Graduate Studies Reports Access
Graduate Course Proposal Form Submission Detail - PAS6185
Tracking Number - 3035
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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 descriptionk, objectives, text. Faculty emailed 1/25/13. back to GC 2/7/13. Apprd. to USF Sys 2/20/13. to SCNS 2/28/13. Apprd eff 4/1/13. Nmbr 6841 apprd as 6185
Detail Information
- Date & Time Submitted: 2012-11-29
- Department: Medicine
- College: MD
- Budget Account Number: HSC-10009-611600-000000-0000000
- Contact Person: Larry Collins
- Phone: 813-396-9424
- Email: lcollins@health.usf.edu
- Prefix: PAS
- Number: 6185
- Full Title: Primary Care & Geriatrics Clinical Rotation
- Credit Hours: 6
- Section Type: I -
Internships (Including Practicum)
- 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
- Abbreviated Title (30 characters maximum): PRIMARY GERIATRIC CLINICAL ROT
- Course Online?: C -
Face-to-face (0% online)
- Percentage Online: 100
- Grading Option:
R - Regular
- Prerequisites:
- Corequisites:
- Course Description: Clinical rotation is designed to educate the student about the specific medical problems and other issues facing the geriatric population. Exposure to patients in settings including acute care, short and long- term care and rehabilitation facilities.
- Please briefly explain why it is necessary and/or desirable to add this course: Needed for program/concentration/certificate change
- 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
- Has this course been offered as Selected Topics/Experimental Topics course? If yes, how many times? No
- What qualifications for training and/or experience are necessary to teach this course? (List minimum qualifications for the instructor.) MD, DO, PA, ARNP
- Objectives: A. Given a patient with a medical problem in any primary care setting, the PA student will:
1. Collect the data relevant to the diagnosis of the presenting problem:
a. take a through history, which includes a chief complaint, history of present illness, relevant aspects of the patient’s past medical history, social history, family history, and appropriate review of systems.
b. perform a through and logically ordered physical examination directed at evaluating physical findings related to the patient’s complaint.
c. be familiar with the laboratory tests and procedures which would be useful in diagnosing the patient’s problem, and understand basic interpretation of their results. The student will also be aware of the dangers and limitations of such tests and procedures.
2. Present the Data: The student will be able to present to the preceptor the results of the history, physical examination, and previous laboratory and diagnostic studies. The presentation may be oral or written and will be logically ordered in a problem-oriented format. In the presentation, the student will demonstrate an understanding of the relevant positive/negative findings in evaluating the patient’s problems.
3. Assess the Data: The student will begin to formulate an accurate list of the patient’s problems. He/she will provide a specific diagnosis for relatively uncomplicated problems, and list major elements of the differential diagnosis for more complicated problems.
4. Comprehend Principles of Treatment for the patient’s particular problem:
a. Develop and implement appropriate treatment plans to include the proper use of medications in treating the medical problem, including dosage, route of administration, side-effects, and drug interactions. Write prescriptions to be countersigned by the physician. Demonstrate the appropriateness of other diagnostic testing and procedures relevant to the patient diagnosis.
5. Document the Data: Using appropriate SOAP and H&P formats in patient records and as assigned by the Clinical Faculty.
6. Appropriate Referral of Patients: Understand the network and teamwork of Healthcare Professionals and demonstrate an awareness of appropriate referrals as needed per patient diagnosis.
B. The PA student will demonstrate effective communication skills that results in the effective exchange of information and collaboration with patients, their families, and other health professionals.
C. The PA student will demonstrate the ability to interview, elicit a medical history, perform a physical examination, order and interpret tests/diagnostic studies, develop and implement treatment plans, present data in an oral format and document data of patients that present across the life span.
D. The PA student will demonstrate the necessary skills to search, interpret, and evaluate medical literature in order to maintain a critical, current, and operational knowledge of new medical findings and apply it to individualized patient care.
- 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.
- 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
- Textbooks: Essentials of Clinical Geriatrics (5th ed.). Kane, R. (2004) New York: McGraw-Hill.
- Course Readings, Online Resources, and Other Purchases:
- 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.
- Assignments, Exams and Tests: End of Rotation Exam
- 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.
- 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.
- Program This Course Supports: Physician Assistant
- Course Concurrence Information:
- if you have questions about any of these fields, please contact chinescobb@grad.usf.edu or joe@grad.usf.edu.