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SOUTHERN CALIFORNIA UNIVERSITY OF HEALTH SCIENCES
COLLEGE OF SCIENCE AND INTEGRATIVE HEALTH
Master of Science: Physician Assistant
COURSE INFORMATION
Course Title: Ages and Stages of Man
Course Numbers(s): PA 0801
Term: 1
Time Requirement: 4 (hours/week)
Lecture Hours: 4 Hours: Total Units: 4
Additional Course Activities:
Activity
Reading/homework Assignments
Test/quiz preparation
online videos/lectures
Total
Hrs/wk
2.0
1.5
2.5
6.0
Prerequisites: Admission to the program
Faculty:
Lead Faculty: Valerie Lee PA
Assistant Faculty: Sunitha Husson PA, Sonya Earley PA
Contact Information: [email protected]
(562) 947-8755 ext. 562
Office Hours: Wednesdays 2-3 pm or by appointment Office Location: Building F80
COURSE PURPOSE
Course Description: This course is designed to provide clinical information related to the special needs of patients from birth to
death. The course encompasses newborn, pediatric, adolescent, pregnant, and geriatric patients and the unique challenges to the
health care practitioner in each stage of life.
The purpose of this course will be to educate PA students on the special circumstances and needs of their patients. Upon
successful completion of this course, students will have gained knowledge on the special health characteristics of each stage of
life, and be prepared for the challenges these stages of man present to the medical practitioner.
Program Learning Outcomes:
MSPA Program Learning Outcomes:
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Medical Knowledge
o Analyze etiologies, risk factors, underlying pathologic process and epidemiology for medical conditions
o Recommend screening methods to detect conditions in a child, pregnant patient, or geriatric patient
o Correlate history, physical findings, and diagnostic studies to formulate a differential diagnosis (Objective 14)
Patient Care
o Develop diagnostic and therapeutic interventions based on patient information and preferences, current
scientific evidence and informed clinical judgment
o Counsel and educate patients and their families. (Objective 1)
Systems-Based Practice
o Apply the concepts of population health to patient care. (Objective 1-4)
Integrative Healthcare
o Embrace the cultural diversity and individual differences that characterize patients, populations and the
health care team. (Objective 4)
Learning Objectives for Course:
At the conclusion of this course, a successful student should be able to:


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
Recognize the unique stages and medical needs of the newborn, toddler, adolescence, middle age and elderly
Be familiar with the tools used to assess patients at various stages of life
Understand the psychosocial issues in palliative care of the young and elderly
Understand the principles of population health regarding health promotion, vaccines and infectious disease
COURSE SCHEDULE : sequence subject to change please use MySCU for detailed assignments and weekly updates
Week
1
Day 1
Course Overview,
Learning Objectives, and
Expectations
2
3
4
5
Ophthalmology
Rhythm Disturbances &
Case Studies
Clinical Course Learning
Objectives
Day 2
Community Project & Prep
BMI & BP
Case Studies in Special Populations:
Pediatrics & OB
Handouts for Course
Materials
Population Health
Unique medical considerations in
Infectious Disease in Pediatrics &
Pregnancy
Lange Current: Medical
Diagnosis and
Treatments: Chapter 1:
Disease Prevention &
Health Promotion
Epidemiology and
Prevention of Vaccine
Preventable Disease:
Measles, Hepatitis A & B
Polio, Rotavirus
H. Flu
Gynecological Examination
Sexually Transmitted
Infections
LClinical learning objectives
Psychosocial Issues in the
Special Populations
 Adolescent
Assessment
 HEADSS
History and Physical on
Pregnant Females
 Edinburgh scale
Health Promotion and
Prevention for Pregnant
Females
Husson
Reading
Lange: Gynecological
infections
Special Population:
 Infants, Adolescents,
Children, common
conditions in primary care
 Introduction to Growth
Charts
 Immunization schedule
 Developmental Milestones
 Dubowitz Exam
 Denver Developmental
 Anticipatory Guidance
V. Lee
Lange Current Medical
Diagnosis and Treatment:
Obstetrics
Assigned videos on my
SCU
Bates, Chapter 18:
Assessing ChildrenInfancy Through
Adolescence
Bright Futures:
adolescent anticipatory
Guidance
Bates, Chapter 19: The
Pregnant Woman
Nelson Textbook of
Pediatrics: Adolescence
Fetal growth and
development, the
newborn
Zitelli: Pediatric and
Adolescent Gynecology
pp. 693-730 (library)
Assessment
Class
discussion
Case study
(50 pts)
Homework
Assignment
(50 pts)
Quiz 1
(10 pts)
Group Test
(50 pts)
Bright Futures:
AAP guidelines (library)
AAP Immunizations
(online)
6
7
Special Population:
 Pregnant
Females
 Biophysical
Profile
 Fetal Monitoring
 Fetal Heart
Tones
 Cervical
Dilatation
Staging on Pelvic
Examination
 Prenatal,
Perinatal, and
Post-Partum
Care
 ACOG intake
form
S. Husson
Special Health Issues in
the Elderly:
Assessment of the
Geriatric Patient
Elder Abuse
End of Life and Palliative
Care
Case Management Using
Current Prevention
Guideline
Understanding the
Difference between
Rehabilitative, Palliative,
and End-of-Life Care



Dr. Shah
POLST
Advance
Directives
Power of
Attorney
Special Population:
Special Health Issues in Children:
Assessment of the Pediatric Patient
Pediatric Palliative Care
Children at Risk
Neslon’s : Pediatrics
(library)
Part V
Quiz # 2
(10 pts)
ACOG website
V. Lee
Goodwin: Common
Problems in Obstetrics
Preeclampsia
Contraception
Biophysical Profile
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Putting it all together:
Selected case studies in
obstetrical, geriatric and
pediatric care
High-risk obstetrics
Palliative care
Emancipated minors
Emergency contraceptives
Lee/Earley
History and Physical on
Older Adults
Assigned reading: Being
Mortal (library)
by Atul Gawande
Chapter 4 & 5
Bates, Chapter 20: The
Older Adult
American Academy of
Hospice and Palliative
Medicine
http://aahpm.org/
Upload
question for
Dr. Shah to
My SCU
after reading
assignment
(50 pts)
5 questions
will be
selected by
moderator
Case Study
participation
(150 pts)
8
9
10
Midterm Review
Young Adult:
Diagnosis, Intervention &
Treatment : substance
abuse
Rape victim Exam
Sexual violence
Campus life & alcohol
abuse
Husson
Special Population:
Women’s Health
 Middle age
metabolic
syndrome
 menopause
Husson
11
Care of the Elderly:
Intervention, Diagnosis &
Treatment
Benitez
12
Epidemiology &
Mandatory Reporting
Legal obligations for the
medical team in special
populations:
Infectious Disease
Elder Abuse
Child abuse & neglect
Domestic violence
Husson
Midterm Test
Newborn medicine
transitional
circulation congenital
syndromes/malformations
TTN/RDS/Apgar Score
Hypoglycemia
Nutritional guidelines
Lee
Special population:
Pediatric
Diabetes
 BMI
 Obesity
 Type II diabetes
 Tanner Staging
 Precocious Puberty
Earley
Special Population Pediatrics : the
Epidemiology of Adolescent Health
Problems
Diagnosis, Intervention and
Treatment of Disease Processes
Munchausen by proxy
Infectious Disease in Pediatrics
Meningitis, Measles, Zika Virus
Chagas disease, Cysticerosis
Lee
Thanksgiving Break
Assigned Videos:
Newborn Examination
Midterm(150pts)
mySCU forum
participation
(100 pts)
Zitelli: chapter 1 & 2
Lange Current: Medical
Diagnosis and
Treatments: Women’s
Health
Disease Prevention &
Health Promotion
Nelson: Diabetes Mellitus
Physiology of Puberty
Lange Current: Medical
Diagnosis and Treatment
series
Nelson: Abuse and
Neglect of Children
Quiz # 3
(10 pts)
Course Handouts
Groups A, B & C
submit selected
articles to PA
Lee/faculty
moderator for
journal club next
week
(50 pts)
article selection
class discussion
(50 pts)
Review URLs:
US Preventive Service
Task Force:
http://www.uspreventive
servicestaskforce.org/
epss.ahrq.gov
The Red book 2015
Report of the
Committee on Infectious
Disease pp 59, 992
Nationally Notifiable
Infectious Diseases
13
Putting it all together:
Review of Case Studies in
Pediatrics, OB-Gyn and
Geriatrics utilizing
assessment tools, physical
exam findings, medical
knowledge
Lee/Benitez/Husson
Journal Club: group A, B & C
Faculty Moderators
Earley/Michelson/Lee
14
Review for Finals
Questions & Clarifications
on topics Lee/Husson
Finals Review
Core content review of OB, Newborn,
Pediatrics, Adolescents, Geriatric,
Middle-age, Geriatric
Earley/Lee
15
Written Final Examination
Review
Lange: Pediatrics
Lange: Obstetrics & Gyn
Lange: Current Medical
Dx
Peer review
of journal
club
participation
(50 pts)
Faculty
review of
group
(50 pts)
INSTRUCTIONAL MATERIALS
Selected References: (available in library/online)
Epidemiology and Prevention of Vaccine-Preventable Diseases: CDC 13th ed (online)
Zitelli & Davis : Pediatric Physical Diagnosis
Goodwin : Common Problems in Obstetrics and Gynecology
Seidel Mosby’s Guide to Physical Examination
Being Mortal by Atwal Gawande
Bickley, Lynn, Bates’ Guide to Physical examination and History Taking, Lippincott 11th ed., 2013
Lange Current: Medical Diagnosis and Treatment: Pediatrics, current ed.
Lange Current: Medical Diagnosis and Treatment: OB/GYN, current ed.
Rakel, D. Integrative Medicine: Expert Consult Premium Edition, 3rd Edition
Pediatrics: AAP Current Immunization Schedule
Bright Futures: AAP Anticipatory Guidance
Red Book: 2015 Committee on Infectious Diseases, 30th edition
Provided Materials: Reading assignments, handouts and video links will be provided on my SCU
TEACHING METHODS AND ACTIVITIES
Lecture
Case Discussions/ Peer reviews/Journal Club
ASSESSMENT OF STUDENT LEARNING
Grading procedures: Student assessments include self-assessments, peer assessments, and instructor assessments. The
format of these assessments may include multiple choice, essay, short answer, or fill-in examinations; special individual or
group projects. Participation in class discussions, and on the course mySCU website class forum will also be assessed.
Extra Credit assignments will be assigned points individually.
Assessment
Weight/%/Points
Points
Class Activities/ Group
50%
600
Participation
Quiz
10%
30
Midterm
10%
90
Final
15%
150
Assignments/Journal club
15%
50
Grading scale:
Grades will be assigned at the end of the trimester.
Honors = 95% to 100%
PASS = 70% to less than 95%
FAIL: less than or equal to 69%
I = Incomplete
W = Withdrawal
University Policies
Students are expected to spend at least two hours for each lecture or practicum hour of course time per week in activities
and assessments outside the classroom. Examples of activities include, but are not limited to: writing papers; reading articles
or text; small group work; presentations; completing assignments; preparation for assessments; online activities and other
activities that do not include direct instructor interaction and involvement.
All university policies apply to this course and all others. For full policy information please consult the university SCU Policy
Manual. For a quick reference guide to the following policies: make-up examination, F-challenge examination, grade posting,
results of failing grades, student support information, syllabus amendments, special needs, student conduct, and attendance,
please consult the academic policies document housed on the Online Student Services [the preceding is a hyperlink].
ORIGINAL MARCH 2015 Revised July 2016, September 2016