ANA
611/811 Course
Director
Spring 2003
Course Syllabus
Dr. B.R. MacPherson
MS215 U.K. Medical Center
Phone: 323-5539
email: brmacp@uky.edu
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Lecture Date Topic Time/Place January 1 Introduction The Superficial Back Spinal Cord & Typical Spinal
Nerve Posterior Triangle of the
Neck Autonomic Nervous System Brachial Plexus Referred Pain Regional Anatomy of Upper Limb
I Regional Anatomy of Upper Limb
II Regional Anatomy of Upper Limb
III Regional Anatomy of Upper Limb
IV Arthrology Functional Anatomy of Upper Limb
I Functional Anatomy of Upper Limb
II Functional Anatomy of Upper Limb
III Functional Anatomy of Upper Limb
IV February Deep Back Muscles Trunk Wall Inguinal Region Pleura and Lungs Exam 1 - 25% of Final
Grade Heart I Heart II Superior Mediastinum Posterior Mediastinum Peritoneum & Sacs Abdominal Viscera I Abdominal Viscera II Retroperitoneal Viscera Abdominal Vasculature Posterior Abdominal Wall March The Pelvis Pelvic Organs Exam 2 - 25% of Final
Grade Pelvic Vasculature External Genitalia of
Male/Female Perineum of the Male 1-2pm/HS115 Perineum of the Female 2-3pm/HS115 Midterm Break Midterm Break Gluteal Region Regional Anatomy of the Lower Limb
I Regional Anatomy of the Lower Limb
II Regional Anatomy of the Lower Limb
III April Regional Anatomy of the Lower Limb
IV 1-2pm/HS115 Functional Anatomy of the Lower Limb
I 2-3pm/HS115 Functional Anatomy of the Lower Limb
II Functional Anatomy of the Lower Limb
III Anterior Triangle of the
Neck Root of the Neck Exam 3 - 25% of Final
Grade Superficial Face Infratemporal Fossa Cranial Contents Cranial Nerves I Cranial Nerves II Pharynx and Palate Nasal Region Oral Region Larynx Orbital Contents May No Lecture - Lab Review Exam 4 - 25% of Final
Grade
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Information
Regarding the Course, Exams and Grades
1. General Course Information
Anatomy 611 and 811 have been designed specifically for Physician Assistant and Physical Therapy students respectively. The primary objective of each course is to present clinically-related gross anatomy principles in a lecture format followed by a dissection lab session. The lab session will allow students to get a three-dimensional/functional appreciation for the relationships of the various structures in each anatomical region.Lectures involve completion or highlighting of material distributed in the lecture notes. It is therefore advisable to bring colored pen/pencils to lecture. Use of color has been proven to be an educational tool that enhances learning. We use color coordination or designation of systems and/or structures as critical tools to help you to understand the structure and/or region being studied.
Dissection is considered a very important aspect of this course. It reinforces and demonstrates the clinical and functional inter-relationships of the material dealt with in lecture. Fifty percent (50%) of your grade on each of the 4 exams in the course will come from the laboratory practical exam. Absence from laboratory sessions (skipping) will not be tolerated for any reason other than those outlined by the University Senate. To this end, attendance will be taken randomly during the laboratory at tables where 6 individuals are not obviously present. Missing more than 3 laboratory sessions, for unexused reasons, will result in a 10% reduction in your final grade.
The majority of osteology, radiology and cross-sectional anatomy in the course will be left to each student to accomplish by independent study from your atlas and/or the CD-ROM included with this course pack. The structures you will be held responsible for, on each of the 4 exams in this course, are listed in tabular fashion in the dissection manual.
Twenty-four hour access to the laboratory is available for review and/or completion of the dissections between scheduled labs. This access is a privilege and will be revoked if appropriate care of the cadaveric material and/or appropriate personal demeanor is not exhibited. Remember that all the cadavers in the lab will be used on each practical exam so you need to be familiar with all 13 in our course, not just your own. In addition to anatomical variations, and overall size of structures between a 98 pound bed-ridden female and a 250 pound male contruction worker, are striking and size itself can be very disorienting. In addition dental cadavers with similar regions dissected may also be used on the exam. You will be told when this factors into the upcoming lab practical. Your extra time in the lab is used not only to finish up/study your own dissections, but to ensure you have seen all the other cadavers.
** This year, the " 3 on - 3 off" dissection method will be used. It reduces the number of students in the lab at any one time, ensures those present get adequate instructor coverage and promotes peer teaching among the students in the course. It has been demonstrated that there is a 90-95% retention rate when one person teaches material to another. The code in the Lecture Schedule reads as follows:
Lab Session 1:- A Superficial Back, pp. 5-7
Lab Session 2: - B Spinal Cord/Posterior Triangle, pp. 8-12
This means for Lab Session 1, the 3 students (group A) from the table complement of 6 will dissect the day's requirements from 3:00 to 4:30 p.m. At 4:30 p.m. the other 3 students (Group B) will come into the lab to their table and Group A - that dissected - will demonstrate the day's dissection and findings to those three students in Group B. Dissection responsibilities will rotate daily between groups A and B.
It is advisable to wear light weight, easily-washed clothing to the lab. Surgical scrubs may be purchased at the bookstore or through medical supply houses. In addition to scrubs, disposable latex gloves (available at the bookstore or through medical supply houses) should be worn at all times.
The wearing of shorts and open-toed sandals is not permitted in the lab due to safety and OHSA regulations. Baseball caps are NOT considered professional garb and should not be worn in the lab out of respect for the cadavers.
If you wear contact lenses, you may find the preservatives in the cadaveric material irritate your eyes. Switching to normal glasses alleviates this problem.
Please place lab wastes (such as cadaveric material removed by dissection), paper towels, old/broken scalpel blades ONLY in their appropriate disposal containers.
A maximum of six students will be assigned to each cadaver. You are expected to work in groups, each group dissecting one side of the body. For full lab grades both sides of the body must be dissected. At the time of each lab exam, the instructor will grade your dissection on completeness/thoroughness. Any group not getting at least 90% completeness on each exam region, will have 10% deducted from their final grade applied to everyone at that table! Aside from the dissection manual, each group of three students must have an atlas present during the lab. Without an atlas you will not be able to appropriately accomplish the days dissection. The instructor(s) do not feel obligated to help any table that does not have an atlas present and open to the appropriate area.
There are certain rules concerning use of the gross anatomy lab which must be strictly adhered to:
- no food or drink whatsoever may be taken into the lab
- no visitors may be taken into the lab without prior permission
- no cameras may be taken into the lab at any time
- no cadaveric material leaves the lab at any time for any reason
- unprofessional behavior will not be tolerated in the labYour dissection tools will be provided for you to be kept within the basket on the table. You must provide your own scalpel blades (#10). All blades should be removed from the scalpel prior to putting it into the basket at the end of each dissection session.
2. Scope of Material Covered by Examinations
The written and laboratory exams are designed to complement each other. They cover any material presented in lecture or contained in the lab manual. Your exams will not be returned to you. Answer keys will be posted immediately after each exam. Once corrected, you are encouraged to look over your exam and have any questions on marking answered by stopping by the instructor's office. You will have until the subsequent exam to have any corrections made to your grade after each exam. If you failed to pass the exam, or performed marginally, you will be required to see the instructor and go over your exam.The final course grade will be determined by cumulative points from all written and practical examination points. From this total, a maximum of 10% may be deducted for lack of regular lab attendance or incomplete dissection requiring instructors to dissect structures on the cadaver for the practical exam. For each exam the ratio of weighting between written and practical material will be 50:50.
Written examinations will be composed of questions based on lecture and self-study materials. The question format will vary. Multiple choice questions will comprise no more than 50% of each examination. Other question formats will include relating basic anatomical facts to clinical scenarios, short answer, diagrams and matching.*** Simply memorizing the factual material and being able to answer the Learning Objectives is NOT sufficient to obtain a grade of A in this course. You must be able to extrapolate the material you have memorized, think critically and use this information to answer clinically-oriented/functional questions.
Practical examinations will predominantly utilize the cadavers you have dissected. In addition, selected prosections (previously dissected specimens), bone specimens and X-rays will supplement the examination materials. You will have one minute at each station in which to answer a single question. All answers will be written. Please bring a clipboard. During practical exams, you are not allowed to touch the specimen. Anyone caught touching or otherwise rearranging pins/probes/arrows etc. will be asked to leave the room and will receive a 0 (zero) for that practical exam. At the end of each exam you will be given 3 minutes to re-examine any station you may not have been able to answer, or have doubts about.
5. Examination Schedule - 2003
A full listing of the examinations in ANA 611/811 can be found in the weekly schedule at the first of this section. The course contains four exams. Each exam will have a written component (worth 50%) and a lab practical component (worth 50%). Each of the four exams is worth 25% of the course total grade.
All grades in the course will be reported to you individually by e-mail. The final grade in this course is a cumulative total of your performance on Exams I-IV. Your final grade will be assigned on the following basis:For ANA 611 (PA and graduate students):
A = 89.5+; B = 75.5-89.4; C = 69.5-75.4; E = less than 69.4
For ANA 811 (PT students):
A = 89.5+; B = 79.5-89.4; C = 69.5-79.4; D = 59.5-69.4; E = less than 59.4
Grades are NOT curved in this course
7. Making up a Missed Examination
Missed exams must be made up as soon as possible after the exam date. Both practical and written components will be administered. Only valid excuses will allow an individual to take a make-up examination. Lack of a valid excuse will result in a grade of 0 (zero) on that exam. A valid excuse for an absence must be in compliance with the University Senate rule on excused absences. Briefly they are:1. Illness of the student or serious illness of a member of the student's immediate family. A note from the Health Service stating you visited or were treated there is not appropriate verification. The physicians name must be presented along with permission to contact that individual to verify you were too ill to take the examination.
2. The death of a member of the student's immediate family. Appropriate verification will be requested.
3. Trips for members of student organizations sponsored by an academic unit, trips for university classes, and trips for participation in intercollegiate athletic events. When feasible the student must notify the instructor prior to the occurrence of these absences. In no case will such notification occur more than one week after the absence. Formal notification from appropriate university personnel will be required to verify the student's participation in such trips.
4. Major religious holidays. Students are responsible for notifying the instructor in writing of anticipated absences due to observance of such holidays no later than the last day for adding a class.
If you will not be able to take an exam, you are responsible for contacting Dr. MacPherson (323-5539). As soon as possible after your return to classes, you should contact the instructor concerning the scheduling of your make up exam.
** If you know at this point, that you will not be able to take an examination on the scheduled date, for any reason, please talk with Dr. MacPherson as soon as possible. There are many "excuses" not outlined in the University Senate Regulations that may be considered suitable for rescheduling an exam - but only if it is not left until the last minute
8. Departmental Regulations Regarding Remediation of a Failed Grade
A student obtaining a final grade within 10% of the passing grade assigned in that course, will receive a failing grade for the course but be entitled to a retake examination to be administered at a time determined by the course co-ordinator, the student and the director of the student's program. A student receiving a final grade greater than 10% below the passing grade for the course will be required to retake the course the following year, or purse a summer course at some other university, should their program schedule facilitate this. In all courses the retake examination will be comprehensive and will include written and lab practical portions. The student must get a combined average in excess of the passing grade set for the course to have successfully passed the retake exam. Regardless of the grade obtained on the retake exam, the student will receive the lowest passing letter grade utilized by the college or program.
- Each student must purchase the Lecture Notes/Dissection Manual course packet plus an atlas. The atlas is an indispensable resource. You MUST have a copy of Grant's Atlas at each table. Students in the past have pooled together to purchase a second- hand copy for use solely in the lab - not wanting their own personal copy to get greasy. A personal copy is essential for home-study/review and completing self-study of bone markings. The Dissection Manual has been written specifically for this course and is keyed to figures from Grant's Atlas of Anatomy. While you are free to use any atlas for personal study, lab dissection will be facilitated by using Grant's. The purchase of a textbook, while optional, is highly recommended.Textbook:
Essential Clinical Anatomy, 1st edition, K.L. Moore and A. Agur** PT students often prefer the more in-depth: Clinically Oriented Anatomy, 4th edition, K.L. Moore & A.F. Dalley.
Atlas:
Grant's Atlas of Anatomy, 10th edition, Anne M. R. AgurClass Note Pak:
Anatomy 611/811 Dissection Manual and Anatomy 811 Lecture Notes, 2003 (includes radiology, cross-sectional anatomy and practice practical exam CD). Dr. B.R. MacPherson
10. Dr. MacPherson's Office Hours
Dr. MacPherson will generally be available to answer questions related to the course at any time he is not teaching another course or has another time commitment. To ensure I will be there, reserve a time on the weekly calendar posted on my door (MS215). Please be considerate of others and book time in 30 minute allotments unless it is an absolute necessity. You can also book time in small groups for either lecture or lab material questions.