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Graduate Course Proposal Form Submission Detail - PAS6200

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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.; needs text; faculty emailed 1/25/13. updated; Approved. to USF Sys 2/20/13. to SCNS 2/28/13. Apprd eff 4/1/13. Nmbr 6850 apprd as 6200


  1. Department and Contact Information

    Tracking Number Date & Time Submitted
    3026 2012-11-29
     
    Department College Budget Account Number
    Medicine 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 6200 General Surgery Clinical Rotation

    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
    6 I - Internships (Including Practicum) R - Regular
     
    Abbreviated Title (30 characters maximum)
    GENERAL SURGERY CLINICAL ROTAT
     
    Course Online? Percentage Online
    C - Face-to-face (0% online) 100

    Prerequisites

    Corequisites

    Course Description

    This six-week general surgery rotation allows the student to develop preoperative skills with verbal or written presentations to the preceptor. They will be exposed to routine and emergency surgical problems. The student will assist in the operating room.


  3. Justification

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

    Needed for program/concentration/certificate change

    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?

    To be 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.)

    MD, DO, PA, ARNP


  4. Other Course Information

    A. Objectives

    Upon completion of the rotation, the student will be able to:

    1. Identify risk factors, signs and symptoms, and pertinent historical and physical examination findings associated with each of the previous medical/surgical conditions.

    2. Understand the clinical manifestations, anatomy, epidemiology, physiology, pathophysiology, and natural history associated with each of the previous medical conditions.

    3. Describe the preventive care practices for children and adults according to age, including immunizations, disease screening, and accident prevention.

    4. Distinguish normal from abnormal human anatomy and physiology to include growth, development, and sexuality across the lifespan.

    5. Demonstrate knowledge of genetic mutations/disorders and chromosomal anomalies and make appropriate referral.

    6. Recognize the social, emotional, and physical manifestations of sexual abuse, sexual assault, elder abuse, and substance abuse along with the reporting requirements under state law.

    7. Understand the indications, contraindications, complications, and cost effectiveness of various laboratory and radiological studies and procedures associated with the previous medical/surgical conditions.

    8. Explain normal and abnormal diagnostic results including but not limited to blood, urine, sputum, peritoneal fluids, x-ray, CT, MRI, fluoroscopy, and ultrasound associated with each of the previous medical/surgical conditions.

    9. Explain the generation of differential diagnoses based on history and physical examination findings for each of the previous medical/surgical conditions.

    10. State the indications for surgical care and management for each of the previous medical conditions.

    11. Identify surgical anatomy landmarks for each of the previous surgical conditions.

    12. Describe the normal pre-operative, intra-operative and postoperative course associated with each of the previous surgical conditions.

    13. Explain informed consent, procedure benefits and associated risks/complications for each of the previous surgical conditions.

    14. State the factors that determine the use of local, regional, general anesthesia for patients with surgically managed disease.

    15. State the factors that determine the use of laparoscopic versus open surgical procedures.

    PSYCHOMOTOR

    Upon the completion of the rotation, the student will be able to:

    1. Assess the normal growth and development of individuals across the life span.

    2. Accomplish a complete and accurate history emphasizing those areas specific to the patient encounter.

    3. Assist in the physical assessment and collection of data on patients referred for possible emergent or non-emergent surgical procedures.

    4. Select and interpret the appropriate laboratory and radiographic diagnostic studies for the problem(s) encountered.

    5. Perform selected procedures including but not limited to: venipuncture, IV insertion, nasogastric intubation, and urinary catheter insertion.

    6. Develop a pre-operative and post-operative care plan, to include routine fluids, I&O, diet, activity, and medications.

    7. Assist with the performance of surgical procedures.

    8. Demonstrate appropriate sterile technique in the operating room.

    9. Demonstrate correct scrubbing, gowning, and gloving techniques.

    10. Perform two-handed and one-handed surgical ties.

    11. Record post-operative progress notes.

    12. Assist in the post-operative management of the patient, to include awareness and prophylaxis of common post-operative complications and assessment of surgical wounds for signs of infection.

    13. Change surgical dressings and remove sutures or surgical clips using sterile technique.

    14. Assist in the non-operating room surgical procedures, including:

    a. Wound debridement

    b. I&Ds

    c. Foreign body removal

    d. Superficial biopsies

    e. Laceration repair

    15. Monitor a patient's progress through continuous physical examination, data collection and analysis.

    16. Identify infection around surgical incision sites.

    17. Develop understanding in completing medical records (including reimbursement, coding and billing).

    18. Communicate information in a clear, concise and complete manner to physicians, other members of the healthcare team, and to patients.

    19. Assess and recognize their limitations and utilize proper referral (i.e.: physician, hospital, social agency) for treatment.

    20. Utilize and integrate evidence-based research in medical decision making and problem solving.

    21. Demonstrate cultural sensitivity and appreciation for cultural differences on patient-provider interactions.

    AFFECTIVE

    At all times during the rotation, the student will demonstrate:

    1. Compliance with HIPAA regulations regarding patient confidentiality.

    2. Sensitivity regarding the emotional, cultural, and socioeconomic aspects of the patient and his/her illness.

    3. Professional interactions with all members of the healthcare team.

    4. Willingness to seek help from others when appropriate.

    5. Openness to receiving, considering, and appropriately acting upon constructive criticism.

    6. A genuine and earnestly constructive, self-critical manner consistent with lifelong learning.

    7. Respect patients and preceptors by performing assigned duties promptly, thoroughly and carefully.

    8. Appreciate and recognize the ethical and legal concepts as they relate to health care and the role of the physician assistant.

    B. Learning Outcomes

    Course Learning Outcomes:

    Upon successful completion of the supervised clinical rotation, the student will demonstrate they have developed the ability to:

    1. Obtain and document a comprehensive initial, male/female annual, well child, and obstetrical history and physical examination on patients across the age continuum in the outpatient setting.

    2. Demonstrate familiarity with the clinical manifestation, anatomy, epidemiology physiology, pathophysiology, and natural history associated with conditions commonly addressed in the family practice setting.

    3. Obtain and document pertinent historical information and perform an appropriate physical examination in the context of managing common chronic disease processes encountered in Family Practice.

    4. Obtain and document an accurate problem-focused, age appropriate, history and physical examination, on a patient presenting with an acute condition.

    5. Differentiate normal developmental milestones and normal aging changes from abnormal findings in the care of the Family Practice patient.

    6. Identify and counsel patients on the need for health maintenance, injury avoidance, and disease prevention through patient education on safety measures and recommendations for specific age appropriate medical screening examinations.

    7. Understand the indications, limitations and costs of various laboratory tests, diagnostic studies, and procedures used in the evaluation of acute illnesses, disease risk factors, and preventative health measures.

    8. Interpret the findings of laboratory tests, diagnostic studies, and procedures commonly obtained in the evaluation of the Family Practice patient.

    9. Develop an initial comprehensive differential diagnosis and subsequently formulate definitive diagnosis based on the history and physical examination and available laboratory/diagnostic imaging data.

    10. Formulate and implement an appropriate treatment plan in collaboration with the supervising preceptor, provide patient education, and define follow-up recommendations.

    11. Identify potential therapeutic limitations, complications, and costs associated with the established treatment regimen that may affect patient compliance.

    12. Demonstrate familiarity in recognizing situations where referral to other healthcare providers is necessary and to identify the appropriate referral resource.

    13. Understand the components in performing a pre-operative clearance evaluation.

    14. Participate in or perform necessary clinical procedures.

    C. Major Topics

    Recognize the clinical manifestations, assessment, and treatment of the following conditions:

    I. CARDIOVASCULAR SYSTEM

    1. Conduction Disorders

    a. Bundle Branch Block

    b. Premature beats

    2. Hypertension

    a. Essential

    b. Secondary

    3. Ischemic Heart Disease

    a. Stable

    4. Vascular Disease

    a. Giant cell arteritis

    b. Phlebitis/thrombophlebitis

    c. Varicose veins

    5. Valvular Disease

    a. Mitral valve prolapsed

    6. Other Forms of Heart Disease

    a. Acute pericarditis

    II. PULMONARY SYSTEM

    1. Infectious Disorders

    a. Acute bronchitis

    b. Influenza

    c. Pneumonias

    i. Bacterial

    ii. Viral

    2. Neoplastic Disease

    a. Carcinoid tumors

    b. Pulmonary nodules

    3. Obstructive Pulmonary Disease

    a. Asthma

    b. Bronchiectasis

    c. Chronic bronchitis

    d. Emphysema

    4. Restrictive Pulmonary Disease

    a. Pneumoconiosis

    III. ENDOCRINE SYSTEM

    1. Diseases of the Thyroid Gland

    a. Hyperthyroidism

    b. Hypothyroidism

    2. Diseases of the Pituitary Gland

    3. Diabetes Mellitus

    a. Type 2

    b. Hypoglycemia

    c. Hyperglycemia

    4. Lipid Disorders

    a. Hypercholesterolemia

    b. Hypertriglyceridemia

    IV. EENT

    1. Eye Disorders

    a. Blepharitis

    b. Cataract

    c. Chalazion

    d. Corneal abrasion

    e. Dacryoadenitis

    f. Ectropion

    g. Entropion

    h. Hordeolum

    i. Pterygium

    2. Ear Disorders

    a. Barotrauma

    b. Hearing impairment

    c. Meniere‟s disease

    d. Labyrinthitis

    e. Tympanic membrane perforation

    f. Vertigo

    3. Nose/Sinus Disorder

    a. Acute/chronic sinusitis

    b. Allergic rhinitis

    c. Epistaxis

    d. Nasal polyps

    4. Mouth/Throat Disorders

    a. Acute pharyngitis

    b. Acute tonsillitis

    c. Aphthous ulcers

    d. Dental abscess

    e. Laryngitis

    f. Oral herpes simplex

    g. Parotitis

    h. Sialadenitis

    V. GASTROINTESTINAL SYSTEM/NUTRITION

    1. Esophagus

    a. Esophagitis

    b. Motor disorders

    c. Mallory-Weiss tear

    2. Stomach

    a. Gastroesophageal reflux

    b. Gastritis

    c. Peptic ulcer disease

    3. Gallbladder

    a. Chronic cholelithiasis

    b. Cholelithiasis

    4. Liver

    a. Acute/chronic hepatitis

    b. Cirrhosis

    5. Small Intestine/Colon

    a. Constipation

    b. Inflammatory bowel disease

    c. Irritable bowel syndrome

    6. Rectum

    a. Anal fissure

    b. Fecal impaction

    c. Hemorrhoids

    d. Pilonidal disease

    e. Polyps

    7. Hernia

    a. Hiatal

    8. Infectious Diarrhea

    9. Nutritional Deficiencies

    a. Niacin

    b. Thiamine

    c. Vitamin A

    d. Riboflavin

    e. Vitamin C

    f. Vitamin D

    g. Vitamin K

    10. Metabolic Disorders

    a. Lactose intolerance

    VI. GENITOURINARY SYSTEM

    1. Benign Conditions of the GU Tract

    a. Benign prostatic hyperplasia

    b. Erectile dysfunction

    c. Hydrocele/varicocele

    d. Incontinence

    e. Paraphimosis/phimosis

    2. Infectious/Inflammatory Conditions

    a. Cystitis

    b. Epididymitis

    c. Prostatitis

    VII. MUSCULOSKELETAL SYSTEM

    1. Disorders of the Shoulder

    a. Rotator cuff disorders

    b. Sprain/strain

    2. Disorders of the Forearm/Wrist/Hand

    a. Sprains/strains

    b. Carpel tunnel syndrome

    c. De Quervain‟s tenosynovitis

    d. Elbow tendonitis

    e. Epicondylitis

    3. Disorders of the Back/Spine

    a. Ankylosing spondylitis

    b. Back strain/sprain

    c. Kyphosis/scoliosis

    d. Low back pain

    e. Spinal stenosis

    4. Disorders of the Hip

    a. Aseptic necrosis

    5. Disorders of the Knee

    a. Bursitis

    b. Meniscal injuries

    c. Sprains/strains

    6. Disorders of the Ankle/Foot

    a. Sprains/strains

    7. Neoplastic Disease

    a. Ganglion cyst

    8. Osteoarthritis

    9. Osteoporosis

    10. Rheumatologic Conditions

    a. Fibromyalgia

    b. Gout/pseudogout

    c. Polyarteritis nodosa

    d. Polymyositis

    e. Reiter‟s syndrome

    f. Rheumatoid arthritis

    g. Systemic lupus erythematous

    VIII. REPRODUCTIVE SYSTEM

    1. Uterus

    a. Dysfunctional uterine bleeding

    b. Endometriosis/adenomyosis

    c. Leiomyoma

    d. Metritis

    e. Prolapse

    2. Ovary

    a. Cysts

    3. Cervix

    a. Cervicitis

    b. Dysplasia

    c. Incompetent

    4. Vagina/Vulva

    a. Cystocele

    b. Prolapse

    c. Rectocele

    d. Vaginitis

    5. Menstrual Disorders

    a. Amenorrhea

    b. Dysmenorrhea

    c. Premenstrual syndrome

    6. Menopause

    7. Breast

    a. Abscess

    b. Fibroadenoma

    c. Fibrocystic disease

    d. Mastitis

    8. Pelvic Inflammatory Disease

    9. Contraceptive Methods

    10. Infertility

    11. Uncomplicated Pregnancy

    a. Prenatal diagnosis/care

    b. Normal labor /delivery

    12. Complicated Pregnancy

    a. Dystocia

    b. Fetal distress

    c. Gestational diabetes

    d. Gestational trophoblastic disease

    e. Molar pregnancy

    f. Multiple gestation

    g. Postpartum hemorrhage

    h. Pregnancy-induced hypertension

    i. Premature rupture of membranes

    j. Rh incompatibility

    IX. NEUROLOGIC SYSTEM

    1. Alzheimer‟s Disease

    2. Cerebral Palsy

    3. Diseases of Peripheral Nerves

    a. Bell‟s palsy

    b. Diabetic peripheral neuropathy

    c. Myasthenia gravis

    4. Headaches

    a. Cluster headache

    b. Migraine

    c. Tension headache

    5. Movement Disorders

    a. Essential tremor

    b. Huntington‟s disease

    c. Parkinson‟s disease

    6. Multiple Sclerosis

    7. Seizure Disorders

    a. Generalized convulsive disorder

    b. Generalized nonconvulsive disorder

    X. PSYCHIATRY/BEHAVIORAL SCIENCE

    1. Anxiety Disorders

    a. Panic disorder

    b. Generalized anxiety disorder

    c. Posttraumatic stress disorder

    d. Phobias

    2. Attention-Deficit Disorder

    3. Eating Disorders

    a. Anorexia nervosa

    b. Bulimia nervosa

    c. Obesity

    4. Mood Disorders

    a. Adjustment

    b. Depressive

    c. Dysthymic

    d. Bipolar

    5. Personality Disorders

    a. Antisocial

    b. Avoidant

    c. Borderline

    d. Histrionic

    e. Narcissistic

    f. Obsessive-compulsive

    g. Paranoid

    h. Schizoid

    i. Schizotypal

    6. Psychoses

    a. Schizophrenia

    b. Somatoform Disorders

    7. Substance Use Disorder

    a. Alcohol abuse/dependence

    b. Drug abuse/dependence

    c. Tobacco use/dependence

    8. Other Behavior/Emotional Disorders

    a. Uncomplicated bereavement

    XI. DERMATOLOGIC SYSTEM

    1. Eczematous Eruptions

    a. Dermatitis

    i. Atopic

    ii. Contact

    iii. Nummular eczematous

    iv. Perioral

    v. Seborrheic

    vi. Stasis

    vii. Dyshidrosis

    viii. Lichen simplex chronicus

    2. Papulosquamous Diseases

    a. Dermatophyte infections

    i. Tinea versicolor

    ii. Tinea corporis/pedis

    b. Drug eruptions

    c. Lichen planus

    d. Pityriasis rosea

    e. Psoriasis

    3. Desquamation

    a. Erythema multiforme

    4. Acneiform Lesions

    a. Acne vulgaris

    b. Rosacea

    c. Folliculitis

    5. Verrucous Lesions

    a. Seborrheic keratosis

    b. Actinic keratosis

    6. Insects/Parasites

    a. Lice

    b. Scabies

    c. Spider bites

    7. Hair and Nails

    a. Alopecia areata

    b. Androgenetic alopecia

    c. Onycomycosis

    d. Paronychia

    8. Viral Diseases

    a. Condyloma accuminatum

    b. Exanthems

    c. Herpes simplex

    d. Verrucae

    e. Zoster virus

    9. Other

    a. Acanthosis nigricans

    b. Hidradenitis suppurativa

    c. Lipoma/epithelial inclusion cysts

    d. Melasma

    e. Urticaria

    f. Vitiligo

    XII. HEMATOLOGIC SYSTEM

    1. Anemia

    a. Vitamin B12

    b. Folate deficiency

    c. Iron deficiency

    d. G6PD deficiency

    e. Sickle cell anemia

    f. Thalassemia

    XIII. INFECTIOUS DISEASES

    1. Fungal Disease

    a. Candidiasis

    2. Bacterial Disease

    a. Chlamydia

    b. Cholera

    c. Diphtheria

    d. Gonococcal infections

    e. Salmonellosis

    f. Shigellosis

    3. Parasitic Disease

    a. Amebiasis

    b. Hookworms

    c. Toxoplasmosis

    4. Spirochetal Disease

    a. Lyme borreliosis

    i. Lyme disease

    b. Rocky Mountain spotted fever

    c. Syphilis

    5. Viral Disease

    a. Cytomegalovirus infections

    b. Epstein-Barr virus infections

    c. Herpes simplex

    d. Human papillomavirus infections 96

    e. Influenza

    D. Textbooks

    Essentials of General Surgery (4th ed.). Lawrence, P., Bell, R., & Dayton. M. (2006). Baltimore: Lippincott Williams & Wilkins.

    E. Course Readings, Online Resources, and Other Purchases

    F. Student Expectations/Requirements and Grading Policy

    Students are required to keep a complete record of all clinical encounters (both procedures & diagnoses) throughout the rotation. The primary tool for entering, maintaining, and tracking accurate records will be Evalue. In order for the clerkship director to monitor and facilitate clinical experiences, it will be necessary for students to keep logbooks up to date. At a minimum, students are required to update their logbooks at least once a week. A portion of the grade grade will be determined by keeping timely records. By not sufficiently documenting achievements in the required clinical experiences, students who fail to maintain timely, complete, and accurate records of their patient encounters may fail the rotation.

    G. Assignments, Exams and Tests

    End of Rotation Exam

    H. Attendance Policy

    During the clinical years, the studentís responsibilities lie within the individual clerkship. Attendance within the clerkship is a demonstration of attitude and professional behavior. This behavior impacts all members of the healthcare team including fellow students and patients. Any absence from the clerkship may have a direct impact on student performance, the broad-spectrum clinical experience, evaluation of professionalism, overall grade and the successful completion of the clerkship.

    I. Policy on Make-up Work

    Delinquencies will accumulate only if the student does not have a legitimate explanation such as illness or major personal difficulty. Thus, students will be given an opportunity to explain before a penalty is assessed. The Rotation Director would render a final determination. The above delineated process describes the minimum action to be taken across clerkships. Additional requirements and consequences as determined by each clinical rotation director may apply. Failure to complete the logbook can result in grade reduction.

    J. Program This Course Supports

    Physician Assistant


  5. Course Concurrence Information



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