SYLLABUS
College of Medicine
AY 2015-2016
Course title and number
Term (e.g., Fall 200X)
Meeting times and location
IMED 872-00T Gastroenterology Clinic
Offered Year Round for 2 or 4 weeks
Report to Morning Report at 7:30 a.m. in Sid Richardson Auditorium.
Following morning report go to Desk 3B, 3 rd floor of the main clinic and ask for Dr. Pfanner.
Course Description and Prerequisites
The Faculty will strive to:
1.
Introduce the student to the spectrum of diseases and problems seen in the outpatient clinical practice of gastroenterology.
2.
Reinforce basic concepts regarding the pathophysiology, clinical evaluation and management of the more common problems seen in gastroenterology and hepatology
3.
Acquaint the student with the GI investigative procedures their indications, practice and interpretation.
4.
Familiarize the student with the indications for and interpretation and clinical correlation of GI radiological techniques.
Name
Instructor Information
Elective Director
Timothy Pfanner, M.D. Name
Telephone number 254-724-3098 Telephone number
Coordinator
Martha Chandler
254-724-2607
Email address tpfanner@sw.org
Email address mschandler@sw.org
Office hours By appointment Office hours By appointment
Office location
Mabee Clinic, 3 rd Floor,
Desk 3B
Office location
Brindley Circles, 6 th floor, 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
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Course Objective:
1.
Correlate historical data and physical findings into a complete and comprehensive data base from which he can formulate a detailed and inclusive differential diagnosis for a patient with a
GI problem
COM Competency
Based Learning
Objectives
(CBLO):
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
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
PC1: Obtain both complete and system-focused medical histories
Taught (T) and/or
Evaluated (E):
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Evaluated
Taught AND
Evaluated
Taught AND
Evaluated
Taught AND
Evaluated
Taught AND
Evaluated
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Evaluation:

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
2.
Interpret and realize the clinical significance of the commonly used GI investigative procedures.
Appreciate the indications for, cost effectiveness of, and potential complications of GI investigative procedures.
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PC5: Interpret the results of commonly used laboratory and radiologic studies
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 basic airway management
PC14: Properly utilize clinical, laboratory, radiologic, and
Taught AND
Evaluated
Taught AND
Evaluated
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Taught AND
Evaluated

3.
Evaluate and clinically correlate gastrointestinal x rays.
4.
Discuss the indications for proctosigmoidoscopy and observe the examination carried out by GI staff.
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SBP3:
Demonstrate an understanding of cost containment principles and their application in the delivery of health care
SBP4:
Demonstrate an understanding of the legal and regulatory frameworks governing the practice of medicine which affect payment, reimbursement, referrals and incentives
SBP5: Recognize various approaches to the organization, financing, and delivery of health care
SBP6: Utilize information technology in providing medical care for individuals
PC5: Interpret the results of commonly used laboratory and radiologic studies
PC4: Develop contextual and individualized diagnostic and treatment plans based upon collected clinical information
PC14: Properly utilize clinical, laboratory, radiologic, and pathologic examinations to diagnose and
Taught AND
Evaluated
Taught AND
Evaluated
Taught AND
Evaluated
Taught AND
Evaluated
Taught AND
Evaluated
Taught AND
Evaluated
Taught AND
Evaluated
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treat common maladies
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Textbook and/or Resource Material
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1.
Sleisenger and Fordtran, "Gastrointestinal Disease — Physiology, Diagnosis,
Management"; Sherlock, "Diseases of the Liver"
Grading Policies
Satisfactory
Unsatisfactory
70-100
GRADING SCALE
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.
Responsibilities and Expectation of Students
Students are expected to be present for the various elective 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, 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.
Dress Code: It is expected that students carry themselves in professional manner; this includes appropriate clothing while engaged in patient care. If you are to be in clinic with your staff physician or
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resident, please dress accordingly. If you are in the operating room or on the ETS service, scrubs are acceptable
Course Topics, Calendar of Activities, Major Assignment Dates
1.
Under the supervision of the senior staff, the student will have responsibility for the evaluation of one new assigned patient for complete history and physical examination plus one patient referred specifically for consultation in gastroenterology each day. The student will follow these patients to disposition.
2.
Special procedures performed on the student's patients will be observed where possible.
3.
In the afternoons, the student will see selected patients returning for follow-up. These patients will be specifically selected to demonstrate eleven points in history, physical examination, natural history or therapy.
4.
The student will attend GI conferences that are part of normal weekly activities.
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.”
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
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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
Note: More information is available on the aforementioned topics to all students on the College of Medicine website.
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