Endocrinology (BIOM463) Course Syllabus QATAR UNIVERSITY College of Art and Sciences Spring 2011 Biomedical Sciences Program Endocrinology Course Syllabus Course No. 463 Dr Elham Sharif Dr Elham Sharif 1 Endocrinology (BIOM463) Course Syllabus Table of contents: Course information Faculty information Course description Course objectives Students learning outcomes Mapping program outcomes, course outcomes and assessments Content distribution Exams, quizzes, assignments dates Assessment Policy and Tools‐Grading system Teaching methods Teaching aids: Methods of students evaluation/ assessment Learning actvites and tasks Instructions for students assignments Instructions for students and Course Regulations Refernces and resources for students Rubrcis for assessments Dr Elham Sharif 2 Endocrinology (BIOM463) Course Syllabus Course Information Course Title: Endocrinology Course Number: BIOM 463 Credit Hours: 3 Prerequisites: BIOM 346 clinical chemistry Course Status: e.g. Compulsory Curriculum Course Time: 9:30-10:45 am MW Location: E 203, Women’s Science Bld. Office hour: 11-1 pm Monday & Wednesday Required Text: Bishop., ML, Fody., E.P. Schoeff, LE , Clinical Chemistry: Techniques, Principles, Correlations (Bishop, Clinical Chemistry) ISBN: 978-0781790451, Publisher: Lippincott Williams & Wilkins; Sixth Edition edition, 2010. Faculty Information Name: Dr. Elham Sharif Academic Title: Assistant Professor Office Location: Biomedical Sciences Department, E122 Telephone Number: 485-4788 Email Address: e.sharif@qu.edu.qa Course Description This course includes the fundamental concepts, principles and theories of hormone action. Specifically, the course covers the hormones of the major endocrine systems including the; a) Mechanism by which the secretion of these hormones are regulated; b) Mechanism of action of these hormones; c) Physiological processes which these hormones regulate. d) Role that hormones play in both the embryonic and post-embryonic development of the individual Dr Elham Sharif 3 Endocrinology (BIOM463) Course Syllabus Course content: Endocrinology disorders This course covers the disorders of the hypothalamic-pituitary-target organ axis, with particular reference to the thyroid and adrenal glands. Other disorders of endocrine control will be studied which involve other systems of the body, for example: abnormalities in calcium metabolism; abnormalities in control of electrolyte and fluid balance. The following topics will be discussed in detail: • The pathophysiology of each of the following endocrine areas through didactic lectures and small group discussions following assigned case studies: 1. Hypothalamic and Pituitary Disease. Pituitary Insufficiency Pituitary Neoplasia Diagnosis 2. Adrenal Cortex Adrenal Cortical Insufficiency Adrenal Hyperplasia (Glucocorticoid and Mineralocorticoid Excess) Adrenal Neoplasia (Adrenal Incidentaloma and Cortococarcinoma). Diagnosis 3. Adrenal Medulla (Catecholamine Excess) 4. Thyroid gland and Disease Hypothyroidism Hyperthyroidism Thyroid Nodule, Goiter and Thyroid Cancer 5. The parathyroid gland/ Calcium & phosphate homoeostasis. 6. Disorders of calcium & magnesium metabolism 7. Diabetes mellitus, Obesity and the Metabolic Syndrome: Pathogenesis, Complications and Management 8. The Gonads The physiology, function, disease conditions and the common tests available for the diagnosis will be discussed in each of the above endocrine gland. Dr Elham Sharif 4 Endocrinology (BIOM463) Course Syllabus Course objectives: The general course goals for the students are to: 1. Acquire knowledge related to the major hormones released from the hypothalamus, pituitary, and target gland/organ that are clinically important in regard to thyroid, adrenal, and reproductive function. 2. Identify the physiology, principle of measurement, reference ranges and clinical correlations of chemical constituents of the blood. 3. Employ modern information technology related to the laboratory testing strategies including techniques such as immunoassay and dynamic testing, and screening and confirmatory protocols. 4. Develop the ability to analyze case histories of patients with clinical endocrine disorders. 5. Demonstrates common error in data interpretation in clinical laboratory sciences. 6. Encourage critical thinking through a series of tutorial sessions which involve interpretation of the patient’s data. 7. Enhance communication skills, by presenting topics orally. 8. Demonstrate initiatives and encourage participation in biomedical sciences activities internally and externally. 9. Show professional behaviour and receives criticism graciously Students learning outcomes: Upon completion of this course, the student will be able to: 1. Recognize the major hormones released from the hypothalamus, pituitary, and target gland/organ that are clinically important in regard to thyroid, adrenal, and reproductive function. (PLO1) 2. Summarize the expected laboratory findings in regard to thyroid, adrenal, and reproductive disorders. (PLO1) 3. Recommend and/or choose the laboratory testing strategies including techniques such as immunoassay and dynamic testing, and screening and confirmatory protocols. (PLO5,6) 4. Critically evaluate, analyze & interpret problem based histories of patients with clinical endocrine disorders. (PLO5,6) 5. Find methods of solving common errors in data interpretation in clinical laboratory sciences. (PLO5) 6. Communicate, dialogue and present a scientific material by presenting an oral presentation. (PLO4) 7. Attend and contribute in biomedical sciences activities internally and externally. (PLO4,9) 8. Critically evaluate and analyze two professional journals based on instructions given. 9. Develop skills in the interpretation of biochemical data used in the investigation and diagnosis of disease, through interpreting case study. (PLO5, 6) 10. Maintain strong professional principles and morals. (PLO8). Dr Elham Sharif 5 Endocrinology (BIOM463) Course Syllabus Qatar University College of Arts and Sciences Health Sciences department Mapping program outcomes, course outcomes and assessments Program learning outcomes PLOs 1-Demonstrate conceptual knowledge in biomedical field Course objectives Course outcomes Acquire knowledge related to the major hormones released from the hypothalamus, pituitary, and target gland/organ that are clinically important in regard to thyroid, adrenal, and reproductive function. Recognize the major hormones released from the hypothalamus, pituitary, and target gland/organ that are clinically important in regard to thyroid, adrenal, and reproductive function. Assessment activities Exam Case studies Problem based Tutorial sessions Assessment tools Rubric Exam Case studies Problem based Tutorial sessions Rubric Demonstrate an understanding of the principles of hormonal control Discuss and illustrate the functioning of the hypothalamuspituitary axis. Develop an understanding of how the positive and negative feedback mechanisms control hormone concentration in the peripheral circulation. Identify the physiology, principle of measurement, reference ranges and clinical correlations of chemical constituents of the blood. Recognize and/or describe the biological functions of the major thyroid, adrenal, and reproductive hormones. Summarize the expected laboratory findings in regard to thyroid, adrenal, and reproductive disorders. 2-Perform basic laboratory techniques in biomedical labs. 3-Comply with safety regulations and universal precaution N/A N/A N/A N/A 4-Communicate effectively with colleagues and clients. Enhance communication skills, by presenting topics orally . Effectively communicate information about hormones in both oral and written form. Oral presentation Problem based Tutorials Rubric Integrate patient data evaluation of validity laboratory test results. Exam Case studies Problem based Tutorial sessions Rubric 5-Solve Problems related to test results discrepancies Dr Elham Sharif Develop student skills in teamwork, problem solving, communicating with peers, making presentations, independent learning, data analysis and report writing. Encourage critical thinking through a series of tutorial sessions, which involve N/A N/A 6 for of Endocrinology (BIOM463) Course Syllabus interpretation patient’s data. of the Describe modern information technology related to the laboratory testing strategies including techniques such as immunoassay and dynamic testing, and screening and confirmatory protocols Critically analyze information on hormones, including analysis of the effectiveness of methods, the interpretation of data, and the appropriateness of the conclusions Recommend and/or choose the laboratory testing strategies including techniques such as immunoassay and dynamic testing, and screening and confirmatory protocols. Develop the ability to Critically evaluate, analyze & analyze case histories of interpret patients patients with clinical endocrine with clinical case histories of endocrine disorders. disorders. Demonstrates common error in data interpretation in clinical laboratory sciences. Find methods of solving common errors in data interpretation in clinical laboratory sciences. (PLO5) 6- Integrate patient data for evaluation of validity of laboratory test results 7 – Apply computer technology in clinical lab data processing, data reporting and information retrieval 8 – Maintain strong professional ethics N/A Show professional behaviour and receives criticism graciously Maintain strong professional principles and morals 9 – Adjust effectively in team working. Develop communication skills in the presentation of scientific material via oral presentation Adjust efficiently in team working N/A 9 – Conduct research related to biomedical sciences. N/A 11 – Maintain positive attitude toward life long learning in the biomedical field N/A Dr Elham Sharif Lab behaviour Class Participation Problem based tutorial Rubric Problem based tutorial 7 Rubric Endocrinology (BIOM463) Course Syllabus Specific objectives & Learning Outcomes 1.Pituitary & hypothalamus: Upon completion of this chapter, the student should be able to: Applies knowledge of the functions of the anterior and posterior pituitary. Demonstrate understanding of the anatomic relationship between the pituitary and hypothalamus. Understand the concept of open-loop negative feedback and relate this to the function of the various hypothalamic-pituitary-endocrine target gland loops. Check and assess the effects of pulsatility and cyclicity on the results of hormone measurements. Differentiate between tropic and direct effector in relationship to pituitary hormones. Assess test results by correlating laboratory data with the non-neoplastic causes of prolactin elevation. Compare and contrast the difference between primary and secondary endocrine deficiency states. Recognize the clinical features of the excess and deficiency states for growth hormone, prolactin, and vasopressin. Relate the physiology underlying the strategies used for screening and definitive testing for suspected disorders of growth hormone. 2. Adrenal gland: Upon completion of this chapter, the student should be able to: Understand how the adrenal gland functions to maintain blood pressure, potassium, and glucose homeostasis. Describe steroid biosynthesis, regulation, and actions according to anatomic location within the adrenal gland. Differentiate between adrenal cortex disorders, namely Cushing’s syndrome and Addison’s disease. Differentiate the adrenal enzyme deficiencies and their blocking pathways in establishing a diagnosis. Understand the synthesis, storage, and metabolism of catecholamines. Evaluate the laboratory data that are useful in the measurement and diagnosis of pheochromocytoma. Interpret the clinical findings associated with hypertension that suggest an underlying adrenal etiology is causing high blood pressure. Interpret and evaluate the appropriate laboratory tests to differentially diagnose primary and secondary Cushing’s syndrome and Addison’s disease. Dr Elham Sharif 8 Endocrinology (BIOM463) Course Syllabus 3. Thyroid gland: Upon completion of this chapter, the student should be able to: Understand the hypothalamic-pituitary-thyroid axis and how it regulates thyroid hormone production. Applies knowledge of the principles of each thyroid function test discussed. Correlate laboratory information with regard to suspected thyroid disorders, given a patient’s clinical data. Evaluate laboratory data to recognize and report the appropriate laboratory thyroid function testing protocol to use to effectively evaluate or monitor patients with suspected thyroid disease. 4. Parathyroid gland & calcium: Upon completion of this chapter, the student should be able to: Describe the endocrine and organ physiology of calcium metabolism. Assess and interpret the laboratory data used to evaluate calcium disorders. Apply the laboratory tools to clinical disease states of calcium metabolism. 5. The gonads: Upon completion of this chapter, the student should be able to: Differentiate between the hypothalamic-pituitary-ovarian and hypothalamicpituitary-testicular axes and how they regulate sex steroid and gonadotropin hormone production. Recognize the principles of each diagnostic test for pituitary-gonadal axes dysfunction. Correlate laboratory information with regard to suspected gonadal disorders, given a patient’s clinical data. Apply the appropriate laboratory testing protocol to effectively evaluate or monitor patients with suspected gonadal disease. Dr Elham Sharif 9 Endocrinology (BIOM463) Course Syllabus Content Distribution Lecture Schedule Week 1st week 14-16/2/2011 2nd week 21-23/2/11 3d week 28/2/11 2/3/11 4th week 7-9/3/11 Session 1 Sunday Session 2 Tuesday Introduction to the course Endocrine syllabus Hypothalamus axis Notes system: pituitary Endocrine Hypothalamus axis system: Anterior Pituitary Gland Pituitar pituitary Hormonal action 1 y gland Hypothalamic control Quiz Disorders Anterior Pituitary Gland Posterior Pituitary Gland 2, Hormonal action Hormonal action Hypothalamic control Hypothalamic control, Disorders Disorders Diagnosis of pituitary disorders Pituitary gland Tutorial session Chapter Chapter/ blackboard Chapter blackboard Chapter / blackboard Chapter/ blackboard 5th week 14-16/3/11 Midterm exam 1 14-3-2011 Disorders of the adrenal cortex Chapter/ blackboard 6th week 21-23/3/11 Adrenal gland Disorders of the adrenal Measurement of adrenal cortex cont steroid hormones Tutorial session Chapter/ blackboard 7th week 28-30/3/11 Thyroid gland Tests of thyroid function Thyroid gland Adrenal Tests of thyroid function gland II Quiz Chapter/ blackboard Spring break 4/4/2011 Spring break 6/4/2011 Chapter/ blackboard 8th week 4-6/4/11 9th week 11-13/4/11 Thyroid gland Tutorial session 10th week 18-20/4/11 The parathyroid gland Disorders of calcium & Calcium & phosphate magnesium metabolism homoeostasis cont’d 11th week 25-27/4/11 Parathyroid gland, Tutorial session Dr Elham Sharif Midterm 2 13/4/11 The Gonads introduction Thyroid Disorders of male & gonadal function parathy roid gland Quiz 10 Chapter/ blackboard Chapter/ blackboard Endocrinology (BIOM463) Course Syllabus 12th week 2-4/5/11 Introduction to gonadal function 13th week 9-11/5/11 Menopause & hormonal The Gonads replacement therapy, Tutorial session gonad 14th week 16-18/5/11 Oral Presentation & Literature Critique 15th week 23-25/5/11 Immunoassay 16th week female Disorders of female gonadal function Oral Presentation & Literature Critique Revision Final Exams 29/5-9/6/2011 Chapter/ blackboard Male Gonads Quiz Chapter/ blackboard Last day Final Exams 29/5-9/6/2011 Exams dates: Exam 1: 14/3/2011 Exam 2: 13/4/2011 Final exam: ?/6/2011 For quizzes dates look at the course timetable above. Course work submission dates: Problem Based Tutorials indicated in the table: Case studies 10%: o Case 1: 12 /3 /2011 o Case 2: 29/4 /2011 Individual Oral presentation & literature critique: o Submission date: 16-18/5 /2011 Journal club: debate presentation: o Submission date: 11/4 /2011 Dr Elham Sharif 11 Chapter/ blackboard Chapter/ blackboard Endocrinology (BIOM463) Course Syllabus Assessment Policy and Tools-Grading system The grades will be assessed according to the table shown below; 90-100 % 85-89.9 % 80-84.9 % 75-79.9 % 70-74.9 % 64-69.9 % 60-64.9 % 59.9 % A B+ B C+ C D+ D F The breakdown of the points is shown in the table below: Exams and Quizzes 80 % Online Mid-term Exam 1 Online Mid-term Exam 2 Quizzes (4) Online Final Exam 15 % 15 % 10 % 40 % Activity & tasks 20 % 1. Journal club: Individual Oral presentation & literature critique 2. Problem based Tutorial sessions (4): team work 5% 3. Case studies & data interpretation (2) 5% 4. Class participation (Demonstrates initiatives), team discussion, professional behavior 2.5 % 5. Activities and/or community service, attendance & tardies Total 2.5 % Dr Elham Sharif 12 5% 100 % Endocrinology (BIOM463) Course Syllabus Teaching methods: 1. Lectures: This course will be delivered in discrete sections, following the subject areas outlined in the syllabus. The lectures will utilize power point slides present in the blackboard and the textbook provided. It is recommended that the student read the chapter before appearing to the lecture session. 2. Problem based tutorials: Each chapter is followed by a tutorial session, handouts for the tutorial session is uploaded in the blackboard together with the chapter. Tutorials will use indicative lists of questions to guide student learning. It is expected that the exercise will be completed before the tutorial. Therefore, the tutorial will engage active discussion on individual and group findings. Tutorial sessions and the problem based learing is a part of the final exam assessment and therefore attendance at tutorials is strongly encouraged. Before the tutorial, the student will have to prepare answers to the questions and be ready to discuss their answers within small groups with the lecturer. The questions given with each case study should be used to direct their reading and study. 3. Case studies A defined cases is prepared and integrated within the lectures: by this will develop analytic and problem solving skills, allowing for exploration of solutions for complex issues and allowing student to apply new knowledge and skills. Case studies will be used to provide the basis for the tutorial session following the lectures. Each case study will develop a theme outlined in one of the core lectures. Each case study will be followed by a number of questions directly relevant to that case. Also, there will be an additional set of questions, which are more wide-ranging, designed to link together other aspects of clinical chemistry with the case. 4. Literature Critique The purpose of this task is teaching the students of how to critique a scientific literature. This is to help the student think critically about scientific information and to help familiarize them with the scientific method. The critiques will also give them practice in how to read a scientific articles and Journals. 5. Interactive engagement (IE) methods: are much more effective than "traditional" methods in promoting conceptual understanding of the course. Therefore the lecturer will integrate dialogues during the tutorial sessions and encourage interactive teaching. 6. Video clips: are presented in beginning of most of the lectures, this is an entertaining way of teaching content and raising issues, keeping group's attention, looking professional and stimulating discussion. 7. e-Learning This part include online components, which can be an assessed part of the course. A virtual learning environment which is the Blackboard is used from day of class. The students are able to study online using material created by the lecturer, download Dr Elham Sharif 13 Endocrinology (BIOM463) Course Syllabus papers, articles and take online tests, or access relevant audio and video material. 8. Brainstorming: Mainly a topic is selected, this is a listening exercise that allows creative thinking for new ideas, encouraging full participation, draws on group's knowledge and experience, moreover a spirit of congeniality is created. 9. Discussion board: A question will be uploaded in the blackboard and the students will be encouraged to dialogue about it. 10. Revision: game based questions Teaching aids: A variety of teaching aids is used: 1) Text books for theoretical section 2) Blackboard: course syllabus, lectures, PBT, announcements, assignments, blog. 3) Electronic resources: Journals, articles, newsletters…etc 4) Handouts 5) Web sites indicated. 6) Video clips 7) Group discussions & Class participations 8) Interactive engagement during class 9) Problem based tutorials Dr Elham Sharif 14 Endocrinology (BIOM463) Course Syllabus Methods of students evaluation/ assessment: This course is based on the theoretical section weighting of 100 % for the course grade. In general, mid-terms and final exams are composed of multiple choice questions (MCQ) or short answer questions (SAQ), or one of them. Exams will be marked and the answers will be posted on the blackboard, and students have the right to discuss their marks within a week, only incorrect or misinterpreted results will be taken into consideration. Fixed examination dates are apparent on the lecture outline. All Exams are submitted online, however quizzes are based on written method and it will be based on complete long and short answers, labelling figures, true and false.. etc. 1. Online exams: demonstrating knowledge and understanding and showing the ability to answer critical thinking and problem based questions in the 1st, 2nd and 3d taxonomic level. 2. Quizzes: each quiz is 10 minutes, students is demonstrating knowledge and understanding through recalling, describing, reporting, recounting, recognizing, identifying, relating & interrelating) and answering written exams. 3. Take home assignment Students will also be required to evaluate and interpret two assignment that is uploaded in the blackboard, calculations, problem solving and review of new methodology should be evaluated. All assignments should be submitted online. 4. Problem based tutorials (in class assignments): after completing each chapter, students will be asked to read the assignment at home and then work in a group of 4-5 students to complete and answer the task during the class period and generate a report. 5. Journal club: individual Oral presentation & literature critique: each student will select two Journals related to the course content and will compare and contrast between them and will present it orally, they should also give a short critique based on information guide given by Dr Elham Sharif: the students are evaluated based in a rubric. 6. Participation at community service or DHS activities, attendance and tardies are evaluated: and assessed using a rubric based on the percentage of participation. 7. External activities: Include attending conferences or seminars; the student has to prove it. Dr Elham Sharif 15 Endocrinology (BIOM463) Course Syllabus Learning activities and tasks: 1. Problem based tutorial: 5 % The problem based learning tutorials (PBTs) will form a large part of student study of endocrinology. These are designed not only to develop their knowledge of endocrine physiology, but also to encourage the development of self directed learning, teamwork, and communication and presentation skills. 2. Journal club: individual Oral presentation & simple literature critique: 5 % 3. Take home assignments (2): 5 % 4. Course work: 5% i. Class participation (Demonstrates initiatives), team discussion, and professional behavior: 2.5%. ii. Activities and/or community service, Attendance & tardies 2.5%. Dr Elham Sharif 16 Endocrinology (BIOM463) Course Syllabus Instructions for assignments 1. Journal club Oral Presentation & Literature Critique Submission date: 16-18/5/2011 Mark: 5 % Article/Journal: Each student must select 2 reviewed papers of professional journals (2008 onwards). The papers should be related to the course content and should be agreed with Dr Elham. You will have to present it orally. Each student should prepare 10 minutes oral presentation. The power point presentation must include: 1. An Objective of the two papers 2. An Introduction and background of the two studies 3. An outline of the methods used in the two studies. 4. Results and data interpretation of the two studies. 5. Conclusion of the two studies 6. Your opinion on the study and to what extent its related to the Endocrinology course 7. An evaluation and critique of the study, in terms of the strengths and weaknesses of the paper 8. A short quiz Writing critiques The purpose of writing critiques is to help you think critically about scientific information and to help familiarize yourself with the scientific method. The critiques will also give you practice writing in a scientific manner. Critiques are not book reports or simple reviews – they require critical assessments. You critique should show evidence that you have: • Read and understood the paper at an advanced level; • Moved beyond the facts presented by critically evaluating the implications of the results and the way in which the paper is written; • Successfully expressed your ideas through clear and careful writing by relating the paper finding to the material you have been provided in the course. Critique structure 1. Your paper should open with a discussion of the main question(s) addressed by the author and a description of the specific hypotheses she/he tested. You should also include a couple of sentences describing the study system. If you do not believe that a hypothesis was tested, then you might state this investigation was a descriptive study designed to examine…(whatever topic). In such a case, you could also criticize the fact that the authors did not propose any specific hypotheses. 2. Give a brief description of the methods used to address the questions or hypotheses. Comment on the methods used, addressing some of the following questions: Does the system seem especially well-suited for examining the phenomena studied? Were the Dr Elham Sharif 17 Endocrinology (BIOM463) Course Syllabus methods, in some way, unique or especially interesting? Or, were they standard fare, as far as you can tell? Do you see any problems or shortcomings in the methods? 3. Did the provided data answer the questions that the authors set forth? Was the presentation of the data (figures or tables) clear and convincing? Can you see any obvious problems or inconsistencies with the way the data were analyzed or interpreted? 4. Comment on your opinions of the conclusions. For example, you could state whether or not you agree with them. Or, were they surprising? Confusing? boring? Do they suggest that further work in the area might be fruitful? Do they give a new explanation for previously observed phenomena? 5. Are the results able to be generalized to other systems? Do the authors make any attempt to link their work to that of others in their field? (This should come out in the Discussion section). Do their results have larger implications (e.g. conservation, economic, cultural?) 6. Comment on your opinion of the writing in the article. Is the paper hard to follow? Poorly organized? A pleasure to read? Don’t forget • Citation format: You do need to cite the article you are writing about, but please mention both the title and the authors of the paper in the introductory slide of your critique. • Quotations: Do not quote directly from the paper. Always use your own words to paraphrase the researchers’ methods or findings. In fact, direct copying of the author’s prose (without acknowledgement) is plagiarism. • Tone: Although this is, in many ways, a creative assignment, it should not be written in a conversational or otherwise informal manner. • Avoid commenting on whether or not you enjoyed the paper or found it to be well-written; stick to the science unless there is some specific problem with the writing style. • Do comment on the value of the work. The work should be valuable (if it is published in a peer-reviewed journal). Discuss the value both to the specific research area and how the work may be of generalized importance. • The critique should be written in paragraph form. The length of the critique does not reflect the quality. The critique should be typed and include a title page. Students may be required to include a complete copy of the original article. • Although it is important to summarize aspects of the paper, the most important part of the critique is your analysis of the scientific merit of the work (methods, results, and conclusions) and the generality or scientific importance of the findings. As you read the paper, consider the following points: • • • • • • What problem is the investigator examining? What previous work led up to this study? What hypotheses did the author devise prior to performing the study? What experimental methods did the investigator choose to employ? Were alternative methods ruled out as inappropriate? What controls did the investigator use? Dr Elham Sharif 18 Endocrinology (BIOM463) Course Syllabus • • • • • What results did the investigator obtain? How did he/she present the results (graphs/tables)? Did the investigator accept, reject, or modify his/her initial hypothesis(es) based on his/her results? Are the investigator's conclusions valid given the results? In the discussion, how did the author relate his/her finding to previous work? What future studies are suggested by these findings (either by the author or by you)?. Please select two journals related to one of the following topics: 1. Cushing’s syndrome 2. Addison’s disease 3. PCOS 4. Vitamin D deficiency 5. Acromegaly 6. Dwarfism 7. Diabetes insipidus 8. Diabetes milletus 9. Pheochromocytoma 10. Graves disease 11. Hashimotos’s thyroiditis 12. Prolactinoma 13. Congenital adrenal hyperplasia 14. Premature ovarian failure 15. Congenital Hypothyroidism (cretinism) Do not forget to include a complete copy of the original article you used and upload it at the blackboard. Dr Elham Sharif 19 Endocrinology (BIOM463) Course Syllabus 2. Instructions for Problem based tutorial sessions PBT Introduction Problem based learning provides an opportunity for you, working in a group with others, to determine what you need to know in order to solve a given problem. Dr Elham will be present in the class and you are to print and bring Tutorial handouts which are uploaded in the blackboard previously by Dr Elham with information relating to a clinical problem. The role of Dr Elham is to maintain and/or provide direction for the group discussion, but not to lead the discussion and not give answers to the questions outline with the clinical problem. Each group will have approximately 4 students. Strategy for how individuals within the group should work together will be discussed and determined by group members with guidance from the Dr Elham. Throughout the group discussions notes relevant information extracted from the information provided, and from the group discussion, under the following three headings: 1) Known Information: A summary of the important facts related to the clinical problem. 2) Hypotheses: Possible hypotheses generated from the summarized information and the group discussion. 3) Learning Objectives: During the group discussion you set Learning Objectives, a list of topics/questions, which will require further investigation and later reporting to the group. This is the most important part of the exercise. At the end of the first session for each PBL case the Dr Elham divides the list of topics/questions among the group. Each student researches a learning topic and the following week presents the information they have researched to their group. This entire process aims to help you not only improve your understanding of endocrine system, but also to research scientific information and communicate it to your group and Dr Elham in written and oral format. Furthermore, to critically analyse and report on experimental data in the light of current information within the literature. In addition, you are conducting a focused literature search on a topic related to Endocrine system. PBT presentations – how to minimise your group’s workload! These PBT presentations will perhaps occupy the majority of the time away from class that you allocate to the first part of the course. You must keep in mind that you will come away from each PBL session with information from the four students in your group. PBT content is assessed in the exam and so you need to make sure that you are providing each other with effective study materials. Think about how effective your handout will be as a study guide for the rest of the group. Once it is written, read through it and take out any unnecessary information. At the first PBT session, discuss with your group what rules you want to establish for giving presentations. These rules should be revised after the first round of presentations if necessary. Start with the following basics: Dr Elham Sharif 20 Endocrinology (BIOM463) Course Syllabus Basic rules for PBT presentations An exact five minute time limit (shorter if possible – remember that questions take extra time and that you need to get through ~4-5 presentations in 25 minutes). 1. Limit each presentation to 4 slides. 2. Limit handouts to a maximum of one page of text (diagrams can be extra if necessary). 3. A brief reference list is essential. Underline any references you found particularly informative and which would be useful for the rest of the group to study from. Assessment Criteria for Problem Based Learning Classes There are two major components in the assessment of the PBL classes: 1) Class interaction. For these sessions to work well, all members of the group need to participate in the discussion to the best of their ability. Dr Elham will assess individuals on their participation in the group discussion of the topic. This assessment will take into consideration the contribution of the individual to group dynamics e.g. courtesy, equality, respect for the opinions of others, real interest in the learning process. If you are not used to working in a group and find this process scary, remember that making an effective contribution to the group can be something as simple as taking the initiative to read the information sheet out loud for the rest of the group, or asking somebody to repeat something that you did not understand. 2) Reporting. The second part of the assessment involves the reporting back and discussion of the Learning Objectives, which were allocated in the previous session. The emphasis of the assessment of this component is on how you present the information, and your ability to answer questions on your topic. Dr Elham Sharif 21 Endocrinology (BIOM463) Course Syllabus Assessment Criteria for Problem Based Learning Classes Class Interaction Standard Score (2.5%) Required Performance Very Poor 0-1 - no participation in class discussion Poor 2 - only participated when directed by facilitator/tutor Adequate 3 - participated in discussion only when directed by other group members Good 4 - voluntarily contributed to the group discussion Very Good 5- 5 - initiated and participated in the group discussion. - allowed other members of the group to contribute Reporting – Presentation Standard Score (2.5%) Very Poor 0-1 Poor 2 Adequate 3 Good 4 Very Good 5 Required Performance - no research or preparation on allocated topic - topic clearly not researched - explanation unclear - no understanding of the specific topic - topic researched and explained clearly - showed some understanding of the specific topic - topic researched thoroughly clear and concise presentation had a clear understanding of the specific topic topic researched thoroughly clear and concise presentation had a clear understanding of the specific topic able to relate their topic to the whole assignment How is problem based tutorials assessed in the exam? You are not expected to have an complicated knowledge of all of the material covered during each PBL class for the midsession exam. Then again you should be able to demonstrate a general understanding of the learning objectives outlined in each PBT, and be able to describe the physiology underlying each PBT case. In keeping with this, assessment of problem based learning in the exam will be mostly by short answer questions, allowing you to demonstrate a extensive understanding of the area, rather than by MCQs, which tend to assess specific aspects of your knowledge. Dr Elham Sharif 22 Endocrinology (BIOM463) Course Syllabus Instructions for students and Course Regulations Guidelines for Studying For students to get the maximum of the course learning, use the: 1. Lectures uploaded in the blackboard 2. Look for updates 3. Problem based leanings in class discussions 4. You have 10 minutes at the end of each lectures to ask questions to the instructor 5. Use the video link uploaded for you in the blackboard 6. Use the extra articles uploaded for you in the blackboard 7. Come and ask during the office hours 8. The syllabus indicates reference books and journals 9. QU library 10. Do your assignments as soon as possible and do not wait until last minute to ask for clarifications. 11. Instruction for assignments are made clear in the syllabus Classroom Discipline The use of mobile telephones inside the classroom is NOT allowed. In the incidence of student using blackberry or mobile phone during the lecture, the student will be asked to leave the class. Any student disciplinary issues, which may arise, will be referred to the head of the Department. It is expected that students will be prepared for instruction by having appropriate writing tool, textbook, handouts, and/or paper ready for taking notes or referring to their text. Student Responsibilities and Attendance Policies and Procedures Class: A. Importance of Attending Class • • • Class attendance is compulsory. In accordance with University regulations, a student’s absence cannot exceed 25% of the total number (entire semester) of class meetings. If your absence rate exceeds 25%, including both excused and unexcused absences, you will NOT be allowed to take the final examination and will receive an ‘F barred’ grade for the course. Students shall be aware that active and informed participation in class is essential to the development of intellectual abilities and scholarly growth. Students must also recognize the importance, for both the present and future, of achieving an academic record that reflects their intellectual ability. Such records are rarely achieved without regular attendance and participation in class activities. Attendance will be taken. Dr Elham Sharif 23 Endocrinology (BIOM463) Course Syllabus Class: B Tardies • Students are intended to be on time (3 late class arrivals will be counted as 1 class absence) in class attendance. • Students are expected to behave in an adult and professional way. • Three late attendances to class will result in a 1 point (1%) subtraction from the Final course grade/mark. Four (4) late attendances will result in a 2% deduction and so on. Class: C. Student Responsibility for Missed Material • Students are responsible for all material presented and announcements made in class, regardless of attendance. It is the student’s responsibility to obtain materials and assignments if absent. • Students are responsible to frequently check the course site on Blackboard for handouts and other documents. Failure to do this required task will result in grade deductions. The exact policy will be communicated to separately. Class: D. Unit Examinations • Examinations should only be missed in justifying circumstances with approval of the instructor. • A student who misses an exam will be required to bring a medical excuse to make up the exam on the next day of lecture, otherwise the exam will not be repeated. Contact the instructor prior to the next lecture day to make arrangements to take the exam. • A student who misses an exam, without instructor approval, will have ten percent (10%) deducted from the grade achieved on the exam. Class: E. Class Behaviour • Once class has started, the instructor has the right not to admit students into lecture. • Students will be dismissed from class for any inappropriate behaviour. • Food is not permitted during class hours. • In between chit chatting is prohibited, and any kind of interference during the lecture is not accepted. • During class please refrain from conversing with other students, at any interval in which the Professor or another student is replying. • Exclusive attention must be a priority which concludes that non-academics activities and distractions must be abstained. • Disrespectful behaviour will not be tolerated at any cost. For that reason the professor obtains the right to dismiss student from class if any non-academic behaviour is observed. • Only in an emergency event will the student be permitted to leave the class. • Interruption during the lecture is unfavourable unless there is an urgent need. • Open discussion regarding the subject is encouraged after the completion of the lecture. Course assignments should be worked independently unless otherwise communicated. Dr Elham Sharif 24 Endocrinology (BIOM463) Course Syllabus Course assignments should be submitted in an organized format as directed and any late assignments will be penalized. Plagiarism (Academic Dishonesty) All students are expected to turn in work that is their own. Any attempt to pass off another's work as your own will constitute an "F" in the entire course unless it is communicated as acceptable to work as a group. Using part of, or the entire work, prepared by another or turning in a homework assignment prepared by another student or party are examples of plagiarism. You may discuss assignments and projects with each other, but you should do the work yourself. In the case of group projects, you will be expected to do your share of the work. If you use someone else's words or ideas, you must cite your sources. In the circumstances of student caught cheating or suspected of cheating during an online examination, the student(s) will be required to repeat the exam in writing. In the case of student refusal the instructor has the right to give (F) to the student according to the university roles and regulation and refer the case to the dean. Plagiarism is considered a serious academic offence and can result in your work losing marks or being failed. QU expects its students to adopt and abide by the highest standards of conduct in their interaction with their professors, peers, and the wider University community. As such, a student is expected not to engage in behaviours that compromise his/her own integrity as well as that of QU. You may discuss assignments and projects with each other, but you should do the work yourself. In the case of group projects, you will be expected to do your share of the work. If you use someone else's words or ideas, you must cite your sources. Plagiarism includes the following examples and it applies to all student assignments or submitted work: • Use of the work, ideas, images or words of someone else without his/her permission. • Copying and/or pasting 5 or more words from the internet or any other publication without using a referenced quotation is considered plagiarism • • Misrepresentation of the sources that were used. For further information see: http://www.plagiarism.org/ The instructor has the right to fail the coursework or deduct marks where plagiarism is detected Dr Elham Sharif 25 Endocrinology (BIOM463) Course Syllabus Clinical Chemistry Books & additional resources: The course textbook: Bishop., ML, Fody., E.P. Schoeff, LE , Clinical Chemistry: Techniques, Principles, Correlations (Bishop, Clinical Chemistry) ISBN: 978-0781790451, Publisher: Lippincott Williams & Wilkins; Sixth Edition edition, 2010. Other books used for the course materials: Marshall, W.J., Bangert, S.K.; Clinical Chemistry 6th edition, ISBN 0-7234-3328-3 -Publisher: Mosby, Release date: 2008. Christenson, R.H., Gregory, L.C., Johnson, L.J. (2001). APPLETON & LANGES OUTLINE REVIEW CLINICAL CHEMISTRY, ISBN 0070318476, Publisher: McGraw Hill Companies.. Sam, A., Meeran, K. Lecture Notes Endocrinology and Diabetes, ISBN: 978-1-40515345-4, Wiley-Blackwell. Release date:2009. Tietz, N.W.; Fundamentals of Clinical Chemistry. ISBN 0721688624 - Publisher: Saunders - Release date: 1986. Luxton, R.; Biomedical Sciences Explained – Clinical Biochemistry. ISBN 0750628782 - Publisher: Arnold Publishers - Release date: 1999. Whitby, L.G., Smith, A.F., Beckett, G.J. and Walker, S.W.; Lecture Notes on Clinical Biochemistry. ISBN 0632048344 - Publisher: Blackwell Science (UK) Release date: 1998. Journals • • • • • • • Annals of Clinical Biochemistry British Medical Journal Clinical Chemistry Journal of Endocrinology The Lancet New England Journal of Medicine Biochemistry Online Online sources: Endotext.org: http://www.mdtext.com/diabetes/diabetes1/diabetesframe1.htm is the web-based source of information on endocrine disease directed to physicians around the world caring for patients with these problems. It is comprehensive, authoritative, constantly up-dated, and available without cost. This site covers the broad area of Clinical Endocrinology, emphasizing clinical endocrine practice, including the most current information on the manifestations of endocrine disease, diagnosis and treatment. International Federation of Clinical Chemistry and Laboratory Medicine: http://www.ifcc.org/ifcc.asp Association of Clinical Biochemists: http://www.acb.org.uk/ The Royal Collage of Pathologists: http://www.rcpath.org/ American Association of Clinical Chemists: http://www.aacc.org/. Lab tests online: www.labtestsonline.org http://emedicine.medscape.com/endocrinology Dr Elham Sharif 26 Endocrinology (BIOM463) Course Syllabus Appendices 1. Activity & Course Participation Rubric* Total Score (5 %) Student Name:________________________________ Criteria Demonstrates initiative. Professional behavior Dr Elham Sharif Excellent (5 points) Always participates in class discussions, asks questions, and recognizes tasks that need to be performed and completes them. Receives criticism graciously, attempts to integrate feedback, and provides purposeful rational for design choices. Quality Satisfactory (3.5 points) Good (4 points) Often participates in class discussions, asks questions, and recognizes tasks that need to be performed and completes them. Receives criticism graciously. 27 Seldom participates in class discussions, asks questions, or recognizes tasks that need to be performed and completes them. Has difficulty receiving criticism or makes little or no attempt at integrating critical feedback from peers and faculty. Needs Improvement (2 points) Does not participate in class discussions, ask questions, or demonstrate initiative. Frequently defensive and/or combative while receiving feedback. Score Endocrinology (BIOM463) Course Syllabus Tardies Always arrives to class on time, attends the entire class session, and promptly notifies the instructor regarding absences No unexcused absences. Attendance Participation at DHS activities and community service More than three participate at DHS activities and/or community service Often arrives to class on time, attends the entire class session, and promptly notifies the instructor regarding absences. Rare (1 or 2) unexcused absence. Seldom arrives to class on time, attends the entire class session, or notifies the instructor regarding absences. Few (3 or 4) absences. > Two participate > One participate at DHS at DHS activities activities and/or community and/or community service service Demonstrates initiative & Professional behavior: 2.5 % Tardies, Attendance and Participation at DHS activities and community service: 2.5 % Dr Elham Sharif 28 Does not arrive to class on time, attend the entire class session, or notify the instructor regarding absences. More than 4 absences. One participate at DHS activities and/or community service Endocrinology (BIOM463) Course Syllabus 2. Rubric for Journal club: oral Presentation & literature critique Student Name: Element Organization Excellent (3) Satisfactory (2) There is a logical sequence of information. Title slide and closing slide are included appropriately. There is some logical sequence of information. Title slide and closing slides are included. There is little or no logical sequence of information. Title slide and/ or closing slides are not included. Presentation is attractive and appealing to viewers. Presentation is somewhat appealing to viewers. Little to no attempt has been made to make presentation appealing to viewers. Slide Design (text, colours, background, illustrations, size, titles, subtitles) Content Language Dr Elham Sharif Total Score (5 %): Needs Improvement (1) Presentation covers topic completely and in depth. Information is clear, appropriate, and accurate. Spelling, grammar, usage, and punctuation are accurate Fluent and effective Presentation includes some essential information. Some information is somewhat confusing, incorrect, or flawed. There are minor problems in spelling, grammar, usage, and/or punctuation. 29 Presentation includes little essential information. Information is confusing, inaccurate, or flawed. There are persistent errors in spelling, grammar, usage, and/or punctuation. Less or not fluent and effective. Points Endocrinology (BIOM463) Course Syllabus Delivery & Interaction Voice Eye contact Communication and answers to questions Critique of the paper Quiz Dr Elham Sharif Ideas were communicated with enthusiasm, proper voice projection and clear delivery. There were sufficient use of other non-verbal communication skills. Appropriate delivery pace was used There was some difficulty communicating ideas due to voice projection, lack of preparation, incomplete work. Insufficient use of non-verbal communication skills. Delivery pace is somewhat appropriate There was sufficient eye contact with audience. Insufficient eye contact. Answers to questions are coherent and complete. Most answers to questions are coherent and complete. There was great difficulty communicating ideas due to poor voice projection, lack of preparation, incomplete work. No use of non verbal communication skills. Inappropriate delivery pace was used Little or no eye contact. Answers to questions are neither coherent nor complete. In depth analysis of the paper Sufficient analysis Shallow simple critique Available efficiently Available None 30