UNIVERSITY OF NEW ENGLAND

PHYSICIAN ASSISTANT PROGRAM

ANATOMY

(PAC 500)

SUMMER 2011

Course Director Lab Instructor Deiner Teaching Assistants

Dr. Frank Daly Prof. Jennifer Lussier Hank Wheat Mina Assadollahzadeh

Morgane 008 (UC) Decary 331 ACHS 233 Lisa Carpenter

Proctor 101 (WCHP) x2537 X2202 Benjamin Church

x2415

COURSE DESCRIPTION

This course consists of Gross Anatomy and Neuroscience. Each component is designed to complement the others and to integrate the information studied in the Clinical Assessment course into the study of human anatomy.

Gross Anatomy is a combined study of skeletal, muscular, nervous and cardiovascular systems using prosected human cadavers. The course will be divided into regional anatomical areas (upper extremity; lower extremity; head neck; and thorax, abdomen and pelvis). Each area will have individual exercises associated with it (lab manual). Lecture sessions will preview the material to be studied in laboratory. In laboratory sessions, the students will be divided into four small groups. Each group will start with a different instructor, who will cover specific information assigned for that session. Each group will then rotate every 30-45 minutes to the next instructor and eventually rotate through the entire 4 pods in the lab.

The neuroscience module provides a detailed study of the structure and function of the human peripheral and central nervous system, including vascular components and the special senses. Students are expected to develop a solid foundation of the knowledge and skills of nervous systems as a background to their clinical practice.

LOCATION / COURSE TIMES

Monday 11:00 – 1:00pm - Gross Lecture Alfond 113 or Marcil 323

2:00 – 4:30pm - Gross Lab Alfond 219

Wednesday 10:00 – 11:50am - Neuroscience Blewett 006 (WCC)

Thursday 11:00 – 1:00pm - Gross Lecture Alfond 113 or Marcil 323

2:00 – 4:30pm - Gross Lab Alfond 219

OPEN LAB

The cadaver lab will be accessible to all PA students, through the use of their UNE identification swipe card. It is imperative that all students entering the lab swipe their card. This is a privilege that is extended to you by the University of New England. If there is any incidence of misconduct during open lab hours, the open lab times will be reduced and strictly regulated. The current scheduled times for cadaver open lab are as follows:

June / July / August 7:00am – 11:30 pm

CONDUCT

Professional behavior is expected at all times, even outside of scheduled course times.

Every courtesy will be shown to both peers and instructors.

Please refer to the student handbook for specific instruction

http://www.une.edu/studentlife/handbook

This is to include, but is not limited to…

Refrain from talking during lecture / lab sessions unless part of the exercise

Be on time to lecture and laboratory sessions

Attendance is essential in lecture and laboratory sessions in order to be successful in this course.

If you are going to be absent, contact Dr. Daly prior to the absence

Cheating and plagiarism will NOT be tolerated

Students are not allowed food or drink during exams and

will NOT be excused during exams

GRADING POLICY

The grade for the course will be based on four (4) written Gross Anatomy examinations, four (4) Gross Anatomy laboratory practicals and two (2) neuroscience examinations. The gross anatomy laboratory and written examinations will occur on the same day during normal class time. The neuroscience examinations are scheduled for the middle of the course and the last day of the course.

Gross Anatomy Written Lab Practical Total

Upper Extremity 10% (100 points) 10% (100 points) 20% (200 points)

Lower Extremity 10% (100 points) 10% (100 points) 20% (200 points)

Head and Neck 10% (100 points) 10% (100 points) 20% (200 points)

Thorax, Abdomen / Pelvis 10% (100 points) 10% (100 points) 20% (200 points)

Neuroscience

Cell Physio/Touch/Motor 10% (100 points) 10% (100 points)

Nerves/Thalamus/Cortex 10% (100 points) 10% (100 points)

100% (1000 points)

The final grade for the course will be submitted as HIGH PASS, PASS, or FAIL, based upon the average of the examinations and using the criteria listed below.

HIGH PASS 100 – 90.0% PASS 89.9 – 70.0% FAIL – 69.9% and below

All examinations will occur in the room the where material is covered.

EXAM RETURN

All exams will be returned during the next scheduled class meeting time. It is against the federal student information act to communicate grades in any manner except the most secure, whether it is face-to-face or through the United States Postal Service. No grades will be given via email or over the telephone.

Students interested in receiving their final exams need to give the faculty instructor a self-addressed, stamped envelope on the final exam day. Exams will be mailed when grading is completed. The University of New England registrar will mail official grades, and all old copies of exams will be destroyed on an annual basis.

CHALLENGE POLICY

If a student believes that an error has been made on an exam and / or that a question was marked unfairly, then that student may request consideration for a different acceptable answer for that question. These requests MUST be put into writing (typed, well worded, and referenced) and submitted to the course director within 1 week of the exam return date. The course director will have final say on any changes.

TEXTBOOKS

Required Texts: Essential Clinical Anatomy (4th Ed.) Moore and Agur

ISBN 978-0-7817-9915-7

Gross Anatomy Lab Manual (3rd Ed.) Daly

ISBN: 978-0-7575-7726-0

The Human Brain: An Introduction to Its Functional Anatomy (6th Ed.) Nolte

ISBN: 978-0-323-04131-7

Atlas of Anatomy (1st Ed.)

Gilroy, McPherson & Ross

ISBN: 978-1-60406-062-1

Atlas alternatives (Gilroy will be used in powerpoints):

Color Atlas of Anatomy (7th Ed.)

Rohen, Yokochi, and Lujen-Drecoll

ISBN: 978-1-58255-8561

Atlas of Human Anatomy (5th Ed.)

Netter

ISBN: 978-1-4160-5951-6

Websites:

http://anatomy.med.umich.edu/ http://uwmsk.org/RadAnatomy.html

http://www.netteranatomy.com http://anatomy.med.umich.edu/courseinfo/mich_quiz_index.html

http://www.uihealthcare.com/topics/medicaldepartments/radiology/index.html

http://www.winkingskull.com http://dml.georgetown.edu/students/5586.html

The syllabus is available on the web at http://faculty.une.edu/cas/fdaly

There is also a copy of typical multiple choice exam questions.

**Students will be expected to provide their own lab wear (scrubs, sneakers), INCLUDING GLOVES ***

GROSS MEMORIAL SERVICE

The University of New England has an annual memorial service as way of remembering and thanking the individuals and families who have given us a precious gift. Without their generosity, we would not have the opportunity to learn a subject so pivotal to the health profession. This memorial service is historically scheduled to happen in the fall. All students who have taken gross anatomy are invited to participate and the families of the donors are invited to attend.

This year's service will take place on Saturday, September 11, 2011 at 7pm in the Decary parking lot.

Anyone interested in speaking or some other show of thanks, please contact Hank Wheat (deiner).

STUDENTS WITH DISABILITIES

Any student eligible for and needing academic adjustments or accommodation because of a disability is requested to speak with the course director within the first week of the course. Registration with the office of Students with Disabilities (OSD, located in the counseling center, Stella Maris Basement, x2815) is required before accommodation requests can be granted.


Instructional Objectives

PAC 500 Anatomy

At the completion of the lectures and labs, the student will be able to do the following:

General

1.  Develop a comprehensive understanding of basic anatomy in such a way as to be able to utilize basic concepts to address anatomical questions.

2.  Integrate knowledge of anatomy into the clinical practice of patient examination.

3.  Integrate knowledge of systemic anatomy to a regional context of anatomy to elucidate the names of

structures and link them to their functions.

4.  Define the “anatomical position”. Using conventional anatomical terms, describe the body and the

spatial relationships of its parts (dorsal/ventral, medial/lateral, proximal/distal, superficial/deep, etc.).

Imaging

1.  Identify normal versus simple pathological conditions in a variety of imaging techniques.

2.  Identify soft and hard tissues in x-ray, CT and MRI images, noting specific landmarks.

3.  Describe the internal structures of organs, by structure and function, from what can be visualized.

Musculature

1.  Identify all muscles in the body by name.

2.  Describe the attachments of the muscles and discuss their actions on specific joints.

3.  Describe the innervations of the muscles and discuss the cranial or spinal nerve components that provide the motor and/or sensory stimulus.

4.  Describe the blood supply to the muscles and discuss the deep and surface drainage through the venous system.

Skeletal

1.  Identify all bones by name

2.  Identify the surface landmarks of bones and relate those to specific attachments of muscles, tendons or ligaments.

3.  Discuss the purpose of bony landmarks and their relationship to related joints to describe the action

(or limits to action) of specific structures.

4.  Fully describe all joints using functional and anatomical terminology.

5.  Identify which actions occur at each joint and which muscles (and nerves) produce those actions.

Nervous

1.  Identify the nerves in the body by name and cranial or spinal components.

2.  Discuss the targets of each nerve including bones, joints, muscles and epidermal innervation sites.

3.  Discuss the course of the nerves in regards to central nervous system exit, bony passages and fascial planes of travel.

Cardiovascular

1.  Identify all arteries, deep / superficial veins and lymphatics of the body by name.

2.  Discuss the branches (or tributaries) of the major vessels of each of the body regions.

3.  Discuss the area of supply (or drainage) of each of the named vessels, including bones, joints, muscles and epidermal sites.

Visceral

1.  Identify all organs and describe their basic functions.

2.  Describe the location of the organ and the way that it is supported within the body.

3.  Identify the arterial supply, venous (and lymphatic) drainage and innervation, including autonomics, of the organs.

Neuroscience

1.  Describe the structure and function of the visible parts of the central nervous system, with particular attention paid to nervous tracts and nuclei (ganglia).

2.  Describe the arterial supply and venous (including cerebrospinal fluid) drainage of the central nervous system.

3.  Describe the protective structures, including meninges, of the central nervous system and identify the specific structures (inter-cerebral, intra-cerebral and extra-cerebral) that perform each function.

4.  Identify the cranial nerves by name, number, brainstem exit/entry, bony passage and target of innervation in the head, neck or body. Be able to describe the specific functions of the sensory and/or motor components, including autonomics, of each nerve.

5.  Identify all major internal structures in the central nervous system relating to sensory, motor and executive functions as well as their connections (source and target).