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Graduate Course Proposal Form Submission Detail - PAS5101
Tracking Number - 3032

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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 info. Faculty emailed 1/25/13. Updated; approved. to USF Sys 2/20/13. to SCNS 2/28/13. Apprd eff 4/1/13. Nmbr 6702 apprd as 5101

Detail Information

  1. Date & Time Submitted: 2012-11-29
  2. Department: Medicine
  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: 5101
  10. Full Title: Advanced Internal Medicine Clinical Rotation
  11. Credit Hours: 6
  12. Section Type: I - Internships (Including Practicum)
  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): ADV INTERNAL MED CLINICAL ROT
  19. Course Online?: C - Face-to-face (0% online)
  20. Percentage Online: 100
  21. Grading Option: -
  22. Prerequisites:
  23. Corequisites:
  24. Course Description: The six-week advanced internal medicine rotation is designed to expose the physician assistant student to providing care that is compassionate, appropriate, and effective for the treatment of the health problems of critically ill patients.

  25. Please briefly explain why it is necessary and/or desirable to add this course: Needed for program/concentration/certificate change
  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? To be 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.) MD, DO, PA, ARNP
  29. Objectives: • To learn how to evaluate and manage patients with different forms of critical illness including respiratory failure, hypotension, sepsis, organ failure and gastrointestinal hemorrhage

    • To learn how to initiate and manage invasive and non-invasive modes of mechanical ventilation

    • To learn how to interpret and apply the results of arterial blood gas analysis

    • To learn how to protect patients from complications associated with stays in the intensive care unit

    • To learn about the application of palliative care medicine principles in the intensive care unit setting.

    • To learn to work as part of a multidisciplinary care team

  30. Learning Outcomes: At the end of this rotation, students should be able to:

    • Evaluate and manage patients with various forms of respiratory failure including COPD and asthma exacerbations, pneumonia, acute respiratory distress syndrome and pulmonary edema

    • Evaluate and manage patients with sepsis and severe life-threatening infections

    • Evaluate and manage patients with severe organ failure including renal, hepatic and coagulation failure

    • Evaluate and manage patients with gastrointestinal hemorrhage

    • Evaluate and manage patients with severe hypotension

    • Evaluate and manage patients with severe metabolic and endocrinologic disturbances

    • Initiate appropriate empiric antibiotic coverage for patients with severe infections

    • Initiate and titrate vaso-active medications

    • Initiate, manage and discontinue both invasive and non-invasive modes of mechanical ventilation.

    • Interpret arterial blood gases and apply this information in the care of patients

    • Initiate appropriate measures to prevent complications associated with ICU care

    • Apply the principles of palliative care medicine to patients in the intensive care unit

  31. Major Topics: Pulmonary

    • ARDS

    • Acute management of respiratory failure

    • COPD

    • PE

    • Pneumonia

    • Pulmonary hypertension

    • Post-operative respiratory failure


    • CHF

    • chest pain

    • A fib


    • Small vessel vasculitis

    • Acute gout

    • Dermatology

    • Stevens-Johnson


    • GI bleeding

    • Cholangitis

    • Cholecystitis

    • SBO

    • Pancreatitis

    • Bowel ischemia


    • End-stage liver disease

    • Acute alcoholic hepatitis

    • Fulminant hepatic failure

    • Portal hypertension

    • Refractory ascites


    • Anemia

    • TTP

    • ITP

    • HIT

    • Sickle cell disease


    • AML/ALL

    • Complications of treatment of hematologic malignancy

    • Complications of treatment of solid tumor

    • Graft vs. host


    • DKA

    • DM management

    • Adrenal insufficiency,


    • Management of sepsis

    • Electrolyte disorders (K, Na, Ca)

    • Hip fracture

    • Peri-operative risk management (pulm and cardiac risk stratification)

    • Overdose

    • ETOH withdrawal

    • CO toxicity


    • Sepsis/sepsis syndrome/septic shock

    • Endocarditis

    • Meningitis

    • Pneumonia


    • Acute renal failure


    • Neuromuscular respiratory failure

    • Acute stroke

    • Anoxic brain injury

  32. Textbooks: Harrison's Pulmonary and Critical Care Medicine. Joseph Loscalzo. McGraw-Hill.
  33. Course Readings, Online Resources, and Other Purchases:
  34. 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.
  35. Assignments, Exams and Tests: End of Rotation Exam
  36. Attendance Policy: During the clinical years, the student’s 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.
  37. 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.
  38. Program This Course Supports: Physician Assistant
  39. Course Concurrence Information:

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