2014-2015 Syllabus I. MEID 702 Cardiovascular Block Syllabus II. Lecture Type, 5 Credits III. Fall Semester 2014 IV. Block Leaders and Coordinators Name Email Phone Office location Office hours Campus Block Leader Travis Hein, PhD thein@tamhsc.edu 254-724-3550 MRB, Room 119, Temple, TX By appointment Temple Campus Name Email Phone Office location Office hours Campus Block Leader Emily Wilson, PhD ewilson@medicine.tamhsc.edu 979-436-9142 CB1, Room 3113, Bryan, TX By appointment Bryan Campus Name Email Phone Office location Office hours Campus Coordinators Melissa Sodolak Sodolak@medicine.tamhsc.edu 979-436-0227 Clinical Bldg. 1 Suite 4100 By appointment Bryan-College Station Kristen Randolph krandolph@sw.org 254-724-2548 MEC 407E Temple a. Other participating faculty (may include in Appendices) Date Created/Revised: ________ By: _______ Page 1 2014-2015 Syllabus Phase II Cardiovascular Block Faculty, AY 2014-2015 Block Directors: Travis Hein, PhD thein@tamhsc.edu Emily Wilson, PhD ewilson@medicine.tamhsc.edu Faculty: Ruth Bush, MD RBush@medicine.tamhsc.edu Steven Costa, MD SCOSTA@sw.org Pier DiPatre, MD, PhD PIDIPATRE@sw.org David Dostal, PhD ddostal@medicine.tamhsc.edu John Erwin, MD JPERWIN@sw.org Brett Giroir, MD (Executive Assistant: Robin Fuller) LFuller@tamhsc.edu Marcela Jimenez, MD Marcela.Jimenez@tamhsc.edu Daniel Larsen, MD DLARSEN@sw.org Robert Plemmons, MD RPLEMMONS@sw.org John Pliska, MD JPLISKA@sw.org J. James Rohack, MD JROHACK@sw.org Robert Scott, MD RCSCOTT@sw.org V.O. Speights, DO VSPEIGHTS@sw.org A. Mike Spiekerman, PhD AMSPIEKERMAN@sw.org Binu Tharakan, PhD BTHARAKAN@sw.org Carl Tong, MD, PhD CTONG@medicine.tamhsc.edu Jerome Trzeciakowski, PhD TRZECIAK@medicine.tamhsc.edu Christopher Woodman, PhD woodmanc@hlkn.tamu.edu Date Created/Revised: ________ By: _______ Page 2 2014-2015 Syllabus V. Course Description (from HSC Course Catalogue) and Overview http://www.tamhsc.edu/education/catalog/ The block covers the normal physiology, pathophysiology and diseases of the heart and vascular system, as well as pharmacological management. Some of the abnormalities to be discussed in detail include hypertension, atherosclerosis, aortic aneurysms, congenital and valvular heart diseases and diseases of cardiac muscle and its electrical system. An emphasis will also be devoted to how cardiovascular disease impacts the individual patient as well as society. Prerequisite: Completion of Phase I Curriculum Course Overview This is the second phase of a 4 year curriculum integrating the cardiovascular system with the normal anatomy and physiology and the abnormalities that occur impacting the individual patient and society. The abnormalities will include those with the highest prevalence, highest incidence, and greatest impact on American society. These include hypertension, atherosclerosis, congenital and valvular heart disease, diseases of the electrical and muscle systems from various causes. VI. Course Objectives and Evaluation Method Upon completion of the course, students will be able to: (COM Competency Based Learning Objectives: http://medicine.tamhsc.edu/academicaffairs/curriculum/objectives/) Course Objective: 1. Review the normal structure and function of the cardiovascular system: A. Maintenance of normal membrane potentials B. Normal and desired lipid composition C. Review of autonomic nervous system D. Normal parasympathetic E. Normal sympathetic function Date Created/Revised: ________ By: _______ COM Competency Based Learning Objectives Taught (T) and/or Evalua ted (E): Evaluation PBLI1 T, E PBLI2 T, E PBLI4 T, E MK1 T, E Exams/quiz and/or Comp. final Exams/quiz and/or Comp. final Exams/quiz and/or Comp. final Exams/quiz Comp. finalcomprehensi ve final; CBL-Case Based Learning Page 3 2014-2015 Syllabus 2. Review the molecular, biochemical, cellular and system-specific mechanisms that are essential for function of the cardiovascular system: A. Cell/tissue structure and function B. Embryonic development C. Cardiovascular circuitry D. Hemodynamics E. Vascular structure and function F. Microcirculation G. Repair, regeneration and changes associated with stages of life H. Neurohormonal reflex I. Neural Regulation-Baroreflex 3. Develop a broad understanding and detailed specific knowledge of the etiology and pathogenesis of the maladies that afflict the cardiovascular system (genetic, developmental, psychological, metabolic, toxic, microbiologic, autoimmune, neoplastic, degenerative and traumatic): A. Vascular system Neuro-endocrine disorders Autonomic nervous system disorder Renin-angiotensin system Lipid disorders Date Created/Revised: ________ By: _______ MK2 T, E MK4 T, E MK5 T, E PBLI1 T, E PBLI2 T, E PBLI4 T, E MK1 T, E MK2 T, E MK4 T, E MK5 T, E PBLI1 T, E PBLI2 T, E PBLI4 T, E MK1 T, E MK2 T, E MK3 T, E and/or Comp. final Exams/quiz and/or Comp. final Exams/quiz and/or Comp. final Exams/quiz and/or Comp. final Exams/quiz and/or Comp. final Exams/quiz and/or Comp. final Exams/quiz and/or Comp. final Exams/quiz and/or Comp. final Exams/quiz and/or Comp. final Exams/quiz and/or Comp. final Exams/quiz and/or Comp. final CBL-small group CBL-small group CBL-small group Exams/quiz and/or Comp. final Exams/quiz and/or Comp. final Exams/quiz and/or Page 4 2014-2015 Syllabus B. C. D. E. F. G. H. Obesity Inherited disorders (e.g. Marfan’s, Ehler-Danlos) Atherosclerosis Aortic aneurysm Deep vein thrombosis Valvular Disease (congenital and acquired) Disorders related to myocardium and pericardium Hypertrophic Dilated Restrictive Pericarditis, pericardial effusion Infectious, inflammatory and immunologic disorders Infectious (Rheumatic, Endocarditis) Autoimmune disorders Traumatic and mechanical disorders Neoplastic disorders Metabolic and regulatory processes Electrical abnormalities (arrhythmias) 4. Develop a broad understanding and specific detailed knowledge of the altered structure and function (pathology and pathophysiology) of the cardiovascular system associated with various diseases and conditions. Relate that to their clinical presentation and diagnosis: A. Mechanisms of action, use and adverse effects of drugs for treatment of disorders of the cardiovascular system and management of normal cardiovascular function Antihypertensives Antihyperlipidemics, statins, drugs Treatment of antiarrhythmic disorders Treatment of atherosclerosis Date Created/Revised: ________ By: _______ MK4 T, E MK5 T, E PC4 T, E PC6 T, E Comp. final Exams/quiz and/or Comp. final; CBL Exams/quiz and/or Comp. final Exams/quiz and/or Comp. final; CBL CBL PBLI1 T, E CBL PBLI2 PBLI4 MK1 T, E T, E T, E MK2 T, E MK3 T, E MK4 T, E MK5 T, E CBL CBL Exams/quiz and/or Comp. final Exams/quiz and/or Comp. final Exams/quiz and/or Comp. final Exams/quiz and/or Comp. final Exams/quiz Page 5 2014-2015 Syllabus Treatment and diagnosis of congestive heart failure (systolic and diastolic) Therapeutic uses of ionotropes B. Mechanisms of action, use and adverse effects of drugs for treatment of disorders of the cardiovascular system and management of normal cardiovascular function Antihypertensive drugs Antianginals Antiarrhythmics Ionotropes Lipid drugs Systolic dysfunction drugs Diastolic dysfunction drugs PDE5 inhibitors to treat erectile dysfunction C. Other methods of treatment affecting the cardiovascular system D. Adverse effects of drugs used in treatment of disorders of the cardiovascular system E. Impact on the cardiovascular system of drugs used to treat other conditions F. Iatrogenic effects on the cardiovascular systems 5. To expose students to the issues relating to biopsychosocial and economic issues commonly experienced in patient care of those with cardiovascular conditions. Date Created/Revised: ________ By: _______ PC4 T, E PC6 T, E PBLI1 T, E PBLI2 T, E PBLI4 T, E MK1 T, E MK2 T, E MK3 T, E and/or Comp. final Exams/quiz and/or Comp. final Exams/quiz and/or Comp. final; CBL Selfreflection of learning Selfreflection of learning Selfreflection of learning Exams/quiz and/or Comp. final Exams/quiz and/or Comp. final Exams/quiz and/or Comp. final Page 6 2014-2015 Syllabus Date Created/Revised: ________ By: _______ MK4 T, E MK5 T, E PROF4 T Exams/quiz and/or Comp. final Exams/quiz and/or Comp. final Page 7 2014-2015 Syllabus VII. Attendance Policy The purpose of class time is to allow social interaction with peers and faculty to uncover knowledge and help identify better ways to learn concepts. Refer to Phase II Student Handbook for other details. VIII. Policies and Procedures (generic information for all campuses) Refer to the Phase II Student Handbook. IX. Learning Materials and Activities Course materials are available online 24/7. Lecture materials posted before the lectures are expected to read prior to be able to benefit fully from class interactions. Lecture materials will be made available in Blackboard. Textbooks (Required and Recommended Resources) Additional CD ROM resources in Learning Resources: “The Physiologic Basis of Heart Sounds” and “Heart Songs” X. Grading and Remediation Policies CV Block Grading Scheme: EXAM #1 (Sept 5, 2014): 21% EXAM #2 (Sept 19, 2014): 24% EXAM #3 (Sept 29, 2014): 10% COMPREHENSIVE FINAL EXAM (Oct 9, 2014): 30% Online Self-Assessment Quizzes (6 total as scheduled): 4% Murmur Clinic (as scheduled): 2% Vascular Pathology Team-Based Learning (Aug 29): 2% Case Synthesis and Integration Exercise (Sept 25): 3% Interactive Clinicopathologic Correlations Session (Oct 1): 2% Pharmacology Self-Directed Learning (Oct 3): 2% Date Created/Revised: ________ By: _______ Page 8 2014-2015 Syllabus Exam #1, Exam #2, and Exam #3 will include at least 2 questions per lecture hour. The Comprehensive Final Exam will have one question per lecture hour from weeks 1 – 5, and at lest 2 questions per lecture hour from week 6, in addition to selected questions from prior exams. The weekly online self-assessment quizzes will consist of about 5-8 questions from the material taught that week. The quizzes will be available online for time periods as noted in the course schedule below. Remediation Policies are described in the Phase II Student Manual. XI. Course Schedule (may include in Appendices if available) Week 1 begins with an introduction of the approach to patients with cardiovascular disease and an overview of the cardiac and vascular systems. The major focus will be on the regulation of the vascular system under normal and disease states. The vascular system and how it responds to its environment with the most prevalent disease in America of hypertension will continue in week 2. Week 3 begins presentation of the heart with discussion of valvular function, and the heart muscle as it functions and develops dysfunction. Week 4 will involve the electrical system of the heart and diagnosis/treatment of clinical arrhythmias. Week 5 will present clinical integration of shock, congenital heart disease, and cardiovascular pathology. Week 6 is a discussion of the most costly cardiovascular condition in America being atherosclerosis and coronary disease, along with pharmacological integration using clinical cases. The final 7th week will provide time to study for the Comprehensive Final Exam. Six USMLE-format quizzes are included in this block (weeks 1-6), as well as other active learning sessions (murmur clinics, pathology labs, Case Synthesis and Integration Exercise, and Team Based Learning Sessions). There is self-directed time for review throughout the block to provide opportunity for student initiated interaction with faculty. See Cardiovascular Block Schedule below for other details. Date Created/Revised: ________ By: _______ Page 9 2014-2015 Syllabus YEAR II CURRICULUM, AY 2014-15 CARDIOVASCULAR WEEK 1 - Circulation / Vascular Disease TUESDAY AUGUST 26 WEDNESDAY AUGUST 27 8 Course Introduction and Approach to the Patient with Cardiovascular Disease (Hein, Wilson, and Tong) Temple and Bryan Physiology Hemodynamics I: Normal Blood Flow (Hein) Temple 9 Physiology Cardiovascular Circuitry (Hein) Temple Pathophysiology Hemodynamics II: Abnormal Blood Flow Case Study: Aortic Aneurysm (Hein / Bush) Temple and Bryan HOUR MONDAY AUGUST 25 10 BECOMING A PHYSICIAN II MANDATORY 11 Pathophysiology Hemodynamics III: Abnormal Blood Flow Case Study: Arterial Stenosis (Hein / Bush) Temple and Bryan THURSDAY AUGUST 28 FRIDAY AUGUST 29 Physiology/Pathophysiology Venous System Case Study: Deep Vein Thrombosis (Bush) Physiology/Pathophysiology Arterial System: Blood Pressure Regulation (Hein) Temple Physiology/Pathophysiology Microcirculation: Exchange Function and Edema (Tharakan) Temple TBL Pathology: Vascular Disease I and II: Atherosclerosis, Vasculitis, and Other Vascular Diseases (Speights) Temple MANDATORY Online Self-Assessment Quiz #1 (Covers 8/26 - 8/29) Open until Sunday (8/31) 2:00 pm Key posted after 2:00 pm HEM/ONC BLOCK ENDS 12 1 2 PRECEPTORSHIP MANDATORY PRECEPTORSHIP MANDATORY SELF-STUDY TIME SELF-STUDY TIME 3 4 Date Created/Revised: ________ By: _______ Page 10 2014-2015 Syllabus YEAR II CURRICULUM, AY 2014-15 CARDIOVASCULAR WEEK 2 - Circulation / Hypertensive and Ischemic Heart Disease / Cardiomyopathies HOUR MONDAY SEPTEMBER 1 TUESDAY SEPTEMBER 2 WEDNESDAY SEPTEMBER 3 8 Physiology Blood Flow Regulation and Special Circulations (Hein) Temple Cardiomyopathies and Systemic Diseases Affecting the Heart (Tong) Temple Pharmacology Antihypertensive II (Trzeciakowski) 9 Physiology CV Integration: Neurohormonal CV Regulation (Wilson) Pharmacology Antihypertensive I (Trzeciakowski) Pharmacology Antihypertensive III (Trzeciakowski) 10 Pathophysiology Hypertensive and Ischemic Heart Disease (Tong) Temple BECOMING A PHYSICIAN II MANDATORY 11 Pathology Vascular Disease III: Ischemia and Tumors (Speights) Temple THURSDAY SEPTEMBER 4 FRIDAY SEPTEMBER 5 SELF-STUDY TIME SELF-STUDY TIME Online Self-Assessment Quiz #2 (Covers 9/1 - 9/3) Open until Thursday (9/4) 5:00 pm Key posted after 5:00 pm 12 1 EXAM 1 2 SELF-STUDY TIME PRECEPTORSHIP MANDATORY PRECEPTORSHIP MANDATORY SELF-STUDY TIME 3 4 Date Created/Revised: ________ By: _______ Page 11 2014-2015 Syllabus YEAR II CURRICULUM, AY 2014-15 CARDIOVASCULAR WEEK 3 - The Cardiac Pump / Heart Disease / Cardiac-Vascular Coupling TUESDAY SEPTEMBER 9 WEDNESDAY SEPTEMBER 10 8 Physiology The Cardiac Pump (Dostal) Temple Pathophysiology of Heart Failure (Tong) Temple 9 Physiology Control of Cardiac Output (Dostal) Temple HOUR MONDAY SEPTEMBER 8 SELF-STUDY TIME Pharmacology Treatment of Heart Failure (Trzeciakowski) 10 BECOMING A PHYSICIAN II MANDATORY 11 Pathology Valvular Heart Disease Pathology (DiPatre) Temple THURSDAY SEPTEMBER 11 IMED Valvular Heart Disease Clinical Pathophysiology (Erwin) Temple FRIDAY SEPTEMBER 12 Interventional Modalities for Heart Disease (Tong) Temple Microbiology Infectious Endocarditis (Plemmons) Temple Physiology Cardiac and Vascular Coupling (Dostal) Temple Tests for Heart Disease (Spiekerman / Tong) Temple Online Self-Assessment Quiz #3 (Covers 9/9 - 9/12) Open until Sunday (9/14) 2:00 pm Key posted after 2:00 pm 12 1 2 3 Murmur Clinic Simulation Center Small Group Teaching MANDATORY FOR THE DAY/HOUR ASSIGNED BRYAN ONLY 1-6 pm PRECEPTORSHIP MANDATORY PRECEPTORSHIP MANDATORY Murmur Clinic Simulation Center Small Group Teaching MANDATORY Murmur Clinic Simulation Center Small Group Teaching MANDATORY FOR THE DAY/HOUR ASSIGNED FOR THE DAY/HOUR ASSIGNED TEMPLE ONLY Murmur Clinic Simulation Center Small Group Teaching MANDATORY SELF-STUDY TIME FOR THE DAY/HOUR ASSIGNED BRYAN ONLY 1-6 pm 4 Date Created/Revised: ________ By: _______ Page 12 2014-2015 Syllabus YEAR II CURRICULUM, AY 2014-15 CARDIOVASCULAR WEEK 4 - The Electrical System HOUR 8 9 10 11 MONDAY SEPTEMBER 15 Physiology Excitation-Contraction of Heart (Dostal) Temple Physiology Electrical Activity and Basic Electrocardiography (Dostal) Temple IMED Introduction to Clinical Electrocardiography I (Costa) Temple TUESDAY SEPTEMBER 16 IMED Introduction to Clinical Electrocardiography II (Costa) Temple BECOMING A PHYSICIAN II MANDATORY WEDNESDAY SEPTEMBER 17 THURSDAY SEPTEMBER 18 FRIDAY SEPTEMBER 19 SELF-STUDY TIME SELF-STUDY TIME IMED Clinical Arrhythmias (Costa) Temple Pharmacology Therapy of Arrhythmias I (Trzeciakowski) Pharmacology Therapy of Arrhythmias II (Trzeciakowski) Online Self-Assessment Quiz #4 (Covers 9/15 - 9/17) Open until Thursday (9/18) 5:00 pm Key posted after 5:00 pm 12 1 EXAM 2 PRECEPTORSHIP MANDATORY PRECEPTORSHIP MANDATORY Murmur Clinic Simulation Center Small Group Teaching MANDATORY Murmur Clinic Simulation Center Small Group Teaching MANDATORY Murmur Clinic Simulation Center Small Group Teaching MANDATORY FOR THE DAY/HOUR ASSIGNED BRYAN ONLY 1-6 pm FOR THE DAY/HOUR ASSIGNED FOR THE DAY/HOUR ASSIGNED 2 3 SELF-STUDY TIME 4 Date Created/Revised: ________ By: _______ Page 13 2014-2015 Syllabus YEAR II CURRICULUM, AY 2014-15 CARDIOVASCULAR WEEK 5 - CV Integration (Shock) / Cardiovascular Disease / Congenital HOUR MONDAY SEPTEMBER 22 TUESDAY SEPTEMBER 23 8 Physiology/Pathophysiology CV Integration-Hemorrhage and Shock (Wilson) MANDATORY Pathology Vascular Disease IV: Myocardial Infarction (Speights) Temple 9 CV Integration - Clinical Shock (Giroir) MANDATORY Pharmacology Thrombolytics (Scott) Temple 10 WEDNESDAY SEPTEMBER 24 Pathology/Pediatrics Congenital Heart Disease (DiPatre / Pliska) Temple BECOMING A PHYSICIAN II MANDATORY Pediatrics Intro to Clinical Congenital Heart Disease (Pliska) Temple PRECEPTORSHIP MANDATORY PRECEPTORSHIP MANDATORY 11 THURSDAY SEPTEMBER 25 Case Synthesis and Integration Exercise MANDATORY FRIDAY SEPTEMBER 26 Pathology Myocardial and Pericardial Diseases/ Heart Tumors (DiPatre) Temple Online Self-Assessment Quiz #5 (Covers 9/22 - 9/26) Open until Saturday (9/27) 5:00 pm Key posted after 5:00 pm 12 1 2 SELF-STUDY TIME SELF-STUDY TIME SELF-STUDY TIME 3 4 Date Created/Revised: ________ By: _______ Page 14 2014-2015 Syllabus YEAR II CURRICULUM, AY 2014-15 CARDIOVASCULAR WEEK 6 - Coronary Disease / CV Integration (Exercise) HOUR MONDAY SEPTEMBER 29 TUESDAY SEPTEMBER 30 8 Pathophysiology Pathophysiology of Coronary Disease (Wilson) 9 Pharmacology Lipids (Trzeciakowski) SELF-STUDY TIME 10 BECOMING A PHYSICIAN II MANDATORY WEDNESDAY OCTOBER 1 THURSDAY OCTOBER 2 FRIDAY OCTOBER 3 Physiology CV Integration - Exercise (Woodman) Interactive Clinicopathologic Correlations (CPC) (Jimenez / DiPatre) MDL's Temple and Bryan MANDATORY SELF-STUDY TIME CV Integration: Clinical Correlation (Larsen) 11 12 1 Pharmacology Anti-Anginals I and II (Trzeciakowski) 2 PRECEPTORSHIP MANDATORY PRECEPTORSHIP MANDATORY CV Pharmacology / Clinical Cases Self-Directed Team Learning (Trzeciakowski / Tong) MANDATORY Online Self-Assessment Quiz #6 (Covers 9/30 - 10/2) Open until Saturday (10/4) 5:00pm Key posted after 5:00 pm 3 EXAM 3 4 Date Created/Revised: ________ By: _______ Page 15 2014-2015 Syllabus YEAR II CURRICULUM, AY 2014-15 CARDIOVASCULAR WEEK 7 - Comprehensive Final Exam HOUR MONDAY OCTOBER 6 TUESDAY OCTOBER 7 WEDNESDAY OCTOBER 8 THURSDAY OCTOBER 9 SELF-STUDY TIME SELF-STUDY TIME FRIDAY OCTOBER 10 8 9 SELF-STUDY TIME 10 BECOMING A PHYSICIAN II MANDATORY 11 12 1 2 COMPREHENSIVE FINAL EXAM SELF-STUDY TIME PRECEPTORSHIP MANDATORY PRECEPTORSHIP MANDATORY 3 4 Date Created/Revised: ________ By: _______ Page 16 2014-2015 Syllabus XII. Patient Encounter Logs: (N/A if this does not apply) XIII. Important Legal Information and Policies a. TAMHSC E-mail Access and FERPA TAMHSC 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 Office of the Registrar at 888-523-2905. 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. b. Students with Disabilities 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 the Disability Services Office at 979-845-1637 or visit the website http://disability.tamu.edu/. Any student with a disability who needs accommodation should inform the instructor at the beginning of the course. c. Professionalism and integrity Statement (Academic Honesty and Plagiarism) Date Created/Revised: ________ By: _______ Page 17 2014-2015 Syllabus All TAMHSC 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. As commonly defined, plagiarism consists of presenting as one's own the ideas, words, writings, etc., which belong to another. In accordance with this definition, you are committing plagiarism if you copy the work of another person and turn it in as your own work, even if you should have the permission of that person. Plagiarism is one of the worst academic violations, for the plagiarist destroys the trust among colleagues without which academic communication cannot be safely conducted. d. 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 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. The College of Medicine internal policy for dealing with claims of student mistreatment or unprofessional behavior is described here. This policy addresses student mistreatment involving College of Medicine employees. However, we realize that a student may experience mistreatment from residents, affiliate staff, or patients. These instances will be discussed in Section V of the document. Please access the policy at http://medicine.tamhsc.edu/dean/policies/student-policies/mistreatment-of-students.html for more information regarding reporting, resolution of claims, appeals, and responsibilities. To report mistreatment via College of Medicine telephone hotline, dial 1(855)-397-9835. To report via web page, click http://medicine.tamhsc.edu/dean/policies/studentpolicies/form.html e. Exposure and Occupational Hazard The Needle Stick Policy for Medical Students may be accessed at: http://medicine.tamhsc.edu/dean/policies/student-policies/needlestick-policy.html Note: More information is available on the aforementioned topics to all students in the online course catalog and or on the College of Medicine website. XIV. College of Medicine Competency Based Learning Objectives Date Created/Revised: ________ By: _______ Page 18 2014-2015 Syllabus College of Medicine Competency Based Learning Objectives can be found under the Office of Academic Affairs website: http://medicine.tamhsc.edu/academic-affairs/curriculum/objectives/ XV. Principles and Guidelines for Curriculum Development Principles and Guidelines for Curriculum Development can be found under the Office of The Dean website: http://medicine.tamhsc.edu/dean/policies/pdf/curriculum-principles-guidelines.pdf Date Created/Revised: ________ By: _______ Page 19