SYLLABUS
College of Medicine
AY 2015-2016
Course title and number
Term (e.g., Fall 200X)
Meeting times and location
IMED 869-00T Hematology
This elective is Arranged with Elective Director
Year Around – 4 weeks
Course Description and Prerequisites
The Faculty will strive to:
1. Introduce the student to the spectrum of hematologic problems seen in a primary care practice.
2. Reinforce basic concepts of pathophysiology, clinical evaluation, and management of common
hematologic problems.
3. Strengthen the student's understanding of peripheral blood and bone marrow morphology.
4. Strengthen the student's understanding of basic coagulation testing as it applies to patients with
hematologic and non-hematologic disease.
5. Acquaint the student with the indications and proper technique for commonly used diagnostic
procedures in patients with hematologic problems.
Instructor Information
Elective Director
Mark Holguin, M.D.
Name
254-724-7048
Telephone number
mholguin@sw.org
Email address
By appointment
Office hours
Vasicek Cancer Center
Office location
– Hall 4
Coordinator
Martha Chandler
Name
254-724-2607
Telephone number
mschandler@sw.org
Email address
By appointmentVa
Office hours
6th floor Brindley
Office location
Circles, Room 640
Learning Outcomes & Objectives
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:
1. Discuss the pathophysiology
of the common forms of
anemia and briefly outline
the principles of
management.
COM Competency
Based Learning
Objectives
(CBLO):
MK1: Demonstrate
knowledge of
normal human
structure and
function at the
organ-system,
tissue, cellular and
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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,
psychosocial
factors, and
behavioral factors
influence heath
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
PC3: Develop
appropriate
differential
diagnoses by
integrating
collected clinical
information
PC7: Formulate an
initial management
plan for critically ill
patients
Characterize on a
morphologic basis the
peripheral blood smears of
patients who present for
evaluation of anemia
3. Interpret peripheral blood
smears and bone marrow
aspirations and biopsies in
the common hematologic
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2.
PC5: Interpret the
results of
commonly used
laboratory and
radiologic studies
PC5: Interpret the
results of
commonly used
laboratory and
radiologic studies
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disorders such as iron
deficiency anemia,
hemolytic anemias,
macrocytic anemias, and the
typical forms of acute and
chronic leukemias.
4.
Outline a rational laboratory
evaluation for patients who
present with known or
suspected bleeding disorders.
Interpret standard
coagulation studies as they
apply to patient with
bleeding disorders.
6. Outline an appropriate
clinical evaluation and be
able to interpret the results in
patients with other common
hematologic disorders such
as leukopenia, leukocytosis,
5.
PC1: Obtain both
complete and
system-focused
medical histories
that include
psychosocial and
behavioral
determinants 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
PC7: Formulate an
initial management
plan for critically ill
patients
PC5: Interpret the
results of
commonly used
laboratory and
radiologic studies
PC1: Obtain both
complete and
system-focused
medical histories
that include
psychosocial and
behavioral
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thrombocytopenia, and
polycythemia.
determinants 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 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, central
venous, and
urethral catheters;
insertion of a
nasogastric tube;
lumbar puncture;
basic suturing; and
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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-oflife 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
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Textbook and/or Resource Material
1. Hematology, Ed. W. J. Williams
Date Created/Revised: _4/23/2015 By: msc
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
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
The Department of Internal Medicine adheres to attendance policies and duty hours as set forth in the
College of Medicine Student Handbook, http://student-rules.tamu.edu/rule07. In the case of personal
illness, critical illness within your immediate family, family death, or other circumstances where you will
not be able to participate in required activities, you must contact the Internal Medicine Medical Education
Coordinator and contact the attending Faculty. Students who miss more than 20% of a 4 th year elective
for any reason (2 weekdays during a two-week rotation or 4 weekdays during a 4-week rotation), will
require a remediation plan. The Course Director will consider student attendance and remediation if the
student is requesting extended time off during interview season.
Course Topics, Calendar of Activities, Major Assignment Dates
1. Be assigned 2 to 4 new patients weekly in the outpatient clinic for initial history, physical,
diagnostic evaluation, and formulation of a treatment plan.
2. Be assigned 2 to 4 new patients weekly from the inpatient Hematology Consultation Service for
assessment and diagnostic and treatment recommendations.
3. Present his/her patients to staff for review and discussion.
4. Attend daily rounds with the inpatient Hematology staff consultant for follow-up and discussion
of referred patients.
5. Attend daily peripheral blood and bone marrow morphology review sessions with staff.
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.”
Date Created/Revised: _4/23/2015 By: msc
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 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
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Note: More information is available on the aforementioned topics to all students on the College of
Medicine website.
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