Principles of Medical Physiology Course Syllabus Course Number: GMS 6400c Credit Hours: 6 credit hours Course Format: This online course is tailored for asynchronous distance learners. COURSE DESCRIPTION Principles of Medical Physiology (GMS6400c) teaches the functions of the human body at a level required for clinical medicine. The course covers normal physiology, as well as selected diseases. Concepts are organized by systems: Endocrine, Cardiovascular, Respiratory, Renal and Gastrointestinal. Additional content includes an introductory section on the cell and autonomic nervous system and a final integration across the organ systems. The ultimate goal is for students to develop an understanding of the integrated functions of the normal body and “problem solving” and “critical thinking” skills in evaluating clinical situations. TARGET AUDIENCE This course is designed to meet the needs of individuals wanting to pursue a career in medicine or medical research. This course will provide a foundation for students who have not met the entry requirements for medical school and for those wishing to enhance their applications into Masters and PhD programs in the medical sciences. PREREQUISITES This course requires a BA or BS and a strong science foundation with at least 5 full semester courses related to Biology, chemistry and/or physics. A minimum undergraduate GPA = 2.0 is required for admission. CONTACTS Bruce R. Stevens PhD. Professor of Physiology and Functional Genomics, stevensb@ufl.edu; Tel: 352-3924480. SCHEDULE This is a 15 week course that is offered in the spring, fall and summer COURSE GOALS Physiology is the science of how the body functions, and is the basis for understanding modern clinical medicine and the biomedical sciences. This course will 1): Provide a foundation understanding of the basic functions of the human body. 2): Knowledge of the physiology of the major systems: endocrine, gastrointestinal, cardiovascular and muscle, respiratory and renal physiology as well, as well as selected diseases that affect these systems. 3): Integration of these individual facts in order to understand how organ systems work independently and interdependently in the body. One example of this integration is in the control of acid base balance. Other examples covered in this course are in the integrated responses to pregnancy and exercise as well as patho-physiologic responses to aging. LEARNING OUTCOMES Upon completion of this course, students will be able to: 1. Understand the normal functions of the individual body systems at a level required for an understanding of clinical medicine. 2. Understand how these systems act in an integrated manner to regulate overall body functions. 3. Understand how failure of these normal physiologic functions and integrations are associated with some diseases. 4. Demonstrate the ability to apply physiological principles of clinical relevancy by multiple choice examinations and Quiz exercises. LEARNING RESOURCES 1. Recorded lectures with PowerPoint presentations, workshops and virtual laboratory exercises will be provided on the course website. 2. Recorded clinical correlation(s) and/or case studies relating to the basic science material. 3. Online Q/A bulletin board and discussion website where students can post questions, which faculty will answer within the bulletin board. 4. Practice on-line quizzes to advance the understanding of the material provided in lectures. 5. Example exam questions to test knowledge and prepare for the 5 examinations. 6. Recorded Pre-Exam Review Sessions for each of the five sections, for the class to review material covered on each exam. 7. Text: The course textbook is “Berne & Levy Physiology, 6th Edition, Updated”, 2010. Author: Bruce M. Koeppen & Bruce A. Stanton. ISBN: 9780323073622. In addition, the lecture notes are available as PDF downloads enabled for direct notetaking. EXAMINATIONS AND GRADING There will be 5 multiple choice examinations, which will cover the contents of each module (Introduction + endocrine, cardiovascular and muscle, respiratory, renal and gastrointestinal + Integrated physiology). All exams will be monitored by ProctorU, a UF chosen service that allows the students to complete their exams while still ensuring academic integrity. Students will take all examinations at a computer that meets the technical requirements of ProctorU including a web cam and microphone. Students will make the arrangements for exam proctoring. We recommend you make an appointment at least two weeks in advance to the exam date. The points used to compute final grades will be determined after all exams have been completed, with 20% of the grade from each of the 5 modular examinations. In order to be awarded the certificate, students must maintain an average GPA of 3.0 or better. Grading scale: A numerical grade will be given at the end of the course and will be scored as follows: 93-100% = A 90-92%= A87-89% = B+ 83-86% = B 80-82% = B77-79% = C+ 73-76% = C 70-72% = C67-69% = D+ 63-66% = D <63% =E GRADING POLICY There are no make-up exams unless otherwise granted by the course coordinator prior to an examination date. Failure to take an exam without prior permission from the course coordinator will be recorded as 0. ACADEMIC HONESTY Please review the complete policy of the University of Florida regarding academic dishonesty, found in the online student handbook at: http://www.dso.ufl.edu/judicial/pdffiles/handbook 2003.pdf Students are expected to abide by the University of Florida Academic Honesty Guidelines and to adhere to the following pledge: “We, the members of the University of Florida community, pledge to hold ourselves and our peers to the highest standards of honesty and integrity. On all work submitted for credit by students at the University of Florida, the following pledge is either required or implied: "On my honor, I have neither given nor received unauthorized aid in doing this assignment." Copyright © 2013 Department of Physiology and Functional Genomics, University of Florida All course content including faculty lectures are copyrighted, including handouts and spoken audiovisual representations. PHYSIOLOGY FOUNDATIONAL BASICS Section Coordinator Bruce Stevens, Ph.D. (stevensb@ufl.edu) Introduction to Medical Physiology Transporters, Pumps, and Channels – Part I Transporters, Pumps, and Channels – Part II Physiology of Voltage & Concentration Gradients – Part I Physiology of Voltage & Concentration Gradients – Part II Body Fluids I Body Fluids II Receptors and Signaling – Part I Receptors and Signaling – Part II Autonomic Nervous System – Part I Autonomic Nervous System – Part II Autonomic Nervous System – Part III Quiz Stevens Stevens Stevens Stevens Stevens Baylis Baylis Sumners Sumners Scheuer Scheuer Scheuer Faculty ENDOCRINE PHYSIOLOGY Section Coordinator Kirk Conrad M.D. (kpconrad@ufl.edu ) Introduction to Endocrinology Hypothalamus and Pituitary – Part I Hypothalamus and Pituitary – Part II Adrenal Medulla – Part I Adrenal Medulla – Part II Adrenal Cortex – Part I Adrenal Cortex – Part II Thyroid Hormones – Part I Thyroid Hormones – Part II Clinical Correlation: Thyroid – Part I Clinical Correlation: Thyroid – Part II Calcium/Phosphate Regulation - Part I Calcium/Phosphate Regulation – Part II Calcium/Phosphate Regulation – Part III Calcium Phosphate Regulation – Par IV Fluid Balance & Cardiovascular Control Quiz 1 Growth Hormone -Part I Growth Hormone – Part II Blood Glucose Regulation – Part I Blood Glucose Regulation – Part II Reproduction (Sexual Differentiation – Part I) Reproduction (Sexual Differentiation - Part II) Reproduction Male – Part I Reproduction Male – Part II Reproduction Female – Part I Reproduction Female – Part II Reproduction Female – Part III Reproduction Female – Part IV Reproduction Pregnancy – Part I Reproduction Pregnancy – Part II Reproduction Pregnancy – Part III Reproduction Pregnancy – Part IV Clinical Correlation : Assisted Reproductive Technologies – Part I Clinical Correlation: Assisted Reproductive Technologies – Part II Quiz II Review Multiple Choice Exam on Foundational Basics and Endocrine Sumners Sumners Sumners Sumners Sumners Wood Wood Sumners Sumners Winter Winter Sumners Sumners Sumners Sumners Sumners Faculty Raizada Raizada Raizada Raizada Conrad Conrad Conrad Conrad Conrad Conrad Conrad Conrad Conrad Conrad Conrad Conrad Rhoton Rhoton Faculty Faculty MUSCLE AND CARDIOVASCULAR Section Coordinator Judy Delp Ph.D., (jdelp@ufl.edu) The Structure of Muscle-Skeletal, Cardiac, Smooth – Part I The Structure of Muscle-Skeletal, Cardiac, Smooth – Part II Muscle Function and Regulation – Part I Muscle Function and Regulation – Part II Muscle Dysfunction and Disease – Part I Muscle Dysfunction and Disease – Part II Clinical Correlation-Muscular Dystrophy – Part I Clinical Correlation-Muscular Dystrophy – Part II Walter Walter Walter Walter Walter Walter Walter Walter Overview of cardiovascular Physiology Cardiac Cycle – Part I Cardiac Cycle – Part II Electrocardiogram – Part I Electrocardiogram – Part II Cardiac Ion Channels – Part I Cardiac Ion Channels – Part II Heart Sounds 1 Heart Sounds 2 Quiz 1 Pulmonary Circulation- Part I Pulmonary Circulation- Part II Fetal Circulation Hemodynamics, Arteries – Part I Hemodynamics, Arteries – Part II Venous Return – Part I Venous Return – Part II Neural Control – Part I Neural Control – Part II Neural Control – Part III Local/humoral control of flow Modulators of blood flow Microcirculation – Part I Microcirculation – Part II Heart Failure-Clinical correlation – Part I Heart Failure-Clinical correlation – Part II Quiz 2 Review Multiple Choice Exam on Muscle and Cardiovascular Delp Delp Delp Delp Delp Delp Delp Gessner Gessner Faculty Scheuer Scheuer Wood Wood Wood Wood Wood Scheuer Scheuer Scheuer Delp Delp Delp Delp Delp Delp Faculty Faculty RESPIRATORY PHYSIOLOGY Section Coordinator: Peter P. Sayeski, Ph.D. (psayeski@ufl.edu ) Introduction to Respiratory Physiology Lecture: Functional Anatomy Lecture: The Respiratory Pump and Lung Volumes Lecture: Lung Compliance Part I Lecture: Lung Compliance Part II Lecture: Airway Resistance Part I Lecture: Airway Resistance Part II Lecture: The Work of Breathing Part I Lecture: The Work of Breathing Part II Lecture: Alveolar Ventilation and Gas Composition Part I Lecture: Alveolar Ventilation and Gas Composition Part II Lecture: Gas Diffusion Part I Lecture: Gas Diffusion Part II Lecture: Oxygen Transport Part I Lecture: Oxygen Transport Part II Quiz Lecture: Oxygen Content Part I Lecture: Oxygen Content Part II Lecture: CO2 Transport and Content Clinical Correlation: O2 Assessment Clinical Correlation: CO2 Assessment Lecture: Pulmonary Circulation Part I Lecture: Pulmonary Circulation Part II Clinical Correlation: Pulmonary Edema Part I Clinical Correlation: Pulmonary Edema Part II Lecture: Acid-Base Part I Lecture: Acid-Base Part II Lecture: Respiratory Control Part I Lecture: Respiratory Control Part II Lecture: High Altitude Respiration Quiz Clinical Correlation: Case Studies Part I Clinical Correlation: Case Studies Part II Review Multiple choice Exam on Respiratory Physiology Sayeski Sayeski Sayeski Sayeski Sayeski Sayeski Sayeski Sayeski Sayeski Sayeski Sayeski Sayeski Sayeski Sayeski Sayeski Sayeski Sayeski Sayeski Sayeski Sayeski Sayeski Sayeski Sayeski Sayeski Sayeski Sayeski Sayeski Sayeski Sayeski Sayeski Sayeski Sayeski Sayeski Sayeski Sayeski RENAL Section Coordinator Chris Baylis Ph.D. (baylisc@ufl.edu ) Introduction to Renal Physiology General Functions of the Kidney. Renal Anatomy Cl Clearance- Part I Clearance Part II Renal Hemodynamics – Part I Renal Hemodynamics – Part II Renal Hemodynamics – Part III Renal Hemodynamics – Part IV Control of sodium balance – Part I Control of sodium balance – Part II Control of sodium balance – Part III Control of sodium balance – Part IV Renal epithelial sodium transport – Part I Renal epithelial sodium transport – Part II Quiz 1 Renal handling of Calcium and Phosphate- Part I Renal handling of Calcium and Phosphate- Part I Renal handling of Potassium - Part I Renal handling of Potassium - Part II Concentration and Dilution – Part I Concentration and Dilution – Part II Concentration and Dilution – Part III Concentration and Dilution – Part IV Clinical Cases Set1: Volume crises – Part I Clinical Cases Set 1: Volume crises – Part II Acid/Base Balance – Part I Acid/Base Balance – Part II Acid/Base Balance – Part III Acid/Base Balance – Part IV Clinical Cases Set 2: Acid Base – Part I Clinical Cases Set 2: Acid/Base – Part II Clinical Cases Set 3, Kidney Disease – Part I Clinical Cases Set 3, Kidney Disease – Part I Quiz 2 Review Multiple choice exam on Renal Physiology Baylis Baylis Baylis Baylis Baylis Baylis Baylis Baylis Baylis Baylis Baylis Baylis Weiner Weiner Baylis Weiner Weiner Weiner Weiner Baylis Baylis Baylis Baylis Segal Segal Weiner Weiner Weiner Weiner Weiner Weiner Tantravahi Tantravahi Baylis Weiner, Baylis GASTROINTESTINAL Section coordinator Bruce Stevens Ph.D. (stevensb@ufl.edu ) Introduction to Gastrointestinal Physiology GI Enteric Nervous System and Motility -- Part I GI Enteric Nervous System and Motility -- Part II GI Enteric Nervous System and Motility -- Part III GI Enteric Nervous System and Motility – Part IV Salivary Glands & Exocrine Pancreas – Part I Salivary Glands & Exocrine Pancreas – Part II Stomach and Gastric Acid Control – Part I Stomach and Gastric Acid Control – Part II Zollinger-Ellison Syndrome of Acid Hypersecretion Carbohydrate & Protein Digestion/Absorption – Part I Carbohydrate & Protein Digestion/Absorption – Part II Gastrointestinal Microbiota Liver & Gallbladder – Part I Liver & Gallbladder – Part II Lipid Digestion; Enterocyte Metabolism & Absorption – Part I Lipid Digestion; Enterocyte Metabolism & Absorption – Part II Intestinal Water and Electrolytes Absorption/Secretion – Part I Intestinal Water and Electrolytes Absorption/Secretion – Part II Quiz Review (Note: GI exam will be included later with Integrated Physiology exam) Stevens Stevens Stevens Stevens Stevens Stevens Stevens Stevens Stevens McGuigan Stevens Stevens Mai Stevens Stevens Stevens Stevens Stevens Stevens Stevens Stevens INTEGRATED PHYSIOLOGY Section Coordinator Chris Baylis Ph.D. (baylisc@ufl.edu ) Pregnancy Physiology: Maternal – Part I Baylis Pregnancy Physiology: Maternal – Part II Baylis Pregnancy Physiology: Fetal – Part I Wood Pregnancy Physiology: Fetal – Part II Wood Aging Physiology: Kidney Baylis Aging Physiology: Cardiovascular Delp Exercise Physiology and Muscle – Part I Walter Exercise Physiology and Muscle – Part II Walter Exercise Physiology and Cardiovascular – Part I Delp Exercise Physiology and Cardiovascular – Part II Delp Exercise Physiology and Lungs Sayeski Quiz Faculty Review Faculty Multiple choice exam on Gastrointestinal and Integrated Physiology