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Graduate Course Proposal Form Submission Detail - PAS6030

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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. Objectives need revision. Emailed faculty 1/25/13. recd 1/28/13. Approved. to USF Sys 2/20/13. to SCNS 2/28/13. Apprd eff 4/1/13. Nmbr 6006 apprd as 6030


  1. Department and Contact Information

    Tracking Number Date & Time Submitted
    3009 2012-11-26
     
    Department College Budget Account Number
    Graduate School MD HSC-10009-611600-000000-0000000
     
    Contact Person Phone Email
    Larry Collins 813-396-9424 lcollins@health.usf.edu

  2. Course Information

    Prefix Number Full Title
    PAS 6030 Laboratory and Diagnostic Studies

    Is the course title variable? N
    Is a permit required for registration? N
    Are the credit hours variable? N
    Is this course repeatable?
    If repeatable, how many times? 0

    Credit Hours Section Type Grading Option
    2 C - Class Lecture (Primarily) -
     
    Abbreviated Title (30 characters maximum)
    LAB & DIAG STUDIES
     
    Course Online? Percentage Online
    C - Face-to-face (0% online) 100

    Prerequisites

    N/A

    Corequisites

    N/A

    Course Description

    Laboratory and Diagnostic Studies is a two-credit course introducing the student to radiologic imaging, clinical laboratory medicine, ECG and cardiac diagnostics. Focus is on the ability to select, perform, and interpret the results of clinical labs.


  3. Justification

    A. Please briefly explain why it is necessary and/or desirable to add this course.

    Needed for new program/concentration/certificate

    B. 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

    C. Has this course been offered as Selected Topics/Experimental Topics course? If yes, how many times?

    No

    D. What qualifications for training and/or experience are necessary to teach this course? (List minimum qualifications for the instructor.)

    PA, MD, PhD, ARNP, MSW


  4. Other Course Information

    A. Objectives

    The student is introduced to a variety of laboratory and diagnostic studies that they will continue to develop their skills in during the clinical year. The mastery level expectation is that the student will have a good grasp of concepts and techniques during the didactic year.

    Students will be introduced to clinical reasoning, basic clinical procedures, lab medicine, radiology, and electrocardiography. It is expected that the student will be able to make a preliminary interpretation of a patient’s clinical condition after learning about the normal and abnormal findings associated with lab results, radiographs, and ECG’s. There will be hands-on skill workshop experiences to complement the course lectures. Students are expected to participate fully in skill workshops.

    Students will develop a basic understanding of radiology including basic interpretation of plain films: abdominal radiographs, chest radiographs, extremity radiographs, and basic understanding of the clinical uses of ultrasound, CT, and MRI. Students will also become familiar with and develop a basic understanding of electrocardiography and be able to interpret 12-Lead ECG’s that would commonly be seen in a primary care setting.

    At the conclusion of the course the first-year physician assistant student will be able to:

    1. Obtain and interpret vital signs.

    2. Demonstrate interpersonal communication skills to develop professional rapport with patients, families and other healthcare professionals.

    3. Demonstrate knowledge of normal ranges of laboratory tests.

    4. Order laboratory and other diagnostic tests including but not limited to:

    • Hematology

    • Microbiology

    • Chemistry

    • Serology

    • Urinalysis

    • Blood gas

    • ECG

    • Peak flow

    • Plain x-ray

    5. Demonstrate knowledge of risks of laboratory and diagnostic tests.

    6. Interpret laboratory and other diagnostic tests.

    7. Analyze findings obtained through history taking, physical examination and interpretation of diagnostics studies to formulate an accurate diagnosis.

    8. Perform the following diagnostic procedures:

    • ECG

    • Peak expiratory flow

    • Visual acuity

    • Pap smear

    9. Perform a pelvic exam including proper speculum, PAP smear and culture technique.

    10. Demonstrate digital rectal exam and the ability to test stool for occult blood using guaiac cards.

    11. Discuss the risks/benefits and economic impact associated with diagnostic tests used in formulating a diagnosis and medication/treatment choices used in the formulation of a treatment plan.

    12. Properly organize and document through paper based or electronic based medical records to ensure that an accurate record of the patient encounter is created in compliance with current medical/legal standards.

    13. Deliver accurate, concise oral presentations summarizing pertinent patient data.

    14. Provide patient education regarding symptoms, physical examination findings, laboratory and diagnostic tests, treatment plans and discharge instructions.

    15. Determine when referral to additional services is required.

    16. Facilitate referral to additional healthcare services.

    17. Provide patient education and counseling regarding normal development and aging patterns, health maintenance, disease prevention, screening techniques, immunizations and the risk/benefits of various life style choices.

    18. Demonstrate professional integrity, honesty, dependability, respect for self and others, compassion, and an ability to protect patient confidentiality and trust at all times.

    19. Demonstrate professional excellence, teamwork, tolerance for diversity and community service.

    20. Demonstrate proper breast exam technique and the ability to instruct the patient regarding regular monthly breast self-examination.

    21. Demonstrate proper testicular exam technique and the ability to instruct the patient regarding regular monthly testicular self-examination.

    22. Perform a venipuncture and collect blood samples.

    23. Perform an arterial puncture and collect blood samples.

    24. Establish peripheral vascular access.

    25. Administration of IV fluids, medications, blood and blood products.

    26. Collect stool, urine, sputum, throat, or wound drainage specimen for culture.

    27. Perform a gram stain and interpret smear.

    28. Perform injections including subcutaneous, intradermal, intravenous and intramuscular.

    29. Administration of medication via the following routes:

    • Topical

    • Oral

    • Sublingual

    • Inhalation

    30. Interpret intradermal skin test..

    31. Insert a nasogastric tube.

    32. Interpret an electrocardiogram.

    33. Analyze spirometry readings.

    34. Demonstrate proper technique for a lumbar puncture.

    35. Perform a chemical and microscopic urinalysis.

    36. Insert and remove a Foley catheter.

    37. Demonstrate the ability to utilize OSHA recommended Universal Precautions.

    38. Demonstrate the ability to use aseptic technique and the ability to establish a sterile field.

    39. Demonstrate proper wound care including skin closure using various suturing technique.

    40. Apply casts and splints using proper materials and techniques.

    41. Demonstrate the ability to determine when supplemental oxygen is required by a patient and the factors which must be considered when determining the best delivery method and rate of flow.

    42. Demonstrate competency in the interpretation of plain radiographs of the chest, abdomen, spine and extremities.

    43. Implementation of basic life support (CPR):

    • Rescue breathing

    • Chest compressions

    • FBAO removal

    44. Implementation of Advanced Cardiac Life Support (ACLS):

    • Defibrillation

    • Cardioversion

    • Pacing

    45. Demonstrate knowledge and skill of basic airway management:

    • Oropharyngeal airway

    • Nasopharyngeal airway

    • Suction

    • Bag valve mask ventilation

    • Pocket mask ventilation

    46. Demonstrate knowledge and skill in advanced airway management:

    • Endotracheal Intubation

    • Laryngeal mask airway (LMA)

    47. Monitor patient progress and response to treatment.

    B. Learning Outcomes

    By the end of this course the student should be able to:

    1. Identify the basic anatomy and conduction system of the heart

    2. Acquired the basics of 12 lead EKG interpretation

    3. Describe electrode position for ECG and telemetry equipment

    4. Identify basic ECG rhythms

    5. Identify arrhythmias (myocardial infarction (location specific), ventricular hypertrophy, pericarditis and heart blocks) and relevant implications

    6. State policies and procedures related to ECG monitoring

    7. Recognize a technically adequate chest x-ray

    8. Recognize cardiomegaly, pleural effusion, congestive heart failure, airspace versus interstitial disease, pneumothorax, pneumomediastinum, pneumopericardium and subcutaneous emphysema.

    9. Recognize mediastinal and lung masses and metastases.

    10. Recognize the placement of ICU tubes and lines.

    11. Recognize small/large bowel obstruction, ileus, free air, abdominal calcifications and soft tissue masses in the abdomen.

    12. Recognize fractures and dislocations and common causes of neck and back pain

    13. Recognize abnormalities of bone density

    14. Recognize the basics of evaluation of CT of the chest, abdomen and head.

    15. Demonstrate an understanding of the clinical laboratory, the professionalism desired in clinical laboratory personnel, and governmental and non-governmental regulations impacting the clinical laboratory.

    16. Exhibit behavior consistent with the ethical practice of clinical laboratory medicine.

    17. Maintain confidentiality of all patients and test results, and defend reasons why this must be done.

    18. Demonstrate an appreciation for the special knowledge and talent of other members of the health care team.

    19. Name important pathogens, including HIV, that could be transmitted by blood or body fluids and demonstrate procedures to safely handle these specimens.

    20. Evaluate quality control values recognizing shifts, trends, and out of range values to determine acceptability of patient results.

    21. Safely process clinical specimens according to established procedures.

    22. Operate basic laboratory equipment, such as microscopes, centrifuges, pipets, and blood collection devices safely and according to established procedures.

    23. Exhibit an understanding of safety hazards in the laboratory and demonstrate the proper techniques to avoid accidents.

    24. Identify and use basic medical terminology as applies to the clinical laboratory.

    25. Perform basic blood drawing procedures to obtain venous and capillary specimens.

    26. Provide instructions to patients preparing them for collection of laboratory test specimens.

    C. Major Topics

    • Introduction to Clinical Reasoning

    • Basic Hematologic Lab Tests

    • Urinalysis & Microscopy Workshop

    • Introduction to Diagnostic Imaging

    • Chest Imaging

    • Abdominal Imaging

    • Extremity Imaging

    • Introduction to electrocardiography

    • Normal ECG

    • ECG pathologies

    • Simulation lab experiences

    D. Textbooks

    EKG Plain and Simple by Karen Ellis. 2012. Prentice Hall.

    Rapid Interpretation of EKG's by Dale Dubin. Cover Publishing Company. 2000. Symptom Based Radiology by Donald L. Renfrew, M.D. 2010. Symptom Based Radiology Publishing.

    Novelline, RA and LF Squire. Squire's Fundamentals of Radiology. Cambridge, MA: Harvard UP, 2004.

    Laposata, Michael. Laboratory Medicine: Clinical Pathology in the Practice of Medicine. Chicago: ASCP, 2002.

    E. Course Readings, Online Resources, and Other Purchases

    F. Student Expectations/Requirements and Grading Policy

    Course requirements stipulate regular attendance at all lecture and workshop sessions, regardless of prior student experience. Timeliness is a professionalism issue and the expectation is that students will be on time to all lectures/workshops and complete all assignments within the established time frame. The student’s knowledge base will be evaluated through the use of assignment journals, case studies, and workshop participation.

    G. Assignments, Exams and Tests

    Students will complete an online module titled – “Critical Thinking and Technology Assessment” from the University of Virginia Health System web site: Introduction to Radiology. The module is available on their home page: http://www.med-ed.virginia.edu/courses/rad/. This module will introduce and reinforce evidence-based medicine terminology and concepts.

    Integrated Clinical Reasoning Problems 15%

    ECG Quizzes 10%

    ECG Workshops 15%

    Diagnostic Imaging Quizzes 10%

    Diagnostic Imaging Workshops 15%

    Critical Thinking and Technology Assessment 10%

    Clinical Laboratory Medicine Quizzes 10%

    Clinical Laboratory Medicine Workshops 15%

    H. 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,

    http://usfweb2.usf.edu/usfgc/ogc%20web/currentreg.htm)

    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: (http://usfweb2.usf.edu/usfgc/gc_pp/acadaf/gc10-045.htm)

    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.

    I. 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.

    J. Program This Course Supports

    Physician Assistant


  5. Course Concurrence Information

    n/a



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