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Graduate Course Proposal Form Submission Detail - GMS6442
Tracking Number - 2867

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Current Status: Approved by SCNS - 2012-08-29
Campus: Tampa
Submission Type: New
Course Change Information (for course changes only):
Comments: to GC chair 5/4/12 for MSMS Metabolic conc. GC approved 5/15/12. to USF 5/15/12. to SCNS 5/23/12. Appd eff 8/1/12. Subm as 6457; appd as 6442

Detail Information

  1. Date & Time Submitted: 2012-03-28
  2. Department: Deans Office
  3. College: MD
  4. Budget Account Number: 6108-000
  5. Contact Person: Michael J. Barber, D.Phil.
  6. Phone: 8139749908
  7. Email:
  8. Prefix: GMS
  9. Number: 6442
  10. Full Title: Nutrition, Obesity and Metabolism
  11. Credit Hours: 3
  12. Section Type: C - Class Lecture (Primarily)
  13. Is the course title variable?: N
  14. Is a permit required for registration?: Y
  15. Are the credit hours variable?: N
  16. Is this course repeatable?:
  17. If repeatable, how many times?: 0
  18. Abbreviated Title (30 characters maximum): Nutrition, Obesity and Metabol
  19. Course Online?: C - Face-to-face (0% online)
  20. Percentage Online: 0
  21. Grading Option: R - Regular
  22. Prerequisites: None
  23. Corequisites: None
  24. Course Description: Designed to give a broad understanding and discussion of the links between human nutrition and obesity and the role of intermediary metabolism in weight management.

  25. Please briefly explain why it is necessary and/or desirable to add this course: Replacing Selected Topics with Permanent number; already listed in program
  26. What is the need or demand for this course? (Indicate if this course is part of a required sequence in the major.) What other programs would this course service? Metabolic Nutritional Medicine represents a new and evolving discipline in the medical sciences that deals with an integrative and functional medicine approach to healthcare and disease prevention The discipline combines evidence based medicine with new approaches to therapeutics and patient wellness. Nutrition and metabolism represent a critical approaches to understanding and controlling obesity The Metabolic Nutritional Medicine concentration currently has 97 registered students and approx 30 registered for the first course offering.
  27. Has this course been offered as Selected Topics/Experimental Topics course? If yes, how many times? Yes, 1 time
  28. What qualifications for training and/or experience are necessary to teach this course? (List minimum qualifications for the instructor.) All the instructors in the course are M.D., D.O. or Ph.D. or equivalent trained faculty.
  29. Objectives: The course has the following objectives:

    Discuss the basic aspects of human nutrition relevant to weight management snd obesity.

    Identify factors involved in maintneance of an appropriate human physique and exercise methods to reduce weight gain.

    Compare and contrast metabolic factors that influence weight gain and weight loss together with their relevance to the current obesity epidemic.

    Examine a broad spectrum of diet and surgical approaches to weight loss and obesity and the after-effects of surgery.

    Provide extensive discussion of the use of biomarkers in monitoring cardiovascular disease and obesity.

    Review the link bewteen diabetes and obesity and the role of insulin in regulating carbohydrate metabolism.

    Discuss the diagnosis and treatment of metabolic syndrome.

    Discuss various methods of lifestyle change for effective weight management.

    Examine factors affecting weight loss in the aging patient.

  30. Learning Outcomes: At the completion of this course, participants will be able to:

    •Describe how Physique Optimization can add revenue to a medical practice and recognize different types of eating plans utilized in bodybuilding and fitness professionals

    •Review a number of objective measurements including the importance of body composition in tracking

    •Discuss how to alternate caloric load and macronutrient shift according to goals and results

    •Review the importance of a pre and post workout meal

    •Discuss some basics of exercise prescription for those looking to optimize their physique

    •Describe advanced bio-marker testing for cardiovascular risk stratification and individualized treatment

    •Discuss how diet and lack of exercise induces inflammation

    •Recognize the role of inflammation in heart disease and weight loss

    •Improve patient outcomes in both cardiovascular disease and weight loss by following bio-markers

    •List the factors that make up the metabolic syndrome and how it relates to weight gain, weight loss, heart disease, strokes, and diabetes

    •Identify the factors that are implicated in causing the metabolic syndrome and why there is disagreement with experts on the definition, cause, and treatment

    •Describe the diagnosis of the metabolic syndrome including labs, history, and physical examination

    •Illustrate how the liver is involved with the pathogenesis of disease and how weight gain, particularly around the organs, is a toxic response to liver stress

    •Describe lifestyle and behavioral interventions, medications, and other interventions for the prevention, treatment and cure of the metabolic syndrome

    •Apply the skills acquired as a functional medicine provider to assess and evaluate the bariatric surgery patient

    •Discuss the difference between treating gastric bypass, lap band and gastric sleeve patients and realizing that these patient have similar and different needs

    •Discuss nutritional, hormonal, deficiency in a patient population that is volume and calorie restricted

    •Formulate diet, exercise, vitamin, plans, from immediately after surgery to many years post-surgery while also realizing that the patient needs constant education and emotional support to attempt to achieve a healthy lifestyle

    •Recognize and treat dumping syndrome

    •Discuss how to help a bariatric surgery patient who has regained weight

    •Describe the functions of insulin and the functions of the counter-regulatory hormones

    •Discuss the relationship between insulin and the counter-regulatory hormones

    •identify the difference between insulin sensitive and insulin resistance

    •Examine how to diagnose the early stages of insulin resistance

    •Discuss what the process of healing insulin resistance looks like , i.e., why the patient gains fat weight as they become more insulin sensitive

    •Describe the mechanism of weight gain

    •Examine why less calories and/or more exercise works in the short term but not necessarily in the long term

    •Describe how the counter‐regulatory hormones plateau weight loss

    •Describe the pathophysiology of Type II DM

    •Compare and contrast the common drug therapies and new modalities

    •Examine the physiology/endocrinology by which diet and lifestyle modifications improve insulin sensitivity

    •Identify the stages of change model: To have a working knowledge of the stages of change model and learn to work with people in each stage of change

    •Utilize Provider Tools as a simple tool to facilitate change in patient office visits

    •Discuss 3 options to approaching patients who need to make changes: To have 3 stylistic approaches to change depending on how much time you have

    •Define how satiety signaling is affected by Energy Balance, Adipose Biology and Metabolic Efficiency, and ways to know which area may be affecting a patient’s outcome

    •Define lifestyle intervention as a synergy of signals which work to trigger intracellular activities - ultimately driving changes in physiology and weight

    •Outline key clinical studies that can form the basis of a rational lifestyle intervention approach for weight management in an aging population of patients

    •Discuss the role of macronutrients, micronutrients and phytonutrients in weight loss

    •Discuss the role of nutrient quality, quantity and ratios in weight loss research

    •Describe how different foods and actives assist in weight loss mechanisms

    •Discuss the importance of the meal size, snacking, frequency of eating, and time of day in contributing to body weight

    •Understand how emotional eating and stress eating can result in dysfunctional changes in eating behavior

    •Understand the importance of mindfulness and relaxation in establishing good eating behavior

  31. Major Topics: Course topics include:

    Beyond Weight Loss – The Art of Physique Optimization

    Metabolic Powerhouse

    The Use of Biomarkers in Cardiovascular Disease & Weight Loss

    After Bariatric Surgery

    Insulin is not the Bad Guy

    Why Patients with Insulin Resistance are Resistant to Losing Weight

    Insulin Resistance, The Metabolic Continuum

    Insulin Resistance & Diabetes

    Facilitating Change: Stages of Change & More for Weight Loss

    Lifestyle Synergy for Weight Management – Challenges in the Aging Patient

    Nutrition & Weight Loss

  32. Textbooks: The course features two suggested textbooks that provides expert coverage of the course material:

    Smith, P., “Why You Can't Lose Weight: Why It’s So Hard to Shed Pounds and What You Can Do About It”. Square One Publishers, 2011.

    ISBN-13: 978-0757003127

    Tano, B., "Hormone Imbalance Syndrome: America’s Silent Plague". Integrative Medical Press, 2012.

    ISBN-13: 978-0983419204

    In addition, recommended textbooks that provide additional reference material include:

    Ahima, R.S. (ed.), “Metabolic Basis of Obesity”. Springer, 2010.

    ISBN-13: 978-1441916068

  33. Course Readings, Online Resources, and Other Purchases: Additional and appropriate readings will be identified and posted on Blackboard.
  34. Student Expectations/Requirements and Grading Policy: The course requires the completion of 3 case studies research papers 15% each 45% of grade. Comprehensive midterm exam 23% of grade. Comprehensive final exam 23% of grade. 5 webcasts 9% of grade.
  35. Assignments, Exams and Tests: The course requires completion of 4 unit self-assessment quizzes, 3 case studies research papers, a comprehensive midterm exam, a comprehensive final exam and 5 webcasts.
  36. Attendance Policy: Course Attendance at First Class Meeting – Policy for Graduate Students: For structured courses, 6000 and above, the College/Campus Dean will set the first-day class attendance requirement. Check with the College for specific information. This policy is not applicable to courses in the following categories: Educational Outreach, Open University (TV), FEEDS Program, Community Experiential Learning (CEL), Cooperative Education Training, and courses that do not have regularly scheduled meeting days/times (such as, directed reading/research or study, individual research, thesis, dissertation, internship, practica, etc.). Students are responsible for dropping undesired courses in these categories by the 5th day of classes to avoid fee liability and academic penalty. (See USF Regulation – Registration - 4.0101,

    Attendance Policy for the Observance of Religious Days by Students: In accordance with Sections 1006.53 and 1001.74(10)(g) Florida Statutes and Board of Governors Regulation 6C-6.0115, the University of South Florida (University/USF) has established the following policy regarding religious observances: (

    In the event of an emergency, it may be necessary for USF to suspend normal operations. During this time, USF may opt to continue delivery of instruction through methods that include but are not limited to: Blackboard, Elluminate, Skype, and email messaging and/or an alternate schedule. It’s the responsibility of the student to monitor Blackboard site for each class for course specific communication, and the main USF, College, and department websites, emails, and MoBull messages for important general information.

  37. Policy on Make-up Work: For documented student absences such as for illness students will be allowed to make up any missing case reports or exams Students will be required to abide by USF policy on academic integrity as described in course syllabus.
  38. Program This Course Supports: M.S in Medical Sciences- Metabolic & Nutritional Medicine concentration
  39. Course Concurrence Information: None

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