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Date Course Title Echocardiographic Anatomy and Physiology with Lab Pre-requisite (s) HSC 1000, BSC 1085/ BSC 1085L, ENC 1101, PHY 2053, DMS 1020, MAC 1105, BSC 2085/ BSC 2085L, PSY 1012, SPC 1017, STA 2003, DMS 1030, EKG 1010, CPR 1010, HAE 1000 Hours 105 theory hours/60 Lab hours-165 clock hours Note: Subject to change Credits Course Number 9 Credits ECH 1020 Co-requisite (s) None Place and Time of Class Meeting International College of Health Sciences 2300 South Congress Ave, Suite 105 Boynton Beach, Florida 33426 Name and Contact Information of Instructor Instructor: Juan Carlos Zamora CCT, RCS, RDCS, RVT E-mail: [email protected] Office Hours: 9.00 am to 5.00 pm Campus Telephone: 561-202-6333 Delivery Method: On Campus Books required Textbook of Clinical Echocardiography: 5th Edition, Catherine M. Otto MD The Echocardiographer’s Pocket Reference 4th Edition, Terry Reynolds, BS, RDCS Attendance Policy Failure to maintain regular attendance may lead to a failing grade. The attendance policy at ICHS is as follows: Students must attend 80 percent (80%) of the total didactic class hours per semester and 100 percent (100%) of clinical externship hours. A student may have the opportunity to make up absences; however, this is only available at the discretion and approval of a lead instructor and can only be completed outside of scheduled classroom hours, if available. In the event that the student will be absent from his or her clinical externship, the student must call the assigned site and ICHS in advance. All absences must be justified in writing (i.e. doctor’s excuse). Students are not excused from attending the clinical externship except for grave emergencies or serious illness, and the student must call the assigned site and ICHS in advance. Additionally, these hours must be made up within a student’s scheduled dates for the course, the term, the semester or the scheduled clinical rotation. Instructors, in their discretion, may base a percentage of the grade on attendance. Termination may occur for any of the following attendance situations: 1. Eight (8) consecutive absences per semester. 2. Absence in excess of 20 percent (20%) of available course hours. 3. Absence in excess of 20 percent (20%) of externship hours. Tardiness for didactic or clinical education will not be tolerated. Anytime beyond the scheduled reporting time will be considered late or tardy. When attending clinical externship, if a student is to be late, he or she must notify the clinical instructor at the facility and the program clinical coordinator. If a student must miss class, he or she must contact the program director or instructor at least 30 minutes prior to the class beginning. For didactic education, four episodes of tardiness or leaving ICHS early per semester will result in an absence. If a student is more than 15 minutes late, he or she must obtain the instructor’s permission to attend the class. Four late arrivals will result in the equivalent “consequence” as one unexcused absence. Any student who has been excessively tardy in arriving to class or absent will receive a written advisement and guidance report by a faculty member. A student, who has more than one unexcused absence during clinical externship, may be removed from the site. DISTANCE EDUCATION ATTENDANCE POLICY Students must log into their online course prior to the third day of the course as dictated by the drop/ad policy of ICHS. Failure to log in by the end of the third day will result in the student being dropped from the course. Attendance in online courses is defined as active participation in the course. Active participation is defined as completion of all expectations outlined in the online course as contained in the lesson plan, syllabi and other course related documents within the course. These expectations may include but are not limited to participation in discussion forums, submission of completed assignments, and completion of quizzes and exams. VETERAN'S ATTENDACE POLICY Excused absences will be granted for extenuating circumstances only. Excused absences must be substantiated by entries in students' files. Early departures, class cuts, tardies, etc., for any portion of a class period will be counted as absence. Students exceeding 3 unexcused absences in a 7 day period for non-degree programs and 5 unexcused absences in a semester for degree granting programs will be terminated from their VA benefits for unsatisfactory attendance. The student's attendance record will be retained in the veteran's file for USDVA and SAA audit purposes. Course Description This course provides extensive knowledge in the principles of Echocardiography, the most effective, noninvasive method use in cardiac diagnosis. The course involves understanding of normal cardiac anatomy, coronary anatomy, and relationship of chambers with great vessels. It also provides normal cardiac physiology and its understanding in relation to echocardiography. Application and techniques in Real Time cardiac imaging, Doppler, and M mode, will provide the student with a structured educational Ultrasound program with self-assessments and competencies necessary to become a Professional Registered Cardiac Sonographer. Students will be provided with scan lab demonstration and techniques that will allow them to apply what they learn in class to a real medical setting. Upon successful completion of this course, the student will be able to: 1. Describe the anatomy of the heart and great vessels internally and externally. 2. Describe mechanical and electrical events through the cardiac cycle 3. Describe systemic and pulmonary circuits 4. Describe Blood flow 5. Understand Fetal circulation 6. Understand Normal Variants, Imaging Planes and Approaches 7. Understand M-mode and 2-D measurements and normal values 8. Understand Basic calculations ( Ejection Fraction, Cardiac output, Stroke Volume) 9. Laboratory practice and understanding of all views and calculations Topical Outline and Schedule DATE WEEK 1 Distribute and review Syllabus SPECIFIC OBJECTIVES Describe the course. Discuss Presentations, Quiz, Test, and Lab Criteria Introduction to Cardiac Anatomy At the end of this chapter, the student will be able to: • Understand the location of the heart within the mediastinum • Understand systemic and pulmonary circulation • Discuss basic embryology, fetal circulation • Discuss foramen ovale and ductus arteriosus TOPIC (S) Introduction to Echocardiography LEARNING Discussion of Syllabus ACTIVITIES Power Point Presentation Discuss systemic and pulmonary circulation Video presentation on fetal circulation Introduction to the Parasternal Long Axis Lab: Introduction to the Parasternal Long Axis Review Power Point OUTSIDE Homework: Complete Key Terms WORK & ASSIGNED READINGS DATE WEEK 2 At the end of this chapter, the student will be able to: SPECIFIC OBJECTIVES • Describe coronary and interventricular sulcus • Describe the crux of the heart, coronary sinus • Describe pleural cavity and pericardial cavity • Describe ascending Ao, aortic arch and branches, and descending Ao • Describe superior and inferior vena cava • Describe pulmonary veins TOPIC (S) External Features of the Heart LEARNING Power Point Presentation ACTIVITIES Veal Heart Dissection Description of External Features of the Heart Lab: Students will scan each other and practice the Long Axis View of the heart OUTSIDE Review Power Point WORK & Study for Quiz # 1 Homework: Presentation of External Features of the Heart ASSIGNED READINGS DATE WEEK 3 At the end of this chapter, the student will be able to: SPECIFIC OBJECTIVES • Describe coronary circulation, aorta and Sinuses of Valsalva • Describe arteries, arterioles, venules, and veins • Understand arterial and venous circulation • Describe blood components Quiz # 1 TOPIC (S) Blood Vessels Anatomy and Physiology LEARNING Power Point Presentation ACTIVITIES Discuss Oxygenated and Deoxygenated Vessels Discuss Arterial and Venous Hemodynamics Lab: Introduction to Parasternal Short Axis Ao Level Review Power Point OUTSIDE Complete Key Terms WORK & Homework: Video on Hemodynamics ASSIGNED READINGS DATE WEEK 4 At the end of the chapters, the student will be able to: SPECIFIC OBJECTIVES • Describe layers of the heart and pericardium • Describe cardiac chambers, septation • Describe pectinate muscles, and trabeculae carnae • Describe Eustachian and Tebeshian valves and their function • Describe atrioventricular and semilunar valves • Describe papillary muscles and chordae tendineae • Understand RVIT, RVOT, LVIT and LVOT TOPIC (S) Internal Features of the Heart LEARNING • Power point presentation ACTIVITIES • Video Presentation on Internal Features of the Heart • Veal Heart Dissection to review Internal and External appearance of the Heart Lab: Introduction of Parasternal Short Axis (Mitral and Papillary Level) Lab test Review Power Point OUTSIDE Complete Key Terms WORK & ASSIGNED Homework: Study for Quiz # 2 READINGS DATE WEEK 5 At the end of the chapter, the student will be able to: SPECIFIC OBJECTIVES • Understand diastole and systole • Describe electrical conduction system • Understand membrane potential • Understand pressure in all chambers • Describe heart sounds Lab: Practice M-Mode mitral and papillary level TOPIC (S) Hemodynamics and the Cardiac Cycle • Power point presentation LEARNING ACTIVITIES • Review of Electrical Conduction • Review Pressures, Pressure Gradients • Video on the Cardiac Cycle Quiz # 2 OUTSIDE Review for Mid-Term Exam Complete Key Terms WORK & ASSIGNED READINGS DATE WEEK 6 At the end of the chapter, the student will be able: SPECIFIC OBJECTIVES • Describe the different modalities in echocardiography; (transthoracic, transesophageal, intraoperative, stress echo, contrast echo) • Describe imaging planes and approaches • Describe patient positioning • Overview of informing patient, explanation of procedure, and patient privacy Mid-Term Exam Lab: Practice on PLAX and PSAX views TOPIC (S) Introduction to Echocardiography LEARNING • Power point presentation ACTIVITIES • Introduction to planes and approaches • Discussion of patients’ rights, doctors’ orders, and confidentiality • Discuss transducer orientation Lab: Mid-Term Lab Competency, Intro to Apical views Review Power Point OUTSIDE Complete Key Terms WORK & Homework: Draw all Echo Views and Label Walls and Valves for each View ASSIGNED READINGS DATE WEEK 7 At the end of the chapter, the student will be able to: SPECIFIC OBJECTIVES • Describe normal variants and their location in the heart • Review of artifacts and pitfalls in echocardiography • Describe transducers used in echocardiography • Understand corrective measures for suboptimal studies TOPIC (S) Normal Variants in Cardiac Imaging LEARNING • Power point presentation ACTIVITIES • Video on Normal Variants Lab: Optimizing Image Quality, Corrective measures to eliminate Artifacts Review Power Point OUTSIDE Homework: Complete Key Terms WORK & ASSIGNED READINGS DATE WEEK 8 At the end of the chapter, the student will be able to: SPECIFIC OBJECTIVES • Understand cursor positioning and locations used for proper measurements • Understand M-Mode pitfalls • Understand measurements guided by electrocardiogram • Describe measurements required at Ao level • Understand normal values for every measurement TOPIC (S) Introduction to M-Mode, Aortic Level LEARNING • Power point presentation ACTIVITIES • Discuss Ao Root Diameter, Ao Cusp Separation, Left Atrial Dimension, Ejection Time • Understand Measurements in reference to the Cardiac Cycle Lab: M-mode Ao Level, from Long and Short Axis Lab test Review Normal Values for Ao Level OUTSIDE Homework: Drawing of M-Mode Ao level WORK & Complete Key Terms ASSIGNED READINGS Study for Quiz # 3 DATE WEEK 9 At the end of the chapter, the student will be able to: SPECIFIC OBJECTIVES • Describe measurements required at mitral and ventricular level • Describe isovolumetric contraction and relaxation • Describe measurements taken in diastole and systole • Explain wall motion abnormalities • Describe normal values recommended by ASE TOPICS M-Mode Mitral and Ventricular Level LEARNING • Power point presentation ACTIVITIES • Discuss when are measurements taken according to the Cardiac Cycle • Discuss the importance of proper measurements and Quality Assurance Quiz # 3 Lab: Introduction to Mitral and Ventricular M-Mode Review Power Point and Normal Values OUTSIDE Complete Key terms WORK & Homework: Presentation on M-mode Measurements ASSIGNED READINGS DATE SPECIFIC OBJECTIVES TOPIC (S) LEARNING ACTIVITIES WEEK 10 At the end of the chapter the students will be able to: • Understand the difference between M-Mode and 2-D Measurements • Understand normal 2-D normal values • Describe cardiac output, stroke volume, ejection fraction • Describe preload and afterload • Understand ASE recommended 17 wall segments • Describe other 2-D measurements 2-Dimensional Measurements • Power point presentation • Hand out of all views with labels, ASE 17 wall segments • Discuss Ejection Fraction calculations and pitfalls • Discuss when to take the proper measurements according to the cardiac cycle and possible variations Lab: Practice 2-D measurements, Calculation EF, CO, and SV Review Power Point Complete Key Terms Homework: Project on Ejection Fraction, Simpson Rule OUTSIDE WORK & ASSIGNED READINGS DATE WEEK 11 At the end of the chapter the student will be able to: SPECIFIC OBJECTIVES • Identify normal cardiac chambers and valves • Identify great vessels location and anatomy • Evaluate Aortic Root, Sinuses of Valsalva, Ao Arch, Descending Ao • Identify Coronary Sinus, IVC, SVC, Pulmonary Veins, and Hepatic Veins • Evaluate wall thickness and function TOPIC (S) Identification of Normal Cardiac Structures according to View LEARNING • Power point presentation ACTIVITIES • Overview of Normal Heart Anatomy Seen in Echocardiography Lab: Understand how to analyze Chambers, Walls, Valves, Pericardium and all structures required in Echocardiography, Practice Apical Views OUTSIDE Study for Final Exam and Lab Competencies Homework: Complete Key Terms WORK & ASSIGNED READINGS DATE WEEK 12 At the end of the chapter, the students will be able to: SPECIFIC OBJECTIVES • Have a general understanding of electrical and mechanical events • Understand the protocol for echocardiography • Understand the importance of proper measurements • Be able to understand normal heart appearance in echocardiography TOPIC (S) Final Exam and Overview of Echocardiography Anatomy and Physiology LEARNING Final Exam ACTIVITIES Final Lab Competencies Review Echocardiography Anatomy and Physiology OUTSIDE WORK & ASSIGNED READINGS Instructional Methods The following strategies may be used in this class: 1. Class Lectures 2. Sketch drawings 3. PowerPoint Presentation 4. Class Discussion 5. Practice tests 6. Internet research 7. Student evaluation of course References and Resources ICHS Virtual Library Login to the ICHS Virtual Library at http://www.lirn.net, access code 40149 to online books, journals, and other reference resources selected to support ICHS curricula. Medline Plus http://www.nlm.nih.gov/medlineplus/ Health information from the National Library of Medicine National Institutes of Health. Easy access to Medline and Health topics, medical dictionaries, directories, drug information, videos and more. PALM BEACH COUNTY LIBRARY ONLINE RESOURCES You need a free Palm Beach County Library card to access, or register for a free “Temporary Research Access Code” at http://edb.pbclibrary.org/TRAC/ If you need help using any of the library websites, click on the “Ask a Librarian” icon and “chat” with a librarian. Consumer Health http://www.pbclibrary.org/health.htm CINAHL® with Full Text - full text articles for more than 610 nursing and allied health journals (and indexing for an additional 3000 journals) as well as health care books, nursing dissertations, selected conference proceedings, and more. http://www.pbclibrary.org/databases/ LearningExpress - (Practice Tests) Contains online learning with skill building modules, test preparation materials and practice exams; including test preparation E-books. Take practice tests for Health Careers, Radiography, Registered Medical Assistant and NCLEX-RN for Nursing. Learn techniques for job searching, resumes, interviewing and workplace skills. http://www.pbclibrary.org/databases/ Health and Wellness Resource Center http://www.pbclibrary.org/databases/ Assessment Criteria and Methods of Evaluating Students A equivalent to 90 – 100 4.0 B equivalent to 80 – 89 3.0 C equivalent to 75 – 79 2.0 F equivalent to 74 and below 0.0 Generally, the grades “A” through “C” are considered passing grades. Grades "W" and "I" indicate that no grades were earned for the course. A "W" grade indicates that the student withdrew from the course. An "I" grade indicates that the student was passing the course, but failed to complete all the required course work. The instructor, in his/her discretion may grant an "I" grade instead of an "F", pending completion of the course work by the student within a specified time arranged by the instructor and told to the student. It is the student's responsibility to follow-up with the instructor to complete the course work. If the course work is not completed by the arranged time, the “I” grade becomes an “F". Distribution of Grade Elements Quizzes 25% Mid-Term 25% Final 30% Lab Competencies 20% Total 100% Syllabus Revised September 9, 2015