SYLLABUS College of Medicine AY 2015-2016 Course title and number Term (e.g., Fall 200X) Meeting times and location MPED 823-00T Medical Genetics All Year 8:00 a.m.-5:00 p.m. Monday-Friday Scott & White Cytogenetic Laboratory Course Description and Prerequisites The Faculty will strive to: 1. Enable the student to recognize patient in need of genetic services. 2. Provide an approach to evaluate patients with Genetic disease. 3. Provide students with a basic knowledge of cytogenetics and molecular medicine. 4. Provide students with ethical dilemmas in genetics. http://www.tamhsc.edu/education/catalog/ Instructor Information Elective Director Sheila Dobin, Ph. D. Name 254-724-3704 Telephone number sdobin@sw.org Email address Name Maria Blazo, MD Telephone Number 254-724-3374 Email address mblazo@sw.org Office hours By Appointment S & W Memorial Hospital, G43 Office location 2401 S. 31st Street Temple, TX Date Created/Revised: _____ By: _____ Coordinator Kristen Randolph Name 254-935-5008 Telephone number KRANDOLPH@sw.org Email address Office hours Office location By Appointment Pediatric Specialty Clinic 1901 SW H.K. Dodgen Loop Temple, TX 76502 Learning Outcomes and Objectives Upon completion of this course, students should be able to: 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: Draw a pedigree & interpret a family history. Click here to enter text. 2. Recognize dysmorphic features, testing that may be necessary, have a basic knowledge of information resources for syndrome identification & counseling that is necessary. Click here to enter text. Date Created/Revised: _____ By: _____ COM Competency Based Learning Objectives (CBLO): PC1: Obtain both complete and system-focused medical histories that include psychosocial and behavioral determinants of health PC3: Develop appropriate differential diagnoses by integrating collected clinical information 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 Taught (T) and/or Evaluated (E): Evaluation: Taught AND Evaluated Clinical Performance Rating/Checklist Taught AND Evaluated Clinical Performance Rating/Checklist Taught AND Evaluated Clinical Performance Rating/Checklist Taught AND Evaluated Clinical Performance Rating/Checklist Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Interpret cytogenetic reports and molecular reports. Click here to enter text. Date Created/Revised: _____ By: _____ PC2: Perform both complete and systemfocused physical examinations PC8: Demonstrate an understanding of the principles involved in the care of patients across the spectrum of the human life cycle 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 PBLI5: Select, appraise, and utilize evidence from scientific studies related to clinical questions and patients' health problems PC5: Interpret the results of commonly used laboratory and radiologic studies MK1: Demonstrate knowledge of normal human structure and function at the organ-system, tissue, cellular Taught AND Evaluated Clinical Performance Rating/Checklist Taught AND Evaluated Clinical Performance Rating/Checklist Taught AND Evaluated Clinical Performance Rating/Checklist Taught AND Evaluated Clinical Performance Rating/Checklist Taught AND Evaluated Clinical Performance Rating/Checklist Taught AND Evaluated Clinical Performance Rating/Checklist Taught AND Evaluated Clinical Performance Rating/Checklist Taught AND Evaluated Clinical Performance Rating/Checklist Click here to enter text. 4. Identify indications for referrals for individuals in need of prenatal genetic, pediatric, cancer and adult counseling issues. Click here to enter text. Click here to enter text. Click here to enter text. Date Created/Revised: _____ By: _____ 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 PC1: Obtain both complete and system-focused medical histories that include psychosocial and behavioral determinants of health PC4: Develop contextual and individualized diagnostic and treatment plans based upon collected clinical information MK2: Describe the basic mechanisms involved in the causation of human disease and their influence on clinical presentation and therapy 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 Taught AND Evaluated Clinical Performance Rating/Checklist Taught AND Evaluated Clinical Performance Rating/Checklist Taught AND Evaluated Clinical Performance Rating/Checklist Taught AND Evaluated Clinical Performance Rating/Checklist Taught AND Evaluated Clinical Performance Rating/Checklist Taught AND Evaluated Clinical Performance Rating/Checklist ICS4: Educate patients, patients' family members, peers, and other members of the health care team at an appropriate level using appropriate technologies Click here to enter text. Taught AND Evaluated Clinical Performance Rating/Checklist Textbook and/or Resource Material Course materials are available online 24/7. 1. Presentation of the patients to faculty and participate in the discussion of management and counseling of patients with inherited disorders. 2. Participation in monthly cytogenetic conference, attendance at an IRB meeting, attendance at tumor boards. 3. Evaluation of children in the general genetic clinic and NICU. 4. Rotation in the cytogenetics laboratory to include observing cytogenetic techniques used in the diganosis of children with multiple congenital abnormalities and techniques used in cancer for diagnosis, prognosis and treatment 5. Generation of clinical cytogenetic reports to include standard cytogenetics, FISH (oncology and congenital) and microarray 6. Correlation of reports with clinical data. Textbooks (Required and Recommended Resources) The following books and case study materials will be used in this course. 1. Genetic Texts are available in the Genetics office and Laboratory office. a. Smith Recognizable Patterns of Malformations. b. Management of Genetic Syndromes. c. Others as required. 2. Current Genetics Journals and Literature files 3. Internet genetic web resources a. OMIM www.ncbi.nlm.nih.gov/omim. b. GENE TESTS www.genetests.org. c. NCBI Gene Reviews www.ncbi.nlm.nih.gov/books/NBK1116. d. Atlas of Genetics and Cytogenetics in Oncology and Hematology http://atlasgeneticsoncology.org/. 4. Other sources that may be provided by faculty and cytogenetic technologists. Grading Policies GRADING SCALE Satisfactory 70-100 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 Date Created/Revised: _____ By: _____ 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 http://student-rules.tamu.edu/rule07 Course Topics, Calendar of Activities, Major Assignment Dates Medical Genetics is a 4 week rotation. Student will adhere to the same work schedule as the attending and/or resident. There will be time in both the clinical genetic area and the laboratory. Fifty percent of the time will be spent in clinic and 50% of time will be spent in the laboratories. XII. Patient Encounter Logs: (N/A if this does not apply) Students are required by TAMU COM to log all patient encounters during this elect Other Pertinent Course Information Policies and Procedures (generic information for all campuses) Professionalism and Ethics: Students are expected to uphold and adhere to the ethical and behavioral standards of the profession of medicine. Information /sources on ethics in pediatrics and general medicine are included below. Resources: Texas A&M Health Science Center Medical Student Handbook Recommended core ethical values at WWW.niee.org/case_of_the_month/ethics3.cfm AMA Principle of Medical Ethics at www.ama-assn.org/ama/pub/category/2512.html AMA virtual Mentor at www.ama-assn.org/ama/pub/category/3040.html Bioethics in Pediatric Practice at www.emedicine.com/PED/topic2769.html Dress and Appearance: In order to be accepted as a member of the health care team, it is important to assume the same basic manner of dress, appearance and conduct as the other members of the team. A picture name identification tag must be readily visible on your shirt or coat collar, with introduction of your full name including “Ms.” or “Mr.” or “medical student”. If the parent/patient refers t the student as a “doctor”, it is the student’s duty to correct this error. One should not misrepresent his/her role. Remembering that you are serving as a role model for children should help one determine an appropriate appearance. With approval from you attending, scrubs may be worn only in the PICU, NICU or on call after 5:00 pm. They are not ideal attire for outpatient clinic visits. Resource: Texas A&M Health Science Center Medical Student Handbook. Americans with Disabilities Act (ADA) Date Created/Revised: _____ By: _____ 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 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 official 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 questions, 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 Date Created/Revised: _____ By: _____ 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 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. Date Created/Revised: _____ By: _____