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Saint James School of Medicine
Syllabus: MD 1: ANATOMY
Semester FALL 2014
Course Director:
Dr. A. Podcheko
email: apodcheko@mail.sjsm.org
Professors: Dr. E. Huq;
email: ehuq@mail.sjsm.org
Dr. A. Ray;
email: aray@mail.sjsm.org
COURSE DESCRIPTION: Human gross anatomy is fundamental to medical education,
providing students with their most basic foundation for medical practice. This
anatomical foundation is used throughout the career of practitioners and in virtually every
realm of medicine, from research to practice to medical education.
Dissection of a human cadaver is key in preparing for clinical work. The importance of
dissection goes beyond learning anatomy. The study of gross anatomy helps students
transition to the habits-of-mind that clinicians use for a successful career. Clinical
practice and dissection both utilize processes of observation and history; that is,
distinguishing known structures (or conditions) from unknown ones, interpreting what
you see with what you expect to see (a form of differential diagnosis), and deciding on
additional exploration or dissection to narrow the possibilities to the correct one. During
this process, students use scholarship (consulting anatomy texts, atlases, notes from
lectures), discussion among members of the dissecting team, and team work to further
understanding. Scholarship, discussion, and team work are all important attributes for
physicians. Furthermore, as medical students, you are transitioning from being passive
students to being active professionals in charge of your own continuing education.
Dissection involves working independently, but in a manner that is mindful of your
colleagues; that is, your fellow students, who are relying on you to take the time and care
to reveal structures without destroying neighboring ones.
The SJSM anatomy course introduces students to the human body in two ways. First,
lectures and the textbook provide regional overviews of the human body. Second,
laboratory sessions provide students the privilege of dissecting the human body and its
anatomical structures and gaining direct experience about the structures discussed in
lecture and encountered daily in medical practice. Always follow the dissection manual
(as you would surgical techniques) when dissecting. Both anatomy laboratory and
lectures are critical to success in a medical career.
Although points of clinical relevance are discussed and clinically-oriented lectures are
provided, the emphasis of this course is on normal human anatomy. An emphasis on
normal anatomy is necessary because diseases encountered in medical practice generally
represent departures from the fundamental pattern learned in this course. In addition,
knowledge about normal anatomy is shared across the curriculum in other courses.
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Students are responsible for participating in both lecture and laboratory components.
Attendance in both components is maintained throughout the semester.
DISSECTION:
All students will be assigned to a group for dissection. Each student is required to have a
dissection manual and an atlas in laboratory. The dissection manual we use is Gray’s
Dissection Guide to Human Anatomy; second edition, Morton DA, Peterson KD, and
Albertine, KH (eds.); Churchill Livingstone: Elsevier. We require Gray’s Atlas, but
many students prefer not to bring their new expensive atlases into the laboratory;
therefore, we recommend that students purchase a cheaper, used medical-student-level
atlas for use in the laboratory. It does not need to be Gray’s.
Students who are not dissecting are expected to use the time studying the skeletal models
to learn the bones, ligaments, and muscle attachments. Each student should be able to
demonstrate the structures to others.
Students gain the most from dissection when they are well prepared for it. Consequently
for each laboratory, we require students to hand in a signed sheet of paper on which they
have written and/or sketched the appropriate line of incision to be made and the structures
that they anticipate uncovering and examining that day. No one who has not handed in
that sheet will be admitted to the dissection. As with lectures, no more than 20% of the
dissections may be missed.
Laboratory coats (they may be purchased from SJSM) and closed-toe sandals/shoes are
required for the laboratory. Open-toed sandals do not protect you from falling scalpels or
cadaver fluids. Laboratory aprons are also helpful in preserving your clothes. The school
provides gloves and masks.
ABOUT THE CADAVERS
Human cadavers are available for dissection by the generosity of the donors and their
families. You are one of a very small group allowed the opportunity to participate in this
unique learning experience. The privilege of dissecting a human cadaver should be taken
seriously and can be revoked. Do not remove anatomical materials from the lab. Always
follow the dissection manual as you would surgical techniques when dissecting. Always
treat the cadavers with respect and conduct yourself in the lab in a manner indicating
proper respect for the dead. Disrespectful behavioral will not be tolerated.
COURSE OBJECTIVES
The major objectives are to give medical students an appreciation of both the normal
structure of human body, excluding the central nervous system. In accomplishing this
goal, it is highly desirable for students to correlate lecture information with laboratory
exposure. Lecture information in concert with laboratory exposure to organ and tissue
will provide an excellent basis for understanding pathophysiology. In fact, a primary aim
of this course is to act as an introduction for future Systems Pathophysiology courses.
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INTENDED LEARNING OUTCOMES FOR ANATOMY COURSE
K2. Knowledge and understanding of the principles of Evidence Based Medicine.
K12 Knowledge and understanding of normal structure and function of the body and each
of its major organ systems.
S7. The ability to perform routine technical dissection procedures specic to the medical
speciality. Perform practical exercises that entail accurate observation of biomedical
phenomenon and critical analyses of data.
S18. The ability to apply Evidence Based Medicine principles to clinical decision making
AB5. The ability to seek help, when needed, to deal with academic, personal, or
interpersonal problems.
TEXTBOOKS:
Required: Clinically Oriented Anatomy by Keith L. Moore et al., Lippincott Williams
& Wilkins, 2010
Atlas of Human Anatomy, 4th edition by Frank H. Netter. Published by Saunders, 2006 or
an equivalent atlas will be acceptable
Recommended text:
BRS Gross Anatomy, 7th edition by Kyung W. Chung. Published by Lippincott Williams
& Wilkins, 2008
Appleton and Lange Review of Anatomy Royce L. Montgomery, Kurt Ogden Gilliland
McGraw Hill Professional, 2003
RECOMMENDED LINKS:
http://thinkanatomy.com (a portal for anatomical images, dissections etc.)
http://www.med.umich.edu/lrc/coursepages/m1/anatomy2010/html/index.html
http://www.anatomy.wisc.edu/courses/gross/ (dissections)
http://www.wesnorman.com (Georgetown University’s anatomist, Wes Norman, has
his own site with images, information and quizzes)
AnatomyONE portal
Visible Body virtual reality dissection system
ATTENDANCE POLICY:
Students must attend all lectures, review sessions and dissections on a regular basis. (any
one with less than 80% attendance will not be allowed to take exams. Excuses have to be
approved by the Promotions Committee in accordance to the policy.)
EXAMINATIONS: There will be four block exams in the semester (every 3 to 4 weeks).
Each is composed of a written and laboratory portion. Each exam will contribute 25% to
the final grade in which 80% is based on the written exam and 20% on the practical exam.
Quizzes will add bonus points to the grade.
The school grading scale is as follows:
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90-100%
= A
80-89%
= B
70-79%
= C
below 70% = F
GRADING
Every block (app. 3 weeks of classes) you will be evaluated in the following way:
1. Attendance for lectures and lab classes : if you missed >20% of lectures or labs
for first time without providing approved Leave of Absence/doctor/legal note, 20
points will deducted from your final block score (second time you did it – will get
0 for the block). But if you attended >80% of classes - no deduction will be done.
2. 1 written 25 MCQs quiz/block (dates of quizzes are in the syllabus) will provide
up to 10 bonus points (*) to final block score
3. 1 written 50 MCQs block exam – will provide 80% of your block score
4. 1 practical exam (identification of specific structures on cadavers, bones, X-Ray
films, etc) – will provide 20% of your final score
(*) – If student missed block quiz due to medical emergency, legal issues or
approved LOA or any other reasons, there will be no second date to take the
quiz and student will loose bonus points (but still can get 100% on exam if will do
well, see examples below)
Example of score calculation for student A:
Student A attended 100% of all classes
Student A on the quiz answer 60% of questions correctly – received 6 points
Student A on the Written exam answer 70% of questions correctly – received
70*0.8=56 points
Student A on the Practical exam answer on 80% of questions correctly – received
0.2*80=16 points
Final score of the student for Block 1 is : 6+56+16=78 (C)
Example for calculation for Student B:
Student B attended 100% of all classes
Student B on the quiz answer 100% of questions correctly – received 10 points
Student B on the Written exam answer 100% of questions correctly – received
1*80=80 points
Student B on the Practical exam answer on 100% of questions correctly – received
0.2*100=20 points
Final score of the student B for Block 1 is : 10+80+20=110=100 (A) (if calculated
score is above 100, then any scores above 100 will not be taken into calculation and
will not be transferred to the next block).
Cumulative score for whole semester will be calculated as an average of 4 blocks
scores.
Curving: Curving will be done only for 50 questions MCQ exam in case if average of
the group is below 70 and aim of the curving is to bring average score of the group to
the range of 70 by using the following formula:
Curved Score=100-A(100-You Raw Score) A could be between 0-1.
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Practical exam: In general, structures tested on the practical exam could be found in
the latest version of the document “List of structures for practical exam Block
1,2,3,4”). Students should refer to the latest updated version of structures for
particular practical exam posted on the Moodle by professor. Professor can add to the
practical exam structures which were not on the list, in such case, the correct answers
on the questions related to the structures which are not on the list, will be considered
as a bonus points (no more than 20 extra points).
Lecture Schedule:
Day
Tue
Date
Sept 2
Wed
Sept 3
8 to 10
am
Thu
Sept 4
8 to 10
am
Fri
Sept 5
8 to 10
am
Saturday
Sept 6
Sunday
Sept 7
Monday
Sept 8
Tuesday
Sept 9
Wednesda
y
Thursday
Sept 10
Friday
Sept 12
Saturday
Sept 13
Sunday
Monday
Sept 14
Sept 15
Tuesday
Sept 16
Sept 11
Lecture
Lecture topics
Orientation Day
Instructor
No lectures
Introduction to anatomy:
approach to study anatomy
(regional, systemic and clinical
anatomy), anatomical terminology,
anatomical variation
Integumentary system;
fascias, fascial compartment,
bursae, and potential spaces;
skeletal system;
muscle tissue and muscular system
Cardiovascular system; lymphoid
system; nervous system (CNS,
PNS, ANS); medical imaging
techniques
Podcheko
8 to 10
am
8 to 10
am
8 to 10
am
8 to 10
am
8 to 10
am
Back; vertebrae and spinal cord
Huq
Back; muscles, neurovascular
structures
Back: Review
Huq
Thoracic wall - Skeleton of
thoracic wall, thoracic apertures
Thoracic wall – Muscles, nerves
and vascular supply
Podcheko
8 to 10
am
8 to 10
am
Breast
Podcheko
Thoracic cavity and viscera pleura
Podcheko
Huq
Huq
Huq
Podcheko
6
8 to 10
am
8 to 10
am
8 to 10
am
Lungs
Podcheko
Pericardium, the heart and
great vessels
Mediastinum
Podcheko
8 to 10
am
8 to 10
am
8 to 10
am
Quiz1
Lungs and Heart
Lungs and Heart
Wednesda
y
Thursday
Sept 17
Friday
Sept 19
Saturday
Sept 20
Sunday
Monday
Sept 21
Sept 22
Tuesday
Sept 23
Wednesda
y
Sept 24
Thursday
Sept 25
Study Day
Friday
Saturday
Sept 26
Sept 27
EXAM I
Sunday
Monday
Tuesday
Sept 28
Sept 29
Sep 30
Wednesda
y
Thursday
Oct1
Friday
Oct 3
Saturday
Sunday
Monday
Oct 4
Oct 5
Oct 6
Tuesday
Oct 7
Wednesda
y
Thursday
Oct 8
Friday
Oct 10
Sept 18
Oct 2
Oct 9
Heart and related structures
Ray
Ray
Ray
Ray
EXAM I
8 to 10
am
8 to 10
am
8 to 10
am
8 to 10
am
Anterior abdominal wall and
inguinal region
Podcheko
Peritoneum, omentum, epiploic
spaces, ligaments
Abdominal viscera, esophagus,
stomach
Small intestine
Podcheko
8 to 10 am Large intestine, spleen
8 to 10
am
8 to 10
am
8 to 10
am
8 to 10
am
Podcheko
Podcheko
Ray
Liver, gall bladder, pancreas
Podcheko
Retroperitoneum, kidneys,
adrenals
Posterior abdominal wall,
muscles, neurovascular
structures
Review/Clinical Correlations
Podcheko
Ray
Ray
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Saturday
Oct. 11
Sunday
Monday
Oct 12
Oct. 13
Tuesday
Oct 14
Wednesda
y
Thursday
Oct 15
Friday
Oct 17
Saturday
Sunday
Monday
Oct 18
Oct 19
Oct 20
Tuesday
Oct 21
Wednesda
y
Thursday
Oct22
Friday
Oct 24
Saturday
Sunday
Monday
Oct 25
Oct 26
Oct. 27
Tuesday
Oct 28
Wednesda
y
Thursday
Oct 29
Friday
Oct 31
Saturday
Sunday
Monday
Nov 1
Nov 2
Nov 3
Oct 16
Oct 23
Oct 30
8 to 10
am
8 to 10
am
8 to 10
am
8 to 10
am
8 to 10
am
Pelvis - bony landmarks of
pelvis
Pelvic peritoneum and fascia
8 to 10
am
8 to 10
am
8 to 10
am
8 to 10
am
8 to 10
am
Quiz 2
Urinary system
Male sexual organs and female
sexual organs
Review: Pelvis
8 to 10
am
8 to 10
am
8 to 10
am
8 to 10
am
8 to 10
am
8 to 10
am
Podcheko
Podcheko
Muscles of the pelvis + pelvic
diaphragm
Pelvis: Neurovascular structures
Huq
Perineum and triangles:
Urogenital + Anal triangles
Huq
Huq
Huq
Huq
Huq
Study Day
EXAM II
EXAM II
Bones and superficial structures
of the upper limb
Podcheko
Pectoral and scapular regions
Huq
Axilla, brachial plexus
Huq
Arm and forearm, cubital fossa
Huq
Hand
Huq
8
8 to 10
am
8 to 10
am
8 to 10
am
8 to 10
am
Joints of upper extremity
Podcheko
Joints of the upper extremity
Podcheko
Review of the upper extremity
Podcheko
Lower limb: Bones, fascia,
vessels & nerves
Podcheko
Anterior and medial thigh
Huq
Gluteal region
Huq
Popliteal fossa
Huq
Wednesda
y
Thursday
8 to 10
am
Nov 11 8 to 10
am
Nov 12 8 to 10
am
Nov 13 8 to 10
am
Nov 14 8 to 10
am
Nov 15
Nov 16
Nov 17 8 to 10
am
Nov 18 8 to 10
am
Nov 19 8 to 10
am
Nov 20
Friday
Nov 21
Saturday
Sunday
Monday
Nov 22
Nov 23
Nov 24
Tuesday
Nov 25
Wednesda
y
Nov 26
Thursday
Nov 27
Tuesday
Nov 4
Wednesda
y
Thursday
Nov 5
Friday
Nov 7
Saturday
Sunday
Monday
Nov 8
Nov 9
Nov 10
Tuesday
Wednesda
y
Thursday
Friday
Saturday
Sunday
Monday
Tuesday
Nov 6
Leg - Anterior, lateral, posterior
compartments
Foot - fascia, muscles, nerves,
vessels
Quiz3
Joints of lower limb
Gait and posture
Lower limb: Review
Podcheko
Podcheko
Huq
Huq
Huq
Study Day
EXAM III
EXAM III
8 to 10
am
8 to 10
am
8 to 10
am
Neck; bones and cartilages,
fascia
Superficial and deep structures
Muscles of the neck: anterior
and posterior and triangles
Vascular structures of the neck
and lymphatics
Huq
Huq
Huq
9
Friday
Nov 28
Saturday
Sunday
Monday
Nov 29
Nov 30
Dec 1
Tuesday
Dec 2
Wednesda
y
Thursday
Dec 4
Friday
Dec 5
Saturday
Sunday
Monday
Dec 6
Dec 7
Dec 8
Tuesday
Dec 9
Wednesda
y
Thursday
Dec 10
Friday
Dec 12
Saturday
Sunday
Monday
Dec 13
Dec 14
Dec 15
Tuesday
Dec 16
Wednesda
y
Thursday
Dec 17
Dec 11
Dec 18
8 to 10
am
Visceral structures of the neck:
trachea, esophagus
Podcheko
8 to 10
am
8 to 10
am
8 to 10
am
8 to 10
am
8 to 10
am
Viscera cont’d.: Thyroid and
parathyroid glands
Viscera cont’d.: Larynx
Podcheko
8 to 10
am
8 to 10
am
8 to 10
am
8 to 10
am
8 to 10
am
Quiz4
Cranium - cont’d
Muscles of facial expression and
mastication
Sensory organs; eye and ear
Neural structures of the neck
and ansa cervicalis
Surface anatomy of the neck
and clinical correlations; Review
Bones of the cranium; scalp,
meninges
Nasal cavity; Taste and olfaction
Pharynx
Oral cavity; Salivary glands
LAB Practical
EXAM IV
EXAM IV
Huq
Huq
Podcheko
Ray
Ray
Podcheko
Podcheko
Podcheko
Podcheko
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PRACTICAL SCHEDULE:
(B: Block, S: Session) Fall 2014
Week
1
Session
B1S1
B1S2
B1S3
2
B1S4
B1S5
3
B1S6
S7 AB5
S7 AB5
S7 AB5
S7 AB5
S7 AB5
B2S5
Midgut and Hindgut,
Posterior Abdominal Wall
Osetology of the Upper
Limb, Superficial structures
of the upper limb, Shoulder
and Axilla
Arm, Forearm,
B2S6
Hand, Joints of Upper Limb
S7 AB5
B2
Review of Abdomen
S7 AB5
B2S8
Review of Upper Limb
S7 AB5
B3S1
Oseteology of Pelvis, Gluteal
Region , Ischioanal Fossa,
Urogenital Triangle
Pelvis and Reproductive
System Male
Pelvis and Reproductive
S7 AB5
B2S2
B2S3
7
S7 AB5
S7 AB5
4
6
ILOs
S7 AB5
Osteology of the abdomen,
Pelvis and Perineum,
Anterior Abdominal wall,
Inguinal Canal,
Peritoneum and Foregut ,
B2S1
5
Dissection
Introduction , Lab Safety,
Dissection set, Anatomical
Position, Planes, Terms of
Relationship and
comparison, Terms of
Laterality and Movement
Osteology of the Back,
Superficial Back
Deep Back, Vertebral
Column, Spinal Cord
Osteology of the Thorax,
Anterior Chest wall, Breast
Thoracic Situs, Lungs,
Hearts, Mediastina
Review of Block 1
B2S4
8
B3S2
B3S3
S7 AB5
S7 AB5
S7 AB5
S7 AB5
S7 AB5
Instructor Professor
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11
B3S5
System female
Osteology of Lower Limb,
Superficial Structure of the
Lower Limb and Gluteal
Region
Thigh
B3S6
Leg
S7 AB5
B3
S7 AB5
B4S1
Foot , Joints of the Lower
Limb
Review Pelvis and Lower
Limb
Osteology of Head and Neck
B4S2
Triangles of the Neck
S7 AB5
B4S3
Larynx
S7 AB5
B4S4
S7 AB5
B4
Scalp, Calvarium, Meninges,
Brain, Base of the Skull and
Cranial Nerves
Orbit, Superficial Face, Deep
Face, Pharynx
Nasal Cavity, Palate, Oral
Cavity
Ear
B4S8
Review Head & Neck
S7 AB5
9
B3S4
10
11
12
13
B3S8
B4S5
14
15
B4S6
S7 AB5
S7 AB5
S7 AB5
S7 AB5
S7 AB5
S7 AB5
S7 AB5
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