killing. 2. State the purpose of and the methodology of staining procedures for bacteria, fungi, and parasites used in the microbiology laboratory: 3. Identify the proper specimens for the major types of cultures as well as proper collection, transport, handling, and processing. 5/2/2017 1 4. Describe the major types of media to cultivate successfully, bacteria, fungi, and mycobacteria and state the part they play in identification. Chocolate agar Blood agar EMB or MacConkey agars PEA Anaerobic blood agar LKV agar CYE agar Bordet-Gengou Campylobacter blood agar Tellurite blood agar Hektoen enteric agar Lowenstein-Jensen Mannitol salt agar Mueller-Hinton agar Thayer-Martin agar V agar Potato dextrose agar Cornmeal agar Sabouraud dextrose agar Mycosel agar 7H11 5. State the procedure and purpose for performing the following antimicrobial susceptibility testing and resistance detection: Kirby-Bauer, Minimal Inhibitory Susceptibility, E-test, Beta-lactamase, MRSA, Vancomycin resistance screening and synergy testing. 6. Explain the Schlicter (SBT) procedure and Minimal Bactericidal Concentration (MBC) and what they are used for. 7. Describe the staining characteristics, specimens, culture media and incubation requirements, colonial morphology, biochemical reactions, disease manifestations, and antibiotic patterns for Staphylococcus aureus, Enterococcus faecalis/faecium and Bacteroides fragilis. 8. Differentiate pathogens from normal flora in cultures from major body sites. 9. Identify gram stain characteristics, growth requirements, characteristic biochemical reactions for, antigen detection of (if applicable), and disease manifestations for the following organisms: Staph saprophyticus Shigella Other coag-negative staph Yersinia enterocolitica Strep viridans Pseudomonas aeruginosa Beta strep group A/group B Stenotrophomonas maltophilia Streptococcus pneumoniae Acinetobacter calcoaceticus (baumanii Listeria spp Pasturella multocida Bacillus anthracis (rule out only) Bordetella pertussis Other Bacillus spp. Neisseria gonorrhoeae E. coli Neisseria meningitides E. coli 0157:H7 Moraxella catarrhalis Klebsiella-Enterobacter-Serratia Haemophilus influenzae Proteus-Providencia-Morganella Other Haemophilus spp. Citrobacter Gardnerella vaginalis Vibrio cholera Clostridium perfringens Vibrio parahemolyticus Mycobacterium tuberculosis Campylobacter jejuni Treponema pallidum Helicobacter pylori Salmonella typhi Other Salmonella spp 5/2/2017 2 10. State the staining characteristics, specimen, growth media and incubation requirements, colonial morphology, and biochemical and/or serologic reactions for the following organisms: Beta streptococci C, F, and G Group D streptococci non-enterococci Corynebacterium JK Lactobacillus spp. Other Enterobacteriaceae Prevotella melaninogenicus group Other Neisseria sp. Peptostreptococcus sp. Edwardsiella spp. Burkholderia cepacia 11. Describe the staining characteristics (if applicable) and specimen, growth media, and incubation requirements for the following organisms: Erysipelothrix Corynebacterium diphtheriae Plesiomonas spp Aeromonas spp. Other Vibrio spp. Other Campylobacter spp. Francisella tularensis Legionella pneumophila Clostridium tetani Clostridium botulinum Nocardia asteroides Mycobacterium avium-intracellulare Mycobacterium leprae Brucella Clostridium difficile Bifidobacterium Eubacterium Mycoplasma/Ureaplasma 12. List the HACEK organisms, describe three simple biochemical tests that aid in identification, and state pathological conditions in which one would find them. 13. Describe proper blood culture collection, handling, and work up for bacteria, fungi, and mycobacteria. 14. Describe appropriate specimens for processing, stains used to identify, and clinical conditions caused by the following mycobacteria: Mycobacterium tuberculosis Mycobacterium fortuitum Mycobacterium avium comlex Mycobacterium gordonae Mycobacterium leprae Mycobacterium scrofulaceum Mycobacterium kansasii Mycobacterium marinum 15. Describe the growth cycle of Chlamydia, major diseases associated with it, and appropriate assays for identification of it. 16. Describe the staining characteristics, types of specimens isolated from, growth media, incubation requirements, colonial morphology, biochemical and/or serologic reactions, and disease manifestations for the following fungi and yeast: Dimorphic fungi Penicillium Aspergillus fumigatus Candida albicans Crytococcus neoformans 17. Identify the types of specimens isolated from, growth media, incubation requirements, and disease manifestations for the following fungi: Microsporum canis Microsporum gypseum Microsporum audouini Trichophyton rubrum Trichophyton mentagrophytes 5/2/2017 3 Trichophyton tonsurans Epidermophyton flocossum 18. Describe the types of specimens isolated from, growth media, and incubation requirement for yeasts other than Candida, Aspergillus species., Rhizopus species, and Mucor species. 19. Describe specimen processing and preparation, macroscopic or microscopic morphology, life cycles, and disease or pathologic manifestations of the following parasites: Entamoeba histolytica Trichuris spp. Entamoeba coli Diphyllobothrium latum Giardia lamblia Taenia saginata Dientamoeba fragilis Taenia solium Trichomonas vaginalis Plasmodium malariae Cryptosporidium spp. Plasmodium vivax Ascaris spp. Plasmodium falciparum Hookworm Plasmodium ovale Strongyloides spp. Acanthamoeba Enterobius spp. Naegleria Trichinella spp. Schistisoma 20. Describe specimen processing and preparation, macroscopic or microscopic morphology, and disease or pathologic manifestations for the following parasites: Paragonimus westermanii Clonorchis sinensis Toxoplasma spp. Pneumocystis spp. 21. Describe specimen processing and preparation and macroscopic or microscopic morphology of the following parasites: Hymenolepsis dimunuta Filarial nematodes (e.g. Loa loa, Fasciola hepatica Wuchereria) Fasciolopsis buski Other intestinal amoeba e.g. E. nana Babesia spp. Other intestinal flagellates e.g. Leishmania spp. Chilomastix Trypanosoma spp. Isospora spp Echinococcus spp. Hymenolepsis nana 5/2/2017 4 22. Compare the formalin/ethyl acetate and the zinc sulfate concentration procedures for parasitic examination. 23. Describe the ELISA method for identifying Giardia and Cryptosporidium. 24. Discuss the major automated systems currently used in microbiology department. Psychomotor Course Objectives: Students are responsible for knowing how to do the following to minimal competency standards. In order for this to happen, they will receive instruction and practice in the student lab and at the affiliate site. 1. Handle chemicals and biohazards safely in the microbiology laboratory. 2. Participate in quality control and maintenance practices. 3. Accept into the laboratory and process, appropriate and correctly labeled specimens for bacterial, fungal, and mycobacterial cultivation and parasitic identification. 4. Properly perform and correctly interpret gram stains. 5. Obtain isolated colonies after streaking clinical specimens onto culture media and picking colonies from mixed cultures. 6. Select the correct growth media and cultivation conditions for the following types of cultures: Throat culture Upper and lower respiratory culture Body fluid cultures Wound and tissue cultures Anaerobe cultures Urine and stool cultures Genital cultures Eye and ear cultures Blood cultures Yeast and fungi cultures Mycobacterium cultures. 7. Distinguish normal flora from pathogens in the following types of cultures: Throat culture Upper and lower respiratory culture Urine and stool cultures Skin cultures 8. Correctly perform and interpret Kirby-Bauer and E-Test susceptibility testing. 9. Correctly perform and interpret Beta lactamase testing. 10. Isolate and identify the following organisms using culture media and biochemical tests: Staphylococcus aureus Streptococcus/Enterococcus Haemophilus E.coli/Klebsiella/Proteus Pseudomonas aeruginosa Bacteroides fragilis Candida albicans 11. Correctly perform and interpret latex agglutination/hemagglutination, ELISA and/or EIA testing. 12. Perform routine daily maintenance; follow protocol for setup and operation; and recognize problems with the following instrumentation in microbiology: Automated Blood Culture System Automated organism identification and/or susceptibility system 13. Correctly perform and interpret stains for identification of yeast and fungi: India Ink Lactophenol cotton blue KOH 14. Cultivate and identify Aspergillus and Penicillium. 15. Demonstrate safe practices when processing and handling fungus cultures. 5/2/2017 5 16. Correctly perform the formalin/ethyl acetate concentration process for parasites and the trichrome staining procedure. 17. Identify Giardia lamblia, Dientamoeba fragilis, and Trichomonas vaginalis. Affective Course Objectives: After completion of the course, students should be able to display the following behaviors and attitudes: 1. Consistently perform microbiological testing with precision, accuracy, and quality. 2. Use good technique in performing microbiological testing. 3. Demonstrate good working knowledge of microbiological theory and use of equipment. 4. Adhere strictly to written procedures and follow verbal technical direction carefully. 5. Participate in proper quality control measures. 6. Treat laboratory results and issues confidentially. 7. Generate accurate and legible reports. 8. Maintain a clean, orderly working area. 9. Maintain technical competency and emotional stability in times of tension or stress. 10. Communicate effectively with other professional staff in a professional, cooperative, and empathetic manner. Course Outline: I. II. Control of microorganisms A. Sterilization versus disinfection B. Factors that influence the degree of killing C. Handling biological waste D. Working with actively growing cultures 1. Universal Precautions review 2. Hoods 3. Disposal Bacterial cell structure, physiology, and metabolism A. Classification: 1. Family/Genus/Species 2. Procaryotes/Eukaryotes/Archaeobacteria: Structure comparison a. Cytoplasm b. Cell wall c. Surface d. Appendages B. Morphology C. Shapes D. Stains 1. Gram 2. Acid-fast 5/2/2017 6 III. III. 3. Acridine orange 4. Methylene blue 5. Lactophenol cotton blue 6. Calcofluor white 7. India Ink E. Growth and nutrition 1. Media 2. Environmental factors 3. Generation time F. Metabolism G. Fermentation and respiration General concept in specimen collection and handling A. Basic principles 1. Respiratory cultures 2. Urine cultures 3. Sterile fluid cultures 4. Wound cultures 5. Anaerobe cultures 6. Stool cultures 7. Blood cultures 8. Tissue cultures 9. Ear and eye cultures 10. Genital cultures B. Patient education and preparation C. Preservation, storage, and transport D. Safety E. Labelling and rejection F. Processing clinical samples G. Culture media 1. Non-selective 2. Selective 3. Routine primary plating media H. Antimicrobial susceptibilities 1. Kirby-Bauer 2. Minimal inhibitory concentration 3. E-test 4. Beta-lactamase Staphylococci A. Sites of indigenous microbial flora B. Clinically significant species 1. Staphylococcus aureus 2. Coagulase negative staph 3. Staphylococcus saprophyticus 4. Other C. Laboratory diagnosis 1. Specimen collection and handling 5/2/2017 7 IV. V. VI. 2. Microscopic examination 3. Isolation and identification 4. Drugs used for gram-positive organisms D. Antimicrobial sensitivities E. MRSA Streptococcaceae A. Sites of indigenous microbial flora B. Characteristics 1. Cell wall structure 2. Classification 3. Noncultural and cultural identification 4. Antibiotic susceptibility/detection of resistance b. Oxacillin resistance c. Synergy d. Vancomycin resistance e. Beta lactamase C. Streptococcus pyogenes D. Streptococcus agalactiae E. Other strep F. Enterococci G. Streptococcus pneuomoniae H. Viridans strep I. Nutritionally variant strep J. Strep-like organisms 1. Aerococcus 2. Leuconostoc 3. Pediococcus 4. Gemella Neisseria and Moraxella A. General characteristics B. Sites of indigenous microbial flora C. Pathogenic Neisseria species 1. Neisseria gonorrhoeae 2. Neisseria meningitides 3. Moraxella catarrhalis Haemophilus and other fastidious gram-negative rods A. Haemophilus species 1. Haemophilus influenzae 2. Laboratory diagnosis 3. Antibiotic susceptibility and treatment B. HACEK Group and Capnocytophaga 1. Haemophilus aphrophilus 2. Actinobacillus actinomycetemcomitans 3. Cardiobacterium hominis 4. Eikenella corrodens 5. Kingella species 5/2/2017 8 VII. VIII. 6. Capnocytophaga C. Pasteurella species D. Brucella species E. Francisella species F. Legionella species 1. Clinical infections 2. Laboratory diagnosis 1. Specimen collection and handling 2. Direct microscopic examination 3. Culture and identification 4. Urine antigen test 5. DNA probe 6. Antimicrobial susceptibility G. Bordetella 1. General characteristics 2. Clinical infections 3. Laboratory diagnosis a. Specimen collection and transport b. Direct fluorescent antibody test c. Culture and identification Enterobacteriaceae A. General characteristics 1. Microscopic and colonial morphology 2. Classification 3. Virulence and antigenic factors 4. Clinical significance 5. Sites of indigenous flora 6. ESBL B. Opportunistic members 1. Escherichia coli and other Escherichia species 2. Klebsiella, Enterobacter, Serratia, and Hafnia 3. Proteus, Morganella, and Providencia 4. Edwardsiella 5. Erwinia 6. Citrobacter C. Primary intestinal pathogens and related human infections 1. Salmonella 2. Shigella 3. Yersinia D. Laboratory diagnosis 1. Specimen collection and transport 2. Isolation and identification 3. Biochemical principles and reactions on conventional media 4. Serologic grouping Vibrio, Aeromonas, Plesiomonas, and Campylobacter species A. Vibrio cholerae and parahemolyticus 5/2/2017 9 IX. X. 1. General characteristics 2. Clinical infections 3. Laboratory diagnosis B. Aeromonas 1. General characteristics 2. Clinical infection 3. Laboratory diagnosis C. Plesiomonas 1. General characteristics 2. Clinical infections 3. Laboratory diagnosis D. Campylobacter and Campylobacter-like species 1. General characteristics 2. Clinical infections 3. Laboratory diagnosis Nonfermenting gram-negative rods A. General characteristics 1. Clinical infections 2. Biochemical characteristics 3. Identification methods 4. Sites of indigenous flora B. Most commonly encountered non-lactose fermenters 1. Pseudomonads 2. Stenomonas maltophilia 3. Acinetobacter 4. Burkholderia 5. Miscellaneous Gram-positive rods A. Non-spore forming 1. Corynebacterium a. General characteristics b. Sites of indigenous flora c. Corynebacterium diphtheriae 2. Listeria monocytogenes a. General characteristics b. Clinical infections c. Laboratory diagnosis 3. Erysipelothrix rhusiopathiae a. General characteristics b. Clinical infections c. Laboratory diagnosis 4. Gardnerella vaginalis B. Aerobic gram-positive rods 1. Bacillus a. General characteristics b. Bacillus anthracis 5/2/2017 10 2. Aerobic Actinomycetes a. Nocardia species b. Other actinomyces XI. Spirochetes A. Treponemes 1. General characteristics 2. Sites of indigenous flora 3. Clinical infections 4. Laboratory diagnosis XII. Mycoplasma/Ureaplasma/Chlamydia XIII. Anaerobes A. Important concepts B. Specimen selection, collection, transport, and processing C. Procedures for identifying anaerobes D. Sites of indigenous flora E. Frequently encountered anaerobes 1. Bacteroides fragilis 2. Prevotella melaninogenicus group 3. Fusobacterium species 4. Clostridium perfringens 5. Clostridium tetani 6. Clostridium difficile 7. Clostridium botulinum 8. Propionibacterium species 9. Bifidobacterium 10. Eubacterium 11. Peptostreptococcus species 12. Veillonella species XIV. Mycobacterium A. General characteristics B. Safety C. Specimen collection and procession D. Digestion/decontamination/concentration E. Culture media F. Mycobacterium tuberculosis G. Mycobacterium avium complex H. Mycobacterium leprae I. Mycobacterium kansasii J. Mycobacterium fortuitum K. Mycobacterium gordonae L. Mycobacterium scrofulaceum M. Mycobacterium marinum XV. Automation XVI. Mycology A. General characteristics B. Taxonomy 5/2/2017 11 C. D. E. F. G. Clinical sites of infection Specimen collection, handling, transport Stains, media, methods of identification Safety Dermatophytes 1. Microsporum canis 2. Microsporum gypseum 3. Microsporum audouini 4. Trichophyton rubrum 5. Trichphyton mentagrophytes 6. Trichophyton tonsurans 7. Epidemophyton flocossum B. Dimorphic fungi 1. Blastomyces dermatitidis 2. Histoplasma capsulatum 3. Coccidioides immitis 4. Paracoccidioides brasiliensis 5. Sporothrix schenkii C. Opportunistic fungi 1. Rhizopus species 2. Mucor species 3. Penicillium species 4. Aspergillus species D. Yeasts 1. Candida albicans and other Candida species 2. Cryptococcus neoformans XVII. Parasitology A. Methods B. Fecal specimens C. Other specimens examined for parasites D. Blood and tissue parasites E. Quality assurance F. Protozoa 1. Intestinal amoeba a. Entamoeba histolytica b. Entamoeba coli c. Entamoeba nana d. Iodamoeba butschlii e. Entamoeba hartmanii f. Blastocystis hominis 2. Tissue amoeba a. Naegleria fowleri b. Acanthamoeba G. Ciliates 1. Giardia lamblia 2. Dientamoeba fragilis 5/2/2017 12 2. Trichomonas vaginalis 3. Chilomastix mesnili B. Blood and tissue flagellates 1. Leishmania species 2. Trypanosoma species 3. Plasmodium a. Plasmodium vivax b. Plasmodium ovale c. Plasmodium malariae d. Plasmodium falciparum e. Babesia f. Toxoplasma gondii g. Pneumocystis carinii h. Cryptosporidium i. Isospora belli C. Helminths 1. Flukes (trematodes) a. Fasciolopsis buski b. Fasciola helpatica c. Paragonimus westermani d. Schistosoma 2. Tapeworms (cestodes) a. Diphyllobothrium latum b. Taenia saginata c. Taenia solium d. Hymenolepis species e. Dipylidium caninum f. Echinococcosis 3. Roundworms a. Enterobium vermicularis b. Trichuris trichiura c. Ascaris lumbricoides d. Necator americanum (hookworm) e. Ancylostoma duodenale (hookworm) f. Strongyloides stercoralis g. Trichinella spiralis h. Wuchereria bancrofti i. Loa loa j. Brugia malayi General Notes: Library assignments, periodicals, computerized modules, and guest speakers may be used as appropriate. 5/2/2017 13 Assessment of Student Learning: In both the didactic and the laboratory portions of the course, the student must achieve 78% or greater. Failure to achieve this minimum score will result in dismissal from the program. In the laboratory portion of the course, the final grade will be recorded as “Pass” or “Fail” and registered with the didactic portion. The following grading scale applied to all programs within the Allied Health Division: 100 – 92% = A 83 – 91% = B 78 – 82% = C 66 – 77% = D 65% and below = F Grading/Student Assessment of lecture (didactic) portion of the course: Final grade will be composed of the following: 1. Unit exams, stain and microscope exam = 60% averaged 2. Final exam = 30% 3. Quizzes, classroom participation, study questions, other activities = 10% averaged Grading/Student Assessment of laboratory (clinicals) portion of the course: Final grade will be derived from the following: 1. Checklist: Passing is 78% of total points used 2. Affective Departmental Proficiency Evaluation: Passing is 78% of the total points used Final Pass/Fail clinical grade is the average of the Skills Checklist and the Professional Behaviors Evaluation. In both the didactic and the clinical portions of the course, the student must achieve 78% or greater. Failure to achieve this minimum score will result in dismissal from the program. In the laboratory portion of the course, the final grade will be recorded as “Pass” or “Fail” and registered with the didactic portion. Statement to Connect Course with General Education Outcomes or Technical Program Outcome Statement: In compliance with MACC’s Genral Education coutcomes, the student who successfully completes this course will be able to: 1. Demonstrate effective written and oral communication skills. 2. Demonstrate an understanding of scientific principles and computational skills and how to use them to solve problems and make informed decisions. 5/2/2017 14 Program Outcomes and Assessments: The Allied Health Department continually strives to meet the needs of the Medical Laboratory Technician student through program improvements. This is a cooperative effort that includes input from the faculty, student Medical Laboratory Technician Advisory Committee and other appropriate agencies or entities. Students are assessed on mastery of the course concepts and essential skills throughout the courses of the Medical Laboratory Technician Program. Other program assessments include clinical performance criteria, essential skills mastery, the clinical process evaluation, ASCP examination scores, placement rates, and follow-survey. Program Outcomes and Assessments: The Allied Health Department continually strives to meet the needs of the Medical Laboratory Technician student through program improvements. This is a cooperative effort that includes input from the faculty, student, Medical Laboratory Technician Advisory Board, and other appropriate agencies or entities. Students are assessed on mastery of the course concepts and essential skills throughout the courses of the Medical Laboratory Technician Program. Other program assessments include clinical performance criteria, essential skills mastery, the clinical process evaluation, ASCP examination scores, placement rates, and follow-up surveys. Instructor Policies/Expectations: Instructors of this program expect the following from students: 1. Come to class prepared to discuss or apply important concepts by having read the assigned material or reviewed materials for instrument operation. 2. Participate in class by listening, taking notes, and making contributions to discussions. 3. Consult with faculty for clarification of difficult material or additional resources to consult. 4. Respect the learning environment by averting distractions and disturbances such as ringing cell phones and extraneous conversation in class. 5. Treat instructors and fellow students with consideration, concern, and fairness. Academic Dishonesty: MACC board policy is as follows: “Academic dishonesty by students damages institutional credibility and unfairly jeopardizes honest students; therefore, it will not be tolerated in any form.” Forms of academic dishonesty include but are not limited to the following: violations of copyright law, plagiarism, fabrication, cheating, collusion, and other academic misconduct. Incidents of dishonesty regarding assignments, examinations, classroom/laboratory activities, and/or the submission of misleading or false information to the College will be treated seriously. The procedure for handling academic dishonesty is outlined in the Student Handbook (Policy Handbook M.010). In cases of alleged academic dishonesty, the burden of proof is on the student, not on the instructor. Attendance: 5/2/2017 15 Students are expected to prepare for and attend all classes and clinical practice. Regular attendance improves probability for success in the program. Habitual tardiness and frequent absences are disruptive to the classroom and cause an unsafe environment in the student laboratory. Instructors carefully plan learning experiences, so it is important as a matter of courtesy and fairness to the class that all individuals be present. Students absent for reasons beyond their control, such as verified personal illness or family illness and/or death, can make up class work. If a student misses so many classes due to extenuating circumstances that the instructor feels the student cannot catch up, the MLT Program Coordinator will send a written report to the Director of Allied Health. Students who miss two consecutive weeks of class during a regular sixteen-week semester or the equivalent ratio of class time during a shorter session will be dropped from that class unless acceptable justification is supplied to the instructor and the Dean of Student Services. Additionally, students who miss more than one-fourth of the class meetings during any scheduled session may be dropped from that class by the instructor if, in the opinion of the instructor, the student does not have a reasonable opportunity to succeed in the class. Tardiness, make-up, and late work: Tardiness to class and clinicals is disruptive and inconsiderate of others. Being on time is mandatory. Make-up and late work: See the MLT Student Handbook for guidelines. Remember that communication, accountability and responsibility are very important professional behaviors. Refer to the MLT handbook for the following policies: Drop policy Drug/alcohol policy Grade appeal procedure Student code of conduct Student due process and grievance procedure Student rights and privacy act Use of computing resources ADA Statement Students who have disabilities that qualify under the Americans with Disabilities Act may register for assistance through the Office of Access and ADA Services. Students are invited to contact the Access Office to confidentially discuss disability information, academic accommodations, appropriate documentation and procedures. For more information, please call either the Moberly office at (660) 263-4100 x 11240 or the Columbia office at (573) 234-1067 x 12120, or visit our web page at http://www.macc.edu/index.php/services/access-office. 5/2/2017 16 5/2/2017 17