SYLLABUS College of Medicine Course title and number Term (e.g., Fall 200X) Meeting times and location SURG 848 Ophthalmology All year Report to the Eye Pavilion at 8am the morning of rotation and ask for Tammy Stallings (254)724-1058. Course Description and Prerequisites Course Description (from HSC Course Catalogue) and Overview http://www.tamhsc.edu/education/catalog/ (You may also include a Course Overview in this section if you wish. Course overview is a narrative description of the course. It can be customized by the course directors based on the Course Description. Ideally, the course overview would be limited to no more than two paragraphs, about 200 words) VI. Course Objectives and Evaluation Method For Course Objectives: 1. Understanding concepts of ocular history taking 2. Ability to perform a general ocular examination to including visual acuity screening, external examination, motility, tonometry, and ophthalmoscopy 3. Fundamentals of glaucoma screening 4. Proper evaluation of the red eye and external disease to including diagnosis and management 5. Systematic evaluation of ocular emergencies to include corneal abrasion, foreign bodies, concussive injuries, penetrating injuries, hyphema, blow out fractures, chemical injuries, appropriate management and referral 6. Concepts of medical ophthalmology and systemic disease relationships 7. Basic elements of neuro-ophthalmology including visual disturbances, motility disorders, visual field defects, disc abnormalities, pupillary disorders 8. Understanding the fundamentals of strabismus and its diagnosis, to include ability to measure or estimate visual acuity in the young child, detection of strabismus, classification of strabismus For Evaluation Methods: 1. Each student will be given a brief oral examination by a member of the staff at the end of the rotation. 2. The ophthalmology staff will evaluate each student's performance at the end of the rotation. 3. Basis for evaluation will include staff opinion on a completed checklist evaluation form to include at least attitude and interest, reliability, fund of knowledge, patient relations and care. Date Created/Revised: __5/14/2015___By:___T.O.__ 4. A pass/fail grade will be submitted Upon completion of the course, students will be able to: Instructor Information Name Telephone number Email address Office hours Office location Course Director Joseph Newman, M.D. (254)724-1058 jnewman@sw.org By appointment S&W Eye Institute @Paviliom Clerkship Director Name Telephone number Email address Office hours Office location Coordinator Tammy Stallings (254)724-1058 tstallings@sw.org By appointment S&W Eye Institute @ Pavilion Coordinator Name Telephone number Email address Office hours Office location Name Telephone number Email address Office hours Office location Clerkship Director Name Telephone number Email address Office hours Office location Coordinator Name Telephone number Email address Office hours Office location Clerkship Director Name Telephone number Email address Office hours Office location Coordinator Name Telephone number Email address Office hours Office location Clerkship Director Coordinator Name Telephone number Email address Office hours Office location Date Created/Revised: __5/14/2015___By:___T.O.__ Name Telephone number Email address Office hours Office location Learning Outcomes & Objectives 1. Audiovisual presentations covering a wide spectrum of ophthalmology topics 2. Daily time spent with ophthalmology staff examining patients and seeing specific pathology demonstrated in patients under staff guidance. This will be done at Scott and White and the VA 3. Attend scheduled resident conferences, grand rounds, journal clubs, etc. 4. Rotation at VAH Eye Clinic during the two week rotation to further clinical exposure and experience 5. Required reading assignments to be based on the handbook Ophthalmology Study Guide for Students and Practitioners of Medicine published by the American Academy of Ophthalmology. (See below) (Applies to 4 week elective only) Each student will be required to prepare a 5-10 minute lecture on an ophthalmology topic of his/her choice in consultation with the Elective Administrator Textbooks (Required and Recommended Resources) 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: Understanding concepts of ocular history taking. Ability to perform a general ocular examination to including visual acuity screening, external examination, motility, tonometry, and ophthalmoscopy. Fundamentals of glaucoma screening. Click here to enter text. COM Competency Based Learning Objectives (CBLO): PC1: Obtain both complete and system-focused medical histories that include psychosocial and behavioral determinants of health PC2: Perform both complete and systemfocused physical examinations PC3: Develop appropriate differential diagnoses by integrating collected clinical information PC4: Develop contextual and individualized diagnostic and treatment plans based upon Date Created/Revised: __5/14/2015___By:___T.O.__ 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. Proper evaluation of the red eye and external disease to including diagnosis and management. Click here to enter text. Click here to enter text. Click here to enter text. Systematic evaluation of ocular emergencies to include corneal abrasion, foreign bodies, concussive injuries, penetrating injuries, hyphema, blow out fractures, chemical injuries, appropriate management and referral. Click here to enter text. Click here to enter text. Concepts of medical ophthalmology and systemic disease relationships. collected clinical information PC5: Interpret the results of commonly used laboratory and radiologic studies PC6: Recognize common immediately lifethreatening 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 PC10: Discuss the principles of pain management and formulate a basic multidisciplinary care plan PC6: Recognize common immediately lifethreatening 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 PC6: Recognize common immediately lifethreatening Date Created/Revised: __5/14/2015___By:___T.O.__ 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 Taught AND Evaluated Clinical Performance Rating/Checklist Click here to enter text. 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Understanding the fundamentals of strabismus and its diagnosis, to include ability to measure or conditions and initiate therapy PC7: Formulate an initial management plan for critically ill patients 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 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 PC1: Obtain both complete and system-focused Date Created/Revised: __5/14/2015___By:___T.O.__ 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 Taught AND Evaluated Clinical Performance Rating/Checklist Clinical Performance Rating/Checklist estimate visual acuity in the young child, detection of strabismus, classifications of strabismus. 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Click here to enter text. medical histories that include psychosocial and behavioral determinants of health PC2: Perform both complete and systemfocused 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 lifethreatening 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, Date Created/Revised: __5/14/2015___By:___T.O.__ Choose an item Choose an item Choose an item Choose an item Choose an item Choose an item Choose an item Choose an item Taught AND Evaluated Clinical Performance Rating/Checklist Choose an item Choose an item Choose an item Choose an item Choose an item Choose an item Click here to enter text. Click here to enter text. Click here to enter text. central venous, and urethral catheters; insertion of a nasogastric tube; lumbar puncture; basic suturing; and basic airway management PC11: Assist in the provision of appropriate endof-life care within a multidisciplinary team PC12: Educate patients in personalized health maintenance Choose an item Choose an item Choose an item Choose an item Choose an item Choose an item Choose an item Textbook and/or Resource Material 1. No special equipment will be required of the student. He should feel free to obtain his own ophthalmoscope. 2. Ophthalmology Study Guild, American Academy of Ophthalmology, latest edition required text (• A copy of this text will be loaned to each student for the duration of the elective.) 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 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 A component of professionalism is to be present, prepared, and punctual. In the event of a personal illness, critical illness within your immediate family, family death, or other extenuating events, please communicate this to the clerkship director or administrator in a timely manner. TAMHSC – COM student handbook states: Students who miss more than 20% of a 4th year elective for any reason (2 weekdays during a two-week rotation or 4 weekdays for 4 week rotation) will require a remediation plan. Elective director will consider students attendance and remediation if the student is requesting extended time off during interview season. Students will adhere to the same work schedules as the attendings and/or residents. Students are required to attend morning report, patient rounds and Journal review. Date Created/Revised: __5/14/2015___By:___T.O.__ Resources: Texas A&M Health Science Center Medical Student Handbook. VIII. Policies and Procedures (generic information for all campuses) Responsibilities and Expectation of Students Students are expected to be present for the various clerkship activities that will be noted by your residents and staff. Attendance is expected at the various clinical activities including morning ward rounds, operating room when assigned, third year lecture series, afternoon rounds, conferences, and any activity specifically requested by your attending. Students are expected to be punctual for all of the various activities noted on the weekly schedule. Failure to adhere to the schedule will result in undue delays and inconveniences to patients, students and faculty. However, your tolerance of any last minute schedule changes in lectures is asked. Sometimes trying to arrange a lecture series with surgeons is full of unforeseen scheduling changes 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 to the student as a “doctor”, it is the student’s duty to correct this error. One should not misrepresent his/her role. Resource: Texas A&M Health Science Center Medical Student Handbook. Course Topics, Calendar of Activities, Major Assignment Dates (List major didactics, simulations, and test dates by week. Must include dates on which major exams will be given and assignments will be due and should not be changed without notification of all students in the course. Include a statement that all dates are subject to change. Include major topics, assignments, etc. Reference where an up to date schedule can be accessed. INCLUDE an INITIAL or REPRESENTATIVE schedule in the appendix. THIS INFORMATION HAS BEEN PLACED HERE FOR REFERENCE ONLY. PLEASE REMOVE BEFORE PREPARING SYLLABUS.) Week Topic Date Created/Revised: __5/14/2015___By:___T.O.__ Required Reading Other Pertinent Course Information Ophthalmology is a 2or 4 week rotation. Students will adhere to the same work schedule as the attending and/or resident. 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 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.” 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. TAMHSC 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. Date Created/Revised: __5/14/2015___By:___T.O.__ 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 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: __5/14/2015___By:___T.O.__