New York Institute of Technology
Physician Assistant Program
Course:
Course Coordinator:
Credits:
Instructor:
Phone:
Office Hours:
Office:
PHAS 310 - Introduction to Clinical Medicine I
Frank Acevedo, PA-C
9
NYCOM Faculty
516-686-3820
Wednesday 8:30 - 9:30 AM, 3 - 5 PM
Not applicable
Course description:
This multi-component course explores the intricacies of human disease through a
systems approach for: Clinical Nutrition, Infectious Disease, Pulmonary Medicine,
Cardiology, Gastroenterology, Nephrology, and Hematology/Oncology. The student will
learn about the etiologies, pathophysiolgy, clinical manifestations, appropriate
diagnostic tests and management of common disease entities.
Prerequisite: Permission of PA Program Chair
Objectives:
Students will:
1. Delineate clinical problems and develop appropriate management plans.
2. Recognize the need for specialty referral to other health care providers or agencies
as appropriate.
3. Formulate a differential diagnosis based upon signs and symptoms, appropriate
diagnostic tests, and physical examination findings.
4. Apply critical thinking skills to medical decision-making.
Required Text:
1. Andreoli, et al. Cecil: Essentials of Medicine. 5th Edition.
2. Rakel. Saunders Manual of Medical Practice.
3. D. Dale, D. D. Federman. 2000 Annual CD Scientific American. (The NYCOM
Scientific American On-Line Access Code vis the Library will suffice).
4. Handouts
Professional Journals:
Archives of Internal Medicine
New England Journal of Medicine
Journal of the American Medical Association
Journal of Infectious Diseases
Cardiology
Journal of the American Academy of Dermatology
Journal of Respiratory Diseases
Clinics in Hematology
Cancer
Diseases of the Chest
Digestive Diseases and Sciences
Use of Technology:
All students must have access to a computer and an Internet Provider. Use of the NYIT
computer facilities will meet this requirement for those without their own computers.
Useful Websites:
http://www.helix.com/
 Glaxo Educational Center
http://arborcom.com/frame/clin_dis2.htm
 Nutrition Resources on the Internet
http://hopkinsid.com/education/id_caserounds/caserounds9.html#top
 Case Rounds in Infectious Disease
http://hopkins-aids.edu/
 AIDS Case Presentations
http://www.medsch.wisc.edu/chslib/hw/pulmonar/pulmho
me.htm
 University of Wisconsin-Madison Pulmonary
Medicine Site
http://cardiology.medscape.com/Home/Topics/cardiology/
cardiology.html
 Medscape Cardiology Homepage
http://cpmcnet.columbia.edu/dept/gi/elsewhere.html
 Gastroenterology Resources
http://info.med.yale.edu/intmed/nephrol/RenalRsc.html
 Yale Nephrology
http://www.vh.org/Welcome/UIHC/UIHCMedDepts/Int
Med/HematologyOnc/HematologyOnc.html
 Virtual Hospital Hematology/Oncology
http://www.vh.org/
 Virtual Hospital Site/ Cross Reference to All Internal
Medicine
Required Equipment:
None
Special Dress Requirements:
None
Evaluation Methodology:
Students will be evaluated by non-cumulative, multiple-choice examinations that are
based on lectures, handouts, and assigned readings.
D:\106735397.doc
02/15/16
2
Evaluation Criteria for Each Module:
1. Midterm
2. Quizzes
3. Final
Percent of Grade:
45%
10%
45%
The final grade for the entire course will be a cumulative grade derived by a weighted
value. This weighted value is determined by assigning a percentage relative to the
number of hours in a given module as a function of the total hours for the entire course.
Clinical Medicine I is a total of 196 hrs.
Pulmonary
32 hours
=
Cardiology
36 hours
=
Nephrology
22 hours
=
Gastroenterology
40 hours
=
Hematology
26 hours
=
Infectious Disease
24 hours
=
Clinical Nutrition
14 hours
=
16.5%
18.6%
11.3%
20.6%
13.4%
12.4%
7.2%
If you obtained grades of 90 and 80 on your Cardiology tests the average would be an
85 and the point earned towards your final grade in Clinical Medicine I would be 16.49.
Course Requirements:
1. Midterm examination in each module.
2. Multiple-Choice Quizzes based on assigned readings.
3. Final examination in each module.
D:\106735397.doc
02/15/16
3
Pulmonary
Lecture
No.
Date/Time
Topic
Lecturer
1
2
Approach to the Pulmonary Patient
Marcus, M.D.
2
2
Pulmonary Infections I
Marcus, M.D.
3
2
Pulmonary Function Testing
Schecter, M.D.
4
2
Tuberculosis
Marcus, M.D.
5
2
Pulmonary Infections II
Marcus, M.D.
6
2
Pulmonary Infections III
Marcus, M.D.
7
2
Pulmonary Circulatory Disorders
Hurewitz, M.D.
8
2
Pleural Disorders
Groth, M.D.
2
Midterm Examination
9
2
Asthma
Marcus, M.D.
10
2
Pulmonary Emboli
Marcus, M.D.
11
2
Pulmonary Neoplasms
Sirett, M.D.
12
13
2
2
COPD
Respiratory Failure
Schecter, M.D.
Sorett, M.D.
14
2
Interstitial Disease
Schecter, M.D.
15
2
Control of Ventilation; Sleep Apnea
Waxner, M.D
16
2
2
Medical Imaging of the Thorax
Final Examination
Acevedo, PA-C
Reading Assignments: Cecil Essentials of Medicine: 165 - 215, 788 - 797
D:\106735397.doc
02/15/16
4
Cardiology
Lecture
No.
1
Date/Time
Topic
Lecturer
2
Approach to the CV Patient I
Grainer, M.D.
2
2
Approach to the CV Patient II
Grainer, M.D.
3
2
EKG I
Scheinbach, D.O.
4
2
EKG II
Scheinbach, D.O.
5
2
EKG III
Scheinbach, D.O.
6
2
EKG IV
Scheinbach, D.O.
7
2
Aortic Diseases
Scheinbach, D.O.
8
2
ASHD
Scheinbach, D.O.
9
2
Ischemic Heart Disease
Scheinbach, D.O.
10
2
2
Midterm Examination
Valvular Heart Disease I
Scheinbach, D.O.
11
2
Valvular Heart Disease II
Scheinbach, D.O.
12
2
Myocardial Infarction
Scheinbach, D.O.
13
2
Hypertension
Grainer, D.O.
14
2
Pericardial Disease/RF
Scheinbach, D.O.
15
2
Myocarditis
Scheinbach, D.O.
16
2
Procedures in CV Medicine
Grainer, D.O.
17
2
Shock and Hemodynamics
Scheinbach, D.O.
18
2
Congestive Heart Failure
Scheinbach, D.O.
2
Final Examination
Reading Assignments: Dubin's EKG, Cecil Essentials of Internal Medicine: 19 - 164
D:\106735397.doc
02/15/16
5
Nephrology
Lecture
No.
1
Date/Time
Topic
Lecturer
2
Disorders of Water Metabolism
Falk, D.O.
2
2
Disorders of Water Metabolism
Falk, D.O.
3
2
Disorders of Potassium/Acid-Base
Falk, D.O.
4
2
Disorders of Potassium/Acid-Base
Falk, D.O.
5
2
Acute Renal Failure
Falk, D.O.
6
2
Falk, D.O.
7
2
2
Acute Renal Failure/Chronic Renal
Failure
Midterm Examination
Chronic Renal Failure
8
2
Nephrotic Syndrome
Fisher, M.D.
9
2
Glomerulonephritis
Fisher, M.D.
10
2
Glomerulonephritis
Fisher, M.D.
11
2
2
Medical Imaging of the Renal System
Final Examination
Acevedo, PA-C
Reading Assignments:
D:\106735397.doc
02/15/16
Falk, D.O.
Falk, D.O.
Cecil Essentials of Medicine: 221 - 300
6
Lecture
No.
1
Gastroenterology
Topic
Date/Time
Lecturer
2
Introduction/Esophageal Disorders
DeBeer, D.O.
2
2
History and Physical Examination
Feinman, M.D.
3
2
Peptic Ulcer and GI Bleeding
DeBeer, D.O.
4
2
Gastric Tumors
Pasternak, D.O.
5
2
Functional Bowel Disorders
DeBeer, D.O.
6
2
Hepatitis
Feinman, M.D.
7
2
Cirrhosis
Korsten, M.D.
8
2
Alcoholic Liver Disease
Goldblum, D.O.
9
2
Liver Case Presentations
Goldblum, D.O.
10
2
2
Midterm Examination
Biliary Tract Disorders
Feinman, M.D.
11
2
Inflammatory Bowel Disease
DeBeer, D.O.
12
2
Pancreatitis
Korsten, M.D.
13
2
Diverticulosis
Pasternak, D.O.
14
2
Infectious Diarrhea
Feinman, M.D.
15
2
Parasitic Diarrhea
Feinman, M.D.
16
2
Vascular Anomalies of the GI Tract
Feinman, M.D.
17
2
Diseases of Anus & Rectum
Herbsman, M.D.
18
2
Oncologic Disorders
DeBeer, M.D.
20
2
Medical Imaging of the GI Tract
Acevedo, PA-C
2
Final Examination
Reading Assignments: Cecil Essentials of Internal Medicine: 301 - 364
D:\106735397.doc
02/15/16
7
Hematology
Lecture
No.
Date/Time
Topic
Lecturer
1
2
Normal Blood Development & Blood
Cell Morphology
Vinciguerre, M.D.
2
2
The Coagulation System in Health &
Disease
Allen, M.D.
3
2
B12 and Folate Metabolism
Villani, M.D.
4
2
Normal Platelet Function/Diseases of
Patients
McNelis, M.D.
5
2
Practical Applications of Hematology
Caruana, D.O.
6
2
Normal Red Blood Cell Development;
Workup for Anemias and
Hemoglobinopathies
Schulman, M.D.
2
Midterm Examination
7
2
Plasma Cell Disorders
Dr. Dolinspino
8
2
Hemolytic Anemias and Blood Cell
Transfusions
Zervos, M.D.
9
2
Lymphoid Development/Malignant
Lymphomas
Donahue, M.D.
10
2
Iron Metabolism, Deficiency and
Overload
Fetten, M.D.
11
2
Myeloproliferative Disorders
Lichtman, M.D.
12
2
Aplastic Anemia/Bone Marrow
Transplantation
Buchbinder, M.D.
13
2
White Blood Cell
Development/Leukemias
Kolitz, M.D.
2
Final Examination
Reading Assignments: Cecil Essentials of Internal Medicine: 403 - 482, 483 - 512
D:\106735397.doc
02/15/16
8
Infectious Disease
Lecture
No.
Date/Time
Topic
Lecturer
1
2
Immunology
Barese, PA-C
2
2
Specimen Collection Techniques
Barese, PA-C
3
2
Ambulatory Infectious Diseases
Barese, PA-C
6
2
Soft Tissue Infections
Barese, PA-C
8
2
2
Midterm Examination
STD's
TBA
9
14
HIV/AIDS
Eckert-Williams, M.D.
11
2
Infections in Immunocompromised
Hosts
Final Examination
Barese, PA-C
2
Reading Assignments: Cecil Essentials of Internal Medicine: 725 - 874
D:\106735397.doc
02/15/16
9
Clinical Nutrition
Lecture
No.
Date/Time
Topic
Lecturer
1
2
Nutritional Assessment; Antrhopometric
Measurements and Malnutrition
Ettinger, Lowell
2
2
Dietary Recommendations for Healthy
Adults; The food Guide Pyramid and
U.S. Dietary Guidelines;
Macronutrients and Metabolism
Ettinger, Lowell
3
2
Vegetarian Diets; Dietary & Lifestyle
Modifications for the prevention and
treatment of obesity. Weightloss
programs and fad diets
Ettinger, Lowell
2
Midterm Examination
4
2
Nutrition of Cardiovascular Disease;
Diabetes Mellitus, Hypertension,
Hyperlipidemia and Syndrome X
Ettinger, Lowell
5
2
Chemoprevention; Nutrients and
Cancer; Osteoporosis Prevention and
treatment
Ettinger, Lowell
6
2
The Epidemic of Eating Disorders;
Vitamins, Minerals and Nutrient
Deficiency
Ettinger, Lowell
2
Final Examination
Reading Assignments: Handouts/PowerPoint Presentations, Cecil Essentials of
Internal Medicine: 513 - 532
D:\106735397.doc
02/15/16
10