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Graduate Course Proposal Form Submission Detail - PAS6003
Tracking Number - 3007

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Current Status: Approved by SCNS - 2013-07-01
Campus: Tampa
Submission Type: New
Course Change Information (for course changes only):
Comments: to GC 1/14/13. for MA in P.A.; GC approved 1/28/13. to USF Sys 1/28/13; to SCNS 2/5/13. Apprd eff 4/1/13.

Detail Information

  1. Date & Time Submitted: 2012-11-26
  2. Department: Graduate School
  3. College: MD
  4. Budget Account Number: HSC-10009-611600-000000-0000000
  5. Contact Person: Larry Collins
  6. Phone: 813-396-9424
  7. Email:
  8. Prefix: PAS
  9. Number: 6003
  10. Full Title: Physical Diagnosis
  11. Credit Hours: 2
  12. Section Type: C - Class Lecture (Primarily)
  13. Is the course title variable?: N
  14. Is a permit required for registration?: N
  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): PHYSICAL DIAGNOSIS
  19. Course Online?: C - Face-to-face (0% online)
  20. Percentage Online: 100
  21. Grading Option: -
  22. Prerequisites: N/A
  23. Corequisites: N/A
  24. Course Description: The art and technique of the patient interview and physical examination through extensive clinical exposure to techniques used in the proper performance and recording of the physical examination of patients.

  25. Please briefly explain why it is necessary and/or desirable to add this course: Needed for new program/concentration/certificate
  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? Consistent with other Physician Assistant Degree Programs
  27. Has this course been offered as Selected Topics/Experimental Topics course? If yes, how many times? No
  28. What qualifications for training and/or experience are necessary to teach this course? (List minimum qualifications for the instructor.) PA, MD, PhD, ARNP, MSW
  29. Objectives: The purpose of this course is to prepare students to perform physical examinations and to take complete medical and problem-oriented histories. Teaching techniques include lectures, workshops, physical and verbal exam practice and testing, videotaping, and small group tutorials.

    In order to allow for the practice of examination skills on a variety of different “patients,” physical examinations and problem-oriented histories will be practiced on fellow students and on retirement home volunteers. Additional history taking practice will include opportunities to interview standardized patients prepared to act as a patient with a specific medical condition.

  30. Learning Outcomes: By the end of the course, the student should be able to:

    • Interpret items from the patient history to explain common patient symptoms using an anatomic and/or physiologic approach

    • Interpret physical findings and explain normal and common abnormal physical findings using an anatomic and/or physiologic approach

    • Use an anatomic and/or physiologic approach to formulate a relevant patient problem list

    • Use an anatomic and/or physiologic approach when formulating a differential diagnosis

    • Generate and test pathophysiological hypotheses about the nature of patient’s problem(s) and use additional information to test the hypotheses

    • Gather information in an organized and systematic fashion appropriate to the chief complaint and patient presentation

    • Obtain an accurate chief complaint from a patient

    • Thoroughly explore the cardinal elements (location, quality, quantity, setting, aggravating and alleviating factors, and associated manifestations) of the chief complaint(s)

    • Develop chronologically the history of the present illness

    • Conduct a thorough review of systems using a prepared list

    • Obtain an accurate and complete medical history including:

    o Current health problems with year of diagnosis, status and complications

    o Past medical, surgical, psychiatric, obstetric/gynecologic (when appropriate) history

    o Medication list including dose, route and frequency

    o Complementary and alternative medicine used

    o Allergies including type of reaction

    o Immunization history

    o Birth and developmental history, when appropriate

    • Obtain a thorough family history from a patient, including age of death of all 1st degree relatives and major illnesses

    • Obtain a thorough social history including diet/exercise, alcohol, recreational drugs, tobacco, home life, education, occupation/school/daycare, safety (guns, seat belts, smoke alarms) and sexual history

    • Obtain selected age and gender appropriate health care screening information

    • Properly measure blood pressure, pulse and respiratory rate, and obtain height and weight to plot on growth chart, when appropriate, and calculate BMI

    • Describes key features of the general appearance using specific terms including any apparent distress

    • Perform head exam including eyes, ears, nose, and oral pharynx

    • Properly identify and measure the jugular venous pulsation

    • Describe jugular venous pattern and changes with respiratory cycle

    • Describe location and intensity of carotid artery pulsation

    • Auscultate and describe bruits

    • Describe location and intensity of peripheral artery pulsations

    • Know the importance of palpating for differences between pulsations

    • Palpate and describe thyroid cartilage and gland, cricothyroid membrane, cricoid cartilage, and trachea

    • Palpate and describe regional lymph nodes

    • Assess for neck range of motion and nuchal rigidity

    • Systematically inspect, percuss and auscultate lungs

    • Identify and describe normal and abnormal breath sounds

    • Inspect and palpate the precordium

    • Palpate and describe the PMI

    • Describe cardiac rhythm and rate

    • Auscultate the heart in the standard locations

    • Demonstrate distinguishing auscultatory use of the diaphragm and bell

    • Describe S1 and S2 with respect to intensity and splitting

    • Demonstrate expected location of an S3 or S4

    • Describe location, timing and intensity of common systolic and diastolic heart murmurs

  31. Major Topics: • Complete History Taking: Introduction to PMH, FH, and Patient Profile, and Review of Systems

    • Introduction to Problem Oriented History, Case Presentations, SOAP notes

    • Geriatric Assessment: ADL, Nutritional Assessment, Geriatric Depression Scale

    • Dermatology

    • HEENT

    • Neck

    • Cardiovascular

    • Heart Sounds

    • Respiratory

    • Breath Sounds

    • Gastrointestinal

    • Neurological

    • Musculoskeletal

    • Male Genitourinary

    • Female Genitourinary and Reproductive

    • Oral Health History and Exam

  32. Textbooks:
  33. Course Readings, Online Resources, and Other Purchases:
  34. Student Expectations/Requirements and Grading Policy: Course requirements include satisfactory attendance of all class and clinical sessions, completion of assigned readings, satisfactory completion of all written assignments, and satisfactory completion of all physical exam tests and history tests. Students will be expected to demonstrate the taking of a problem-oriented history twice throughout the quarter. Mastery of course objectives requires a satisfactory performance of 80% or greater for the average of 2 multiple choice exams.
  35. Assignments, Exams and Tests: The course grade will be based on several different aspects of the learning experiences in this course. The written exams will count for 30% of the overall grade and an average of 80% or greater on these 2 exams is required to pass this course. Performance exams will count for 60% of the course grade and will be based on the various medical history taking and physical examinations. In order to pass a performance examination, a student must not only score a passing percent on the exam, but also demonstrate an overall level of competence to the exam evaluator. Weekly written assignments will count for 10% of the overall grade. The written assignments include history write-ups and SOAP notes. The variety of assignments required in this course is intended to reinforce the skills needed by a practicing physician assistant.
  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: Didactic Attendance Policies

    Students are encouraged to attend all scheduled hours of instruction. Mandatory sessions and participation requirements are listed on the final page of this syllabus. Recognizing that situations arise which require students to miss time from course responsibilities, the procedures presented below will be followed when absence is necessary.

    1. Religious Observances

    All students, faculty and staff at the University of South Florida have a right to expect that the University will reasonably accommodate their religious observances, practices and beliefs. Students are expected to attend classes and take examinations as determined by the University. The University will attempt, at the beginning of each academic term, to provide written notice of the class schedule and formal examination periods. The University, through its faculty, will make every attempt to schedule required classes and examinations in view of customarily observed religious holidays of those religious groups or communities comprising the University’s constituency. Any student who believes that he/she has been treated unfairly with regard to the above should contact the Office of Student Affairs.

    2. Lectures

    a. Emergencies for Personal Illness, Family Illness, etc.

    The student must contact both the Course Directors by e-mail or telephone and Student Affairs by e-mail or telephone to report his/her absenteeism on the first day of being absent. He/she should indicate the nature of the emergency or unexpected illness. The student must also complete and submit the Absence Report Form. Specifics on planned and unplanned absences, as well as unexcused absences, are listed below.

    b. Exam Attendance Procedures

    Students are expected to attend all scheduled hours of instruction. However, attendance at all examinations is mandatory, and all students should take the examinations on the day and time scheduled.

    Planned Absence

    Absence for attendance at a professional meeting or other educational or research related activity should be submitted for approval to the Course Directors at least 6 weeks prior to the event. Each request for absence will be considered on a case-by-case basis. Personal travel plans should not be considered valid excuses for missing an exam.

    To receive an excused, planned absence, the student must submit a completed Exam Absence Request form to the Course Directors. A copy of the written request must also be submitted to the Office of Student Affairs as soon as possible before the exam occurs. The Course Directors or designee will make the final determination to grant or deny the request and will inform the Office of Student Affairs of the decision. The Office of Student Affairs will subsequently notify the student and the Office of Educational Affairs.

    Unplanned Absence

    If the student has an unanticipated, unplanned absence on the day of an exam, he/she must contact Student Affairs by 8:30 a.m. on the day of the exam. When the student returns to school he/she must fill out and sign the Absence Report form. Documentation for the absence to be excused (e.g. physician’s note, accident report, etc.) will be at the discretion of the OSA.

    Students who miss an examination for any reason are required to contact the Office of Educational Affairs (974-2435) prior to returning to class to determine the date and time of the make-up examination. Dates and times of make-up examinations are determined by the Program Director in consultation with Course Directors.

    In general, make-up examinations must be taken within 48 hours of the original examination date. If a student’s absence from an examination is unexcused, the grade recorded for the exam will be the student’s actual score or 69, whichever is lower, and will not include a group score. A second unexcused absence will result in a grade of “0” and action taken by the Academic Performance Review Committee (APRC) regarding professionalism.

    3. Mandatory Course-Specific Events

    In addition to examinations, the following are all considered mandatory events:

    a. Laboratories

    b. Small group conferences

    c. Problem-solving sessions

    d. Team Based Learning sessions

    e. Large group/Active Learning sessions

    Planned Absence

    In general, in order to be excused from one of these events, the same procedure for examinations is followed. The student must first directly contact the Course Directors with a copy of the request to Student Affairs. The Absence Request form should be completed and given to the Course Directors as soon as possible for planned absences. The Course Directors will make the determination to grant or deny a request in addition to any required remediation.

    Unplanned Absence

    An unanticipated absence on the day of an event requires notification of the Course Directors and Student Affairs. Upon returning to campus, the Absence Report form should be completed and given to the Course Directors. The Course Directors will make the determination to grant or deny the absence in addition to any required remediation.

    Students who miss course-specific mandatory events are expected to acquire the same level of competency as other students involved in the course. Therefore, students with an excused absence may be assigned work to complete by the Course Directors in order to remediate. In the case of an unexcused absence the Course Directors may assign a “0” or no credit for the missed work and/or require other remediation at their discretion. Multiple absences, or a prolonged absence, could result in failure of the course or a grade of “Incomplete”, at the discretion of the Course Directors. In any event all absences for course-specific mandatory events and the outcome should be reported to the OSA by the Course Directors.

    Sign-in sheets will be used for laboratories, case studies and group discussion conferences to determine attendance (Sign-in sheets WILL NOT be used for lectures). Signing an attendance roster when you didn’t attend or arrive late to a lab, or signing the roster for another student is considered an unprofessional act and a violation of the honor code.

  38. Program This Course Supports: Physician Assistant
  39. Course Concurrence Information: n/a

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