Each 17 credit rotation requires 240 contact hours.
Other than in electives, fourth year rotations contain a component of Osteopathic Manipulative Medicine.
DO 111 – Structural Principles of Osteopathic Medicine – (SPOM)
– Gross Anatomy Unit
Laboratory dissection of the human body in a systematic manner using a regional approach; augmented by use of models, plastinated prosections; the Cathie Collection of human specimens, radiological films, video tapes of human dissection, computer aided instruction and real-time prosections; application of clinical anatomy made in student-led clinical correlation
– Developmental Anatomy Unit
Normal human development; abnormal development of clinical importance to
understand congenital anomalies; correlation with gross anatomy unit.
– Histology Unit
Recognize normal structure and function of cells, tissues and organs through use of microscopic images; conferences utilize a clinical case format to underscore basic science and clinical concepts; essential knowledge leading to the understanding of and recognition of pathological conditions.
– Radiographic Anatomy Unit
Normal radiographic anatomy correlated with gross and developmental anatomy. Emphasis is on normal and developmental roentgen anatomy as it relates to clinical medicine; introduction to terminology and application of contemporary imaging methods, CT and MRI.
DO 121 – Cellular and Molecular Basis of Medicine
Review normal cellular structure and function; perturbations of normal cellular and organ function; introduction to neoplastic diseases, carcinogenesis, tumor cell biology; diagnosis, staging and management of cancer, emphasis on hematology oncology; blood and blood-related diseases such as clotting and hematopoietic disorders; normal metabolic processes contrasted with perturbations, e.g., diabetes, arthritis, cystic fibrosis. Cellular injury induced by physical, chemical and microbial entities. Immune response; host-parasite relationship with discussions of microbial pathogenicity, infectious disease, acute and chronic inflammation. Introduction to pharmacologic intervention; principles of clinical pharmacology; drugs’ alteration of inflammatory and immune processes; antimicrobial medications. Clinical case conferences underscore basic and clinical concepts; laboratory sessions provide direct microscopic observation of normal eucaryotic and microbial cells and an introduction to commonly used diagnostic techniques in infectious disease; clinical correlations are structured as live interactive sessions between students, a primary care physician and people living with disease.
DO 133 – Emergency Medicine I
Basic Cardiac Life Support under American Heart Association standards and prehospital first responder skills; patient assessment in the pre-hospital environment; use of the automated external defibrillator (AED); upon successful completion, American Heart Association Healthcare Provider Course Card awarded.
DO 134 – Cardiovascular, Renal and Pulmonary Medicine
– Cardiovascular Unit
Fundamentals of clinical cardiology; cardiac muscle function and circulation; cardiac cycle, heart sounds, clinical diagnosis of findings suggestive of underlying heart disease; arrhythmias both atrial and ventricular, commonly encountered organic heart disease – acquired, congenital, hereditary and infectious; implications of peripheral vascular disease; cardiac pathology and circulatory disorders; related pharmacology – antihypertensives, hypolipidemics, antiarrhythmic and diuretics.
– Renal and Pulmonary Unit
Etiology, diagnosis and treatment of the diseases of the renal and respiratory systems; physiology and pathophysiology of respiration and a wide variety of lung diseases from emphysema to carcinoma; pharmacology of antihistamines, anti-inflammatory agents, bronchodilator, mucolytic and antitussive agents; risk factors and management related to renal and pulmonary disorders, including occupational hazards; physiologic, pathophysiologic, and pharmacologic relation of cardiovascular, renal, and respiratory systems emphasized.
DO 139A, 139B, 139C – Osteopathic Principles and Practice I, II, III
2 credits each term
Total credits 6
Introduction to concepts and philosophy of osteopathic medicine; fundamentals in the art of clinical patient observation, palpation and evaluation; surface anatomical landmarks identified as foundation for future coursework in manual medicine as well as for primary care skills; physiologic motions of spine; clinical evaluation skills in active and passive motion; regional and intersegmental motion testing. Somatic dysfunction defined. Common musculoskeletal patient complaints, their osteopathic diagnosis and management; therapeutic skill development of soft-tissue, myofascial release and counterstrain osteopathic manipulative treatments (OMT); differentiating the basis for myofascial techniques and reflex-oriented techniques; physiologic motion of the thoracic spine and rib cage as well as the biomechanical actions of the respiratory muscles; thoracic and costal somatic dysfunction clinical cases; scoliosis defined, osteopathic management of various scoliosis types; regional muscle energy and HVLA; introduction to viscero-somatic, somatic-visceral, somatic-somatic, and psychosomatic reflexes and their relevance to health and disease; pain and referred pain implications and management.
DO 140A, 140B, 140C – Primary Care Skills I, II, III
1 credit each term
Total credits 3
Fundamental techniques of physical examination and patient interviewing are correlated with knowledge of anatomy, osteopathic manipulative medicine, and cell and tissue. The medical history is introduced; concepts of osteopathic approach to primary care; psychosocial issues and the physician-patient relationship. Clinical workshops, small group case discussions and standardized patient actors are used to teach and evaluate skill acquisition.
DO 144, 145 – Clinical Reasoning in Basic Sciences I, II
1 credit each term
The development of critical thinking skills and the integration of basic and clinical science concepts are fostered in students through small group learning activities utilizing written clinical cases. The cases are developed by basic and clinical science faculty and incorporate history and physical findings, laboratory values, imaging, electrophysiology and histopathological images as needed for students to develop differential and definitive diagnoses as well as treatment plans. Basic science underpinnings of each case, particularly the pathophysiology of disease are explored by students as guided by specific learning objectives. Student progress in critical thinking and integration of basic and clinical science concepts is assessed by various means as outlined in the respective syllabi for each campus. Assessment tools could include multiple choice exams, oral exams and construction of a portfolio which may contain literature searches, reflective writing, interviews with faculty and patients, videos or photographs.
DO 146 – Comprehensive Basic Science Review and Synthesis
This course assists students in their preparation for the COMLEX Level I licensing examination. The course consists of faculty moderated, disciplinebased review sessions that focus on questions and problems presented in a COMLEX-like format. Students are also required to successfully complete multiple diagnostic assessments, including an internal comprehensive examination of content taught in the preceding five trimesters.
DO 212 – Gastroenterological Sciences
Physiology and pathophysiology of the gastrointestinal system; common diseases of the gastrointestinal system, biliary tract; disorders of metabolism, and infections and infestations of the liver and GI tract; interpretation of imaging methods such as gastrointestinal endoscopy and colonoscopy; GI and adnexaoncology including surgical, medical and radiation treatment.
DO 213 – Reproductive Genitourinary and Obstetrics, Gynecologic Medicine
Reproductive biology of both genders and pathophysiological conditions affecting each; genitourinary region of both genders especially lower urinary tract diseases; common disease processes, malformations and infectious processes. Mechanisms and consequences of sexually transmitted disease emphasizing issues in public health. Normal pregnancy, labor and puerperium; pathology related to pregnancy, diagnostic methods and treatment; non-surgical gynecological diseases; diagnostic and operative gynecology; gynecologic oncology. Behavioral and social issues related to sexuality; family planning; contraception; infertility.
DO 221 – Clinical Endocrinology
Pathophysiology and clinical manifestation of the endocrine disorders emphasized; pituitary, thyroid, parathyroid and adrenal glands reviewed; diseases of the endocrine glands, including metabolic disorders and vitamin and nutritional disturbances.
DO 222 – Clinical and Basic Neuroscience
Clinical and Basic Neuroscience coordinates all disciplines related to the central nervous system. Comprehensive course on the central nervous system integrating neuroscience, neurology, psychiatry, neurosurgery, neuropathology, neuropharmacology, and physical medicine and rehabilitation; structure and function of the brain and spinal cord and their role in normal and diseased body systems; laboratory macro-dissection and demonstration of human brain and spinal cord; blood supply; contemporary imaging procedures of head and spine. Neurologic history and neurologic physical examination; common diseases of brain, spinal cord, peripheral nerves and neuromuscular system; ischemic and hemorrhagic diseases; demyelination disorders, infectious diseases; trauma; neuropathology of aging and Alzheimer’s disease. Surgical interventions; craniocerebral trauma; spinal cord injury; hydrocephalus/NPH, peripheral nerve disorders and brain tumors. Neurosurgical management of pain is coordinated with other approaches to and perspectives on pain in the primary care setting.
– Psychiatry Unit
Introduction of psychiatry and behavioral medicine with implications for the generalist physician; history and evolution of practice of psychiatry; prominent theories of mind and common causes of emotional illness; evaluation of psychiatrically ill patient and principles of diagnosis; the evidence of neurobiological basis of psychiatric disease emphasized; special topics are discussed including substance abuse disorders, child and adolescent psychiatry, geriatric psychiatry, principles of psychosomatic medicine and psychiatric emergencies. Pharmacologic basis of treatment and precautions; antipsychotics, muscle relaxants; antidepressants; anticonvulsants, sedatives, endogenous opioids, therapeutic uses of narcotics, psychomotor stimulants and psychomimetics; pharmacologic agents and their use in Parkinsonism, anxiety disorders, depression and psychosis; pharmacologic basis of addiction; special session included discussing the impaired physician. Pain and pain management; anesthetics, including general, local and narcotic; emotional overtones of pain; relation to addiction; narcotic intervention use and precautions.
DO 224 – Rheumatic Disease
Discussions on diagnosis and therapy of clinical problems involving joints, soft tissues and the allied conditions of connective tissues; advancements in immunologic concepts related to these disorders; pathogenesis of major rheumatological disorder is described in terms of the autoimmune system, and autoimmune disease concepts. Emphasis is given to evidence-based medical treatment of rheumatological disorders.
Introduction to patient work-up in clinical setting; “thinking clinically”; surgical skills – sterile technique, gloving/gowning, suture technique, and preoperative and postoperative care. Application of contemporary literacy methods and resources available that assist physicians in patient care optimizing outcome. Teamwork in the clinical work force; making the transformation from classroom to clinic; Henwood Lecture series – special topics in general surgery; selected topics in fundamental orthopedics and reconstructive surgery.
Diagnosis and management of cutaneous diseases in the primary care setting; common eruptive diseases; visual training in recognition of common characteristics and variations; use of topical therapy, prescription writing, and special diagnostic and therapeutic procedures; skin manifestations of systemic disorders reviewed.
DO 233 – Life Stages: Clinical Geriatrics and Pediatrics
– Clinical Geriatrics
Understanding the unique and complex medical aspects of older persons; clinical syndromes commonly seen in older persons emphasizing the five “I”s: impaired homeostasis, incompetence, incontinence, immobility and iatrogenesis; physiologic changes associated with aging; healthy aging; maintenance of function and nutrition; medico-legal and ethical issues; end-of-life issues – pain management, hospice, terminal care, anticipatory planning and advance directives.
Normal development and evaluation; fetus; high-risk pregnancies; premature and newborn high-risk problems; difficulties affecting perinatal care of premature and full-term infants. Preventive pediatrics (hygiene, infant feeding and immunizations) in ambulatory office practice; hospital critical. Childhood gastrointestinal, surgical, hematologic, nose and throat, and cardiovascular problems; other disease processes and influences on fetus, newborn and general pediatric population. Fluid and electrolyte balance; emergency room care, medical aspects of trauma, fever and convulsions, the unconscious child, metabolic problems; enuresis, medical genitourinary disease and central nervous system problems – attention to developmental, neurological and behavioral pediatrics.
DO 235 – Emergency Medicine II
Small group discussions and evaluation of case-based scenarios in the emergency
setting; common emergencies review organ systems and clinical response to
emergent conditions; student-led discussion with faculty facilitation.
DO 236 – Eyes, Ears, Nose and Throat (EENT)
Common disorders and injuries to eyes, visual system, ears, auditory system, head and neck; includes review of regions and pathology; differential diagnostic and treatment patterns including surgical intervention; plastic and reconstructive surgery following trauma.
DO 238A, 238B, 238C – Preventive and Community-Based Medicine I, II, III
1 credit each term
Total credits 3
Continuation of the three part sequence providing students information on ethical principles applied to the patient encounter; in decision-making; and communication. Examples used – palliative care, obstetrics-gynecology, surgery. Concepts in epidemiology and public health related to disease presentation, prevention, reporting. Evidence-based medicine discusses basic methods in acquiring, approaching and appraising information to be used in patient care.
DO 239A, 239B, 239C – Osteopathic Principles and Practice IV, V, VI
2 credits each term
Total credits 6
Pelvic and lumbar reviewed; physiologic motion patterns; sacral, lumbar and pelvic somatic dysfunctions; OMT (muscle energy and HVLA) for these dysfunctions; somatic and visceral relationships that pertain to abdomen, sacrum, and pelvis with clinical correlation in reproductive, obstetric gynecologic, gastrointestinal, and urogenital disorders. Introduction to osteopathic principles in the cranial field is explored (an elective is offered in the third trimester for more complete understanding and practical palpatory diagnosis). Cervical biomechanics and somatic dysfunction reviewed; muscle energy, HVLA, counterstrain and FPR techniques related to limbs, shoulders and hips.
DO 240A, 240B, 240C – Primary Care Skills IV, V, VI
1 credit each term
Total credits 3
Advanced physical examination skills, minor-surgical skills and problem solving. Ophthalmologic and ENT examinations in the outpatient setting; advanced clinical workshops, case presentations and standardized patient exercises are integrated with second-year medical course content. Small-group laboratory instruction in general surgical skills includes sessions on surgical scrub and sterile technique, gloving and gowning, suturing, phlebotomy, IV and catheterization. Standardized patient OSCE-type evaluation is included.
Legal obligations and ethical responsibilities of physicians, both professionally and personally; medico-legal issues such as judicial process, fraud and abuse, malpractice, torts, patient rights and privacy issues; issues related to HIPPA and compliance; online course and evaluation; begins anytime during the second year; HIPPA module satisfactory completion required to begin clinical clerkships; entire course including the online assessments must be completed by the end of the third year.
Non-Credit Advanced Cardiac Life Support – Third Year Medical
American Heart Association ACLS course; two-day; offered during ACS clerkship. Students are awarded the AHA ACLS course card, valid for two years, upon successful completion. This is required for graduation.