SYLLABUS
College of Medicine
AY 2015-2016
Course title and number
MEID 806-00R Leadership and Teamwork in Wilderness and Disaster
Medicine Elective
4/18/16 – 4/29/16
Term
Meeting times and location
Lectures, workshops, outdoors experiences and Disaster City simulations
Course Description and Prerequisites http://medicine.tamhsc.edu/elective/2015-16/meid/rr/meid806-00r.html
The purpose of the Leadership and Teamwork in Wilderness and Disaster Medicine Elective is to enable senior medical students to excel as first year residents by providing a capstone experience that requires confident application of medical knowledge and skills in challenging environments where success is only possible with effective leadership and extraordinary teamwork.
Elective Director
Instructor Information
Coordinator
Name Ed Sherwood, MD Name Jody Ping
Telephone number
Email address
Office hours
512-705-9759
Sherwood@medicine.t
amhsc.edu
By appointment
Telephone number
Email address
Office hours
512-341-4997 ping@tamhsc.edu
8A-5P
Office location Round Rock campus Office location Round Rock Campus
Other participating faculty: Roque Ruggero, MD, @tamhsc.edu. Nelson Avery, MD, Tyler Jorgensen,
MD Other A&M faculty as avalable
Learning Outcomes & Objectives
Goals: At the conclusion of this elective experience, participants will have…

Increased self-confidence derived from performing outside their “comfort zones;”

Improved communication skills in the face of extraordinary distractions;

Proficient team skills in stressful and challenging environments;

Achieved effectiveness in leading small groups to perform difficult tasks; and

Had fun.
Wilderness and Disaster medicine both require meeting the challenges of working in a low resource environment. In wilderness medicine, this environment could result from being in a remote location with few resources, while disaster medicine typically results in having your resources overwhelmed. Both require a need to look at delivering medical care from a unique perspective that is not readily taught in most hospital or clinic based practices. In addition, both
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require exceptional leadership and teamwork to achieve optimum outcomes. The learning objectives for this course fall under four major competency goals:

Participating as a safe and effective team member.

Leading a small team in the provision of urgent care under hazardous conditions without incurring additional casualties;


Providing emergent field care for common wilderness medicine situations;
Performing the duties of the Disaster Medical Specialist (DMS) on a State or Regional Urban
Search and Rescue Task Force;
The first week of the elective will focus on wilderness medicine. In addition to faculty led small group discussions, students will teach selected topics. The course will begin on Monday with orientation, lectures, and simulations at the Round Rock HSC. The course will move to a nearby park for the next four days and will involve a ropes challenge course and many “hands on” activities.
The second week of this elective will be an intensive 5 day course at Disaster City
®
in College
Station. A flyer describing this course is attached as an appendix to this document. This course is usually limited to paramedics, registered nurses and licensed physicians, but TEEX (Texas
A&M Engineering Extension Service) is willing to make an exception for College of Medicine
4 th
year students as they do for U.S. Navy Independent Corpsman, U.S. Army Special Forces
Medics, and U.S. Air Force ParaRescue staff.
Participants should plan travel to arrive the night before classes begin. The course delivery is at
Disaster City® in College Station, Texas. Shared housing will be provided in College Station for Sunday of the second week through Friday. Participants will need to arrange your own transportation.
Participants that will be training on the rubble pile or inside of structures at Disaster City
®
are required to bring the following items for this second week of the course:

Helmet, must be ANSI rated Z89.1-Type 1 with headlamp

Steel toe safety boots, must be ANSI Z41 PT99 M1/75 C/75

Eye protection, must be ANSI Z87.1

Work gloves (leather or extrication gloves)

Standard work/duty clothing including long-sleeve shirts for every day of class

Raingear suitable for search and rescue operations. Class exercises are conducted rain or shine.

Knee pads & elbow pads

Hand held flashlight and extra batteries
TEEX has loaner helmets, eye protection and gloves. Unless you already own a pair, you will need to purchase compliant steel toe safety boots. TEEX recommends that due to the strenuous nature of search and rescue activities, participants should secure a professional evaluation of their medical condition prior to enrolling in this course.
Both the TEEX DMS Course and the City of Georgetown Challenge Course require a minimal enrollment of twelve (maximum of twenty) participants by January. If you want to take this elective, please contact course coordinator prior to January 1.
VI. Course Objectives and Evaluation Method
Upon completion of the course, students will be able to:

Learn standard triage protocols

Learn how to maximize effectiveness in setting of overwhelmed medical resources

Learn common environmental emergencies
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
Learn basic orthopedic reduction techniques and splint applications

Create presentations on specific wilderness medicine topics

Define mass casualty incident

Learn common features of disasters

Assess medical rescue, treatment and transport capacity


Provide emergent field care for common wilderness medicine situations
Participate as a safe and effective team member

Lead a small team in the provision of urgent care under hazardous conditions without incurring additional casualties

Perform the duties of the Disaster Medical Specialist (DMS) on a State or Regional Urban
Search and Rescue Task Force
COM Competency Based Learning Objectives: http://medicine.tamhsc.edu/academicaffairs/curriculum/objectives/
Principles and Guidelines for Curriculum Development: http://medicine.tamhsc.edu/policies/pdf/curriculum-principles-guidelines.pdf
Course Objective:
COM Competency
Based Learning
Objectives
(CBLO):
Taught (T) and/or
Evaluated (E):
Evaluation:
Learn standard triage protocols MK4, PC6,PC7 T,E
Observation by faculty of group participation and individual presentations.
Successful completion of
DMS course.
Learn how to maximize effectiveness in setting of overwhelmed medical resources
Learn common environmental emergencies
Learn basic orthopedic reduction techniques and splint applications
PC3, PC6, PC7,
SBP1, SBP7
MK1, MK2
PC9, MK4
T,E
T,E
T,E
Observation by faculty of group participation and individual presentations.
Successful completion of
DMS course.
Observation by faculty of group participation and individual presentations.
Observation by faculty of group participation
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Create presentations on specific wilderness medicine topics
Define mass casualty incident
Learn common features of disasters
Assess medical rescue, treatment and transport capacity
Provide emergent field care for common wilderness medicine situations
PBL13, PBL14,
PBL15
PC6
PC6
PC6, PC7
PC3, PC6, PC7
T,E
T, E
T, E
T, E
T, E
Participate as a safe and effective team member
ICS1, ICS2M
ICS3, PROF2,
PROF6, PROF10
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T, E and individual presentations.
Observation by faculty of group participation and individual presentations.
Observation by faculty of group participation and individual presentations.
Successful completion of
DMS course.
Learn common features of disasters
Observation by faculty of group participation and individual presentations.
Successful completion of
DMS course.
Observation by faculty of group participation and individual presentations.
Successful completion of
DMS course.
Observation by faculty of group participation and individual presentations.
Observation by faculty of group participation

and individual presentations.
Successful completion of
DMS course.
Lead a small team in the provision of urgent care under hazardous conditions without incurring additional casualties
ICS1, ICS2,
ICS3, PROF2,
PROF4, PROF6,
PROF7, PROF8,
PROF10,
PROF11,
PROF12, PBL12,
CC2
T, E
Observation by faculty of group participation and individual presentations.
Successful completion of
DMS course.
Perform the duties of the Disaster
Medical Specialist (DMS) on a State or Regional Urban Search and
Rescue Task Force
PC3, PC6, PC7
T, E
Observation by faculty of group participation and individual presentations.
Successful completion of
DMS course.
Textbook and/or Resource Material
The first week of the elective will focus on wilderness medicine and be comprised of team building and leadership exercises, small group lectures, and outdoor experiences/workshops. Team building and leadership exercises will involve rope challenges, rappelling, and kayaking. Small group lectures will be held by faculty and students on wilderness medicine topics as outlined in course calendar (see appendix).
Textbooks (Required and Recommended Resources)
REQUIRED:
There is no required textbook, but resources for additional reading will be provided.
RECOMMENDED:
Wilderness Medicine: Expert Consult, 6th edition, Auerbach
Field Guide to Wilderness Medicine: Expert Consult – 4th edition (companion book)
SALT mass casualty system review online (scroll to bottom of page to register for free 22 minute online video): http://register.ndlsf.org/mod/page/view.php?id=2056
Grading Policies
Satisfactory 70-100
GRADING SCALE
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Unsatisfactory 69 and below
Should the course director determine remediation is required, the remediation plan will be at the discretion of the course director and on a case by case basis depending on the issues involved.
Remediation plans could entail some (or all) of the following examples: Additional clinical shifts, research papers, presentations, article reviews, exams, directed reading, web-based modules, etc. If the student performance results in a failure of the elective, it will be recommended that the elective be taken again in its entirety.
Attendance and Make-up Policies
(Include website link to student rule 7 http://student-rules.tamu.edu/rule07.
While expectation is 100% attendance, absolute maximum of two excused absences may be allowed with prior approval by course director, but only during first week of wilderness medicine focus. Five day course by TEEX in Disaster City ® during second week requires 100% attendance.
Course Topics, Calendar of Activities, Major Assignment Dates
This two week elective will be divided into two sections. The first week of lectures and workshops with a focus on wilderness medicine will take place on A&M campus and Cedar Breaks Park on Lake
Georgetown from 8 am- 5pm (may last until 6 pm on last Friday as we will be kayaking to rapelling site). The second week of instruction and simulations with a focus on disaster medicine will take place at Disaster City ® in College Station (roughly from 8 am- 5 pm but one day with additional nighttime search and rescue scenario). Students must make their own arrangements for housing during first week at Round Rock. Shared housing will be provided for second week at College Station.
Other Pertinent Course Information
Clerkship Courses MUST include patient encounter and Log Information here. Actual log list can be included in the appendix. Include information that is pertinent to ALL campus locations here like processes and procedures. If there are campus specifics, include those locally not in this syllabus.
Indicate where course materials can be accessed for example Blackboard, One45, etc.)
Americans with Disabilities Act (ADA)
The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights protection for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an
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accommodation, please contact Disability Services, in Cain Hall, Room B118, or call 845-1637. For additional information visit http://disability.tamu.edu
Any student with a disability who needs accommodation should inform the instructor at the beginning of the course.
Academic Integrity
For additional information please visit: http://aggiehonor.tamu.edu
“An Aggie does not lie, cheat, or steal, or tolerate those who do.”
College of Medicine
Professionalism and integrity Statement (Academic Honesty and Plagiarism)
All College of Medicine students are required to comply with the student code of conduct and the academic integrity and honesty standards published in each component’s Student Handbook. Disciplinary action will be taken in accordance with the policies of each component. Students found guilty of Academic Dishonesty will receive an “F”/Unsatisfactory in the course. For a full list of actions qualifying as academic dishonesty, please review the College of Medicine Student
Handbook at http://medicine.tamhsc.edu/student-affairs/docs/handbook.pdf
.
According to the Aggie Honor System Office, plagiarism is defined as the appropriation of another person's ideas, processes, results, or words without giving appropriate credit. Intentionally, knowingly, or carelessly presenting the work of another as one’s own (i.e., without crediting the author or creator). Plagiarism and other academic misconduct definitions can be viewed on the Aggie Honor System Office website; http://aggiehonor.tamu.edu/RulesAndProcedures/HonorSystemRules.aspx#definitions .
E-mail Access and FERPA
The College of Medicine is communicating all offic ial information to students through the students’ TAMHSC e-mail accounts. Please check the account frequently during the semester for updates.
This course is supported with web-based and/or e-mail activities. In order to take advantage of these additional resources and participate fully in the course, you have been assigned an e-mail address by the Texas A&M Health Science Center.
This e-mail address is for internal use only, so that faculty may communicate with you and the entire class. By registering for this course, you are agreeing to allow your classmates to have access to this e-mail address. Should you have any quest ions, please contact the TAMU’s Office of the Registrar at 979-845-1031 .
The Family Educational Rights and Privacy Act of 1974 (FERPA), which the HSC complies fully, is intended to protect the privacy of education records, to establish the rights of students to inspect and review their education records and to provide guidelines for the correction of inaccurate or misleading data through informal and formal hearings. Students also have the right to file complaints with the Family Educational Rights and Privacy Act Office of the Department of Education in Washington, D.C., concerning alleged failures by the HSC to comply with the act.
Mistreatment of Students
The College of Medicine is committed to providing a positive learning environment in which students can meet their academic goals based on mutual respect in the teacher/learner relationship. Both parties must be sensitive to the needs of others and differences in gender, race, sexual orientation, religion, age or disability. As outlined in the Student
Handbook under the section titled Standards of Conduct in the Teacher-Learner Relationship, belittlement, intimidation and humiliation are unacceptable for effective learning and undermine self-esteem. Breaches involving student mistreatment may result in a faculty or staff member being sanctioned or the loss of faculty and/or staff appointment.
These policies address student mistreatment involving College of Medicine employees, residents, affiliate staff, or patients. Mistreatment may be reported through the College of Medicine telephone hotline, 1(855)-397-9835 or through an online form at http://medicine.tamhsc.edu/current/student-mistreatment-form.html
. For a full list of reporting avenues, please refer to the Student Handbook under the Mistreatment Policy.
Exposure and Occupational Hazard
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The Needle Stick Policy and Bloodborne Pathogen Exposure information for Medical Students may be accessed in the
Student Handbook at: http://medicine.tamhsc.edu/student-affairs/docs/handbook.pdf
Note: More information is available on the aforementioned topics to all students on the College of Medicine website.
Appendix A: College of Medicine Competency Based Learning Objectives
1. Medical Knowledge
Upon completion of the medical school curriculum, our students will be able to:
MK1 - Demonstrate knowledge of normal human structure and function at the organ ‐ system, tissue, cellular and molecular level; and of the interaction of human systems in maintaining homeostasis
MK2 - Describe the basic mechanisms involved in the causation of human disease and their influence on clinical presentation and therapy
MK3 - Demonstrate an understanding of how healthy lifestyles and psychosocial factors influence health
MK4 - Apply evidenced-based methods to clinical problem solving
MK5 - Demonstrate an understanding of the epidemiology of common diseases within a population and the approaches which are useful in reducing their incidence and prevalence
MK6 - Demonstrate knowledge of common societal problems such as domestic violence and substance abuse, including diagnosis, prevention, reporting, and treatment
II. Patient Care
Upon completion of the medical school curriculum, our students will be able to:
PC1 - Obtain both complete and system-focused medical histories that include psychosocial determinates of health
PC2 - Perform both complete and system-focused physical examinations
PC3 - Develop appropriate differential diagnoses by integrating collected clinical information
PC4 - Develop contextual and individualized diagnostic and treatment plans based upon collected clinical information
PC5 - Interpret the results of commonly used laboratory and radiologic studies
PC6 - Recognize common, immediately life ‐ threatening conditions and initiate therapy
PC7 - Formulate an initial management plan for critically ill patients
PC8 - Demonstrate an understanding of the principles involved in the care of patients across the spectrum of the human life cycle
PC9 - Perform technical procedures including: venipuncture and arterial puncture; insertion of intravenous, central venous and urethral catheters; insertion of a nasogastric tube; lumbar puncture; basic suturing; and basic airway management
PC10 - Discuss the principles of pain management and formulate a basic multidisciplinary care plan
PC11 - Assist in the provision of appropriate end ‐ of ‐ life care within a multidisciplinary team
PC12 - Educate patients in personalized health maintenance
PC13 - Perform basic health risk assessment and formulate appropriate screening plans
PC14 - Properly utilize clinical, laboratory, radiologic, and pathologic examinations to diagnose and treat common maladies
PC15 - Formulate preventive, curative, rehabilitative, and palliative therapeutic strategies for common disorders
III. Interpersonal and Communication Skills
Upon completion of the medical school curriculum, our students will be able to:
ICS1 - Demonstrate effective listening skills
ICS2 - Discuss diagnostic and treatment options in a manner comprehensible to the patient
ICS3 - Communicate effectively with patients, patients' family members, peers, and other members of the health care team
ICS4 - Educate patients, patients' family members, peers, and other members of the health care team at an appropriate level using appropriate technologies
ICS5 - Maintain accurate medical records
IV. Professionalism
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Upon completion of the medical school curriculum, our students will be able to:
PROF1 - Demonstrate an understanding of legal and ethical principles governing the physician-patient relationship
PROF2 - Display honesty, integrity and ethical behavior
PROF3 - Act in the patient's best interest and serve as a patient advocate
PROF4 - Treat patients and patients' family members respectfully and compassionately, regardless of age, disability, gender, race, ethnicity, culture, religion, sexual preference, and socio ‐ economic status
PROF5 - Respect the privacy of patients
PROF6 - Work with other health professionals in a collaborative fashion
PROF7 - Demonstrate an awareness of leadership roles in medicine and society
PROF8 - Recognize potential conflicts of interest and demonstrate awareness of appropriate courses of action
PROF9 - Demonstrate an understanding of peer review and the expectations of professional licensing boards, including medical jurisprudence
PROF10 - Demonstrate knowledge of responsibilities to patients, peers, and other members of the health care team
PROF11 - Respond to conflicts in a professional manner
PROF12 - Project a professional image in demeanor and personal appearance
V. Systems-Based Practice
Upon completion of the medical school curriculum, our students will be able to:
SBP1 - Apply knowledge of health care systems to improve and optimize patient care
SBP2 - Advocate for continuous quality improvement in patient care and patient safety
SBP3 - Demonstrate an understanding of cost containment principles and their application in the delivery of health care
SBP4 - Demonstrate an understanding of the legal and regulatory frameworks governing the practice of medicine which affect payment, reimbursement, referrals and incentives
SBP5 - Recognize various approaches to the organization, financing, and delivery of health care
SBP6 - Utilize information technology in providing medical care for individuals
SBP7 - Recognize health care system deficiencies regarding social needs, access to care issues, and health disparities when they arise and develop strategies for optimal care of each individual patient.
VI. Practice-Based Learning and Improvement
Upon completion of the medical school curriculum, our students will be able to:
PBLI1 - Identify and rectify deficiencies in their knowledge base and skill set
PBLI2 - Incorporate formative evaluation feedback into personal performance
PBLI3 - Accomplish learning and improvement goals with appropriate self ‐ directed activities
PBLI4 - Utilize information resources and available data to support life ‐ long learning
PBLI5 - Select, appraise, and utilize evidence from scientific studies related to clinical questions and patients' health problems
PBLI6 - Demonstrate an understanding of the basic principles and importance of scholarly activity in the practice of medicine
VII. Cultural Competence
Upon completion of the medical school curriculum, our students will be able to:
CC1 - Demonstrate an understanding of the manner in which diverse cultures and belief systems perceive health and illness and respond to various symptoms, diseases, and treatments.
CC2 - Recognize and appropriately address gender and cultural biases in themselves, in others, and in the process of health care delivery.
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