MPAS 571

MPAS 571Practical 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: 978-14160300102.2. Emergency Medicine Manual , O. John Ma ISBN: 978-00714102502.3. Essential Emergency Procedures , Kaushal Shah, ISBN: 978-07817749012.4. Advanced Cardiovascular Life Support Provider Manual , American Heart Association,

ISBN: 978-08749349602.5. Pediatric Advanced Life Support Course Guide , American Heart Association

3. Course Objectives3.1. 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, intra-operative 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.

http://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_1?_encoding=UTF8&search-type=ss&index=books&field-author=Richard%20W.%20Dehn

http://www.amazon.com/Course-Guide-American-Heart-Association/dp/087493527X/ref=sr_1_6?ie=UTF8&s=books&qid=1233838290&sr=1-6

http://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_1?_encoding=UTF8&search-type=ss&index=books&field-author=Kaushal%20Shah

http://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_1?_encoding=UTF8&search-type=ss&index=books&field-author=O.%20John%20Ma

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 examination3.14.2 post-operative note3.14.3 post-operative progress/SOAP notes3.14.4 recovery room notes

3.15 pre- and post-operative order writing3.16 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 bleed3.17.1.2.1.2 NG tube placement3.17.1.2.1.3 Anoscopy3.17.1.2.1.4 Flexible sigmoidoscopy3.17.1.2.1.5 Endoscopy for perforation or foreign body removal3.17.1.2.1.6 Appendectomy3.17.1.2.1.7 Hernia repair3.17.1.2.1.8 Hemrrhoidectomy3.17.1.2.1.9 Anorectal abcess drainage and care

http://www.surgical-tutor.org.uk/principles/perioperative/preop_tests.htm

http://www.surgical-tutor.org.uk/principles/perioperative/fitness.htm

3.17.1.2.1.10 Gastric decontamination for poison or medication overdose3.17.1.2.1.11 Rectal prolapse reduction3.17.1.2.1.12 Bowel resection3.17.1.2.1.13 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) hernia3.17.1.2.2.2 Gastrectomy and bariatric s-urgical procedures3.17.1.2.2.3 PUD, gastritis, and GI bleed3.17.1.2.2.4 Esophageal emergencies (dysphagia, GERD, perforation)3.17.1.2.2.5 Ingested foreign bodies3.17.1.2.2.6 Bowel obstruction 3.17.1.2.2.7 Appendicitis3.17.1.2.2.8 Cholecystitis and biliary colic3.17.1.2.2.9 Pancreatitis 3.17.1.2.2.10 Anoretal disorders and colorectal cancer3.17.1.2.2.11 Acute abdominal pain3.17.1.2.2.12 Ileitis, colitis, and divereticulitis3.17.1.2.2.13 Vomiting, diarrhea, and constipation3.17.1.2.2.14 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 anesthesia3.17.1.3.1.1.2 Wound closure and dressing (varied suture closures)3.17.1.3.1.1.3 Abcess I&D3.17.1.3.1.1.4 Biopsies 3.17.1.3.1.1.5 Cryosurgery and electrosurgery3.17.1.3.1.1.6 Ingrown toenail removal3.17.1.3.1.1.7 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 Lacerations3.17.1.3.2.1.2 Soft tissue and foreign body injuries3.17.1.3.2.1.3 Nail injuries3.17.1.3.2.1.4 Puncture wounds3.17.1.3.2.1.5 Exfoliative dermatitis 9chemical and drug eruptive rash)3.17.1.3.2.1.6 Erythema multiforme3.17.1.3.2.1.7 Toxic epidermal necrolysis3.17.1.3.2.1.8 Toxic infectious rash

3.17.1.3.2.1.9 Photosensitivity3.17.1.3.2.1.10 Skin burns 3.17.1.3.2.1.11 Frostbite and pernio3.17.1.3.2.1.12 Bites and stings3.17.1.3.2.1.13 Contact dermatitis3.17.1.3.2.1.14 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 ear3.17.1.4.1.2 Ocular foreign body removal3.17.1.4.1.3 Trauma oriented ocular examination


3.17.1.4.2.1 Corneal abrasion3.17.1.4.2.2 Optic and otic foreign body3.17.1.4.2.3 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 Keratitis3.17.1.4.2.6 Acute visual loss (acute angle closure glaucoma, optic neuritis,

retinal artery or vein occlusion, giant call arteritis.)3.17.1.4.2.7 TM perforation3.17.1.4.2.8 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 trauma3.17.1.4.2.13 Tinnitus and hearing loss3.17.1.4.2.14 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 testing3.7.1.1.1.2 Endotrachial intubation and other advanced airway techniques3.7.1.1.1.3 Arterial blood gasses3.7.1.1.1.4 peripheral IV catheter placement3.7.1.1.1.5 needle/chest tube thoracostomy


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 contusion3.7.1.1.2.4 pneumothorax3.7.1.1.2.5 hemothorax3.7.1.1.2.6 dyspnea3.7.1.1.2.7 hypoxemia3.7.1.1.2.8 hypercapnia3.7.1.1.2.9 wheezing3.7.1.1.2.10 cyanosis3.7.1.1.2.11 bronchitis, pneumonia, and SARS3.7.1.1.2.12 TB and HIV pulmonic emergencies3.7.1.1.2.13 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 vaccinations3.7.1.2.2 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 types3.7.1.2.2.3 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 reactions3.7.1.1.1.2 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 cultures3.7.1.1.1.2 Venipuncture3.7.1.1.1.3 Lumbar puncture


3.7.1.1.2.1 Sexually transmitted diseases3.7.1.1.2.2 Toxic shock3.7.1.1.2.3 Common viral infections3.7.1.1.2.4 HIV and AIDS3.7.1.1.2.5 Infective endocarditis3.7.1.1.2.6 Tetanus and Rabies3.7.1.1.2.7 Malaria3.7.1.1.2.8 Helminth infections3.7.1.1.2.9 Zoonotic infections3.7.1.1.2.10 Soft tissue infections3.7.1.1.2.11 Bioterrorism3.7.1.1.2.12 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 Lecture4.3 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 techniques4.8 Hands-on experience through the use of simulated patients and procedures4.9 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 CoursesPercent Grade Letter Grade

90 – 100 A student has exceeded expectations80 – 89 B student has met expectations70-79 C student is below expectations

Less than 70 F student has failed expectationsAn “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 Dates Lecture and laboratory TOPICSIntro to health care and laboratory medicine

Jan 15-21Intro to surgery and emergency in health care and laboratory medicine

Infectious DiseaseJan 22-Feb 5

surgery and emergency in Infectious Disease

OtorhinolaryngologyFeb 8-17

surgery and emergency in Otorhinolaryngology

OphthalmologyFeb 18-25

surgery and emergency in Ophthalmology

PulminologyFeb26-March10

surgery and emergency in Pulminology

Allergy and Immunology March 11-26

surgery and emergency in Allergy and Immunology

DermatologyMarch 29-April 7

surgery and emergency in Dermatology

Genetics April 8-9 surgery and emergency topicsGastroenterology

April 10-22surgery and emergency in Gastroenterology

Tropical Medicine April 23-28

surgery and emergency in Tropical Medicine

April 30 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 Definition8.1.2 Etiology

8.1.3 Pathogenesis8.1.4 Clinical symptoms8.1.5 Physical Examination (PE)8.1.6 Differential Diagnoses (at least 3)8.1.7 Evaluation with a diagnostic approach i.e. history, PE,

laboratory studies, X-ray, CT, MRI, etc.8.1.8 Treatment8.1.9 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 pre-prep note. The pre-prep notes may be combined with course handouts to provide a better system to study for examinations8.2.1.2 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 assignment2.) A failing grade for the entire course3.) 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 572Practical 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: 978-14160300102.2. Emergency Medicine Manual , O. John Ma ISBN: 978-00714102502.3. Essential Emergency Procedures , Kaushal Shah, ISBN: 978-07817749012.4. Advanced Cardiovascular Life Support Provider Manual , American Heart Association,

ISBN: 978-08749349602.5. 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 post-operative 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.


3.21 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 examination3.21.2 post-operative note3.21.3 post-operative progress/SOAP notes3.21.4 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 setup3.24.2 The roles and responsibilities of common OR personnel, including the role of the

PA as first assist3.24.3 Sterile technique3.24.4 Gowning and gloving3.24.5 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 electrocardiogram3.25.1.1.1.2 Stress testing


http://www.surgical-tutor.org.uk/principles/perioperative/preop_tests.htm

http://www.surgical-tutor.org.uk/principles/perioperative/fitness.htm

3.25.1.1.2.1 Chest pain (angina, aortic dissection, pericarditis, pericardial tamponade, pulmonary embolus, myocardial infarction)

3.25.1.1.2.2 Syncope3.25.1.1.2.3 Congestive heart failure3.25.1.1.2.4 Valvular heart disease3.25.1.1.2.5 Cardiomyopathy3.25.1.1.2.6 Myocarditis3.25.1.1.2.7 Cardiogenic shock3.25.1.1.2.8 Hypertensive urgencies/emergencies3.25.1.1.2.9 Aortic dissection3.25.1.1.2.10 Aneurysms3.25.1.1.2.11 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 Venipuncture3.25.2.1.1.2 Transfusion therapy3.25.2.1.1.3 Antiplatelet and anticoagulant therapy


3.25.2.1.2.1 Anemia3.25.2.1.2.2 Bleeding disorders3.25.2.1.2.3 Hemophilias3.25.2.1.2.4 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.


3.25.3.1.2.1 Oncologic Bone emergencies3.25.3.1.2.2 Oncologic spinal cord compression

3.25.3.1.2.3 Oncologicairway obstruction3.25.3.1.2.4 Tumor lysis syndrome3.25.3.1.2.5 Adrenal crisis3.25.3.1.2.6 SAIDH3.25.3.1.2.7 Neutropenic fever3.25.3.1.2.8 Hyperviscosity syndrome3.25.3.1.2.9 Oncologic nausea and vomiting3.25.3.1.2.10 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.


3.25.4.1.2.1 Neurogenic shock3.25.4.1.2.2 Stroke and TIA3.25.4.1.2.3 vertigo/dizziness3.25.4.1.2.4 Syncope3.25.4.1.2.5 Acute peripheral neurologic lesions3.25.4.1.2.6 Chronic neurologic disorders3.25.4.1.2.7 altered mental status and coma3.25.4.1.2.8 Ataxia and gait disturbances3.25.4.1.2.9 Seizures3.25.4.1.2.10 Headache3.25.4.1.2.11 Temporal arteritis3.25.4.1.2.12 head trauma3.25.4.1.2.13 C-spine injury3.25.4.1.2.14 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.


3.25.5.1.2.1 Behavioral disorders3.25.5.1.2.2 Panic and conversion disorders3.25.5.1.2.3 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.


3.25.6.1.2.1 Elder abuse3.25.6.1.2.2 Trauma3.25.6.1.2.3 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) 4.10Case studies that provide opportunity to analyze clinical correlations 4.11Guided faculty Lecture4.12Group discussion4.13Independent reading assignments 4.14Patient vignettes to synthesize and integrate the materials into a real life clinical

context.4.15Integrated computer technology will be utilized to enhance learning.4.16Faculty demonstration of procedures and diagnostic techniques4.17Hands-on experience through the use of simulated patients and procedures4.18Collaborative 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.






Module Dates

Lecture and small group discussion TOPICS

CardiologyMay 10-June 4

Emergency and surgery related to Cardiology

HematologyJune7-15

Emergency and surgery related toHematology

OncologyJune16-24

Emergency and surgery related toOncology

NeurologyJune25-July 9

Emergency and surgery related toNeurology

PsychologyJuly 12-24

Emergency and surgery related toPsychiatry

CAM and Occupational Medicine

July 25-26 Emergency and surgery topics

Geriatrics July 27-August 6 Emergency and surgery related to

Geriatrics Rehabilitation and end

of life care August 9-11Emergency and surgery related to Rehabilitation and palliative care

August 13 Cumulative Final



8.3 Template for Pre-Prep Notes:8.3.1 Definition8.3.2 Etiology8.3.3 Pathogenesis8.3.4 Clinical symptoms8.3.5 Physical Examination (PE)8.3.6 Differential Diagnoses (at least 3)8.3.7 Evaluation with a diagnostic approach i.e. history, PE,


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 examinations8.4.1.2 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 assignment2.) A failing grade for the entire course3.) 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 573Practical 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. Course Materials: a. Essential Clinical Procedures , Richard W. Dehn, ISBN: 978-1416030010b. Emergency Medicine Manual , O. John Ma ISBN: 978-0071410250c. Essential Emergency Procedures , Kaushal Shah, ISBN: 978-0781774901d. Advanced Cardiovascular Life Support Provider Manual , American Heart Association,e. 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 post-operative 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.


3.10 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 emergencies3.12.1.2.2 Alcoholic ketoacidosis3.12.1.2.3 Thyroid emergencies3.12.1.2.4 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 catherization3.12.2.1.2 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


3.12.2.2.1 Acute renal failure3.12.2.2.2 UTI’s3.12.2.2.3 Hematuria3.12.2.2.4 Urologic stone disease3.12.2.2.5 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 Rape3.12.4.2.1.2 Abnormal uterine bleeding3.12.4.2.1.3 Vulvovaginitis3.12.4.2.1.4 PID3.12.4.2.1.5 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 precipitous delivery3.12.5.3.1.2 ectopic pregnancy3.12.5.3.1.3 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 croup/epiglottitis 3.12.6.6.1.2 foreign body emergencies3.12.6.6.1.3 fever3.12.6.6.1.4 poison ingestion3.12.6.6.1.5 medication overdose3.12.6.6.1.6 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 splinting3.12.7.1.2 Joint and bursal aspiration


3.12.7.2.1 Orthopedic injuries3.12.7.2.2 Strains and sprains3.12.7.2.3 Fractures3.12.7.2.4 Compartment syndromes3.12.7.2.5 Rhabdomyolysis3.12.7.2.6 Joint pain3.12.7.2.7 Emergencies in systemic rheumatic disease3.12.7.2.8 Soft tissue problems

4. Student Activities and Experiences (Instructional techniques) 4.19Case studies that provide opportunity to analyze clinical correlations 4.20Guided faculty Lecture4.21Group discussion4.22Independent reading assignments 4.23Patient vignettes to synthesize and integrate the materials into a real life clinical

context.4.24Integrated computer technology will be utilized to enhance learning.4.25Faculty demonstration of procedures and diagnostic techniques4.26Hands-on experience through the use of simulated patients and procedures4.27Collaborative 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.






Module Dates Lecture and discussion TOPICSEndocrine August 25-September 10 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 Emergency and surgery related to Urological and men’s health

GYN and women’s health

October 5-13 Emergency and surgery related to GYN and women’s health topics

OB October 18-26 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 toorthopedics

December 10 Cumulative Final



8.5 Template for Pre-Prep Notes:8.5.1 Definition8.5.2 Etiology8.5.3 Pathogenesis8.5.4 Clinical symptoms8.5.5 Physical Examination (PE)8.5.6 Differential Diagnoses (at least 3)8.5.7 Evaluation with a diagnostic approach i.e. history, PE,


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 examinations8.6.1.2 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 assignment2. a failing grade for the entire course3. charges against the student with the appropriate disciplinary body.

12. ADA Statementa. 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 Contacta. 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 571

Documents

american heart association

critical thinking involved

show adequate effort

important phone messages

american heart association3

academic honesty policy

undeserved academic advantage

completion demonstrates competency