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Graduate Course Proposal Form Submission Detail - PAS6500

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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 textbook; faculty emailed 1/25/13. updated; approved. to USF Sys 2/20/13. to SCNS 2/28/13. Apprd eff 4/1/13. Nmbr 6870 apprd as 6500


  1. Department and Contact Information

    Tracking Number Date & Time Submitted
    3029 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 6500 Obstetrics/Gynecology 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)
    OB/GYN CLINICAL ROTATION
     
    Course Online? Percentage Online
    C - Face-to-face (0% online) 100

    Prerequisites

    Corequisites

    Course Description

    The purpose of this rotation is to provide the physician assistant student with a solid foundation in the diagnosis and management of common obstetric and gynecologic conditions as well as health care maintenance and disease prevention for women.


  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

    Knowledge:

    1. Understand the management of labor and delivery of a low-risk patient.

    2. Understand the indications for cesarean section.

    3. Understand indications for antenatal testing (i.e., non-stress test, biophysical profile).

    4. Understand the differential diagnoses for third trimester bleeding.

    5. Recognize the presentation for preeclampsia and other hypertensive disorders of pregnancy.

    6. Understand the basic management of common medical conditions during pregnancy including hypertension, asthma, thyroid disorders and diabetes.

    7. Understand the basic management of common pregnancy complications such as third trimester bleeding, preterm labor and hypertensive disorders in pregnancy.

    8. Recognize the presentation, recognition and initial management of post partum mood disorders.

    9. Understand the differential diagnosis and basic management of postpartum hemorrhage.

    10. Understand the differential diagnosis and basic management of postpartum fever/sepsis.

    11. Understand the principles of prenatal care including the reasoning behind routine and problem directed prenatal labs as well as the timing and elements of prenatal visits.

    Skills:

    1. Obtain history and perform physical exam on a pregnant patient during antepartum visit and on admission to labor and delivery.

    2. Be able to describe a normal labor and delivery and perform basic maneuvers to assist a spontaneous vaginal delivery.

    3. Understand the assessment of labor progress by vaginal exam.

    4. Be able to interpret a fetal monitor strip and recognize normal and abnormal FHR tracing.

    5. Be able to work with the Obstetric team in response to Obstetric emergencies

    6. Be able to measure uterine size after 16 weeks and evaluate fetal heart tones by Doppler or stethoscope.

    Behavior:

    1. Observe obstetrical ultrasound examinations and be able to recognize gross anatomical fetal structures

    2. Become culturally competent in interacting with pregnant women and their families from different cultural backgrounds/beliefs

    3. Be able to appropriately support actively laboring patients.

    4. Understand how to integrate into a clinical care team as a physician assistant student

    5. Follow labor and postpartum course/follow up on infant of assigned obstetrical patients

    Gynecology

    Knowledge:

    1. Understand age specific recommendations for preventive care in women.

    2. Understand the principles and practice of providing family planning services (risks and benefits, side effects, efficacy).

    3. Understand the physiology and normal variations in the menstrual cycle, be able to recognize when bleeding is considered abnormal.

    4. Understand the differential diagnosis and basic work up/management of first trimester vaginal bleeding

    5. Understand the differential diagnosis and basic work up/management of pelvic pain

    6. Understand the differential diagnosis and basic work up/management of abnormal bleeding

    7. Understand the common presentations, diagnostic methods and staging of gynecologic cancers and basics of and long-term follow-up of treated patients

    8. Understand the indications for operative management of common gynecologic conditions such as uterine myomata, ovarian cysts, ectopic pregnancy, and incomplete abortion.

    9. Correlate pre-operative diagnosis with operative findings and pathologic findings.

    10. Observe and understand indications for laparoscopic surgery.

    11. Understand routine-post-operative care after major and minor gynecologic surgery.

    12. Observe and understand the role of the tertiary specialist in reproductive endocrine disorders and infertility and in gynecologic oncology.

    13. Understand the presentation, diagnosis and treatment of common sexually transmitted diseases, pelvic inflammatory disease and vaginitis.

    14. Understand the physiology, diagnosis and principles of treatment of common gynecologic issues for women in their post-reproductive years including menopausal symptoms, atrophic vaginitis and pelvic organ prolapse.

    15. Understand the physiology, work-up, diagnosis and treatment options for female urinary incontinence.

    16. Understand the common symptoms of the menopausal transition as well as risks and benefits of current treatment options.

    Skills

    1. Obtain history(including sexual and menstrual history) and perform a physical exam (including breast and pelvic exam and pap smear) on patients presenting for routine visit and common gynecologic conditions in gynecology and/or family planning clinic.

    2. Be able to maintain sterile technique in the operating room.

    3. Build surgical skills, especially basic suturing and knot tying

    4. Be able to counsel appropriate patients regarding contraceptive methods

    5. Be able to interpret and make management recommendations for both normal and abnormal pap smears.

    6. Be able to prepare and interpret a wet mount of vaginal discharge

    Behavior/Attitude:

    1. Be culturally sensitive and competent in patient counseling surrounding sexual and family planning issues

    2. Become comfortable in screening for domestic violence and in referral for assistance for victims of domestic violence

    3. Follow pre and postoperative course/follow up on pathology of assigned surgical patients

    4. Understand how to integrate into a clinical care team as a physician assistant student

    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

    Blueprints Obstetrics and Gynecology. 5th Ed. Callahan, TL, Caughey, AB, 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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