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SCHOOLOFMEDICINE YEAR2 CURRICULUMGUIDE WAYNESTATEUNIVERSITY SCHOOLOFMEDICINE 20112012 PLEASEREADTHEINTRODUCTORYPAGESVERYCAREFULLY. THEYCONTAINIMPORTANTPOLICYSTATEMENTS.

Revised09/08/11

WayneStateUniversity,SchoolofMedicine MedicalStudentCompetenciesandInstitutionalLearningObjectives TheWayneStateUniversitySchoolofMedicinehasestablishedacomprehensivesetofcompetenciesand institutionalobjectivestopreparestudentsforpracticingmedicineinthe21stcentury.Thefollowingtable summarizesthegeneralcompetenciesandinstitutionallearningobjectives.Thefirstrowdefinesthe generalcompetency.Thesecondrowreferstothespecificlearningobjectiveassociatedwitheach competencyandthecognitivedomain(knowledge,skill,attitude/behavior)beingevaluatedforeach objective. Thesixgeneralclinicalcompetenciesformedicalstudents(identicaltothegeneralcompetenciesof postgraduatetraining)include: IntegrationoftheBasicSciencesinMedicine IntegrationofClinicalKnowledgeandSkillstoPatientCare InterpersonalandCommunicationSkills Professionalism OrganizationandSystemsBasedApproachtoMedicine LifeLongLearningandSelfImprovement Asyouprogressthroughthebasicsciencecurriculumofmedicalschool,periodicallyreviewthese competenciesandeducationalobjectives.Theyprovidevaluableguidestotheorganizationofthe knowledge,skillsandattitudesyouwilllearnduringthisphaseofyourprofessionalgrowth.

Asyouprogressthroughthebasicsciencecurriculumofmedicalschool,periodicallyreviewthese competenciesandeducationalobjectives.Theyprovidevaluableguidestotheorganizationofthe knowledge,skillsandattitudesyouwilllearnduringthisphaseofyourprofessionalismgrowth. Competency: IntegrationoftheBasicSciencesinMedicine CognitiveDomain: K=Knowledge S=Skill InstitutionalLearningObjectives: AB=Attitude/Behavi or K1 K2 K3 Knowledgeofthenormalstructureofthehumanbody(celltissuesandorgans). Knowledgeofthenormalfunctionofthehumanbody(celltissuesandorgans). Knowledgeofthenatureofagentsandmechanismsthatproducealterationsin structureandfunctionofthebody. Knowledgeofthenatureandcourseofalterationsinfunctionproducedby etiologicalagentsandmechanisms(Pathophysiology)ofthebody. Knowledgeofthenatureandcourseofalterationsinstructureproducedby etiologicalagentsandmechanisms(PathologicalAnatomy)ofthebody. Knowledgeoftheappropriateuseoflaboratorytechniquesinidentifyingdiseases orhealthproblems. Knowledgeoftheaction,metabolism,andtoxiceffectsofdrugs. Knowledgeofthetherapeuticuseofdrugs. Knowledgeofnormalgrowthanddevelopment. Knowledgeoftheprinciplesandconceptsunderlyingnormalbehaviorandmental illness. Knowledgeoftheagingprocess.

K4

K5

K6 K7 K8 K9 K10 K11

Competency: IntegrationofClinicalKnowledgeandSkillstoPatientCare CognitiveDomain: K=Knowledge S=Skill AB=Attitude/Behavi or S1 S2 S3 S4 S5 S6 S7 S8 S9 S10 S11 S12 S13 S14 S15 S16 S17 K12 S18

InstitutionalLearningObjectives:

Theabilitytoperformasatisfactoryphysicalexam. Theabilitytotakeasatisfactorymedicalhistoryincludingpsychosocial, nutritional,occupationalandsexualdimensions. Theabilitytoutilizedatafromthehistory,physicalexamandlaboratory evaluationstoidentifythehealthproblem. Theabilitytoformulateanappropriatedifferentialdiagnosis. Theabilitytoformulateeffectivemanagementplans(diagnostic,treatment,and preventionstrategies)fordiseasesandotherhealthproblems. Theabilitytomonitorthecourseofillnessesandtoappropriatelyrevisethe managementplan. Theabilitytoperformroutinetechnicalproceduresspecifictothemedical specialty. Theabilitytodocumenttheclinicalencounter. Theabilitytoapplytheprinciplesandconceptsunderlyingnormalbehaviorand mentalillness. Theabilitytodiagnoseandparticipateinthemanagementofmentalillnesses. Theabilitytoapplythetherapeuticuseofdrugsinpatientcare. Theabilitytorecognizenormalgrowthanddevelopment. Theabilitytorecognizetherelationshipbetweenhealthandillness,thepatient andthepatient'senvironment. Theabilitytoapplypsychosocialprinciplesandconceptsinthedeliveryofhealth care. Theabilitytoapplypreventiveandhealthmaintenanceprinciplesandtechniques inthedeliveryofhealthcare. Theabilitytoapplytheappropriateuseoflaboratorymethodsinidentifying diseasesorhealthproblems. Theabilitytorecognizepatientswithimmediatelylifethreateningconditions. Knowledgeaboutrelievingpainandamelioratingthesufferingofpatients. TheabilitytoapplyEvidenceBasedMedicineprinciplestoclinicaldecision making.

Competency: InterpersonalandCommunicationSkills CognitiveDomain: K=Knowledge S=Skill AB=Attitude/Behavi or S19 S20 InstitutionalLearningObjectives:

Theabilitytodemonstrateeffectivephysicianpatientinteractionskills. Theabilitytoutilizeappropriatecommunicationskillstoobtainahistory, diagnosis,anddeliveraneffectivetreatmentplantopatients. Theabilitytoeffectivelycommunicatewithpeersandmembersofthe healthcareteaminthecareofpatientsandtheirfamilies. Competency: Professionalism

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CognitiveDomain: K=Knowledge S=Skill AB=Attitude/Behavi or AB1 AB2

InstitutionalLearningObjectives:

Theabilitytoapplyhumanisticvaluesinthedeliveryofhealthcare. Theabilitytoworkcooperativelywithotherhealthcareworkersinthedelivery ofhealthcare. Theabilitytorespectthepatientsdignity,privacy,andconfidentialityinthe deliveryofhealthcare. Theabilitytoeffectivelyinteractwithpatients,peersandotherhealthcare workersfromdiverseculturalbackgrounds.

AB3

AB4

Competency: OrganizationandSystemsBasedApproachtoMedicine CognitiveDomain: K=Knowledge S=Skill AB=Attitude/Behavi or S22

InstitutionalLearningObjectives:

TheabilitytoapplytheconceptsandprinciplesofprimarycareandFamily Medicineinthedeliveryofhealthcare. Theabilitytoapplycostcontainmentprinciplesandtechniquesinthedelivery ofhealthcare. Knowledgeofthehealthcaredeliverysystemsincludingsocial,economicand politicaldimensions. Competency: LifeLongLearningandSelfImprovement

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K13

CognitiveDomain: K=Knowledge S=Skill AB=Attitude/Behavi or AB5

InstitutionalLearningObjectives:

Recognizetheneedtoengageinlifelonglearningtostayabreastofrelevant scientificadvances. Theabilitytorecognizepersonaleducationalneedsandtoselectandutilize appropriatelearningresources. Theabilitytocriticallyappraisethemedicalliterature.

AB6

S24

TheintegrationofthenewSchoolofMedicinecompetenciesandrevisionoftheeducational objectiveswereapprovedbytheCurriculumCommitteeinFebruary,2005.

GENERALORGANIZATIONOFTHECURRICULUM
TheYear2Curriculumfor20112012willconsistof(a)disciplinarycourses,i.e., Immunology/Microbiology/InfectiousDisease,Pathology,Psychiatry,Pharmacology,(b)an interdisciplinarycourse,Pathophysiology,with9units,i.e.,Cardiovascular,Respiratory,Renal, Endocrinology,ConnectiveTissue,Dermatology,Hematology,Gastrointestinal,Neurology,and(c) ClinicalMedicineII. ACADEMICANDSTUDENTPROGRAMSOFFICE MaryJeanSchenk,M.D,M.P.H.M.S 5775196 ViceDeanforMedicalEducation DirectorofAcademic Information/Registrar MarkSpeece,Ph.D. 5771470 AssistantDeanforBasicScience MatthewJackson,Ph.D. 5771450 Education AssistantDeanforClinical ReneeT.Page,M.D. 5771450 Sciences AssistantDeanforEvaluation,Student Information&EducationResearch PatrickD.Bridge,Ph.D. 5771450 YEAR2COURSEDIRECTORSFOR20112012 IMMUNOLOGY/ MatthewJackson,Ph.D.(Immun/Micro.) 5771450 MICROBIOLOGY/ INFECTIOUSDIS. CLINICALMEDICINEII ReneeDwaihy,MD(CourseDirector) 5771450 PATHOBIOLOGY BarbaraBosch,M.D.(Pathology) 5779779 PHARMACOLOGY RaymondMattingly,Ph.D.(Pharmacology) 5776022 5773130 PSYCHIATRY MaryMorreale,MD PATHOPHYSIOLOGYUNIT BarbaraBosch,M.D.(CourseDirector) 5779779 CARDIOVASCULAR BarbaraBosch,M.D.(Pathology) 5779779 JulieKovach,M.D.(Cardiology) 7452620 RESPIRATORY KennethPalmer,Ph.D.(Pathology) 5775152 HasanShanawani,M.D.(PulmonaryMedicine) 7458471

RENAL ENDOCRINOLOGY CONNECTIVETISSUE HEMATOLOGY GASTROINTESTINAL NEUROLOGY DERMATOLOGY CLASSCOUNSELOR Classof2014 ACADEMICSKILLS COUNSELOR

MadhumitaJenaMohanty,M.D.(Nephrology) JanetPoulik,M.D.(Pathology) XuZeng,M.D.(InternalMedicine) BarbaraBosch,M.D.(Pathology) JulieSamantray,M.D.(Endocrinology) BarbaraBosch,M.D.(Pathology) PatriciaDhar(InternalMedicine) GailBentley,M.D.(Pathology) AyadAlKatib,MD(Hematology) HussainSaleh,M.D.(Pathology) MurrayEhrinpreis,MD(InternalMedicine) EdwinGeorge,M.D. WilliamKupsky,MD(Pathology) DariusMehregan,MD(Dermatology) BarbaraBosch,M.D. LorettaRobichaud,M.S.N

5764504 7458555 5779779 7454008 5779779 7458603 7458555 5770982 7458843 7458601 5771423 7458601 4297844 5779779

5771463

LeahRobinson,Ed.S.

5771463

ACADEMICPROGRAM TheYear2programisprimarilydevotedtounderstandingtheeffectofdiseaseprocessesonorgan structureandfunctionandtheactionsofdrugs.Inthecourseofachievingthisobjectivethe curriculumisdesignedtohelpthestudentpreparehim/herselfforhis/herroleasaproblemsolver. Thiswillinvolveacquiringbasicinformation,but,moreimportantly,itwillalsoinvolve understandingconceptsandrelationships.Thelectureisoneimportantmethodwehavetohelp youlearn.Itisusedtodefinepartofwhatyouareexpectedtoknow.Itshouldbesupplemented andreinforcedbyreadingyourassignedtext,lecturenotes,conferringwithfacultyandfellowYear 2students,participatinginthelaboratories,computerassistedandproblemsolvingsessionsand increasinguseofBlackboard. ACADEMICCOMMUNICATION OfficialStudentNotices,CurricularUpdatesandOtherCommunications The Email provided by the University for every student is a powerful communications tool. As describedbelow,eachclasshasaClassListserveestablishedtoallowstudentstotalktotheirclass members, for faculty to provide course information to the class, and for administration to communicatewiththeclass.PleasecheckyourEmailonaregularbasis. InformationwhichAcademicandStudentProgramsandwhichtheOfficeofStudentAffairsneedto communicatetotheclasswillbeprovidedthroughtheClassListservetoallmembersoftheclass andinsidetheStudentAffairsOffice.Suchcommunicationswillincludethetestinglogisticsmemos, official schedule changes and information regarding meetings among others. Immediate, critical information will continue to be communicated to the class with a paper memo in students mailboxesinadditiontotheListservecommunication. Inadditiontothelistserv,studentswillbeassignedmembershipinagroupaddressinthemedical schools Outlook directory. This address can be used for announcements regarding student organizationalactivitiesandotherstudentbasedprojects.AnyonewhoislistedintheSOMOutlook directoryhasaccesstothesegroupaddresses. UNIVERSITYCLOSURE IntheeventthatWayneStateUniversityclosesduetosevereweatherthentheSchoolofMedicine will be closed. All classes, small group activities, and exams schedule during the closure will be cancelled.Arevisedschedulewillbesentoutviathelistserve. SignupforWSUbroadcastmessageshere:http://computing.wayne.edu/broadcast/ EMailAddressandClassListservs FacultyandAcademicstaffuseavarietyofmethodstocommunicatewithstudents.Oneofthese methodsiselectronicmail(email).Allincomingmedicalstudentswillbeissuedtwoemail addresses.Theprimaryaddress,createdandsupportedbytheschoolofmedicinewillbeissued duringregistration.TheUniversitywillalsoissueanaddressthatwillallowyoufreeaccesstothe internetandotheronlineUniversityservicesincludingtheUniversityPipeline.Studentswhowere undergraduatesatWayneStatewillcontinuetousetheirundergraduateaddressesandwillnot receivenewemailaccountsorpasswords.

Aclasslistservwillbecreatedforstudents,facultyandacademicadministrationtocommunicate generalannouncementstotheclass.Studentsshouldreadtheiremaildailyforimportant curriculuminformation.Ifyouhaveanyquestionregardingyouremailaddressorthelistserv contacttheConjointTeachingOffice,room2361. ATTENDANCE Participationininstructionalactivitiesrevealsastudent'sattitudetowardhis/herprofessional preparation.Consequently,attendanceisexpectedforlectures.Attendanceismandatoryfor laboratories,ClinicalMedicinesmallgroups,conferences,casestudies,demonstrations,patient panelsandclinicdays.AttendancewillbemonitoredusingOneCardreadersorsigninsheetsfor offcampusactivities. MISSINGASSIGNMENTSFailuretocompleteallassignment,includingmakeupassignmentsfor missedactivities,bytheendofacoursecouldresultinanyofthefollowingconsequences: Beingexcludedfromparticipationinanyschedulingprocessesforthefollowing year Beingpreventedfromregisteringforthefollowingyear Havingregistrationforthefollowingyearcancelled HONORCODE WayneStateUniversitySchoolofMedicinehasanHonorCodeexpressedintheOathofAcademic IntegritypresentedtoandsignedbytheYear1studentsduringOrientation.Students,facultyand administrationbelievethatacademicandprofessionalintegrityisanimportantcomponentinthe trainingandpracticeofmedicine. OathofIntegrity Asapartofacommunityofmedicalstudents,Iknowthatmyinstructorsandfellowstudents haveplacedtheirtrustinmyacademicandprofessionalintegrity.Irecognizetheimportanceof helpingeachotheraswestruggle.Dishonestywithinamedicalschool,however,affectsnotonly thestudent,butalsothereputationoftheinstitution,andpotentiallyourfuturepatients. Inviewofthis,Iherebyvowtopursuemystudieswithintegrityandconscience.Iwillnotaccept dishonestyamongmypeersandpledgetohonorthattrustthatmyinstructorsandfellow classmateshaveplacedinme. Asafuturephysician,mypatientsandcolleagueswillentrusttomemattersofasensitiveand confidentialnature.Insomecircumstances,theirveryliveswilldependuponmyintegrity.Iwill respecttheirfaithinmeandwillmaintainthelevelofdignityandhonestythatmedicine demands.Fromthisdayforeword,Iwillkeephonorinthisprofession.

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WSUSchoolofMedicineCriminalBackgroundCheckGuidelines AcademicYear20112012 Revised1/5/2011 PURPOSE: Inanefforttoenhancethesafetyandwellbeingofpatientsandtoensurethatstudentscanbecome licensedphysicians,theAmericanMedicalColleges(AAMC)hasrecommendedtomedicalschoolsthe needtoconductcriminalbackgroundchecksonallenrolledmedicalstudents.Basedonthe recommendationoftheAAMCandtheexpectationsofourclinicalpartners,theimmediate implementationofacriminalbackgroundcheckpolicyisnecessary. POLICY: 1. BeginninginAugust2010,allmatriculatingandreturningstudentsmusthaveacriminal backgroundcheck. 2. BeginninginJuly2011,allstudentsenteringintothethirdyearofmedicaltrainingwillbe requiredtocompleteandsubmitanattestationformcertifyingatthetimeofregistration,that theyhavenotbeenconvictedofafelony.Studentswhoselfreportafelonywillfollowthe reviewprocessasoutlinedformatriculatingstudentsandwillnotbeallowedtobeginclasses untilapprovalisgrantedbytheCriminalHistoryReviewCommittee(CHRC). 3. AnystudentwhosebackgroundcheckcontainsafelonyconvictionwillbereferredtotheCHRC. Thiscommitteewillreviewthefelonyconvictionreportandallowthestudentanopportunityto addressanyerroneousinformationandclarifythereport. 4. IftheCHRCfindstheseverityofthefelonyimpactsthestudentsopportunitytomatriculateor theirgoodstandingenrollmentstatus,currentstudentswillbereferredtotheSchoolof MedicinesPromotionsCommitteeforreview,witharecommendationfordismissal.Pre matriculatedapplicantswillbeforwardedtotheofficeofAdmissionswitharecommendation nottoadmit. PROCESS: 1. TheSchoolofMedicinewillconveneaCriminalHistoryReviewCommittee(CHRC).Thechairof thepromotionscommitteewillchairtheCHRC.Thecommitteewillconsistofthefollowing members:thedeanofstudentaffairs,deanofevaluation,studentinformationandeducation research,anappointedmemberofthepromotionscommittee,andstaffedbythechief administrativeofficerinthedepartmentofmedicaleducation. 2. Studentswhoareofferedaspotintheincomingclasswillberequiredtoobtainacriminal backgroundcheckattheirownexpenseusingtheservicesofCertiphiScreeningIncorporated. CertiphiwillcreateaWayneStateUniversityprofilethatwillonlyscreenforconvictionsand convictionequivalentadjudications/feloniesonly.Whenthebackgroundcheckiscompleted,

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Certiphiwillreleasetheinformationtothestudentforreview.Oncethereviewiscompleted thestudentmustreleasethereporttoWayneStateUniversity.

3. Ifuponcompletionofthebackgroundcheckafelonyconvictionisfound,thereportwillbe reviewedbytheCHRC.Inthecaseofcurrentstudentwhoselfreportsafelonyontheir attestationsheettheCHRCwillorderanewcriminalbackgroundcheckforreview.Thereview willincludetheseverityofthefelonyconviction,agethefelonyoccurredandthetimethathas elapsedsincetheconviction.1 4. StudentswithfelonyconvictionslistedontheirreportwillmeetwiththeCHRC.Thestudentwill haveanopportunitytoprovidewrittendocumentationtorespondtothereport.Studentswill have5businessdaysfollowingnotificationfromthemedicalschoolofthefelonytoprovideany informationaboutthecircumstancessurroundingthefelonyconviction. 5. IftheCHRCfindsthefelonyconvictiontomeetanunacceptablelevelofseverity,thestudent willbereferredtotheSchoolofMedicinePromotionsCommitteewitharecommendationto rescindtheofferofadmittanceorfordismissal.Prematriculatedapplicantswillbeforwardedto theofficeofAdmissionswitharecommendationnottoadmit. 6. Tomaintainconfidentiality,astudentsfelonyconvictionreportandanysupporting documentationwillberetainedandstoredinasecuremanner.Thefilewillbekeptintheoffice ofRecordsandRegistrationseparatefromstudentacademicfiles.Upongraduation,withdrawal, ordismissalthefilewillbedestroyed.
1

GuidelinesobtainedfromtheMichiganDepartmentofCommunityHealthwebsite:http://www.michigan.gov/mdch/0,1607,7132 27417_27529_27541136661,00.html

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LECTUREHALLETIQUETTE Thefollowingitemshighlightelementsofcommoncourtesyexpectedofallmedicalstudentswho attendlectures: Silenceallcellphonesandpagesinthelecturehall. Ifyouattendlectures,plantostay.Sitclosetoanexitifyouthinkyoumayhavetoleave alectureearly. Donotengageinactivitiesduringlecturethathavenothingtodowiththeclass(e.g. readingthenewspaper). Keepwhisperingtoaminimum. Yourcompliancewiththeseissuesisanindicatorofprofessionalismandwillbegreatlyappreciated bytheSchoolofMedicinefacultyandyourfellowstudent/peers. STUDENTDISABILITIES Ifyouhaveadisabilityandbelievethatyoushouldreceiveaccommodationsfortestingorlearning, youmustprovideappropriatedocumentationforthediagnosisof: Physicalormedicaldisabilities Deafnessorhardofhearing Blindnessorlowvision Traumaticbraininjury Learningdisabilities Attentiondeficit/hyperactivitydisorder Psychologicalorpsychiatricdisabilities ThisdocumentationmustbesenttotheAssistantDean,OfficeofStudentAffairs,RichardJ. MazurekMDMedicalEducationCommonsSuite315,320E.Canfield,Detroit,Michigan48201and musthavebeenupdatedwithinthepast3years.ThedocumentationmustbereceivedintheOffice ofStudentAffairsatleast1fullweekbeforetheexaminationforwhichthestudenthopestohave theaccommodationsprovided.Ifdocumentationisreceivedlessthan1fullweekbeforethe examination,thestudentwillhavetheoptionofreschedulingtheexaminationortakingthe examinationwithoutaccommodations. ForADHD,ifdocumentationismorethansix(6)monthsold,thetreatingprofessionalmustprovide aletterupdatingallpertinentinformation.

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Alldiagnosticevaluationreportsmust: Beintheformofsignedanddatedreportonofficialletterhead,preparedbyaqualified professional.ForlearningdisabilitiesandADHD,thatprofessionalmustbea neuropsychologist.Forpsychologicaldisabilities,thatprofessionalmustbea psychotherapist. Includeaclinicaldiagnosisoracleardiagnosisofthespecificlearningdisorderand,for learningandpsychiatric/psychologicaldisabilities,shouldusetheDIAGNOSTICAND STATISCALMANUALOFMENTALDISORDERS,FOURTHEDITION(DSMIVTR)orICD10 diagnosticcodesanddateofthelastcontactwiththeindividual. Establishaclearlinkbetweentherequestedaccommodationsandthesubstantiated functionallimitationsthatarepertinenttotheacademic/functiondemandsoftheacademic settinginthemedicalschool.Forlearningdisabilities,thereportmustincludeahistoryof thelearningdisabilityandpreviousaccommodations,ifany. Detailtreatments,medications(includingsideeffects),assistivedevices/servicescurrently prescribedorinuse.Thiswouldincludehearingaids,correctivelenses,andserviceanimals. Foralldisabilities,thetypeofaccommodation(s)requiredmustbespecified. TheAssistantDeanofStudentAffairsapprovesanyaccommodationsinadvance.Any modificationmustbeputinwritingandapprovedbytheAssistantDean.Theoptionto foregoanapprovedaccommodationmustbeapprovedbytheAssistantDeanofStudent Affairsatleast48hoursinadvanceofanexam. COURSEEXAMINATIONS Therewillbetwotypesofexaminations,promotionalandnonpromotional.Thepurposeof promotionalexaminationsistodeterminewhetherstudentshaveacquiredthenecessary knowledgeandskills.Facultycanalsoadministernonpromotionalexaminations.Thepurposeof thesenonpromotionalexaminationsistoenablestudentstoassesstheirgraspofthematerial. PromotionalexaminationswillNOTbereturnedtothestudents.AcademicandStudentPrograms hasinstitutedaProtectedExaminationPolicy.Studentsarepermitted,andstronglyencouragedto usetheExaminationQuestionCitationprocess.DetailsoftheQuestionCitationprocesswillbe presentedtostudentsataseparateTestingandEvaluationmeetingpriortothefirstscheduled examination. Allexaminationswillbebasedon1)materialcoveredinlectures,laboratories,conferences,and otherinstructionalformats,2)assignedreadingsinrequiredtextbooks,and3)assigned selfinstructionalonBlackboard. TherewillbepromotionalexaminationsinImmunology/Microbiology/InfectiousDisease,Clinical MedicineII,Pathobiology,Pharmacology,PsychiatryandPathophysiology.

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Afterapreliminaryscoringoftheexamination,CourseDirectorsordesigneeswilluseavailable statisticaldataandstudentscitationsasmechanismsfordeterminingwhetheralternate examinationanswerswillbeaccepted.Individualdepartmentswilldeterminehowmany examinationstheygive. Forallcourses,exceptPathophysiology(seebelow),itisthecoursedirectorwhowilldetermine howmanyexaminationstogive,howexamsareweighted,howthefinalscoreisderivedandwhat thepassratewillbe. ForthePathophysiologycoursetherewillbeanexaminationgivenatthecompletionofeachunit andstudentswillreceiveapass/failscoreforeachunit.Unitsvaryintermsofthenumberof questionsontheunitexam.AttheendofthePathophysiologycourseacumulativepassingscore willconsistoftheaverageofthenineindividualpassrates.Studentswhosecumulative percentageislessthantheaveragepassrateforthecourseorwhofailthreeormoreindividual unitswillfailthecourse.Studentswhofailthecoursewillberequiredtoretakefailedunitexams, atthediscretionofthePromotionsCommittee.Atthereexaminationstage,eachofthefailedunit examsmustbepassedinordertosuccessfullypassthecourse.Studentswhopassthecourse (achieveanoverallpercentagegreaterthantheaveragepassrateandwhofaillessthanthreeunits) arenotrequiredtoretaketheirfailedunitexams. Inthoseinstanceswhenitisimpossibleforastudenttobepresentforanexaminationdueeitherto aserioushealthproblemortootherunavoidablecircumstances,thestudentmustexplainand documenttheproblemorcircumstancestooneofthedesignatedmembersoftheOfficeofStudent Affairs.TheAssistantDean(orherdesignees)willhavetheauthoritytodecidewhetherthe absenceistobeclassifiedas"excused"or"unexcused".TheAssistantDeanwillberesponsiblefor communicatingthedecisiontotheChairofthePromotionsCommittee.(SeePolicyregarding ExcusedAbsences) Acomparableexaminationwillbeadministeredforstudentswhohaveanexcusedabsence.Itwill becomparableincontenttotheoriginalexaminationanditwillhavethesamepassfaillevel.The examwillnotberetainedbythestudent.Studentscannotcitequestionsonamakeup examination.Makeupexamswillbeadministeredeverymonthduringtheacademicterm. Studentswhoreceiveexcusedabsenceswillbeautomaticallyscheduledforanexamatthenext availablemakeupdate.Scheduledmakeupexamdatesfor2011/2012: September7,2011 October12,2011 November8,2011 December8,2011 January6,2012 February2,2012 March13,2012 April23,2012 May3,2012

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Studentswhohavefailedacoursemayhaveanopportunitytotakearetakeexaminationatthe discretionofthePromotionsCommittee.Thiscomparableexaminationwillbeadministeredatthe endoftheacademicyear.Studentsarenotpermittedtocitequestionsonaretakeexamination. Studentsarenotallowedtovieworkeeptheretakeexam.Theminimumpassrateforthecourse willapplytothereexamination.Studentsareallowedonlyoneopportunitytoremediateacourse failurebyreexamination;failureofaretakeexamwillresultintherequirementtorepeatthe entirecourse. TheuseofcalculatorsduringexaminationsisNOTpermittedunlesstheCourseDirectorstates otherwise. Neitherfacultyproctorsnortestingproctorspresentduringtheexaminationmaybeaskedto interpretquestionsorgivedefinitions.Ifthereisanerroridentifiedonaquestion,acorrectionwill bewrittenontheboardatthefrontoftheexaminationhall(s).Itisthestudentsresponsibilityto maketheappropriatecorrectiononthetestbooklet. ExaminationswillbescoredaccordingtoguidelinesdescribedunderExaminationScoringand ReportingSystem. CourseexaminationsfrompreviousyearsareonBlackBoard. Onexaminationdays,studentswhoreportfortheexamupto15minutesaftertheexamhasbegun willbeallowedtotaketheexam,butwithnoadditionaltimeadded.Studentswhoreportmore than15minuteslatetoanexamaredeniedtheprivilegeofwritingtheexam.Iftheyareexcused bytheircounselor,theywillbeinstructedtowritethemakeupexam. EXAMINATIONSCORINGANDREPORTINGSYSTEM Therewillbeapreexaminationguaranteedminimumpasslevel(preGMPL)of75%,i.e.,inall courses.Studentswhoanswer75%oftheexaminationquestionscorrectlyareguaranteedtopass theexamination. Attheendofeachcourse,aconfidenceinterval*ofapproximately99.6%willbeplacedaroundthe percentscoreof75%(thepreexaminationguaranteedminimumpasslevel).Thelowerlimitofthis confidenceintervalthenbecomesthepostexamguaranteedminimumpasslevel(postGMPL),at orabovewhichallstudentsareguaranteedtopasstheexam.ForindividualexamsaDangerLineis providedtoalertstudentswhomaybeatriskforfailingthecourse. ThepostGMPLcanbeadjusteddownwardattheCourseDirectorsdiscretion,baseduponpost examinationanalysis. IfonpostexaminationanalysisthepreGMPLisfoundtobegreaterthanthemeanofthestudents' scorestheconfidenceintervalwillbeappliedtothemean.

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Forthepurposeofstudentsascertainingwhethertheypassedandhowwelltheyscored,thescores willbereportedasthepercentofexaminationitemsansweredcorrectly. Forthepurposeofstudentsascertaininghowwelltheyperformedinrelationshiptotheir classmatesonagivenexaminationandfromexaminationtoexamination,examinationscoreswill alsobereportedinstandardscore**formwithameanof500andastandarddeviationof100. ThehonorslevelwillbedeterminedbytheCourseDirector(s).However,astandardscoreof600or aboveguaranteescoursehonors. Forcourseswithrequiredpromotionalexaminations,anaveragestandardscoreof600orabove guaranteesastudentyearendhonors.ThePromotionsCommitteehasthediscretiontodetermine additionalhonorsbasedoncourseperformance.Studentswhohaveanaveragestandardscoreof 600orgreaterandfailacoursearenoteligibleforyearendhonors. ConfidenceInterval Degreeofcertaintythatagivenscorewouldalwaysfallwithintheestablishedinterval. StandardScore Asetofscoresobtainedbyconvertingrawscorestoasetofscoresbaseduponthedistributionof therawscores. DangerLine Anarbitrarilychosenscoreonexams,proximitytowhichshouldalertyoutothepotentialforfailure atcourseend. GRADINGPOLICIES Whentheprocessfordeterminingthestudent'sfinalgradesforcourses,clerkships,electivesor yearsiscompleted,oneofthefollowinggradeswillbeplacedonthestudent'stranscript,i.e.,I= Incomplete,U=Unsatisfactory,S=Satisfactory,andH=Honorsforeachcourse,clerkship,elective oryear. IIncomplete Willbeenteredifcircumstancesbeyondthestudent'scontrolhavepreventedcompletionof assignedworkwithintheprescribedtime.Verificationofsuchcircumstancesmustbeobtained fromtheAssistantDeanofStudentAffairs. UUnsatisfactory Willbeenteredifthestudentfailedtocompletealltherequirementsforasatisfactorygradeandis noteligibleforagradeofI=Incomplete. SSatisfactory Willbeenteredifthestudentcompletedtherequirements.

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HHonors Willbeenteredifthestudent'sperformancewasmeritorious. Subsequently,basedupondecisionsmadebytheauthorizedentities,thestudent'stranscriptmay containappropriateexplanationswithinaRemarkscolumn. YEARENDHONORSPOLICY HonorsforYear2studentswillbedeterminedasfollows:Eachstudent'sstandardscorefor Pathobiology,Immunology/Microbiology/InfectiousDisease,Pharmacology,25%ofthestandard scoreforPsychiatry,and200%ofthestandardscoreforPathophysiology*willbeaddedtogether anddividedby5.25.Studentswhoseaveragescoreis600orabovewillreceivehonorsfortheyear. ClinicalMedicineIIisPass/Fail Thedifferentcourseweightsreflectdifferencesinthehoursdevotedtoeachcourse.Withrespect tohonorsforindividualcourses,thetranscriptwillreflecthonorsfor: PSYCHIATRY PATHOBIOLOGY PATHOPHYSIOLOGY IMMUNOLOGY/MICROBIOLOGY PHARMACOLOGY BASICSCIENCECOURSEGRADEAPPEALPOLICY Attheendofacourse,theconfidencelevelisusedtoestablishaguaranteedminimumpass.Course Directorshavethediscretiontolowerthepassrate(belowtheguaranteedminimumpassrateof 75%)whichwouldresultinfewercoursefailures.Studentsmayappealtheirunsatisfactorygrade. Gradeappealsmaybebasedonallrequirementsofthecourseincludingwrittenexamscores,lab examscores,smallgroupparticipation,attendanceatrequiredactivities,andassignments. However,astudentmaynotappealthecoursepassrateorchallengeexamquestions.Students maysubmit,inwritingandwithin30daysoffinalcoursegradeposting,agradeappealtothe CourseDirectorandAssistantDeanforBasicScienceEducation.Theappealwillbeconsideredby theBasicScienceEducationCommittee(BSEC)andavotetakentoacceptordenythegradeappeal. ThedecisionoftheBSECmaybeappealedinwritingtothePromotionsCommittee. PROMOTION InYear2,eachCourseDirector(s)setsthecriteriaforsatisfactoryandhonorsperformancefor his/hercourse. InordertobepromotedtoYear3,studentsmust: Passallcourses Meettheattendancerequirementsorfulfillthemakeupprovisionsforallcourseswith mandatoryattendance.

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SitforStep1oftheUSMedicalLicensureExamnolaterthanthelastFridayinJunethat precedesYear3orientation;thedatewillbeannouncedbytheSchool.Studentswho reportafailingscoreforStep1areplacedinSpecialMatriculationstatusforoneyear. StudentswhofailanyYear2course(s)arerequiredtodelaytakingStep1aswellasthe startofYear3untilSeptember.DelayedstudentswillbegivenuntiltheendofAugust totakeStep1.Thisassumesthatastudenthasbeenallowedtotake,andpasses,a summerremediationexamforthefailedcourse(s),andisotherwiseeligiblefor promotiontoYear3.AnystudentwithanunexcusedStep1delaymaybeplacedonan administrativeleaveofabsencewithareturndatetobedeterminedbytheSchool. AttendYear3orientationaswellastheclerkshipsiteorientation.

StudentswhofailtocomplywiththeJunedeadlinewillbepulledfromtheirassigned clerkships. MANDATORYDIRECTEDSTUDYFORYEAR1ANDYEAR2STUDENTSREPEATINGCOURSEWORK StudentswhoarerepeatingcourseworkinYears1or2mustalsoenrollinandcompletea directedstudycourse.ThisisamandatoryrequirementofthePromotionsCommittee.The directedstudycourse,asdescribedbelow,isdesignedtoenhanceastudentsstudyand testtakingskillswiththegoalofsuccessfulcompletionofremediationandtoprovidean educationalfoundationforadvancementtothenextleveloftraining.Theongoingreview ofcoursesalreadycompletedsuccessfullyisanimportantcomponentofthedirectedstudy. EachstudentwillcompleteadetailedPlanofWork,coordinatedbytheAcademicSkills Counselor.EachPlanofWorkistailoredtothespecificneedsofthestudent.ThePlanof Workneedstobedevelopedpriortothebeginningofthefirstdayoftheacademicyear,as thedirectedstudycoursebeginsonDay1(thisistrueevenwherethecoursetobe repeateddoesnotbeginatthebeginningoftheyear).ThenumberofDirectedStudycredit hoursastudentisrequiredtotakeisbasedontheinitialeducationalassessmentmeeting conductedbetweenthestudentandacademiccounselor.Studentswillbeassesseda minimumof1credithourofdirectedstudyandmustmaintainaminimumof12credit hours.Studentswillreceiveagrade(SatisfactoryorUnsatisfactory)forthecourse. PLANOFWORK StudentsrepeatingcoursesintheBasicSciencecurriculumarerequiredtomeetwiththe AcademicSkillsCounselortodesignanacademicstrategynecessaryforsuccessful completionofremediation.ThesuccessplanisdocumentedinaPlanofWork,forwhich thestudentisheldaccountable.RegularmeetingswiththeAcademicSkillsCounselorhelp monitorthestudentsprogresstowardsuccessfulcompletionofremediation,andarea requirementofthePromotionsCommittee.Itisthestudentsresponsibilitytomakeand keepspecifiedappointmentswiththeAcademicSkillsCounselor.Nonadherencetothe PlanofWorkcouldresultinanunsatisfactorygradeandwillbereportedtothePromotions Committee.

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ACADEMICSUCCESS ThefollowingisadescriptionofacademicprogrammingavailableforbothYear1and2 students.Opentoallstudents,someoralloftheseprogramsmayberequiredforstudents inremediation.Studentswillberequiredtoattendthesesessionsinperson. AcademicSuccess RegularlyscheduledintheYear1&2academiccalendar Workshops onOutlook,workshopsaredesignedtoreviewandteach academicstudyskills.Suchskillscoveredaretime management,notetaking,memory,reading,testtaking,etc. Auditing Studentsreturningtoschoolmayparticipateinallaspects ofbasicsciencecoursesEXCEPTanyandallexaminations. AcademicSuccessCourse Academicactivities,presentations,andstudyaidsforthe BasicSciencescanbeaccessedonBlackBoard.Connectto AcademicSuccessYear1orYear2toaccessonlinetutorials suchasWebPathorExamMaster,findthelocationandtimes forreviewsessions,Step1programmingandplanningaswell asotherusefultipsandtechniquesforbasicsciencecourses. ComprehensiveExams USMLEstyleexamsarepurchasedorcreatedtogiveYear 1and2studentsnationalboardexamsimulations.These examsoccurattheendoftheyear. FacultyInterface Studentsbenefitdirectlyfromworkingwithfacultywho teachthematerial.Interactionwithfacultycanbeoneon one,smallgroup,Bbdiscussion.Studentswillworkdirectly withfacultyaspartoftheirstrategicplan. Tutoring Oneononeorsmallgroupacademicassistancefrom afellowmedicalstudent(Years24).Tutoringincludes discussionofrelevantmaterials,strategiesforretentionof materialsaswellasapplicationofmaterialsastheyrelate tonationalboardexams. ThefollowingisadescriptionofacademicprogrammingavailableforYear1studentsonly: ReviewSessions ReviewofcoursematerialledbyaYear2studentis regularlytimetabledinaMDlabatlunchtime12noon. Studentsattendingthishourlongreviewinagroup formatarerequiredtosignineachtimetheyattendasession. ThescheduleforreviewsisalsolistedintheYear1academic calendaronOutlook.

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Tips,Techniques,Strategies, UpperclassmenfacilitateworkshopsforYear1courseshighlighting andSkills(T2S2) theavailableandpertinentresourcesforstudentsuccess. ThefollowingisadescriptionofacademicprogrammingavailableforYear2studentsonly: BacktoSchoolReview AweekbeforethestartofYear2,Year2facultygiveapreviewofthe coursesandtheAcademicSkillsCounselorreviewsallStep1related activitiesfortheupcomingacademicyear. STEP1Coaching StudentsdelayingorfailingSTEP1mayhaveaYear3or4 studentassistwithplanningandstrategizing.Thecoachlogsthe planandactivities. 20MinuteCaseStudies Usingsupplementalmaterialsapprovedbycoursedirectors,students insmallgroupsdiscusscasestudiesthatapplythecurrentlecture material.Thesecasestudiesarescheduledthroughouttheschool yearandareledbytwostudentcoordinatorswhosettheschedule, distributematerials,andrecordattendance.Attendingthe20 MinuteCaseStudieshelpsyoucompletequestionsforthe3,500 QuestionChallenge. 3500QuestionChallenge UsingvignettestylequestionsfromvariousYear2sources, studentsdevelopandexecuteastudyplanthatinvolvescompleting 20003500questions.Theresourcelist,gettingstarteddocument, Studytimeline,questionlog,andlearningcontractareonthe AcademicSuccessCourse:Year2inBlackBoard. POLICYFORONEYEARCLOCKTOPASSSTEP1 SchoolofMedicinepolicyisthatstudentshaveoneyearfollowingthecompletionoftheir sophomorecourseworktoreportapassingscoreforStep1USMLE.Theoneyearclockwillbeginon July1ofthesophomoreacademiccalendar.StudentshaveoneyeartopostapassingscoreforStep 1USMLEorfacedismissalfromtheMedicalSchool. PleasenotethatleavesofabsencesandStep1failuredonotalterthestartoftheclock,nordothey stoptheclockonceithasbegun. Studentswhoarescheduledtoreturntoregularacademicstatusafteranabsenceforanyreasonof oneyearormorefollowingcompletionofsecondyearcourseworkarerequiredtoattendaone monthclinicalrefresherbeforestartingorcontinuingthirdyearclerkshiprotations.

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Whileonadelay,astudentmaynottakeclerkshipsorreceivecreditforschoolworkcompleted ontheirdelay. SPECIALMATRICULATION StudentswhofailUSMLEStep1aredesignatedasSpecialMatriculationStudents.Atthebeginning ofSpecialMatriculation,ifthestudentisenrolledinaclerkship,heorshehastheoptionof immediatelystoppingtheclerkshipheorsheistakingStudentsmayenrollinaschoolapproved USMLEStep1reviewcourseinordertopreparefortheexamination.TheSchoolofMedicinewill reimbursethestudentonceforthiscourseforthefulltuitionamountupto$800.00.Studentswill beeligibleforfinancialaidpercurrentFinancialAidOfficepolicies.Studentswillbeassessedtuition percurrentSchoolofMedicinepolicies IfastudentchoosestoremaininaclerkshipafterreceivingafailingscoreonStep1,he/shewillbe requiredtocompleteallclinicalcomponentsofthatclerkshipbythetimetheclerkshipends. He/shemusttaketheclerkshipexaminationonthenormaldateattheendoftheclerkship.Ifthe studentfailstodothis,creditwillbedeniedfortheclerkshipanditwillhavetoberepeatedafter thestudentpassesStep1.CreditforthecompletedcourseisearnedonlyifUSMLEStep1ispassed bytheendofthatacademicyear. Thedecisiontocompletethecoursevs.immediatelysuspendclinicalworkismadebythestudent inconsultationwithhisorhercounselor,withapprovaloftheAssistantDeanforStudentAffairs. DETAILSOFTHESPECIALMATRICULATIONPROGRAM SpecialMatriculationisdesignatedasatimeforstudentstoprepare,undersupervision,forthe USMLEStep1examination.Assuch,studentsareexpectedtoprepareawrittenstudyplanwhich willbemonitoredbytheOfficeofStudentAffairsviaregularly,scheduledmeetingsbetweenthe studentandsupportpersonnel.Asaminimum,studentwillmeetwiththeAcademicSupport Counseloratleasttwiceamonth.Thesemeetingswillincludebutnotbelimitedto: studyskillsassessmentandenhancement timemanagement testtaking effectivereadinganduseofnotes,textsandotherresources administrationofpracticeexaminations StudentsarescheduledtotaketheUSMLEStep1examinationperNationalBoardof MedicalExaminerspolicy.

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STEP1CHECKLISTANDCONTRACT
1) Decidetofinishordroptheclerkship.(Checkoffwhencompleted.) a. ___ Notifyyourclasscounselorofyourdecisiontocompleteordroptheclerkship. b. ___ ConsultFinancialAidaboutSpecialMatriculation. c. ___ Iffinishingtheclerkship,youMUSTtakethesubject(SHELF)examattheregularly scheduledtime. MeetwithMs.Robinsontodevelopastudyplan. Meetwithyourclasscounselortodiscussreentryoptionsandcurricularissues.

d. e.

___ ___

Return:

September January July

TakeExam:

July1 November1 May1

2) Study,take,andpassSTEP1. a. Youmaybeeligibleforan$800refundfortakingaliveSTEPprepcourseonly.Youmustsubmit boththereceiptfortheprogramaswellasthecreditcardreceiptusedtopayforthecourse afterthecourseiscompleted. b. Specialmatriculationenrollsyouintoadirectedstudyforupto12credits.Thisdirectedstudy developsaneducationalplanforyoutosuccessfullyremediateSTEP1.Specialmatriculationis consideredhalftimeenrollment,makingyoueligibleforfederalfinancialaidforlivingexpenses foroneacademicyearonly. c. Ifapassingscoreisnotpostedafterthefirstyear(June30),youareplacedonanAdministrative LeaveofAbsence(ALOA).Afteranabsenceofoneyear,youarerequiredtorefreshyourclinical skillsattheClinicalSkillsCenter. UponyourreturntoYear3,theclerkshipandsiteassignmentissubjecttoavailability. Ifyouhavecompletedaclerkship/electivepriortoretakingSTEP1,youMUSTPASSSTEP1 withinthesameacademicyearinordertoreceivecreditfortheclerkship(evenifyouhave passedthesubjectexam). ThetimelimitforpassingSTEP1istwoyearsfromJuly1ofyoursophomoreyearregardlessof anyotherleaves.

d. e.

f.

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3) Onceapassingscoreisreportedyoushould: a. ___ ContactDr.MacLeaninwritingtoinformheryouwouldlikereturntoYear3clerkships CcyourcounselorandMs.Robinson. b. ___ Remediateclerkship(ifnecessary). c. ___ Remediateclinicalskills(ifnecessary). _______________________ StudentSignature _______________date ________________________ ClassCounselor _______________date ________________________ LeahRobinson _______________date

PROHIBITIONFROMPARTICIPATIONINSCHOOLACTIVITIES ToensuresuccessonUSMLEStep1reexaminations,studentswhohavefailedStepI reexaminations,studentswhohavefailedStep1(includingthoseoptingforaleaveof absence)arenotpermittedtoparticipateinStudentSenate,serveasclassofficers,sit onmedicalschoolcommittees,holdleadershiprolesinstudentorganizations,or participateinextracurricularinternationaltravelprojectsorprograms.Atthe discretionoftheAssistantDeanforStudents,studentsmaybeprohibitedfrom participationinotheractivitiesnotspecifiedhere. TERMINATIONOFSPECIALMATRICULATIONSTATUS OnceastudenthasenteredSpecialMatriculationstatus,heorshewillbereleased fromitatonlytwotimesduringtheacademicyear,i.e.,December31orJune30, unlesspriorwrittenapprovalisobtainedtoterminateSpecialMatriculationstatusatan earlierdate. SpecialMatriculationsessionstudentswhoarescheduledtoreturntoregularacademic status in January or July will spend the month prior to their return reviewing clinical skillsinamannerprescribedbytheSchoolofMedicine. ENTRYPOINTSFORBEGINNINGYEARIIICOURSEWORK OnlythreeentrypointsarepermittedforstudentstobeginYearIIIcoursework.Theseare: AtthebeginningofPeriod1(thebeginningofJuly) AtthebeginningofPeriod3(lateAugust/beginningofSeptember) AtthebeginningofPeriod7(thebeginningofJanuary) ThesethreeallowedentrypointsforstudentstobeginYearIIIclerkshipsapplytoallstudents regardlessofthereason(s)fortheirdelayedstartofYearIII. REGISTRATIONGUIDELINE&YEARIIIORIENTATION Studentswhoarescheduledtoreturntoregularacademicstatusafteranabsenceforanyreasonof 1yearormorefollowingcompletionofsecondyearcourseworkarerequiredtoattendaone monthclinicalrefresherbeforestartingorcontinuingthirdyearclerkshiprotations.AllYearII

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studentswillberequiredtoregisterforYearIIIasscheduledbytheOfficeofRecordsand Registration.Thetentativetimeforregistrationisimmediatelyafterthefinalexamfortheyear.In addition,regardlessofthedateyouplantobeginYearIIIclerkships,youwillberequiredtoattend theYearIIIOrientationasscheduledbytheAssistantDean,ClinicalScienceforthefirstweekinJuly. PROMOTIONSCOMMITTEE ThePromotionsCommitteeisthemedicalschooldecisionmakingbodywithregardtothe promotionsprocessandhastheprerogativeofdeterminingthestudent'sfitnessandsuitabilityfor thestudyandpracticeofmedicine.ThePromotionsCommitteemakesdecisionsrelativetothe retention,promotion,andreadmissionofstudents.Italsohastheresponsibilityofassuringthat therulesoftheSchoolandrightsoftheindividualsinvolvedhavebeenfairlymet.ThePromotions Committeewillformallyprovideinstructionsfortheexitinterviewwithstudentswhohavebeen dismissed.ThePromotionsCommitteeischairedbytheAssociateDeanforAcademicandStudent Programsorhisdesigneeandconsistsof8votingmembers,4nominatedfromthefacultybythe PresidentoftheFacultySenatewiththeadviceandconsentoftheExecutiveCommittee,4 nominatedfromtheCouncilofDepartmentalChairmen,bythePresidentofthatcouncilwithits adviceandconsent.Fourstudents,onefromeachclass,areselectedbyandfromtheStudent Body.Studentmembersserveforfouryearsandhavefullprivilegeofdiscussionbutnotformal votingrights.Facultymembersservethreeyearterms. StudentswhocompleteYear2withcoursedeficiencies(Unsatisfactorygradesorperformance deficiencies)willbereviewedbytheschool'sPromotionsReviewCommitteeandwiththe Committee'spermissionbeallowedtotakemakeupexaminationsduringthedesignatedreexam period,usuallyJune. YEARENDDECISIONMAKING AttheendoftheschoolyearthePromotionsCommitteewillmeetto: Certifythepromotionofstudentswhohavemetallofthepromotionalrequirements. Determinethosestudentswhoseperformancemeritsawardingofhonorsfortheyear. Determinethedispositionofstudentswhofailtomeettherequirementsforpromotion. Theoptionsare: Torequirestudentsto; Makeupnonexaminationdeficiencies Takemakeupexamination(s) Repeatselectedmedicalcourses Repeattheentireyear,exceptforthosecoursessuccessfullypassed. Note:Studentswillbeassessedforanyrepeatedcoursework. DISMISSAL ThePromotionsCommitteeoftheWSUSOMreservestherighttorecommendthedismissalof anystudentwhoseconductoracademicperformancewouldbejudgedtorenderthestudent

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unfitforthepracticeofmedicine.Recommendationfordismissalmaybeforacademicreasons orreasonspertainingtodisruptiveorunprofessionalbehavior. Inthecourseofmakingdecisionsconcerningstudentswhohavefailedoneormorecourses TheOfficeofRecordsandRegistrationwillprovidethestudents'preentryandmedical schoolperformancedata. TheYearCounselorwillprovideinformationaboutthestudent'sproblem(s)whichappearto impairacademicperformance, theplanthatwasdevelopedtodealwiththeproblem(s), theprogressbeingmade,and theprognosisforresolutionoftheproblem(s). Priortothemeeting,thecounselorwillreviewwiththestudentthesubstanceofthe counselor'sreportandwhat,ifany,personalinformationthestudentauthorizestobe presented. ThePromotionsCommitteewillprovideahearingforthestudentatitsdiscretion. Oncedismissed,astudenthastherighttoappealtheCommittee'sdecisionwithintenbusiness daysofreceiptofthedismissalletter.ThestudentshouldwritealettertotheChairofthe Committee,indicatingadesiretoappearbeforeittoshowcausewhyhe/sheshouldnotbe dismissedfromschool.Ifthisappealisrejected,thestudenthastherighttofurtherappealin writingtotheProvostofWayneStateUniversityforreviewofthePromotionsCommittees decision.ThisrequestforreconsiderationmustbereceivedintheProvostsofficewithinthirty businessdaysafterthePromotionsCommitteehasuphelditsdismissaldecision.
DURINGTHEYEARDECISIONMAKING AtanytimethePromotionsCommitteecanbeconvenedtoreviewstudentswhoseacademic performanceisinconsistentwiththeschool'sstandards.TheCommitteehastherighttoplace studentsonprobation,suspendorgrantleavesofabsencesifitisdeemedthatthestudent's performanceandreasonsthereofjustifythisaction. ACADEMICSTANDING Enrolledstudentsaredesignatedtobeingoodacademicstandingunlesstheyareofficiallyplaced onprobationoraresuspended. PURPOSE Thepurposeofacademicprobationistoassurethatallstudentswhoseacademicperformance placesthemathighriskforyearendfailurearecontinuouslyadvised. FEATURES

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YearIandIIstudentswhofailtwocoursesorrepeatanybasicsciencecoursewillbeplacedon academicprobation. 1. StudentsonacademicprobationwillreporttotheirassignedCounseloronaregularbasis forcounselingwithrespecttofactorshavinganegativeimpactonacademicperformance. 2. Studentsonacademicprobationarerequiredtoattendandparticipateinsupplemental instructionandworkshopsasdirectedbytheAcademicSupportCounselortoincludebut notlimitedto:reviewsessions,tutoring,postexamreviews,STEP1workshops,etc. 3. StudentsonacademicprobationarenotpermittedtoparticipateasSenateorclassofficers, sitonmedicalschoolcommittees,participateincollegeworkstudy,serveinstudent organizationleadershippositions,ortravelonSchoolsponsoredtrips.Itwillbeuptothe variousCommitteesandClassesastohowtheywishtohandlethedutiesoftheofficeror committeememberintheirabsence. 4. FailuretocomplywiththetermsofacademicprobationwillbereportedtothePromotions Committeefordisposition. 5. AcademicprobationarystatusforthefirstyearstudentwillcontinueuntilthePathobiology courserequirementsarecompleted.Probationarystatusforthesecondyearstudentwillbe terminatedafterStep1oftheUSMedicalLicensureExamhasbeencompleted. 6. Academicprobationarystatuswillnotaffectastudent'sfinancialaid. 7. Thedesignation"onacademicprobation"willnotberecorded,atanytime,onthestudent's transcript. SUSPENSION Suspensionisdefinedasprohibitingastudentfromattendingclassespendingadeterminationof his/herfitnesstocontinueasastudentintheSchoolofMedicine. COMMITTEESERVICE Studentswhoareonacademicprobation,inSpecialMatriculationoronleaveofabsencearenot permittedtoparticipateasSenateorclassofficers,noraretheypermittedtositonmedicalschool committees.ItwillbeuptothevariousCommitteesandClassesastohowtheywishtohandlethe dutiesoftheofficerorcommitteememberintheirabsence.Forstudentswhoareonverybrief(1 monthorless)leavesofabsence,theircontinuedparticipationoncommitteesorasofficerswillbe consideredonacasebycasebasis. PROMOTIONSCOMMITTEE(PC)APPEALPROCESS StudentshavetherighttoappealdecisionsofthePromotionsCommittee.

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Inordertoappealadecision,studentsmustpresentawrittenstatementtotheChairofthePC, clearlystatingthespecificnatureoftheappealwithintenbusinessdaysofreceiptoftheactionof thePC. ThestudenthastherighttorequesttheProvosttoreviewanydeterminationsmadebythe PromotionsCommitteeoftheSchoolofMedicinerelativetoacademicperformanceontheirpart. InadditiontotherolethatthePromotionsCommitteeplaysinstudentprogressandretention,the AssistantDeanforStudentAffairs,theMedicalSchool'sStudentDueProcessHearingPanelandthe SchoolsProfessionalismEvaluationCommitteehavetheseresponsibilities: TheAssistantDeanforStudentAffairsmaygrantaleaveofabsenceforcompellingreasons.Under ordinarycircumstances,aleaveofabsenceisnotcontinuedformorethantwoyears. Whenastudentisgrantedanextensionforasecondyear,s(he)mustapplyforreinstatementat leasttwomonthspriortothebeginningofthenextacademicyear.Ifs(he)failstodoso,s(he)is droppedfromtherollsoftheSchool. TheHearingCommitteePanelandothersplayaroleinhandlingstudentswithrespecttoacademic dishonesty.See"WayneStateUniversityStudentDueProcessPolicy",6/13/86. TheProfessionalismCommitteeandothersplayaroleinhandlingstudentswithrespectto behavioralproblems.See"UniversityGuidelinesforAssistingPersonswithBehavioralProblems". UNITEDSTATESMEDICALLICENSINGEXAMINATIONS WayneStateUniversitySchoolofMedicinestudentsarerequiredtotakeUSMLE,Step1and2,at designatedtimespriortograduation.StudentsmustpassStep1withaminimumscoredesignated byNBMEinordertobepromotedtoYearIII.Ifastudentchoosestoremaininaclerkshipafter receivingafailingscoreonStep1,he/shewillberequiredtocompleteallclinicalcomponentsof thatclerkshipbythetimetheclerkshipends.He/shemusttaketheclerkshipexaminationonthe normaldateattheendoftheclerkship.Ifthestudentfailstodothis,creditwillbedeniedforthe clerkshipanditwillhavetoberepeatedafterthestudentpassesStep1. LEAVEOFABSENCE Studentsareexpectedtocompleteassignmentsasscheduleandpursuethecourseofstudyinthe prescribedmedicalschoolsequence.Onoccasionastudentsnormalprogressionmaybe interruptedbillness,pursuanceofanothercourseofstudyorresearch,orpersonalreasons.All requestsforaleaveofabsencefromtheSchoolofMedicinemustbemakeinwritingtothe AssistantDeanforStudentAffairs.Leavesshouldbediscussedwiththestudentscounselorandthe StudentAffairsDean,priortosubmittingaformalwrittenrequest. Thereare3typesofabsencewhichstudentscanrequest: Medical:aprolongedillnessorseriousinjuryinterfereswithastudentsabilitytoprogress. Educational:Astudentchoosestopursueanadditionalcourseofstudy9e.g,.advanced degreeorcertificationwhichrequireshis/herabsencefrommedicalschooltraining

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Personal:Apersonalorfamilyproblemrequiresthestudenttoleavetrainingtemporarily.

Ininstancesofbehaviortemporarilyincompatiblewithcontinuedtraining,theOfficeofStudent AffairscancauseastudenttogoonanAdministrativeLeaveofAbsence.

POLICYREGARDINGEXCUSEDABSENCES TheSchoolofMedicine'spolicyforabsencesfromscheduledcourse/clerkshipexaminationsisas follows: Ifyouareillonthedayofascheduledexaminationandneedtodefertakingtheexaminationtoa laterdate,youarerequiredtocontacttheOfficeofStudentAffairs(3135771463)toreportthe natureofyourmedicalemergencyandrequestpermissiontodefertakingtheexaminationtoa laterdate. Yourrequestwillbenotedandyouaretofollowtheproceduresgivenbelow: Reporttoanytreatingphysician,urgentcareclinic,theCampusHealthCenterattheHelenDeRoy ApartmentBuilding5200AnthonyWayneDr.,Suite115Detroit,MI48202(Phone:3135775041) ortheDetroitMedicalCenterOccupationalHealthservicesat4KUHC(Phone:3137454522).The medicalreportmustincludeastatementthattheseverityofyourillnessissuchthatyouare physicallyunabletotaketheexaminationonthegivendate.Ifyouareseenin4KUHC,this requiredstatementmustbesignedbytheclinicssupervisingphysician.TheOccupationalHealth ServicesClinicalfeeforthisis$33.00thatwillbebilleddirectlytoyou.Pleasenotethatyoumay notobtainevaluationfromaphysicianwhoisamemberofyourfamily. Ifyouhaveadocumentedchronichealthproblem,youmayelecttovisityourpersonalphysician whowillreleaseareportincludingalloftheinformationrequiredin#1ofthispolicy. Personalemergencies(carproblems,expresswaytieups,familyemergencies)willbehandledonan individualbasisandrequiredocumentation. TheauthoritytograntordenyarequesttakingascheduledexaminationresidesintheOfficeof StudentAffairs.Ifarequestisdeniedandyoudonottakethescheduledexamination,theabsence isrecordedasunexcusedandascoreofzero(0)isrecordedforthatparticularexamination. STUDENTEVALUATIONOFTHECURRICULUM Evaluationisconsideredacourserequirement.Studentshaveinputintotheevaluationofthe curriculumthroughtwodifferentprocesses. WayneStateUniversityrequiresthatallstudentsevaluateallfacultyusingastandardquestion form.ThisisbothaprivilegeandaresponsibilityforyouasaWSUstudent.Studentswhohavenot turnedintheirevaluationforacoursewillnothavetheircoursegradeposted.Itisrecognizedthat notallstudentsattendalllectures(orhavethecomparableexperienceofviewingthestreaming videoorlisteningtoaudiotapeofthesession)!However,allstudentsarerequiredtoevaluateeach

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courses,andtoevaluatetheappropriateitemsforallfacultyregardlessofattendance.Forexample, studentscanevaluatethequalityofthelecturenoteswhetherornottheylistenedto,orviewed(in personorthroughstreamingvideo),thelecturer. TheSchoolofMedicineprovidesstudentsauniqueopportunitytogiveconstructivefeedbackto faculty.StudentsparticipatingintheCoCurricularMedicalEducationEvaluationprogramwill conductfocusgroups.Thefocusgroupsleaderspresentasummaryoftheirevaluationand suggestedchangestotheCourseDirectorandtheAssistantDeansofEvaluationsandBasicScience Education.Thisisanopportunityforstudentsandfacultytoengageinmeaningfuldialog. INJURIES,NEEDLESTICKSANDEXPOSURESTOBODYFLUIDS Duringthecourseofamedicalstudentseducation,heorshewillcomeintocontactwith occupationalhazardsasanaturalconsequenceofcertainlaboratoryexercises.Medicalstudents areatparticularriskforneedlestickinjuriesandothersharpinjuries,sincebecausetheyarein trainingtheymaynotbeskilledinspecificproceduresbeingperformed.Atalltimes,ifastudentis uncomfortableperforminganassignedprocedurebecauseoftheperceptionthathisorherskills areinadequateorthatsupervisionwillnotbeadequate,thenthatstudentMUSTrefrainfromdoing theprocedureandreporttotheinstructor. ItistheobligationoftheSchoolofMedicinetoformallyeducateitsstudentsregardingthe preventionofoccupationalinjuries.Inaddition,theschoolhasdevelopedprogramsbywhich studentswhoareinjuredorexposedinthecourseoftheirtraininghavetheknowledgetoproperly seekcare.Suchprogramsareformallypresentedtostudentsinthefirst,secondandthirdyearsof themedicalschoolcurriculum. Intheeventthatastudentisinjured,stuckwithaneedleorothersharpinstrument,orsustains exposuretoabodyfluidonmucusmembranesornonintactskinwhileengagedincourseworkthe studentmustreporttheincidenttotheinstructorimmediately.Awrittenreportmustbecompleted detailingthecircumstancesoftheexposure.Thestudentshouldalsonotifyhisorhercounselorof thereportedincident. Astudentwhosustainsaninjuryorexposuretobloodand/orbodyfluidswhileparticipatingin medicalschoolcourseworkmustgototheOccupationalHealthServicesSectionatUHC4Kifthe eventofanonemergencyinjuryandiftheinjuryoccursbetween8:00amand4:00pmMonday Friday.Intheeventofanemergencyoriftheinjuryoccursafterhoursoronaweekend,the studentmustgototheDRHemergencyroom.Ifmedicaltreatmentisrequired,thestudents medicalinsurancecopaymentsordeductibleswillbewaivedforthefirsttreatment.Followup medicalappointment(s),ifnecessary,willbetheresponsibilityofthestudent. YEAR2GENERALINSTRUCTIONSANDLABORATORYRULES Duringthisyear,youwillbeworkingwithpathogenicmicroorganismswhicharecapableofcausing infectionsinyourselfandothers.Thereisnodangerifyoulearntocarryoutthelaboratory techniquescarefully;however,carelessproceduresonyourpartwillendangeryourselfandothers. Fortheprotectionofallindividualsworkinginthelaboratory,thefollowingrulesmustbestrictly observed:

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Alwayswearakneelengthlaboratorycoatwhenworkinginthelaboratory. Nofoodordrinkshouldbeconsumedinthelaboratory.Foodshouldbestoredonlyinthe refrigeratorslabeled"FoodOnly"(oneisprovidedineachinnerlab).Studentsare responsibleforkeepingthisrefrigeratorclean. Studentsmustrefrainfromeating,smoking,orputtinganythingintheirmouths.No mouthpipettingispermitted.Pipettorswillbeprovided. Beforebeginninganyworkinthelaboratory,wipethebenchtopwithaspongewhichhas beenmoistenedwithadisinfectantsolution. Attheendofthelaboratoryperiod,thesinkmustbeclearedofalldebris.Allequipment mustberemovedfromthetopoftheworkbenchandtheareawipedwithdisinfectant solution. Beforeleavingthelaboratory,duringorafteranexperimentalsession,studentsmust washtheirhandsthoroughlywithsoapandwater.Anantibacterialsoapisprovidedatthe sinkineachinnerlaboratory. Theinoculatingloopsandneedlesmustbeplacedinthesmalltabletopdiscardbucket provided.DONOTputusedinoculatingloopsorneedlesonthetabletop. Anyspilledorbrokeninfectiousmaterialshouldbethoroughlywetdownwitha disinfectantandthenbroughttotheattentionofaninstructor. Reportanysituationwhichmightbehazardoustoyouoryourfellowstudentstoyour laboratoryinstructor. Incaseofanyaccident,reportfirsttoyourlaboratoryinstructorandtoConjointTeaching Services. Storeanymaterialstobeusedorobservedatalaterclassperiodinadrawerintheinner lab,oneoftheYear2incubators,ortheYear2refrigeratorlabeledLabSuppliesas required. Laboratorysuppliesandmaterialswillbeclearlyindicatedforyouruse.DONOTuse anymaterialsnotspecificallymarkedforyouruse.Additionalsuppliescanbepickedup duringthelabexercisefromConjointTeachingServices.

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DISCARDS Discardalldisposablematerialssuchastubes,petridishes,etc.,andanymaterial contaminatedwithbloodorseruminthecansmarked"MicrobiologicalDiscards".These materialswillbepickedupandsterilizedonceaweek. Whenyouarefinishedobservingorworkingwithcultures,discardthem.DONOTleave themintheincubators,refrigerators,ordrawers. Smallitemssuchasslides,Pasteurpipettes,berelpipettes,etc.shouldbediscardedinthe smallwhitecontainersonthebenchtop. AllsyringesandneedlesmustbediscardedinthecontainerslabeledSHARPS. NEVERdiscardmaterialsusedinthelaboratoryexperimentsintheWHITECANSlabeled PAPERONLY. DRESSCODE Wedonothaveadresscode,butweexpectyoutohaveanappearancethatinspiresconfidencein youandyourschoolwhenworkingwithpatientsanddealingwiththepublic. STUDENTCOUNCIL TheStudentCouncilisaskedtoappointarepresentativefromeachclasstotheCurriculum CommitteeandthePromotionsCommittee.Itisthroughthesecommitteesaswellasthrough discussionswiththeindividualfacultymembers,CourseDirectors,theDirectorofCurricular Management,andtheDeanofCurricularAffairs,thatyourperspectivecanbepresentedeffectively andourprogramcanbeimproved.Studentsalsoplayanimportantroleinevaluatingeachcourse.

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THEVERAP.SHIFFMANMEDICALLIBRARY TheVeraParshallShiffmanMedicallibrarywelcomesWSUSchoolofMedicinestudentsfaculty andstafftoitsnewlyrenovatedpermanentlocationintheMazurekMedicalEducation Commons.Thehoursofserviceare:7:30a.m.midnight,MondayFriday;7:30a.m.8:00 p.m.Friday,andnoon8p.m.SaturdayandSunday.Inadditiontoopenreadingareasstudy roomsareavailableandcanbereservedduringthelibrarysservicehours.Whennotinuse otherMazurekclassroomsareavailableforstudypurposeswhenthelibraryisclosed.Your WSUOneCardprovidesyouwithaccesstothelibraryandshouldbepresentedonentry. Libraryservicesincludingcirculation/reservesandreferencearenowlocatedonthemainfloor ofMazurekalongwithbooksandjournalspublishedafter1980.AcollectionofbooksandDVDs forclassreserveandsomeofthemorepopularexaminationreviewbooksarelocatedbehind theservicedesk.Whilereservematerialsarerestrictedtothreehours,booksinthecirculating collectionmaybesignedoutforonemonth;journalsdonotcirculate.Youmayfindmore materialsinourlibrarycatalogthatcanbeaccessedfromanylocation.Ouronlinecataloggives thelocationoflibraryresourcesandlinkstoonlinematerialsincludingseveralthousand electronicjournals.Thelibraryswebsiteathttp://www.lib.wayne.edu/shiffmandirects studentstotheonlinecatalog,databasesandmore.ShiffmanalsoprovidesOneCardoperated photocopiersandprintersforbothdesktopandwirelessprinting. InadditiontowirelessaccessforWSUstudents,facultyandstaffinallareas,thelibraryhouses atenseatcomputertraininglabthatisavailabletostudentswhenitisnotinuse. Offcampusaccesstomanylibraryresourcesincludingelectronictextbooksandexamination reviewmaterials,MEDLINE,onlinejournalsandwebresourceswillrequirestudentsWSU AccessID(ab1234).Formoredetailsaboutcomputerlabsandremoteaccesspleasesee www.lib.wayne.edu/shiffmanorsendquestionsorsuggestionstoaskmed@wayne.edu MEDICALEDUCATIONSUPPORTGROUP TheMedicalEducationSupportGroup(room231MazurekMedicalEducationCommons)offers studentssupportservicesforBlackBoardandPDAapplications. SCHOOLOFMEDICINELEARNINGRESOURCES Two40seatcomputerlabsonthethirdfloor(rooms#325and#324)aremadeavailablebythe SchoolofMedicineforstudents.

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YEAR2 ATAGLANCE
20112012 IMPORTANTDATES
August1,2011 15 26 29 September 5 12 21 27 29 30 30 October 17 24 31 November 14 23 2425 28 December 16 16 January 3 2012 16 25 February 13 March 2 59 12 26 April 2 10 16 18 30 May 10 11 ClassesBegin Imm/Micro/IDExamI PsychiatryExamI Imm/Micro/IDExamII LaborDayHoliday Imm/Micro/IDExamIII ClinicalMedicineIIExam PsychiatryExamII Imm/Micro/IDExamIVorComprehensiveExam Imm/Micro/IDExamIV Imm/Micro/IDLabExam PharmacologyExamI PathobiologyExamI PharmacologyExamII PharmacologyExamIII PathobiologyExamII ThanksgivingRecess ClassesResume PP:Respiratory/PharmD.Exam WinterRecessBegins ClassesResume MartinLutherKingHoliday PP:Cardiovascular/PharmD.Exam PP:Hematology/PharmD.Exam PP:Renal/PharmD.Exam SpringRecess ClassesResume PP:Neurology/PharmD.Exam PP:Dermatology/PharmD.Exam PhysicalDiagnosisWrittenExam PP:Gastro/PharmD.Exam KaplanDiagnosticExam(Optional) PP:Endocrine/PharmD.Exam PP:ConnectiveTissue/PharmD.Exam ComprehensiveBasicScienceExam 10:00A.M. 1:00P.M.3:30P.M. 1:00P.M.3:30P.M. 1:00P.M.3:30P.M.

1:00P.M.3:30P.M. 3:00P.M.5:00P.M. 1:00P.M.3:30P.M. 9:00A.M.Noon 1:00P.M.4:00P.M. 9:00A.M.11:30A.M. 2:00P.M.4:00P.M. 1:00P.M.4:00P.M. 1:00P.M.4:00P.M. 1:00P.M.4:00P.M. 1:00P.M.4:00P.M. 1:00P.M.4:00P.M. 9:00A.M 8:30A.M.11:30A.M. 9:30A.M. 1:00P.M.4:00P.M 1:00P.M.3:30P.M. 1:00P.M.4:00P.M. 9:00A.M. 1:00P.M.4:00P.M. 1:00P.M.3:00P.M. 1:30P.M.4:00P.M. 1:00P.M.4:00P.M. 2:30P.M.4:30P.M. 1:00P.M.4:00P.M. 1:00P.M.4:00P.M. 8:00A.M.5:00P.M.

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SCHOOLOFMEDICINE YEAR2TEXTBOOKS 20112012 Thepurchaseoftextbooksistheresponsibilityofeachstudentandshoulddependonone'spresent libraryandacademicbackground.Thefollowingbooksareeitherrequiredorrecommendedor both. Immunology/Microbiology(Required) Rosen,F.andGeha,R.CaseStudiesinImmunology:AClinicalCompanion,5thEdition GarlandPublishing,Inc.,2007. Gilligan,P.,Smiley,M.,andShapiro,D.,CasesinMedicalMicrobiologyandInfectious Diseases.3rdEditionASMPress2002 Recommended Coico,R.andSunshine,G.Immunology:AShortCourse6thEditionbyJohnWiley& Sons,2009. Ryan,Kenneth,Ray,C.George,Ahmad,Nafees,Drew,W.Lawrence,Plorde,James. SherrisMedicalMicrobiology,5theditionbyMcGrawHillMedical,2010. Pharmacology(Recommended) ManualofPharmacology&TherapeuticsbyL.Brunton,K.Parker,D.Blumenthal&I. Buxton,McGrawHill,NewYork,2007,$55.95list Referencetext Goodman&Gilman'sThePharmacologicalBasisofTherapeutics.11thEdition,Laurence Brunton,JohnLazo,KeithParker,Eds.,McGrawHill,NewYork,2006.Listprice$170.00 Pathobiology(Required) Kumar,Abbas,Fausto,andAster.RobbinsandCotranPathologicBasisofDisease,8thedition (2009).ISBN:1416031219 Psychiatry(Recommended) KaplanandSadocksConciseTextbookofClinicalPsychiatry.2ndEd.LippincottWilliams &Wilkins:2004.

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KaplanandSadocksPocketHandbookofClinicalPsychiatry.4thEd.LippincottWilliams &Wilkins:2005.

Pathophysiology(Required) Kumar,Abbas,Fausto,andAster.RobbinsandCotranPathologicBasisofDisease,8thedition (2009).ISBN:1416031219 Respiratory Unit Required: Appropriate chapter sections from: Kumar, Abbas, Fausto, and Aster. Robbins and Cotran Pathologic Basis of Disease, 8th edition (2009). Recommended: West, John B., Pulmonary Physiology and Pathophysiology: An Integrated, Case-Based Approach, 2nd ed., Lippincott, Williams and Wilkins, Philadelphia, PA, 2007. CardiovascularUnit Required Recommended Lilly(ed.):PathophysiologyofHeartDisease,4thEd.,Lippincott,2007. AnthonyS.Fauci,etal.Editors:Harrison'sPrinciplesofInternalMedicine, 15thEd.,2001. RenalUnit Recommended RoseBurton,TheClinicalPhysiologyofAcidBaseandElectrolyte Disorders,5thEd.,McGrawHill,2001. Stanton,BruceandKoeppen,Bruce.RenalPhysiology,4thEd.,Mosby.,2006. VivetteD.DAgati,J.CharlesJennetteandFredG.Silva.NonNeoplasticKidneyDisease, AFIPARPPRESS,2005.

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EndocrineUnit Recommended HarrisonsTextbookofInternalMedicine,(Latestedition) ConnectiveTissue Recommended: Rheumatology: KlippelJH,PrimerontheRheumaticDiseases,13thEd.,Springer,2008(Arthritis Foundation). HoppenfeldS,PhysicalExaminationoftheSpineandExtremities,AppletonCenturyCrofts, 1976. Pathology: KumarV,AbbasAK,FaustoN,andAsterJ,RobbinsandCotranPathologicBasisofDisease, 8thEd.,SaundersElsevier,2009. Orthopaedics: LawrencePF,EssentialsofSurgicalSpecialties,3rdEd.,LippincottWilliams&Wilkins,2006. Pathology: Vigorita,VJ,Ghelman,B.,OrthopaedicPathology. Dermatology HighlyRecommended LookingbillandMarks'PrinciplesofDermatology(PRINCIPLESOFDERMATOLOGY (LOOKINGBILL))(Paperback)byJamesG.MarksJr.MD(Author),JeffreyJ.MillerMD (Author)4thedition Reference OdomRB,JamesWD,BergerTG.AndrewsDiseasesoftheSkin:ClinicalDermatology,9th Ed.WBSaundersCo.Thisisanintermediatecomprehensivedermatologytextbookthat coversmostdermatologywithoutextensivedetail.About$120. FreedbergIM,EisenAZ,etal.FitzpatricksDermatologyinGeneralMedicine,5thEd.(two volumeset).Thisisanexcellentcomprehensivedermatologyreferencemanual.$395.

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BologniaJL,JorizzoJL,RapiniRP.Dermatology,Mosby.Anotherexcellentcomprehensive dermatologytextbook,comparabletoFitzpatrick.$299. HematologyUnit Recommended A.V.Hoffbrand,J.E.Pettit,P.A.H.Moss,EssentialHematology,WileyBlackwellScience,6th edition,2011. Companionwebsite:www.wiley.com/go/essential/haematology GastrointestinalUnit Recommended OdzeR,GoldblumJandCrawfordJ.SurgicalpathologyoftheGItract,Liver,Billiary tractandPancreas.2ndedition,Saunders,2009. NeuropathologyUnit Required Syllabusandselfstudymaterials. Recommended Rowland,L.P.MerrittsNeurology.11thEd.,LippincottWilliams&Wilkins,2005. ISBN13:9780781753111 Asbury,McKhann,McDonald,GoadsbyandMcArthur,DiseasesoftheNervousSystem: ClinicalNeuroscienceandTherapeuticPrinciples,3rdEd.,CambridgeUniversityPress,2002. ISBN13:9780521793513 a. Merritt'sNeurology.Merritt,Rowland.LippincottWilliams&Wilkins;10thedition,or DiseasesoftheNervousSystem:ClinicalNeuroscienceandTherapeuticPrinciples. Asbury,McDonald,McKhann,Goadsby,McArthur.CambridgeUniversityPress;3rd edition,orTextbookofClinicalNeurology,Goetzetal.2ndEd.Saunders. b.UsefulWebsitesorotheronlineresourcesareincludedwiththecoursesyllabus. PhysicalDiagnosis Required: Bickley,LynnS.Bates'GuidetoPhysicalExaminationandHistoryTaking.10thEdition, LippincottWilliamsandWilkinsC.,2009

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Discipline:Immunology/Microbiology/InfectiousDisease
CourseDirector:Dr.MattJackson CourseObjectives TheImmunology/Microbiology/InfectiousDiseaseCourseprovidesstudentswithan understandingofhostparasiterelationships.Thisunderstandingwillencompasstheworkings oftheinnateandacquiredimmuneprotectivesystemsaswellasthemicroorganismswith whichtheprotectivesystemsseektocope.Thecoursehastwocoordinatedcomponents, ImmunologyandMicrobiology/InfectiousDiseases.TheMicrobiology/InfectiousDiseases componentispresentedusinganorganbasedapproachtoreflectthediagnosticstrategyused byphysicians.BasicsciencelecturesinMicrobiologyarefollowedbyInfectiousDisease presentationsbyclinicalfaculty.CasestudiesarepresentedinsmallgroupsessionsintheMD labs.WetlabscovertopicsinbasicImmunologyanddiagnosticMicrobiology.Studentsarealso responsibleforaseriesoftutorialsavailableontheMDlabcomputers(programtitle:MicroII CasesinMedicalMicrobiology). CourseStructure Lecturescoveredon4writtenexams Laboratoriesrequiredattendance;wetlabexercisesinImmunology,Bacteriology, Virology;coveredonasingle,25stationlabpractical CasestudiespresentedbyImmunologyandInfectiousDiseasesfacultyintheMEC classrooms;groupparticipationrequired;coveredonthe4writtenexams Computerizedcasestudies(MDlabPCprogramtitle:MicroIICasesinMedical Microbiology)onlyavailableontheMDlabcomputersduetolicenserestrictions; coveredonthelabpractical SelfstudiesonereadingassignmentonVaccinesiscoveredonawrittenexam Laboratories Thelaboratorytopicsarecorrelatedwiththelecturepresentations.Pleasereadthe introductorymaterialtoeachexerciseinyourlabmanualpriortocomingtothelaboratory. ComputerizedMicrobiologycasestudies(MDlabPCprogramtitle:MicroIICasesinMedical Microbiology)willbeassignedasselfstudymodules.Thesewillbeavailableonlyonthe computersintheMDlabs. Pathogenicmicroorganismswillbeusedinthelabexercises.Therefore,youmustwearalab coatforalllabsessionsandusesafelaboratorypractices.Unlessofficiallyexcused, attendanceatalllaboratoryactivitiesismandatory. Exams Therewillbe4regularwrittenexamsand1laboratorypractical.

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Writtenexamswillhaveapproximately3questionspercontacthour.Examquestionswill bedrawnfromlecturesandsmallgroupcasestudypresentations.Althoughgeneral knowledgefrompreviousunitsmayberequiredforsomequestions,theexamsarenot cumulative. A25stationlaboratorypracticalwilloccurattheendofthecourse.Itwillcoverlaboratory exercisesandthecomputerselfstudytutorials(MDlabPCprogramtitle:MicroIICasesin MedicalMicrobiology).Itwillbenecessarytomakeadiagnosisbasedonacasestudy presentationandinterpretbasiclaboratoryresultsforthepractical.Simplelaboratory manipulationswillberequiredonthepractical.Thelaboratorypracticalwillbeweighted sothatitisroughlyequivalenttoonewrittenexam.

DigitalContent TheImmunology,Microbiology,andInfectiousDiseaseswebsiteisaccessibletoWayneState medicalstudentsandfacultythroughBlackBoard.Thewebsitecontainsdigitizedlecture presentations,reviewtables,interactivequestions,courseoutlines,alistofmicrobiologystudy guides,andafacultycontactlist.FacultyandstudentsarealsoencouragedtouseBlackBoardas aforumfordiscussionofrelevantcoursematerial.Interactivereviewquestionsarealso providedthroughExamMaster.Alllecturepresentationsareprovidedasstreamingmedia. Textbooks 1. Coico,R.andSunshine,G.Immunology:AShortCourse6thEditionbyJohnWiley&Sons, 2009. Thiseditionandearliereditionshavebeenusedforanumberofyearsinthiscourse.Year afteryearstudentshavebeenpleasedwiththistext. 2. Rosen,F.andGeha,R.CaseStudiesinImmunology:AClinicalCompanion,5thEdition GarlandPublishing,Inc.,2007. Thisbookprovidesaclinicalperspectivetotheimmunologycomponentofthecourse.This textformsthebasisforcasestudydiscussions. 3. Gilligan,P.,Smiley,M.,andShapiro,D.,CasesinMedicalMicrobiologyandInfectious Diseases.3rdEditionASMPress2002 Infectiousdiseasecasestudydescriptionsfromthisbookwillbediscussedinthesmall groupsessionsledbytheclinicalfaculty.

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Discipline:ClinicalMedicineII
UnitDirector:ReneeL.Dwaihy,M.D. ClinicalMedicineII(CMII)occursintheYear2curriculumandisacontinuationofClinicalMedicine IinYear1.Thiscoursecontinuestoaddressrealisticaspectsofclinicalpractice.Itsimulatesthe clinicallearningenvironmentinthatitincludespeerbasedteamlearningfacilitatedbyan experiencedclinician.ItisacollaborativecourseincludingthedepartmentsofCommunity Medicine,FamilyMedicine,InternalMedicine,ObstetricsandGynecology,andPediatrics.Itis taughtbyUniversityfacultyandcommunitybasedphysiciansaswellasregionalexperts.The purposeofClinicalMedicineistointroducethestudenttotheknowledge,skills,andattitudes neededinclinicalpractice. CourseObjectives TheintentofthiscourseisforstudentstobeintroducedtoClinicalMedicineandtodemonstrate familiaritywith: MedicalInterviewingSkills PhysicalExaminationSkills AnalyticReasoningSkills TheMedicalRecordandOrganizationalSkills ThePatientCenteredClinicalMethod Professionalism&MedicalEthics PreventiveMedicineandPublicHealth CurrenttopicsinClinicalPracticeincludingEndofLifeIssues,SubstanceUse, InterpersonalViolence,Geriatrics,CrossCulturalIssues,Professionalism, OccupationalandEnvironmentalExposures,HumanSexuality,andManagingCare Issues CourseStructure ClinicalMedicineII,likeCMI,integratesseveralpreviouslydiscretecourses:PatientInterviewing, PhysicalDiagnosis,MedicalEthics,HumanSexuality,HumanValues,IntroductiontothePatient, PreventiveMedicineandPublicHealth,andtheverticallyintegratedcurricularthemes(Alcohol, TobaccoandOtherDrugs,ComplementaryandAlternativeMedicine,CulturalCompetence,Endof Life,Geriatrics,InterpersonalViolenceAcrossTheLifespan,ManagingCare,Occupationaland EnvironmentalMedicine).ClinicalMedicineconsistsofseveralunitsinYear1andYear2andwill extendthroughYear3astheContinuityClinicClerkshipandintoYear4.CM2includessmallgroup sessions(1012studentswithonephysicianinstructor),largegroupactivities,andselfstudyand webbasedinstruction.PhysicalDiagnosiswillcontinueasanindependentunitwithinClinical Medicine.EvidenceBasedMedicinewillbecomeanindependentcoursethisyear,andnolongerbe incorporatedintotheClinicalMedicinecurriculum. SmallGroupSessions ThesmallgroupsessionswillcontinueintothefirsttwomonthsofMS2,butwillbeconsolidated intoonesession,andintegratedintoCMIafterthisacademicyear.Theemphasisinthesmall groupswillbeonlearningtoeffectivelycommunicatewithpatientsandtheproperwaytoobtain

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anorganizedandconcisemedicalhistory.Youwillbegradedonpreparationandparticipation. Onceassignedtoasmallgroup,youwillnotreceivecreditforattendanceatanyothergroup. Attendanceatsmallgroupsessionsisrequired.PleasenotethatonlyyourYear2counselorcan provideanexcusedabsence.Itisconsideratetonotifyyoursmallgroupinstructorifyoucannot attendasession,butitisconsideredanunexcusedabsenceifnotexcusedbyyourcounselor. PleaserefertoSOMguidelinesforwhatconstitutesanexcusedabsence.Excusedabsencesmustbe madeupthroughcompletionofaspecialassignmentatthediscretionoftheCourseDirector. LargeGroupActivities Generallythematerialdiscussedinthesmallgroupswillbepresentedinalargegroupsessionorin acomputerassistedexerciseorreadingassignment.Theseactivitiesshouldbecompletedpriorto thesmallgroupmeeting(s)inwhichtheproblemwillbediscussed.Largegroupsessionsmaybein theformatoflecture,expertorpatientpanel,audiovisualorpatientpresentation.Attendanceand assignmentcompletionisrequired. WebbasedInstructionandSelfStudy Selfstudyassignments,resourcesandothercourseinformationcanbeaccessedviaBlackboard.It isacourserequirementthatyouregisteronBlackboardandyouwillbeaccountableforanycourse informationontheClinicalMedicineBlackboardsite. PhysicalDiagnosis ThePhysicalDiagnosisunitofClinicalMedicinewillbuildupontheInterview,HistoryTaking, PhysicalExaminationandClinicalDecisionMakingskillsthatyouhavedevelopedsofar.The PhysicalDiagnosissessionsbegininNovemberandcontinuefortheremainderoftheyear.

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Discipline:Psychiatry
CourseDirector:MaryMorreale,M.D. COURSEOBJECTIVES Introduction: Thiscourseonpsychopathologyfocusesonnormalgrowthanddevelopment,andthe recognition,assessmentandtreatmentofpsychiatricdisordersseeninadultsandchildren.Wewill alsodiscusspsychiatricnomenclature,thementalstatusexamination,andDSMIV.Inaddition, therewillbelecturesoncommonpsychiatricproblemsseeninthegeneralhospitalsetting,andthe impactofmedicalillnessandhospitalizationonthepatient.Thiscoursewillprepareyouforyour clinicalrotationinpsychiatryinthethirdyear.Itwillalsoprovideabackgroundinpsychiatryfor futureworkinanyclinicalareaofmedicine. RecommendedTextbooks: KaplanandSadocksConciseTextbookofClinicalPsychiatry.2ndEd.LippincottWilliams& Wilkins:2004. KaplanandSadocksPocketHandbookofClinicalPsychiatry.4thEd.LippincottWilliams& Wilkins:2005. RequiredSessions: BoththelectureonPhysicianImpairmentandthePatientPanelthatfollowsarerequired. Evaluation: Therewillbetwomultiplechoiceexaminationsinthecourse.ThefirstisonAugust26thandthe second,September28th. CourseDirector: MaryMorrealeMD mmorreale@med.wayne.edu CourseAssistant: YolandaPitts ypitts@med.wayne.edu (313)5773130

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Discipline:Pharmacology

UnitDirector:Dr.RaymondMattingly COURSEOBJECTIVES Pharmacology,thestudyoftheactionofdrugsoncellsandorganisms,isinterdisciplinaryinthatit combinesknowledgeofthebiochemicalandmolecularmechanismsofdrugactionwiththe anatomicaldistributionofdrugsinthebodyandthephysiologic(andsometimespathologic) responsestothedrugs.Uponsuccessfulcompletionofthemedicalpharmacologyandtherapeutics course,weexpectthatstudentswillpossessknowledgeofpharmacologyandhavereceivedan introductiontotherapeutics(theclinicalapplicationofdruguseincludingappropriatedoses)that willbeexpandedsubsequentlyintheclinicaltraining. KnowledgeObjectives Theoverallobjectivesofthecoursearetointroducethebasicprinciplesofpharmacologyandeach ofthemajorcategoriesofpharmacologicagents.Ourpastexperienceintheteachingof Pharmacologyhasledustouseminiexamstoprovidestudentswithconcreteexamplesof knowledgeobjectives.Whileweutilizestatementsofknowledgeobjectivesinmanyofthelecture outlines,wehavefoundthatstudentspreferasmallnoncreditexaminationasameansof determiningboththecontentanddepthofknowledgeexpectedaswellastheirlevelof comprehension.Theuseoftheseminiexamsisindicatedbelow. Foreachmajorcategoryofpharmacologicagents,aprototypedrugisidentified.Thisprototypehas beenselectedasbeingrepresentativeoftheclass.Foreachoftheprototypedrugs,studentsare expectedtoknowthefollowingproperties: IndicationsForwhichdiseasesorconditionsisthedrugused? ContraindicationsWhatotherpreexistingconditionsmaypreventthisdrugfrom beingusedinaparticularpatient? BiochemicalmechanismofactionHowdoesthedrugworkatthemolecularlevel? TherapeuticorPhysiologicresponsesWhataretheexpectedresponses? PredictableadverseeffectsWhataretheexpectedsideeffectsofthedrug? ToxicityWhatarethesignsoftoxicityofthedrug? PharmacokineticsWhatisthetimecoursefortheamountofdruginthebodyand whatfactorsmayproduceindividualvariationfromthenorm? AbsorptionWhataretheroutesofadministration? DistributionWheredoesthedruggowithinthebody? EliminationHowisthedrugremovedfromactingwithinthebody(metabolism, excretion)? DrugdruginteractionsWithwhatotherdrugsdoesthisdrugproducean interaction? Detailedknowledgeofdoselevelsandregimensisnotrequired.

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Ashortlistofotherdrugswithinthesameclassofagentswillbeprovidedinthelecturenotesifthe otheragentsarecommonlyusedorhaveparticularproperties.Studentswillbeexpectedto identifytheseagentsandtheirparticularpropertiesifappropriate. AknowledgeobjectivesdruglistisavailableforstudentsatConjointTeaching.Thislistisgenerated bytheAssociationofMedicalPharmacologyDepartmentChairsandiscomprehensiveinnature. StructureofCourse TheMedicalPharmacologyandTherapeuticscourseisorganizedintotwomajorpartsplusits associationwiththerapeuticscoverageinotherunits.Themajorcoursecomponentsare:1.an intensiveintroductorypharmacologysectioninOctoberandNovember;2.anintegrated pharmacologyandtherapeuticssectionintheSpring.Theintroductorypharmacologysection beginswithmodulesonGeneralPrinciples,AutonomicPharmacology,andToxicologyasthese provideafoundationforthediscipline.Theremainderoftheintroductorysectionuseslecturesand clinicalcorrelationsessionstocoverunitsonPharmacologyofAutacoidsandInflammation, MetabolicPharmacology,CNSPharmacology,CardiovascularPharmacology,CancerChemotherapy, prescriptionwritinganddrugcosts.Theintegratedpharmacologyandtherapeuticssectionincludes topicsthatspanacrosssystems,suchasdrugabuse,poisoning,pain,pediatricandgeriatric pharmacology,anddruginteractions.Druginteractions/adverseeventsaretaughtinasmallgroup formataswehavefoundthatthatenhancesthecoverageandemphasisontheseimportanttopics. ThisUnitisalsodesignedtoprovidespecificpreparationforstudentstoanswerStep1examination questionsthatrequireknowledgeofpharmacology.Antimicrobialandantiviraltherapyisonly brieflyreviewedwithinthiscourseinthecontextofthatStep1review;comprehensivecoverageof thesetopicsareincludedintheInfectiousDiseasesUnitthatoccursearlierintheSecondYear MedicalCurriculum.Theoverallcourseisenhancedbycoverageofthetherapeuticsthatare relevanttoeachpathophysiologyunitthroughDecembertoMay. EvaluationofKnowledge Attheconclusionofeachmodule,studentsaregivenaselfevaluationminiexam.Thisexamination inconstructedtoberepresentativeofthequestionsontheformalexaminationandallowsthe studenttoassesshis/herlevelofmasteryofthematerialwithoutascoreorgradebeingrecorded. Ingeneralstudentsareexpectedtoachieveascoreof80%ontheseminiexams.Witha performancebelowthisstandard,astudentshouldidentifytheproblematicareasandreviewthe materialagain. ThefinalgradeandconsiderationforHonorsinMedicalPharmacologyaredeterminedbythe combinedscoresfromthreeexaminationsthatcovertheintensiveintroductorysection(two exams)andtheintegratedpharmacologyandtherapeuticsunit(oneexam). EvaluationofknowledgeofpharmacologyalsoisincludedintheUnitedStatesMedicalLicense Examination(USMLE)Step1attheconclusionofYear2.Astudentmustpassthisexaminationto

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progressintoYear3ofmedicalschool.ThisexaminationhasaPharmacologycomponentalthough successfulpassageisdeterminedbyoverallperformanceratherthanbyspecificdisciplinescores. Recommendedtextbook ManualofPharmacology&TherapeuticsbyL.Brunton,K.Parker,D.Blumenthal&I.Buxton, McGrawHill,NewYork,2007,$55.95list Referencetext Goodman&Gilman'sThePharmacologicalBasisofTherapeutics.11thEdition,LaurenceBrunton, JohnLazo,KeithParker,Eds.,McGrawHill,NewYork,2006.Listprice$170.00 Thisbookisencyclopedicandexpensivebutisstillthebestreferencesourcearound. Uptodatedrugandtherapeuticsinformation TheMedicalLetterMedicalLetter,Inc.isanonprofitorganizationthatprovidednonbiased,peer revieweddruginformationandevaluation.Itsbiweeklypublication,TheMedicalLetterisgenerally regardedasthemostauthoritativesourceofcurrentdruginformation.WeasaDepartmentof PharmacologygiveitourhighestratinganditnowavailablethroughtheWSU/Shiffmanlibrary subscriptionsystem. Pharmacologywebsite TheDepartmentofPharmacologywebsiteincludescourseschedules,updatedinformationand lecturematerials,alistofimportantdrugs,andlinkstowebsitesforpharmacologyinformationsuch asdruginformation,onlinequizzes,andtheonlineMerckManual.Lectureoutlineupdatesand additionalcoursematerialswillbepostedhere.GottothesitebelowandchooseCoursestoaccess theMedicalPharmacologycoursepages. http://www.med.wayne.edu/pharm/home.html

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Discipline:Pathobiology
CourseDirector:Dr.BarbaraBosch COURSEOVERVIEWANDOBJECTIVES ThePathobiologyCourseisaformalintroductionintothebasicmechanismsandcellular consequencesofhumandisease.Thecoursedrawsheavilyuponpreviouslyintroducedconceptsof grossanatomy,histology,biochemistry,cellbiology,physiology,genetics,immunology,and microbiology.Familiaritywiththeseareasisimportantsincediseasestatesareessentially perturbationsofnormalbiochemical,cellularandanatomicalhomeostasis.Thecourseisorganized intomajorcategoriesofdiseaseasfollows: Cellularadaptations,injuryanddeath Inflammationandrepair Circulatorydisturbancesandatherosclerosis Immunopathology Neoplasia Geneticandpediatricdiseases Environmental,infectiousandnutritionaldisorders Forensicpathology Withineachofthesecategoriesofdisease,twofeaturesareemphasized.Thefirst,pathogenesis,is reviewedprimarilyatthemolecularandcellularlevel.Itisatthisstepthatthecourseinterfaces withbiochemistry,cellbiology,physiology,genetics,immunology,andmicrobiology.Thesecond areaofemphasisisalteredmorphology,bothhistologicaswellasgrosspathologic.Atthispoint, pathobiologyinterfaceswithanatomyandhistology.Histopathologyandgrosspathologyofhuman diseaseare,whenpossible,correlatedwiththecharacteristicclinicalpresentationandphysical examfindingsand,atalltimes,presentedinthecontextofpathogenesis.Correlationsarealso madebetweengrosspathologyandhistologicabnormalities.Histopathologyisextremely challengingforstudents.Therefore,morphologyofdiseaseiscoveredfromavarietyof perspectives.Theseincludeimagespresentedinlectures,photomicrographsintextbooks,and slidespresentedinreviewsessions.Inaddition,thereareweeklypathologylaboratorieswhich employvirtualmicroscopytoexaminetissuesectionsofrepresentativehumandiseasestates(see below).Althoughstudentsarenotexpectedtodevelopdiagnosticpathologyskills,itisamajorgoal ofthecourseforthestudentstolearnbasiccriteriaforthemorphologicdistinctionsbetweenmajor classesofhumandisease.

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TheweeklyPathobiologylaboratorysessionsutilizeexaminationofbothgrossandmicroscopic pathologyinordertoemphasizeandreviewcoursematerial,aswellastodemonstratecorrelations betweendiseasemorphologyandclinicalfeatures.Thelabsarestudentdirected,problemsolving activities.Amajorgoalofthiscomponentofthecourseisforstudentstodeveloptheirabilityto makeobjectiveobservationsusingauniversalformofmedicaltechnology(e.g.,themicroscopic slide). Insummary,attheendofthePathobiologyCourse,studentsshouldbeableto: Discussthecellularandmolecularpathogenesisofthemajorclassesandcategoriesof humandisease. Describeandexplainthebasicfunctionalandanatomicalconsequencesofmajorhuman diseasestatesatthelevelofcellsandtissues. Recognizeanddistinguishthefollowingdiseasestatesinrepresentativetissuesectionsor photographs: thediversetypesofcellularadaptations(e.g.,hypertrophy,hyperplasia, metaplasia); hypoxiccellinjury; thevarioustypesofnecrosis; thedifferentpatternsofinflammation; thesequentialcharacteristicsofwoundhealing; hemodynamicdisorders,suchascongestion,edema,atherosclerosis,and thrombosis; majorimmunologicdisorders; thecommontypesofhumanneoplasms,includingthedistinctionbetweenbenign andmalignant; clinicallyrelevantexamplesofnutritional,environmental,genetic,pediatric,and infectiousdisease,asoutlinedinthosespecificsections,andfinally; conditionsassociatedwithtrauma,suicide,homicide,andothercategoriesof forensicmedicine. Begintoacquireskillsatmakingobservationsandintegratingmorphologicalterationsin cells/tissueswithdiseasepathogenesis,aswellaslikelyclinical&/orlaboratory manifestations. Coursematerialistestedwithtwomultiplechoiceformatexaminationsof100questionseach(200 totalitems).Bothexamscontainimages,eitherofgrossspecimensorhistologicsections,the interpretationofwhichaccountsfor1020%ofthetotalexamitems.Thesephotographsarebased onmaterialstudiedduringthelaboratories.Examsaregradedperschoolpolicy.Performancein thelaboratorysessionsisjudgedaccordingtothesatisfactionoftheteachingfaculty.Attendanceis mandatoryforalllabs.Inaddition,thereisonerequiredselfstudyelabneartheendofthe course.

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Discipline:PathophysiologyRespiratoryUnit
UnitDirectors:Dr.KennethPalmerandDr.HasanShanawani RESPIRATORYUNITOBJECTIVES Theoverallobjectiveofthisunitistoprovidethestudentwithaconceptualframeworkfor analyzingandunderstandingcommonchestdiseasesintermsoftheircauses(whenknown)andthe derangementsoffunctionthatresult.Foreachdisease,bytheendoftheunit,thestudentwillbe expectedtoknowits: a. Definition b. Relevantbasicscienceconsiderations(e.g.epidemiology,microbiology,pathology, etc.) c. Associatedfunctionalderangements(i.e.pathophysiology) d. Symptomsandsigns,astheyreflectbandc e. Relevantinvestigations,astheyreflectbandc f. Differentdiagnosis(inbroadprinciple) g. Selectedcomplicationsthatreflectapersistenceofbandc Instructionisimpartedbythesuccessfulcombinationoflecture,laboratoryexercises,self instructionalmaterials,suggestedandrequiredreadingsandreviews. Competencyisjudgedbythesuccessfulpassingofa100questionmultiplechoiceexamat75%or greater. Competencyinlaboratorysessionsisjudgedaccordingtothesatisfactionoftheteachingfaculty. ReadingAssignments: Required Appropriatechaptersectionsfrom: Kumar,V,Abbas,A,andFausto,N;PathologicBasisofDisease, 8thed.,ElsevierSaunders,Philadelphia,2009 Recommended Appropriatechaptersorsectionsfrom: 1. PulmonaryPhysiologyandPathophysiology:AnIntegrated,CaseBased Approach,2nded.,JohnB.West,2007,Lippincott,WilliamsandWilkins,Philadelphia,PA. 2. Selectedbibliographyprovidedinlecturehandouts. SelfInstructionalMaterials 1. ELabMaterials(Lectures,CaseStudies,VirtualPathLabs,Lung PathologyImages,Seminars,etc.) 2. Onlinereferencematerialsandsampleexams

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Discipline:PathophysiologyHematologyUnit

UnitDirectors:Dr.GailBentleyandDr.AyadAlKhatib COURSEOBJECTIVE ThecurriculumfortheHematologySectionofPathophysiologyencompassesawidespectrumof hematologicdisorders,transfusionmedicineandpharmacologyasitrelatestohematology.The overallphilosophyforeachsectionwillbetoincludeabriefreviewofthenormal physiology/structure/functionfollowedbyadiscussionofthepathogenesis/pathophysiology, clinicalmanifestations,laboratoryfeatures,diagnosticcriteria,anddifferentialdiagnosis. Treatmentwillnotbestressed,butwillbeincludedasitrelatestothenaturalhistory,prognosis,or theunderstandingofthepathophysiologicdiseaseprocess. Lecturenoteswillbeprovidedbyeachlecturer. Thehematologycurriculumwillincludelecturesonthefollowingtopics: Introductiontohematology theanemias disordersofwhitebloodcellnumberandfunction themyelodysplasticsyndromesandtheacuteleukemias myeloproliferativedisorders bonemarrowandstemcelltransplantation lymphocytestructureandfunctionandthelymphoproliferativedisorders hemostasis(includingbleedingdisordersandthehypercoaguablestate) transfusionmedicine reviewsessionsonanemiasandthehematologicmalignancies Wehave5laboratorysessionsand3reviewsessionsthataredesignedtoreinforceandexpand uponthelecturematerial.Hematologyisaveryvisualdisciplineforboththepathologistand clinician.Thelaboratorysessionsaredesignedaroundunknowncasestudies,whichpromote interactionanddiscussionbetweenthestudentsandsessionleaders.Besidesimpartingfactual informationandreviewingmorphology,workingthroughthesecasestudieswillputthelecture materialintoperspectivebyprovidinginsightintotheclinicalapproachtohematologic problems/disorders,aswellasthethoughtprocessusedtosolvethem.Copiesofthelabswith answerswillbepostedonblackboardfollowingtheendofeachlaboratorysession. Thelaboratorysessionsarearequirementforthecourse.Attendanceistakenatthelaboratory sessions.Please,rememberthatforthefinalexam,studentswillberesponsibleforanyandall materialpresentedinthelaboratorysessions. Thefinalexaminationwillbebetween60100questions.15questionswillbefrompictures. Photographsmaybetakendirectlyfromthepicturesusedinthelaboratorysession.Thefinalexam willcovermaterialspresentedinthelecturesandlaboratoryandreviewcases.

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Thereare2recommendedtextbooksforthecourse: 14. A.V.Hoffbrand,J.E.Pettit,P.A.H.Moss,EssentialHematology,BlackwellScienceLtd.,4th edition,2001. 2. A.MehtaandA.V.Hoffbrand,HematologyataGlance,BlackwellScienceLtd.,2000.

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Discipline:PathophysiologyCardiovascularUnit
UnitDirector:Dr.BarbaraBoschandDr.JulieKovach COURSEOBJECTIVE Thelearningobjectivesofthecardiovascularunitareasfollows: Tounderstandandbeabletodescribethemechanismsbywhichalteredanatomy,physiologyand biochemistryresultindiseasesoftheheartandvascularsystem. Togainanintroductoryunderstandingofhowcardiovasculardiseasespresentclinicallyashuman disease. Particularattentionwillbegiventothefollowing: Hemodynamicsandcardiacadaptation Cardiacauscultation UnderstandingoftheEKG Ischemicheartdiseaseandmyocardialinfarction Valvularheartdiseases Congenitalheartdiseases Diseasesofthepericardium Nonatheroscleroticvasculardiseases Cardiomyopathies Heartfailure Instructionisimpartedbythesuccessfulcombinationoflectures,clinicalcorrelationdemonstration, smallgroupseminars,suggestedandrequiredreadingandreview. Competencywillbejudgedbythesuccessfulpassingofa100questionmultiplechoiceexam.

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Discipline:PathophysiologyNeurology
UnitDirectors:Dr.WilliamKupskyandDr.EdwinGeorge COURSEOBJECTIVE ThePathophysiologyUnit:Neurosciencebuildsontheelementsofneuroanatomyand neurophysiologypresentedintheYear1Neurosciencescoursetoprovideanintroductiontothe pathologicandpathophysiologicbasisofdiseasesofthenervoussystem.Theseincludediseasesof thecentralandperipheralnervoussystem,muscle,neuromuscularjunction,andorgansofspecial sensation.Thecourseemphasizestheprinciplesofneuroanatomiclocalizationoflesionsinthe nervoussystemasabasisforunderstandingtheuseoftheneurologicexaminationandincludes basicprinciplesofneuroradiologyinclinicaldiagnosistopreparefortheYearIII/IVclinicalrotations inNeurology.Selectedtopicsinpharmacologyprovidebackgroundfortreatmentofsomekindsof neurologicdisease. NeurologyUnitObjectives Attheendofthiscourse,thestudentshouldunderstandthedefinitions,pathophysiology, pathologicalandneuroimagingfeatures,andmajorneuroanatomicandclinicalfeaturesofthe followingmajordisordersofthenervoussystemincluding: Increasedintracranialpressure,edema,masslesions,andhydrocephalus. Cerebrovasculardiseaseandstroke,includingischemicandhemorrhagicstroke, hypertensivecerebrovasculardisease,andglobalhypoxic/ischemicdisease. Nervoussystemtumors,includinggliomas,PNETs,meningiomas,Schwanncelltumors, andmetastaticdisease. Neurodegenerativediseases,includingAlzheimer,Parkinson,Huntington,ALS,andprion diseases. Demyelinatingandautoimmunediseases,includingmultiplesclerosis,ADEMand relateddiseases,GuillainBarreandrelateddiseases. Neuromusculardiseases,includingneurogenicmuscledisease,myopathies(suchas Duchennemusculardystrophy,inflammatorymyopathy,andsteroidmyopathy),and peripheralneuropathies(axonopathyvs.demyelinatingneuropathy). Epilepsy,includingclassificationandbasicprinciplesoftreatment. Movementdisorders,includingpathophysiologyandpharmacologyofbasalganglia dysfunction. Normalneurodevelopmentandmajordiseasescausingdevelopmentaldelay. Diseasesofthevestibularsystemandextraocularmovements. Disordersofcognitionandconsciousness. Headache,includingclassificationandpharmacology. Categoriesoftraumaticdisease,includingclosedheadinjury,skullfracture,and penetratingheadinjury.

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Attheendofthiscourse,thestudentshouldbefamiliarwiththemajormodalitiesofneuroimaging (CTandMRIscanning),beabletorecognizenormalandalteredstructuresandformulateabasic differentialdiagnosisforcommonpatternsofimagingabnormality. Attheendofthiscourse,thestudentshouldunderstandthebasicdefinitionsofclinical electrophysiologyandthebasicuseofthistechniqueintheevaluationofneuromusculardisease. CourseFormat Thecourseconsistsofaseriesoflectures,includinginclasslecturesandselfstudylectures,asmall groupcasediscussionwithneurologyfaculty,amandatorylaboratorydemonstrationsession (ClinicDay),mandatoryElabexercises,selfstudyatlasesforneuropathologyandneuroradiology, andinclassreviewsessions. Finalevaluationconsistsof a100questionwrittenexamination,whichincludes1520picturesofpathologic materialsandneuroimages successfulcompletionofthemandatoryElabexercises. DocumentationofattendanceorremediationoftheClinicDayexercise. CourseMaterials Selfstudylectures(availableasonlinestreamingvideos). Coursesyllabus. Ancillarymaterials(streamingvideos,PowerPointfiles,atlases,discussionboard) availableonBlackboard. SupplementaryTexts RobbinsandCotranPathologicBasisofDisease,8thedition(2009). Merritt'sNeurology.Merritt,Rowland.LippincottWilliams&Wilkins;10thedition,orDiseasesof theNervousSystem:ClinicalNeuroscienceandTherapeuticPrinciples.Asbury,McDonald,McKhann, Goadsby,McArthur.CambridgeUniversityPress;3rdedition,orTextbookofClinicalNeurology, Goetzetal.2ndEd.Saunders. UsefulWebsitesorotheronlineresourcesareincludedwiththecoursesyllabus.

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NeurologyUnitGoals ThePathophysiologyUnit:Neurosciencebuildsontheelementsofneuroanatomyand neurophysiologypresentedintheYear1Neurosciencescoursetoprovideanintroductiontothe pathologicandpathophysiologicbasisofdiseasesofthenervoussystem.Theseincludediseasesof thecentralandperipheralnervoussystem,muscle,neuromuscularjunction,andorgansofspecial sensation.Thecourseemphasizestheprinciplesofneuroanatomiclocalizationoflesionsinthe nervoussystemasabasisforunderstandingtheuseoftheneurologicexaminationandincludes basicprinciplesofneuroradiologyinclinicaldiagnosistopreparefortheYearIII/IVclinicalrotations inNeurology.

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Discipline:PathophysiologyDermatologyUnit
UnitDirector:Dr.DariusMehregan COURSEOBJECTIVE

Atthecompletionofthecoursestudentsshouldbeableto: Understandthefunctionandstructureoftheskin. Understandbasicconceptsandterminologyindermatology Classifyskinlesionsbasedonmorphology. Recognizeandbefamiliarwithcommoninflammatoryskindiseases. Recognizeandbefamiliarwithskincancersandpigmentedlesions. Understandthebasicetiologyandpathophysiologyofcommonskindisorders. Understandbasicdermatopharmacology,surgeryandlight/lasertreatmentoptionsand theirapplicationtothemanagementofcommondermatosesseenintheprimarycare environment. Understandbasictreatmentstrategiesformultipleskindiseases. DermatologyTextBook HighlyRecommended:Coursewillcloselyfollowtextbook LookingbillandMarks'PrinciplesofDermatology(PRINCIPLESOFDERMATOLOGY (LOOKINGBILL)(Paperback) byJamesG.MarksJr.MD(Author),JeffreyJ.MillerMD(Author)

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Discipline:PathophysiologyConnectiveTissueUnit
UnitDirectors:Dr.PatriciaDharandDr.BarbaraBosch COURSEOBJECTIVES Atthecompletionofthisunit,studentsshouldbeableto: Reviewthedevelopmentandbasicnormalfunctionandstructureofbones,jointsand connectivetissues. Explainhowtoanalyzesynovialfluidandperformcrystalanalysis. Explainthepharmacologyofdrugsusedinthetreatmentofmusculoskeletaldiseases. Describethepathogenesisofandcharacteristicclinicopathologicfindingsseenwithvarious congenitalandacquireddisordersofboneandtheextracellularmatrix. Discussthesurgicalapproachtovariousmusculoskeletaldisorders,includingskeletal fractures. Interpretmusculoskeletalradiographs/imagingstudies,andrecognizetheirutilityinthe diagnosisandtreatmentofmusculoskeletalabnormalities. Describethemajorboneandsofttissuetumorsintermsofepidemiology,location, characteristicradiologicfindings,pathologicfeatures,andnaturalhistory. Summarizetheepidemiology,pathogenesis,clinicalmanifestations,diagnosis,andbasic treatmentofmetabolicbonedisorders. Discusstheepidemiology,pathogenesis,clinicalmanifestations,diagnosis,andbasic treatmentofrheumaticdiseases.

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Discipline:PathophysiologyEndocrineUnit
UnitDirectors:Dr.BarbaraBoschandDr.JulieSamantray COURSEOBJECTIVE Thecommondisordersaffectingtheendocrinesystemwillbehighlightedthroughdidacticlectures. Wherepertinent,theclinicalandpathologiclectureswillbesupplementedbypharmacology lectures,toprovideamorecomprehensiveandintegrativeapproach.Inadditiontherewillbe threeMDlaboratorysessions,whichwillinvolveclinicalproblemsolvingsessionswithafocuson themorecommonclinicalproblems.Thesesmallgroupsessionswillallowcloseinteractionof membersoftheClinicalEndocrinologyfacultyandstudents. Attheendoftheunit,thestudentsshouldhaveanunderstandingof: Clinicalandpathologicunderstandingofthemajorregulatorymechanismsaffectingtheendocrine systemandcorrelationofclinicaldisorders(hereditaryandacquired)withalteredanatomyand function Theintegrativefunctionofthehypothalamicpituitaryaxisandthevariousfunctionalandstructural disordersthataffectthissystem Thyroidglandanatomy,function,structuralandfunctionaldiseasesandinterpretationofthyroid functiontestswithclinicopathologiccorrelations Disordersofthefemalereproductivetract Malehypogonadaldisordersandinterpretationofthefunctionaltests Physiologicalbasisofclinicaltestingofmajorclinicaldisorders,includingcongenitaldiseases,ofthe adrenalglands Endocrine(nonessential)causesofhypertension,includingrenovascularhypertensionandthe basesoftheclinicaldiagnostictests Pathogenesis,clinicopathologicfeatures,andbasicaspectsoftreatmentandpreventionof DiabetesmellitusandObesity,twoimportantmultisystemdisorders,withmajorsocioeconomic implications Normalbonearchitecture,roleofboneincalciummetabolism,anddisordersofstructureand functionofbone,includingmetabolicbonedisorders Commondisordersofcalciummetabolismincludingdiseasesoftheparathyroidglandwitha combinedclinicalandpathologicpresentationofthemoreimportantdisordersClinicopathologic

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aspectsofcommondisordersofthefemalegenitaltract.Theseincludeinfectiousdisordersofthe lowerfemalegenitaltractwithparticularemphasisonhumanpapillomavirusinfectionandits relationshiptopreneoplasticandneoplasticdisordersofthelowerfemalegenitaltract.Clinico pathologicallyimportantdysfunctionalandneoplasticdisordersoftheupperfemalegenitaltract, includingtheuterus,fallopiantubesandovaries,willbedescribed.Theseincludeendometrial dysfunctionalbleedingdisorders,benignendometrialtumors,discussionofendometrial hyperplasiasandcarcinomas,andmyometrialtumorsincludingleiomyomasandsarcomas. Disordersofthefallopiantubestobedescribedincludesalpingitis,andectopicpregnancy. Classificationofovarianneoplasiaincludingbenign,borderlineandmalignantneoplasiawith clinicopathologiccorrelationswillbedescribed.Ashortsectionwillincludeclinicallyimportant disordersoftheplacentaandtrophoblasticdisease.Anothershortsectionwillbeadiscussionof endometriosis. Thepathophysiologyofthemorecommondisordersofthemalegenitourinarytractandto establishalinkbetweentheseandclinicalpresentationandtoemphasizetheclinicalsignificanceof thepathologicclassification,gradingandstagingofprostaticandtesticularcancers Workingknowledgeoftheimportantsurgicalandpathologicaldiseasesofthebreast,with emphasisonsurgicalanatomyandbasicaspectsofdiagnostictestingandtreatment. Instructionisimpartedbycombinationofdidacticlectures,smallgrouplabsessions,extensive handouts,andsuggestedreadings.

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Discipline:PathophysiologyRenal/UrinaryTractUnit
UnitDirectors:Dr.MadhumitaJenaMohanty,Drs.XuZengandJanetPoulik COURSEOBJECTIVE Thesophomoremedicalstudentintegratedpathophysiologyunitontheurinarytractistaughtby facultymembersfromdisciplinesofPathologyandNephrology.Theaimandresponsibilityofthe unitcoleadersisplanningthecoursetoensure:alogicalprogressionoftaughttopics;the synchronizationoflecturesandseminarsetc.;andtheintegrationofthevariousprinciplesofbasic andclinicalsciencesinapatientorientedproblemsolvingapproach. Attheendoftheunit,studentswillbeableto: Gainanunderstandingofrenalandotherurinarytractdisorders(acquired,congenitaland hereditary)basedonalteredstructureand/orfunction. Becomeknowledgeableofthepathogeneticmechanismsandnaturalhistoriesofeachof thesedisorders, Understand,overatemplateofnormalrenalphysiology,thevariousdisordersofbody fluid,electrolyteandacidbasedregulationincludingtheircause(s),interrelations, perpetuatingfactorsandtheprinciplesunderlyingappropriatetherapeuticstrategies, Understandthesyndromesofacuteandchronicrenalfailure,uremiaandendstagerenal diseaseandtheireffectsofthefunctionsofthevariousorgansystemsofthebody,and therebyunderstandtheprinciplesforappropriatesupportiveandtherapeuticmeasures, Understandthephysiologicbasisforthepharmacologicactionsofdiureticsandthereby gaininsightintoboththeirvariousandappropriatetherapeuticapplicationsaswellas attendantsideeffects. Integrateallknowledgegainedfromformalinstruction(lectures,seminars,etc.)byapplying ittoproblemsolvinginaclinicalsetting.Thelatterobjectiveisachievedthroughaseriesof patientorientedsmallgroupseminarswithfacultymembersoftheDivisionofNephrology. Instructionisimpartedbythesuccessfulcombinationoflectures,laboratoryexercises,smallgroup seminars,suggestedandrequiredreadingsandreview. Competencyisjudgedbythesuccessfulpassingofa70100questionmultiplechoiceexam. Competencyinlaboratorysessions(labsandsmallgrouppatientproblemsolving)isjudgedbythe abilitytoanswerclinicallybasedorpathologicallybased/problemsolvingquestionsintheexam.

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Discipline:PathophysiologyGastrointestinal
UnitDirector:Dr.HusainSalehandDr.MurrayEhrinpreis COURSEOBJECTIVES Thestudentwillacquireaknowledgeandunderstandingofthepathology,pathogenesisand pathophysiologyselecteddiseasestatesofthegastrointestinaltractandrelatedorgans. Thestudentswillapplytheacquiredknowledgeofpathologyandpathophysiologytobegintomake decisionsregardingthediagnosis,treatment,andpreventionofdiseasesofthegastrointestinaland relatedorgans. Objectives Attheendoftheunit,studentswill: Reviewnormalgastrointestinalandhepatic,andpancreaticfunctionandhistology. Defineandbecomeacquaintedwiththemajorhepaticdiseaseclinicopathologicsyndromes. Summarizeforeachofthemajorgastrointestinal,hepatic,andpancreaticdisease syndromes. Thedifferentialdiagnosis. Themajorhistopathologicfeatures. Themannerinwhichnormalfunctionsarealteredbyeachofthesesyndromes. Theclinicalandlaboratoryfeatures. RequiredReading LectureNotesandHandouts Monograph:JaundiceAProblemOrientatedClinicalApproach(includedinhandouts)

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