Didactic

This course is a continuation of MPAC 619, in which students learn the clinical therapeutics essential in treating clinical conditions. It will provide the student with a detailed understanding of a drug category's mechanism of action, therapeutic uses, major side effects, warnings, and precautions. Classification of drugs is covered in depth. Clinical case studies and problem solving sessions are also utilized. Practical prescription writing and legalities of prescription writing as they pertain to PA's are also covered.

This course explores the causes and mechanisms of disease and the associated alterations of structure and function of tissues. General concepts of disease are covered, including degeneration and necrosis, inflammation and repair, fluid and coagulation disturbances, and general aspects of neoplasia. Disease entities in each organ system are studied with regard to causation, evaluation, and morphology of pathological changes.

This course will encompass laboratory medicine, diagnostic imaging, and the procedure-oriented skills that students will require on rotation. The student learns basic clinical laboratory determinations and values and their correlation with normal and disease states. The student is introduced to imaging modalities and their role in clinical medicine, with emphasis on conventional radiography with some discussion of ultrasound, CT, and MRI. Included are studies of the chest and abdomen, GI series, GU radiology, examination of extremities, and mammography. In the lab portion, the student learns the principles of sterile technique and universal precautions. There are also hands-on sessions in phlebotomy, starting IVs, administering injections, and placing urinary catheters and nasogastric tubes.

This course consists of lecture sessions. The lecture component is a continuation of Health History and Physical Diagnosis I and will carry on teaching the student the concepts and techniques of medical interviewing, obtaining an accurate history, and performing a complete and thorough physical examination. The course covers the practical terminology utilized to record a medical history and physical examination.

This course consists of laboratory sessions. The laboratory portion emphasized the hands-on skills necessary to perfect the techniques of the physical exam. These sessions are taught in a small group setting by the PA faculty. Sessions focusing on the examinations of the breast, genitalia, rectum, and Pap smears are also included. During this course, the student will also be performing, under direct supervision, histories and physicals on patients in hospital settings.

The normal anatomy and physiology of the female reproductive system is reviewed. The student is taught how to perform an obstetrical history and physical, the process and management of normal pregnancy, labor, and delivery, and their associated complications. Clinical manifestations and treatment of common gynecological problems such as venereal diseases, menstrual disorders, and neoplasms are also discussed. Patient education is stressed as a crucial part of the management plan.

Students learn the physiological and psychological fundamentals of normal growth and development as they pertain to the pediatric and adolescent patient. Topics covered include neonatology and infant nutritional requirements, preventive immunization schedules, child abuse and childhood injuries. Students are also introduced to the embryology of specific organ systems, which illustrates normal developmental anatomy and the embryological basis for congenital anomalies of the systems. Via a systems approach, students study common childhood illnesses and their signs, symptoms, and treatment.

This course, together with the subsequent course in General Surgery, will provide the PA student with the academic preparation to evaluate and manage patients with surgical conditions. It will also provide students with a core understanding of mechanisms of wound healing, surgical techniques, and pre- and post-operative management of surgical problems. Additionally, illnesses that require surgical intervention, their signs and symptoms, diagnostic modalities, and outcomes are also discussed. This introduction will provide a foundation for further study in General Surgery and/or its subspecialties.

Clinical Medicine I is an intensive medicine course that covers the etiology, clinical manifestations, diagnosis, treatment, and prognosis of common diseases in Cardiology, Pulmonology and Hematology components. The pathophysiology of the organ systems in relation to the various disease processes is integrated with the clinical presentations, historical and physical findings, and laboratory and radiographic test results. Emphasis is placed on application of new medical knowledge to clinical situations, on diagnostic problem-solving and differential diagnosis, and on issues of patient education and preventive medicine. Students refine their ability to reason independently in developing treatment and management plans for various patient presentations.

3 Credits

Clinical Medicine II is an intensive medicine course that covers the etiology, clinical manifestations, diagnosis, treatment, and prognosis of common diseases in Dermatology, Rheumatology and Ophthalmology components. The pathophysiology of the organ systems in relation to the various disease processes is integrated with the clinical presentations, historical and physical findings, and laboratory and radiographic test results. Emphasis is placed on application of new medical knowledge to clinical situations, on diagnostic problem-solving and differential diagnosis, and on issues of patient education and preventive medicine. Students refine their ability to reason independently in developing treatment and management plans for various patient presentations.

Surgery II is a continuation of MPAC 635 Surgery I and covers components in Surgery, Otolaryngology and Orthopedics. The surgery component will provide the PA student with the academic preparation to evaluate and manage patients with surgical conditions. Surgical diseases of the esophagus, abdomen, stomach, intestines, circulatory system and urogenital system will be covered. Critical care management will also be discussed. Included is a practical session in suturing which is intended to give the student basic skills needed to succeed in primary wound closure. During the Otolaryngology component the student will be acquainted with the structures, functions, and examination of the ear, nose, and throat; and diagnosis and treatment of common ENT disorders. The Orthopedics component instructs the student as to the diagnosis and treatment of sprains, fractures and dislocations, preparation and application of bandages, splints and casting. Common orthopedic problems of the hand, knee, shoulder and back are covered. In addition, it will include a practical session where the student will obtain hands-on experience in casting and splinting.

Geriatrics is the study of normal aging, health and disease in the elderly population. The students will study long term care and the social and societal aspects of aging in the United States. The students will be exposed to the complex issues arising in caring for the chronically ill elderly. The course emphasizes development of communication skills to enhance the humanistic practice of geriatric medicine and prepares the PA to provide quality health care to elderly individuals in the community, long-term care settings and acute care settings. Many core geriatric problems, i.e. dementia, depression, decubitus ulcers and incontinence are covered. Students also explore the ethical/legal issues of geriatric care.

This course will explore the diagnostic and treatment options of severely injured and critically ill patients. Students are taught the key points of the epidemiology, pathophysiology, clinical features and differential diagnosis of many disease entities, as they may present in the Emergency Department. Topics include but are not limited to acute respiratory, toxicology, environmental, pediatric, and endocrine emergencies. In addition, burn care as well as child and elder abuse are also discussed. Students are also required to complete Basic Life Support as well as Advanced Cardiac Life Support during this course in order to progress to the clinical year.

Students will develop the knowledge and skills to understand and apply epidemiological methods and bio-statistical analysis in the medical and/or public health setting. Students are introduced to the distribution and determinants of health and disease in the human population and the application of this study to the control and prevention of disease. The student will develop basic conceptual and analytical skills in the design and conduct of epidemiologic studies and understand the process of epidemiologic surveillance.

In addition, this course will provide students with the basic concepts in biostatistics, such as measures of disease frequency, measures of effect, and statistical significance. Students will become familiar with standard techniques of data collection and analysis, and the content of vital statistics and mass data of the health field.

In seminar format, topics in medical ethics that develop the analytical skills and reflective sensitivity required for responsive, responsible, and productive decision-making between patients and professional. Topics discussed include ethical decisions at both the beginning and the end of life, risk/benefit decision-making in medicine, confidentiality and privacy. Students also discuss a variety of professional practice issues, such as privilege and confidentiality in communicating with patients, political and legal issues, credentialing and licensure, professional liability, and the physician-PA team relationship.

Clinical Medicine III is an intensive medicine course that covers the etiology, clinical manifestations, diagnosis, treatment, and prognosis of common diseases found in Gastroenterology, Neurology, Psychiatry and Nephrology. The pathophysiology of the organ systems in relation to the various disease processes is integrated with the clinical presentations, historical and physical findings, and laboratory and radiographic test results. Emphasis is placed on application of new medical knowledge to clinical situations, on diagnostic problem-solving and differential diagnosis, and on issues of patient education and preventive medicine. Students refine their ability to reason independently in developing treatment and management plans for various patient presentations.

Clinical Medicine IV is an intensive medicine course that covers the etiology, clinical manifestations, diagnosis, treatment, and prognosis of common diseases found in endocrinology and infectious diseases. The pathophysiology of the organ systems in relation to the various disease processes is integrated with the clinical presentations, historical and physical findings, and laboratory and radiographic test results. Emphasis is placed on application of new medical knowledge to clinical situations, on diagnostic problem-solving and differential diagnosis, and on issues of patient education and preventive medicine. Students refine their ability to reason independently in developing treatment and management plans for various patient presentations. The correlative Medicine component will allow the students to fully assimilate and utilize their medical and basic science knowledge along with physical diagnosis skills to address the types of patient health care problems they may encounter in a clinical environment. It will utilize the Problem-Based Learning Method as an instructional model, wherein students work both in groups and individually to develop a logical methodology of assessment of disease processes.