College of Osteopathic Medicine Course Syllabus Course Details & Information: Course Name Osteopathic Manual Medicine II Course Number OMM 2101 Graduating Class Year DO - 2016 Discipline Osteopathic Principles & Practice Course URL Course Option Type Required Course Administration & Duration: Department Osteopathic Manual Medicine Method Lecture/Lab Chief Coordinator G. Bradley Klock, D.O. Co-Coordinator Adrian L. Woolley, D.O. Credit Hours 4 Dates 7/24/13-4/28/14 Required Readings: AOA Glossary of Terms; found at http://www.aacom.org/resources/bookstore/Documents/GOT2011ed.pdf Chila, Anthony G., D.O., F.A.A.O., FOUNDATIONS OF OSTEOPATHIC MEDICINE, William and Wilkins, Baltimore, 3rd Edition, 2011. Required Equipment: A portable treatment table, necessary for practicing techniques learned in the laboratory and for use in OFL programs or other off-campus events. Contact the Student American Academy of Osteopathy (SAAO) or the campus bookstore to purchase a portable table. Reflex hammer (available through the campus bookstore). OMM laboratory uniforms (available through the campus bookstore). Recommended OSTEOPATHIC REFERENCES: (These publications are strongly encouraged as reading materials to supplement your educational experience) DeStefano, Lisa A, D.O., GREENMAN’S PRINCIPLES OF MANUAL MEDICINE, Williams and Wilkins, Baltimore, 2011 DiGiovanna, Eileen L., D.O., F.A.A.O. and Schiowitz, Stanley, D.O., F.A.A.O., AN OSTEOPATHIC APPROACH TO DIAGNOSIS AND TREATMENT, J.B. Lippincott Co., Philadelphia, 2005. Hoppenfeld, Stanley, M.D., PHYSICAL EXAMINATION OF THE SPINE AND EXTREMITIES, Appleton-CenturyCrofts, New York, 1976. Jenkins, David B., Ph.D., HOLLINSHEAD’S – FUNCTIONAL ANATOMY OF THE LIMBS AND BACK, Saunders, Philadelphia, PA, 2009 Osteopathic Manual Medicine II 7/24/13-4/28/14 Kapandji, A.I. , PHYSIOLOGY OF THE JOINTS, VOL 2, THE LOWER LIMB, 6 th Edition, 2011, ChurchillLivingston Kapandji, A.I. , PHYSIOLOGY OF THE JOINTS, VOL 3, THE SPINAL COLUMN, PELVIC GIRDLE AND HEAD, 6th Edition, 2008, Churchill-Livingston Magoun, Harold, D.O., F.A.A.O., OSTEOPATHY IN THE CRANIAL FIELD, 1976. Myers, Harmon, D.O., CLINICAL APPLICATION OF COUNTERSTRAIN, Osteopathic Press - a division of Tucson Osteopathic Medical Foundation, 2006 Schuenke, Michael, THIEME – ATLAS OF ANATOMY, Thieme, Stuttgart, NY, 2006 Still, A.T., M.D., D.O., AUTOBIOGRAPHY OF ANDREW T. STILL, A.T. Still, Kirksville, MO., 1897. Description: The students will learn a traditional approach to Osteopathic Manual Medicine based on the distinctive DMU heritage as developed through the contributions of Drs. TePoorten, Zink, Mitchell, Korr and others who have followed these pioneers of the profession. Lecture Course Objectives: 1. Students will be presented lecture topics that integrate clinically pertinent anatomy, physiology, and biomechanics relevant to patient care. 2. Students will expand their knowledge base regarding appendicular skeleton and develop clinically relevant skills in the diagnosis and treatment of common extremity problems. 3. Students will be exposed to different manipulative styles and be taught the appropriate applications relative to the various patient presentations. 4. Students will be introduced to the cranial concept. 5. Students will further develop a perspective as to where a somatic dysfunction fits into the total diagnosis. 6. Students will further develop the capacity to identify typical somatic dysfunctions generated by visceral pathology. 7. Students will have a working knowledge of the Common Compensatory Pattern (CCP) and its application as a body template to identify rapidly and accurately pertinent mechanical somatic dysfunction. 8. Students will understand that lifestyle issues are to be viewed as causative and perpetuating factors in common acute and chronic medical conditions. 9. Students will be exposed to common clinical presentations by incorporating case scenarios when appropriate. Page 2 Osteopathic Manual Medicine II 7/24/13-4/28/14 Laboratory Course Objectives: 1. Students will possess the skills necessary to identify the normal appearance and biomechanics of the spine, rib cage, pelvis, sacrum, lower extremities, upper extremities and cranium based on observation, palpation and motion-testing. 2. Students will be professional by obtaining consent before physically approaching the patient. 3. Students will be able to arrive at a correct structural diagnosis. 4. Students will be proficient in the effective application of OMM techniques to address common musculoskeletal problems. 5. Students will utilize post-treatment reassessments as an objective measure of the patient’s response to treatment. 6. Students will identify common structural patterns generated by visceral pathology. 7. Students will be confident in their ability to provide full body diagnosis and treatment through repetitive full body treatment laboratory and clinical teaching sessions. 8. Students will increase their speed and accuracy in diagnosis and treatment to facilitate integrating their OMM skills into a busy clinical setting. 9. Students will be confident in physically approaching and examining a diverse patient population in a professional and non-threatening manner. 10. Students will place safety first in all laboratory and patient encounters. Requirements: LECTURES Auditorium – Student Education Center Ruza Lecture Hall – Academic Center LABS OMM Laboratory Rooms 123 & 124 – Student Education Center WRITTEN EXAMINATIONS MEC PRACTICAL EXAMINATIONS Tower Clinic – 8th Floor Page 3 Osteopathic Manual Medicine II 7/24/13-4/28/14 Resources: Chief Coordinator G. Bradley Klock, DO, FAAO Phone 515.271.1429 Office Tower Clinic - Rm 1010 E-mail George.Klock@dmu.edu Office Hours 8:00 – 5:00 PM Fax 515.271.4233 CoCoordinator Adrian L. Woolley, DO Phone 515.271.1429 Office Tower Clinic – Rm 1009 E-mail Adrian.Woolley@dmu.edu Office Hours 8:00 - 5:00 PM Fax 515.271.4233 Course Assistant Lacey Knobbe Phone 515.271.1429 Office Tower Clinic – Rm 1025 E-mail Lacey.Knobbe@dmu.edu Office Hours 7:00 – 3:30 PM Fax 515.271.4233 Attendance Assistant TBD Phone 515.271.1398 Office Tower Clinic – Rm 1025 E-mail Office Hours 8:00 – 4:30 PM Fax 515.273.7180 Attributes & Core Competencies: This course directly addresses and assesses the development of the following American Osteopathic Association Core Competencies of the Osteopathic Student. Osteopathic Attributes & Core Competencies: This course contributes to the following sections of the AOA Core Competencies: *I. Osteopathic Philosophy Principles and Manipulative Treatment *II. Medical Knowledge and its Application into Osteopathic Medical Practice *III. Osteopathic Patient Care *IV. Interpersonal and Communication Skills in Osteopathic Medical Practice *V. Professionalism in Osteopathic Medical Practice VI. Osteopathic Medical Practice-based Learning and Improvement VII. Systems-based Osteopathic Medical Practice *The asterisk denotes the competencies that are assessed during the course. Page 4 Osteopathic Manual Medicine II 7/24/13-4/28/14 Course Policies: Attendance: Attendance is MANDATORY for ALL designated OMM Department lectures and laboratory sessions. Please remember that we are trying to help all of you develop a skill level in Osteopathic Manual Medicine that requires direct instruction and timely feedback from each of you if you are to succeed. This is why we require you to attend class and interact directly with us as we proceed from one area of the body to the next. We do not have the resources to back track and review for students who simply choose not to attend class, as this will reduce the amount of material we can share with your classmates and the amount of direct contact we can afford them. Further, if you simply miss a lab, you directly diminish the educational experience of the student you are paired with in lab as they will have no partner with which to meet that particular learning objective (Core Competencies IV and V). 1. 2. 3. 4. 5. 6. 7. 8. 9. Student must be in possession of their ID badge for all lecture presentations, laboratory sessions, written and practical exam. Attendance will be taken by paper documentation. It is your responsibility to sign in each lecture and laboratory session. Failure to sign in will be counted as an absence. No other means of verifying attendance will be accepted. It is your responsibility to make sure you have registered your attendance appropriately. It is the student’s responsibility to keep track of his/her attendance record on Angel. Students will be allowed 4 unexcused absences per the academic year. This means a maximum of 4 absences from the total lab and lecture presentations (two labs and two lectures, three labs and one lecture etc.) will be tolerated. Any absence beyond the 4 permitted per the academic year will result in the loss of points. o An unexcused absence of a lecture will result in the deduction of 5 points from the total (year end) written exam grade. o An unexcused absence of a lab will result in the deduction of 5 points from the total (year end) practical exam grade. Students with 6 or more unexcused absences will be referred to Student Performance Evaluation Committee (SPEC). Any student who finds it necessary to reschedule a laboratory session must arrange to switch times with another student who is scheduled to attend lab at that desired time. This must be accomplished 24 hours in advance of the lab that will be missed and must be arranged through Lacey Knobbe. Excused absences will not count toward the total 4 unexcused absences. The list of circumstances qualifying a student for an authorized absence include the following: Medical issues (illness for which you must document that you have received medical services or surgery by a non-family member) Death of an immediate family member (parents, grandparents, siblings, spouse, children). Travel necessitated by such a loss must be clearly documented. Medical issues of a child or significant other (illness for which you are responsible to ensure that another individual receives necessary medical services. You must document these activities). Educational/professional experiences for which you have been granted leave by the University administration (leave time for which you must provide documentation) Documentation supporting an excused absence must be submitted to Lacey Knobbe within 48 hours of the return to campus. You will be considered absent if you arrive more than 10 minutes late to a lecture or laboratory session. Failure to adhere to the dress code for OMM labs will result in the non-compliant student being counted as ABSENT from that lab. For the rare occasion where a student is unable to meet the Page 5 Osteopathic Manual Medicine II 7/24/13-4/28/14 dress code requirement, clothing is available in the laboratory and may be borrowed so that participation in that laboratory session is possible (no absence will be counted against the student’s attendance record). This courtesy will be extended twice per semester before the student will incur an unexcused absence. Physical/Medical Conditions: It is imperative that you notify the Department assistant, at the beginning of the course, of any physical limitations or diseases you have that will potentially pose a danger to you should certain manipulative styles or techniques be employed during the laboratory sessions. You will be responsible for supplying a letter from your physician (not a family member) attesting to the diagnosis within a week of the first lab session (August 19, 2013) or within one week of the injury. Students who are unable to be treated in a practical exam are responsible for providing a DO substitute student from the higher class. If you have been diagnosed with a connective tissue disorder, rheumatologic disease, disc problem, bleeding disorder, ligamentous instability, cerebral vascular disorder, cancer, osteoporosis, spinal instability, have had back surgery, fracture or joint replacement surgery, a spinal infection, osteomyelitis, myelopathy, cauda equina syndrome or are being treated with anticoagulants, it is your responsibility to inform the Department assistant and provide medical documentation of the condition within a week of the diagnosis. Any change in your medical status throughout the year requiring accommodation in lab or testing situations must be submitted within a week of the diagnosis. Injury Policy: Osteopathic manual medicine is a medical procedure and as such there are inherent risks associated with its use. Over the years it has proven to be an effective and safe modality when employed to manage painful conditions of the spine, rib cage, extremities and to maintain health. It has been used successfully by thousands of osteopathic physicians countless times with very few documented serious ill effects. Most often these undesirable outcomes are seen in elderly patients or in patients with pre-existing medical conditions. As one might expect, with proper caution and respect for the safety of the student who has agreed to be your laboratory partner, the potential for injury is minimal. The following are possible, however unlikely, injuries you might sustain as a participant in the OMM laboratory sessions: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Muscle strains/sprains Muscle soreness Bruising Joint soreness/stiffness Ligamentous strains Headaches Dizziness/light headedness Disc bulges/herniations Fractures Radicular symptoms In the unfortunate event that you suffer an injury in the laboratory, within 3 days you are to document and seek appropriate treatment as follows: 1. The injured individual and the student responsible for the event are to report to the faculty member in charge of the laboratory exercise. Page 6 Osteopathic Manual Medicine II 7/24/13-4/28/14 2. 3. Both of the students and the faculty member will complete Des Moines University Incident Reports. The student will be responsible for any health care costs. Information Availability: All available lecture materials, including pertinent handouts, will be found on Angel. Students will receive copies of the lecturer’s Power Point presentation solely at the discretion of the presenter (no response to requests for Power Point presentations will be given). All lab handouts will be provided to you in lab. Faculty Availability: 1. You are encouraged to approach any department member (professors or fellows)for extra help and with problems or suggestions. You may make an appointment through the academic assistant to ask questions and obtain clarification concerning lectures and/or laboratories. 2. It is NOT APPROPRIATE for a student to request a treatment (even localized) from Faculty before, during or after OMM labs. If the student has musculoskeletal complaints they are to consult an OMM Fellow so that a decision may be made whether a teaching treatment may be performed by the lab partner or an OMM Fellow OR whether a proper medical evaluation may need to be performed by a department member. The department member will decide if the injury policy needs to be followed. Professionalism: Any unprofessional behavior/violation of the Professional Integrity Code may be referred to the SPEC Committee. 1. 2. 3. 4. 5. General Considerations It is expected that students will conduct themselves in a professional manner and that rude or inappropriate behavior towards faculty, OMM Fellows, Academic Assistants, TAs, or other students will not be tolerated. Student may be asked to leave lecture or lab and be counted absent. Class Time All computers will be LOGGED ON TO THE APPROPRIATE SUBJECT MATTER during the OMM class time. All other electronic devices, such as cell phones, will be turned OFF and stowed during lecture and lab presentations. Palpation You will be palpating your lab partners and patients. It is mandatory that you ask permission (consent) prior to doing this in lab or during practical exams, or during all patient encounters. Medical Information All medical information learned from your lab partner or patient, when performing a required full body treatment, is considered privileged information and, as such, is to be kept in confidence. This information is protected by Doctor/Patient confidentiality standards. Exam Policy a. IT IS UNPROFESSIONAL AND INAPPROPRIATE (a breach of the Professional Integrity Code) i. For a student who has taken the practical exam to discuss the material tested in the practical exam during the practical testing cycle. ii. For a student to prompt a partner during a practical exam. iii. If during an examination (written or practical) a student is seen with markings on his/her body consistent with ‘tells’ to assist in performing the exam. Page 7 Osteopathic Manual Medicine II 7/24/13-4/28/14 b. c. Once the practical exam cycle has started there may be no more questions relative to course content directed towards department members. Use of profanity and other unprofessional behavior will not be tolerated during written or practical examinations. At the proctor’s discretion the student may be told to leave forfeiting the remainder of their exam. They will receive a grade based on the questions answered up to that point and the matter may be referred to SPEC. OMM LAB RULES No eating or drinking in the lab. Do not place sharp objects on the treatment table (e.g. book bags, computers, pens/pencils, belts, jewelry). No shoes are to be worn by a person while lying on the table. All personal items are to be placed in the changing rooms (females to the east; room 117, males to the west; room 121) and NOT placed near/under the tables or against the walls. After utilizing the room, the stool and table utilized are to be cleaned with wipes provided. The stool is to be placed under the head of the table (end closest to the pedal control) when finished. Do not leave the stool any other place. No more than two (2) persons are to sit on a table at one time (please sit towards the middle, not ends, to avoid tipping). Any educational items belonging to the lab (books, reference charts, skeletons, etc.) are to remain in the room and NOT to be removed for any reason. Medical equipment is not to be left on the treatment tables but placed back in their original stored positions (this avoids injury to the tables and also ensures that items are neatly stored for others to utilize as needed). Stools are NOT to be removed from the room. Bookstands are NOT to be removed from the room. Tables are NOT to be re-arranged. Any failure in equipment or damage to supplies is to be reported immediately to the OMM Department assistant at 271-1429 for prompt repair. PALPATION/OMM LAB ETIQUETTE 1. 2. Palpation a. Palpation of the human structure is a required skill for the OMM course. It will be a skill that you will develop and will become an integral part of the art of Osteopathic Medicine. Accurate palpation is an essential process that enables the student to formulate a correct diagnosis and then to provide appropriate treatment to the patient. Palpation is a skill that must be studied from the first lab forward. b. You will be palpating your lab partners and patients. It is mandatory that you ask permission (consent) prior to doing this in lab or during practical exams, or during all patient encounters. Uniforms a. To lessen the interference between the student’s hands and the structures being palpated, we will REQUIRE all participants in OMM labs to dress in a manner that will minimize the interference posed by clothing so that that their laboratory partner is allowed the best possible access to structure. b. You are expected to purchase an OMM uniform from the Campus Bookstore (T-shirt, long pants and/or shorts). Women are strongly encouraged to be wearing an all fabric sports bra. c. OMM uniforms will be worn during ALL OMM lab sessions and practical exams. Page 8 Osteopathic Manual Medicine II 7/24/13-4/28/14 d. e. Failure to adhere to the dress code for OMM labs will result in the non-compliant student being counted as ABSENT from that lab. (The consequences of missed labs are outlined in other sections of this syllabus.) i. For the rare occasion where a student is unable to meet the dress code requirement, clothing is available in the laboratory and may be borrowed so that participation in that laboratory session is possible (no absence will be counted against the student’s attendance record). ii. This courtesy will be extended twice per semester before the student will incur an unexcused absence. iii. Courtesy clothing must be laundered and returned within 1 week. There are changing rooms in each of the lab rooms; the room for the women is located in the east lab room 117 located in the east corner, and the room for the men is in the west lab room 121 located in the middle of the room. Bathrooms in the SEC building are also available as changing areas. Clothing and other articles (computers, cell phones, etc.) are to be left in the OMM lab changing rooms to avoid crowding the lab floors and thus decreasing the likelihood of tripping over or damaging your belongings. Your laboratory partner depends upon you to meet acceptable hygiene standards. Fingernails should NOT extend beyond the tips of the fingers. Due to potential allergic reactions, appropriate laboratory etiquette hold that lotions or perfumes should not be applied before or during lab sessions. EVALUATION POLICIES: GENERAL If you have a disability and need accommodations, you must request them by contacting the Accommodations Officer in Educational Support Services (accommodations@dmu.edu) and submitting an application with necessary documentation. Faculty members cannot provide accommodations directly. Please note that accommodations should be submitted well in advance of the date accommodations are needed. ALL examinations (written and practical) will cover material given from the beginning of the first year (all materials are cumulative). Material provided by the OMM Department in the form of lectures, laboratory sessions, handouts and assigned reading will be included in the written exams. It is unfeasible for department members to handle a mass number of emails and requests for face time before practical and written examinations. Information will be posted on Angel outlining the examination and what material is testable. Once the practical exam cycle has started there may be no more questions relative to course content directed towards department members. Page 9 Osteopathic Manual Medicine II 7/24/13-4/28/14 The examinations are divided into two sections: written and practical. A passing grade for the course shall be 70%/C- or more of the total possible points in all written examinations AND a 70%/C- or more of the total possible points in all practical/laboratory examinations. Course grade calculation will be based on points earned vs. total possible points. The point totals for the course are as follows: WRITTEN SECTION P PRACTICAL SECTION Written Examination I 65 points Practical Examination I 50 points Written Examination II 65 points Practical Examination II 50 points Practical Examination III 50 points Practical Examination IV 50 points TOTAL PRACTICAL SECTION 200 points TOTAL WRITTEN SECTION 130 points Each written exam will have 65 questions worth a total of 65 points. Each practical exam will have a varied number of questions worth a total of 50 points. Individual tests will be rounded up for % grades of .50 or higher. For example, a grade of 79.50 would be rounded up to an 80% (B-) but a 79.49 would remain at 79% (C+). Grading Scale: OMM Grading Scale Pass/Fail Designation 97-100% A+ 93-96% A 90-92% A- 87-89% B+ 83-86% B 80-82% B- 77-79% C+ 70-76% C ≤69% F Pass Fail The Department members will conduct a question item validity study following each written examination. Students may review their exams during the OMM Department scheduled review times and submit questions they wish to be reviewed to the department assistant within 2 days. Challenged questions will be reviewed by the course faculty and dealt with in an appropriate manner. You may look at the exam at the test review and at no other time. If there is a question or concern regarding the practical exam, the student needs to direct their question in writing by email towards the Department assistant (within 5 business days of the completion of their practical exam). The academic assistant will direct student concerns to the appropriate department member; the student is NOT to contact the Department members directly. If you have received a grade of 80% or less on a practical or written exam, we advise that you contact the Chief Fellow to schedule a session to address problem areas no later 2 two weeks after an exam. Page 10 Osteopathic Manual Medicine II 7/24/13-4/28/14 MAKE-UP EXAMS A physician's written excuse for illness is required if a scheduled exam is not taken and must be provided to the academic assistant within 2 days of returning to campus. In the case of a missed examination due to exceptional circumstance(s) not covered by the stated examination policy, the student(s) should immediately contact the academic assistant for consideration of these circumstances. Requests for make-up examinations for both written and practical exams are granted solely at the discretion of the Chairman of the OMM Department when an excuse for a missed exam is deemed valid. If a student misses either a written or practical examination, the student must contact the academic assistant within three days after missing the exam, or within two days of returning to campus. If a make-up examination is granted, it will be given at a time convenient with the department faculty. REMEDIATION EXAMS Any student receiving a final grade of less than 70% in either the written and/or practical section will be required to remediate that portion of the course with either a comprehensive written or comprehensive practical exam. FAILURE TO ACHIEVE A GRADE OF 70% ON THESE EXAMINATIONS WILL RESULT IN A FAILURE FOR THE YEAR AND THE STUDENT MUST RETAKE THE ENTIRE COURSE AT ITS NEXT OFFERING. Lecture/Lab Scheduling: Notices of change in lecture, lecturer or exam time and/or location will be e-mailed to the class, announced in lecture when appropriate, and updated on your Outlook calendar. Course Schedule & Examinations: # Date Time Description Keywords Lab Lecturer 1 7/24/2013 1:00 Physiology of Pain Physiology, Clinical Aspects Woolley 2 7/24/2013 2:00 Low Back Pain Red Flags, Clinical Aspects Klock 3 7/25/2013 1:00 Neurologic Exam Clinical Aspects X Figueroa 4 7/29/2013 1:00 Review CCP/Full Body Tx Reviewing Common Dysfunctions X FBT Klock 5 7/31/2013 1:00 Low Back Exam Red Flags, Clinical Aspects X Lewis 6 8/7/2013 1:00 Neck Exam/Full Body Tx Clinical Evaluation X FBT Figueroa 7 8/14/2013 1:00 Conservative Management of Spinal Related Pain/Full Body Tx Spinal Pain Treatment X FBT Lewis Practical Exam I Practical Examination 8/16 - 8/23/13 1:00-5:00 Department 8 8/28/2013 1:00 Myofascial I Diagnosis, Treatment, Clinical Use X Sr. Fellow 9 9/4/2013 1:00 Myofascial II Diagnosis, Treatment, Clinical Use X Woolley 10 9/11/2013 1:00 General Anatomy and S/CS Review (LE I) Relevant Anatomy, Clinical Evaluation X Klock 11 9/18/2013 1:00 Hip Exam (LE II) Evaluation of the Hip X Figueroa 12 9/25/2013 1:00 Evaluation of Knee X Figueroa 13 10/9/2013 1:00 Knee Exam (LE III) Techniques for the Knee, Ankle and Foot (LE IV) Diagnosis, Treatment, Clinical Use X Lewis 14 10/16/2013 1:00 Innominates Revisited (LE V) Innominate X Klock Practical Exam II Practical Examination 10/18 - 10/25/13 1:00-5:00 15 10/30/2013 1:00 Anatomy of the Shoulder (UE I) Relevant Anatomy X Jr. Fellow 16 11/6/2013 1:00 Physical Exam of the Shoulder (UE II) X Figueroa 17 11/13/2013 1:00 OMM Approach to the Shoulder (UE III) Evaluation of the Shoulder Evaluation, Treatment and Clinical Aspects X Figueroa Page 11 Osteopathic Manual Medicine II 7/24/13-4/28/14 18 11/20/2013 1:00 Evaluation, Treatment and Clinical Aspects Elbow, Wrist and Hand (UE IV) X Lewis THANKSGIVING BREAK- 11/27/13 - 11/29/13 12/2/2013 19 12/4/2013 12/9/2013 20 12/11/2013 12/13- 12/20/13 8:00-9:50 Written Examination Written Examination 1:00 Neck and Arm Pain Red Flags, Clinical Aspects Written Exam Review Written Exam Review Visceral OMM Manipulation of the Pelvis & Abdomen Practical Exam III Practical Examination 11:00-12:00 1:00 1:00-5:00 Department X FBT Lewis Department X FBT Figueroa Department WINTER BREAK - 12/23/13-1/3/14 21 1/8/2014 1:00 OMM and the PG Patient Evaluation, Treatment, Clinical Aspects X Woolley 22 1/15/2014 1:00 OMM and the Hospitalized Patient Clinical Use, Appropriate Treatment Styles X Klock 23 1/29/2014 1:00 OMM and the Geriatric Patient Evaluation of the Mature Patient X Klock 24 2/5/2014 1:00 Lymphatics Respiratory/Circulatory Model X FBT Klock 25 2/7/2014 10:00 Myofascial Pain 26 2/7/2014 11:00 Chapman's Reflexes 27 2/12/2014 1:00 Cranial I X Woolley 28 2/19/2014 1:00 Cranial II X Woolley 29 2/26/2014 1:00 Cranial III Diagnosis, Treating, Clinical Aspects Sympathetic Nervous System, Clinical Value Theory, Anatomy, Treatment, Clinical Aspects Dysfunctions, Treatment, Clinical Aspects Dysfunctions, Treatment, Clinical Aspects X Woolley 30 3/5/2014 1:00 Clinical Applications of Cranial Osteopathy/Full Body Tx (Cranial IV) Physiology, Pathology X FBT Woolley Practical IV Practical Examination Department 3/7 - 3/14/14 1:00-5:00 Lewis Klock 31 3/13/2014 8:00 Short Leg Syndrome Anatomy, Clinical Aspects Lewis 32 3/13/2014 9:00 Scoliosis Clinical Aspects Lewis 33 3/14/2014 10:00 Pediatrics Approaching Patient, Clinical Aspects Woolley 34 3/14/2014 11:00 Integrating OMM into Primary Care Treating in Family Practice TBD SPRING BREAK – 3/1714-3/-21/14 3/26 - 4/17/14 1:00-5:00 2nd Year Rounds Clinical Rounds Department 35 3/28/2014 10:00 Documentation & Coding How to Document and Bill Woolley 36 3/31/2014 10:00 Board Review I Study Preparation, Review of Years I and II Woolley 37 3/31/2014 11:00 Board Review II Study Preparation, Review of Years I and II Woolley 4/28/2014 1:00-2:50 Written Examination Written Examination Department 5/1/2013 2:00-3:00 Written Exam Review Written Exam Review Department Page 12 Osteopathic Manual Medicine II 7/24/13-4/28/14 OMM FACULTY OMM FELLOWS G. Bradley Klock, D.O., F.A.A.O. Class of 2014 Associate Professor Jesson Baumgartner Chairman, Department of Kate Clendenen Osteopathic Manual Medicine Crystal Redman DMU-COM Michael Watson Adrian L. Woolley, D.O. Class of 2015 Assistant Professor Libby Abbas Vice Chairman, Departments of Patrick Granneman Osteopathic Manual Medicine and Jacob Halvorsen Family Practice Meg Richard DMU-COM Class of 2016 José S. Figueroa, D.O. Ashley Ford Assistant Professor, Department of Ashley Mangrich Osteopathic Manual Medicine Katie Neuer DMU-COM Meghan Young Drew Lewis, D.O. Assistant Professor, Department of Osteopathic Manual Medicine DMU-COM Kate Heineman, D.O. Clinical Instructor, Department of Osteopathic Manual Medicine DMU-COM Shannon Crout, D.O. Clinical Instructor, Department of Osteopathic Manual Medicine DMU-COM Page 13