DO 111G – Structural Principles of Osteopathic Medicine
This 13 week course covers human anatomical sciences including gross anatomy, embryology and microscopic anatomy. Content for each anatomical science will be presented from both a regional and systems perspective. Knowledge of anatomical science is the foundation upon which a medical education is established and an absolute requisite for successful completion of a medical education and clinical practice.
Lectures and laboratory sessions that incorporate active learning strategies will cover the anatomical sciences. Students are required to apply their knowledge of gross anatomy, embryology and microscopic anatomy to explain clinical case vignettes and medical images of anatomical structures. Microscopic anatomy is presented via digital images during lectures, relating microscopic structure to basic physiological processes. Reading assignments from required anatomy texts are used to reinforce, clarify and extend the material presented in lectures. Full cadaver dissection gross anatomy laboratories are coordinated to follow corresponding regional lecture content. Prepared dissection specimens, X-rays, CT scans and MRI images as well as bones, models and computer resources are available for students to study. Clinical faculty are available during laboratories to reinforce the clinical anatomy correlations. This practice provides the student with an appreciation for the relevance of anatomical science knowledge to clinical osteopathic medical practice through demonstrations, clinical case studies and discovery in the
DO 121G – Cellular and Molecular Basis of Medicine
This course introduces students to the study of disease. Course goals include providing students with a broad, fundamental knowledge background in molecular biology, genetics, medical biochemistry, microbiology, immunology, pathology and pharmacology. Disease states receiving particular attention include genetic disease, nutritional disease, hematological diseases, infection, autoimmunity, cancer and immune suppression. The basic science foundation necessary to comprehend these disease states is laid in this course. Students will begin to practice self-directed learning, and improve their communication skills by participating in group discussions. Students will also gain an appreciation for basic and clinical research in fundamental biomedical topics through required presentations.
DO 130G – Basic and Clinical Neurosciences
Basic and Clinical Neurosciences is a multidisciplinary course covering the structure and function of the nervous system, with the greatest emphasis on the central nervous system. The course is an integration of various disciplines including medicine, surgery, radiology, pathology, immunology and microbiology, physiology and pharmacology. This course will present the regional and systems neuroanatomy, in addition to the physiology, embryology and histology of neural systems. Neuropathology, neuroimmunology and neuropharmacology are covered. The etiology, clinical presentation, diagnosis and treatment of neurologic and neuromuscular diseases are presented by clinicians. Clinical topics include stroke, hemorrhage, trauma, seizures, headaches, demyelinating diseases, dementia, delirium and neuromuscular diseases. Principles and practice of rehabilitation of patients with stroke, spinal cord and head trauma and neuromuscular diseases are presented. Aspects of pain management including general and local anesthesia, and narcotic and nonnarcotic pain relievers are presented. Case discussions complement lectures and allow students to practice self-directed learning, and improve their communication skills. Students also gain an appreciation for basic and clinical research in biomedical topics through required presentations.
DO 133G – Emergency Medicine I
All students are trained in Basic Cardiac Life Support under American Heart Association standards and prehospital first responder skills. Emphasis is placed on teaching patient assessment in the prehospital environment, including use of the automated external defibrillator (AED). Students are awarded the American Heart Association Healthcare Provider Course Card upon successful completion.
DO 134G – Cardiovascular, Pulmonary and Renal Medicine
Cardiovascular, Pulmonary and Renal Medicine is a multidisciplinary integrated course designed to take the student in an introductory manner through the specific physiologic and pharmacologic mechanisms, pathologic descriptions, pharmacologic interventions and applications, diagnostic specifics, therapeutic strategies and other relevant medical issues of each system and the crossover issues between systems. This course links the anatomy of the three systems to an integrated presentation of physiology, microbiology, pathology, pharmacology, imaging and general medicine of each of the systems as well as cross system complications. Clinical scenarios are presented in order to provide examples that allow the students to draw connections between basic science mechanism and clinical application. Emphasis is placed on the understanding of how structural aberration results in functional change and the recognition of how symptoms are indicative of positive (system compensation) and negative (pathological) functional change. Students are expected to apply their basic knowledge of each system to develop an understanding of how a pathological process affecting one of the three systems can and will eventually create pathological processes in the other two.
DO 138AG, 138BG, 138CG – Preventive and Community-Based Medicine I, II and III
1 credit each term
Total 3 credits
This course introduces the future osteopathic physician to clinical preventive medicine and community-based medicine and focuses on the critical components of physician responsibility and advocacy in the development and delivery of health care systems in the United States. This year long course presents the fundamentals of evidence-based medicine, biostatistics, epidemiology, ethics, preventive medicine, public health, community medicine, infection prevention and control, environmental medicine, toxicology, occupational medicine, and disaster and emergency planning. The critical need for physician advocacy within the context of socio-cultural, economic, marketing and political competence will be explored. Concepts and strategies from epidemiology, including bio-statistical analysis of current research studies, will be applied to real case studies of community issues relevant to physician responsibilities. Current medico-legal, ethical and political issues will be studied in terms of options for physician advocacy and responsibility to the community.
DO 139AG – Osteopathic Principles and Practice I
Students are introduced to the concept and philosophy of the osteopathic school of the healing arts in lectures and practice sessions. Fundamentals in the art of observation, palpation and evaluation are presented. Practice session sheets are furnished for both instruction and recording of findings. Surface anatomy is studied and landmarks identified to lay a proper foundation for future work in this department as well as for physical diagnosis. Physiologic motions of the spine are considered in both lecture and practice sessions. Tests for active and passive motion are presented and carried out in practice sessions. Regional and inter-segmental motion testing is applied. Somatic dysfunction is defined.
DO 139BG – Osteopathic Principles and Practice II
Clinical presentations and their osteopathic diagnosis and management are introduced. Further osteopathic fundamentals are presented in differentiating the basis for myofascial techniques and reflex-oriented techniques. Myofascialoriented osteopathic techniques are demonstrated and students will begin their therapeutic development with soft tissue, myofascial release and counterstrain osteopathic manipulative treatments (OMT).
DO 139CG – Osteopathic Principles and Practice III
Physiologic motion of the thoracic spine and rib cage is reviewed, as well as the biomechanical actions of the respiratory muscles. Thoracic and costal somatic dysfunctions are presented in clinical cases. Scoliosis is defined and osteopathic management of various scoliosis types is covered. Muscle energy and HVLA techniques for this region are introduced. Introduction to viscerosomatic, somatovisceral, somatosomatic and psychosomatic reflexes and their relevance to health and disease are presented.
DO 140AG, 140BG, 140CG – Primary Care Skills I, II, III
2 credits each term
Total 6 credits
This course integrates with material presented in anatomy, osteopathic manipulative medicine, biochemistry, physiology and microbiology and clinical sciences to introduce fundamental techniques of physical examination and patient interviewing. The medical history is introduced, as are concepts in the osteopathic approach to primary care, psychosocial issues and the physician/patient relationship. The course includes an introduction to human sexuality and expands beyond the basics of physical examination skills training to address in more depth, clinical areas such as the cardiovascular, respiratory and neurologic systems. The department utilizes skill workshops, lectures, small group case discussions, standardized patient actors and the simulation model “Stan” in the instructional program.
DO 144G – Clinical Reasoning in Basic Sciences
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 211G – Basic and Clinical Endocrinology
The endocrine unit is an integration of various disciplines including physiology, pharmacology, pathology, internal medicine and radiology. Lectures begin with a review of basic endocrine physiology, histology and embryology. Clinical lectures cover disorders of the pancreas, thyroid, parathyroids and adrenal glands, and their effects on other body systems as well as endocrine emergencies.
DO 212G – Gastroenterology
In the GI course, the basic pathophysiology of the gastrointestinal system is presented. Clinical lecturers present a compendium of diseases of the gastrointestinal system, including the common and uncommon gastrointestinal conditions, biliary metabolism, and infections and infestations of the liver and gut. Surgical and pharmacological management of gastrointestinal diseases is also considered.
DO 213G – Reproductive and Genitourinary Sciences
In the reproductive/genitourinary course, a review of human reproductivephysiology is followed by lectures on pathophysiology of gynecological diseases including sexually transmitted diseases, their management and prevention. Diagnostic and operative gynecology procedures are presented. Lectures on the progress and management of normal pregnancy are presented and management of the various presentations and mechanisms of labor is stressed. This is followed by studies of the pathology of pregnancy, diagnostic methods and treatment. Family planning, contraception, infertility, perinatal infections and gynecologic oncology and pharmacology associated with women’s health issues are also presented. Consideration of disorders and diseases of the male genitourinary system, their diagnosis and management completes the course.
DO 214G; DO 214AG – Musculoskeletal/Skin I, II
This two part course covers the clinical areas of orthopedics, rheumatology and dermatology as well as the pathology of diseases of the bones, joints and muscles. Basic skills and academic knowledge in orthopedics are presented to aid clerkship students in the evaluation of routine orthopedic problems. Emphasis is placed on the diagnosis and treatment of common disorders of the neck, spine, shoulders, hips and extremities. The rheumatology lectures cover inflammatory diseases of joints and connective tissues. Etiology, presentation, differential diagnosis and treatment are stressed. The dermatology lectures prepare the student for diagnosis and management of routine cutaneous diseases.
The psychiatry/neuropharmacology course begins with the history and evolution of psychiatry and the prominent theories of the mind and the causes of emotional illness. Evaluation of the psychiatrically ill patient and principles of psychiatric diagnosis are taught. The neurobiological basis of psychiatric disease and its treatment is discussed in detail. The relationship between brain function and psychiatric illness is a continuing discussion throughout this unit. The diagnosis and principles of treatment of the major psychiatric syndromes are presented in detail. The course continues further into the field of neuropsychiatry. Many special topics are presented, including substance abuse disorders, child and adolescent psychiatry, geriatric psychiatry, principles of psychosomatic medicine and psychiatric emergencies.
DO 232G – Surgery, Ophthalmology, ENT
– Surgery Unit
Lectures and demonstrations deal with an introduction to surgical skills including sterile technique, suture technique, surgical diagnosis, and perioperative care. Osteopathic principles used in diagnosis and management in surgical disease states are reviewed. Suturing and gloving/gowning skills are taught in practical sessions. Clinical lectures use case presentations to integrate surgical procedures in disease management.
– Ophthalmology/ENT Unit
This unit emphasizes a clinical approach of diagnosis and treatment of common disorders of the eyes, ears, nose and throat. Didactic lectures and case presentations cover common disorders and injuries to eyes, visual system, ears, auditory system, head and neck stressing differential diagnostic and treatment options including surgical intervention.
DO 233G – Life Stages: Geriatrics and Pediatrics
This course concentrates on disease presentations of particular importance in the pediatric and geriatric populations. The pediatrics unit emphasizes the normal development and care of the pediatric patient. Topics covered include an introduction to the pediatric history and physical, developmental milestones, ante-natal considerations, routine child care including vaccination schedules, hyperbilirubinemia syndromes, pediatric meningitis and sepsis, SIDS, fluid and electrolyte balance, respiratory problems, seizures, obesity and child abuse. Coverage of other neonatal and childhood diseases, disorders and trauma occurs in a variety of other courses during the first and second year. In the geriatric unit, students are encouraged to build on their basic science knowledge and gain a deeper understanding of the unique and complex medical aspects of older persons. Course format utilizes lectures and case studies to introduce the clinical syndromes commonly seen in older persons, including the five “I”s: impaired homeostasis, incompetence, incontinence, immobility and iatrogenesis. Physiologic changes associated with aging, healthy aging, and maintenance of function and nutrition, as well as medicolegal and ethical issues, are discussed. The course culminates in a discussion of end of life issues such as pain management, hospice, terminal care, anticipatory planning and advance directives.
DO 235G – Emergency Medicine II
This course covers typical situations encountered in the specialty of emergency medicine. Cardiac, upper airway, traumatic, toxicological, neurologic, musculoskeletal and pediatric emergencies are covered.
DO 239AG – Osteopathic Principles and Practice IV
The pelvic and lumbar areas are reviewed, as well as the physiologic motion patterns that pertain to these areas. Sacral, lumbar and pelvic somatic dysfunctions are discussed, and OMT for these dysfunctions is presented. The somatic and visceral relationships that pertain to these areas are also presented with clinical correlation in OB/GYN, GI and renal disease. Muscle energy and HVLA techniques for specific dysfunctions in these areas are presented.
DO 239BG – Osteopathic Principles and Practice V
Introduction to the principles of osteopathy in the cranial field is presented in lecture (an elective is offered in the third trimester for more complete understanding and practical palpatory diagnosis). Cervical biomechanics and somatic dysfunction are reviewed, and muscle energy, HVLA, counterstrain and FPR techniques are covered in the lab sessions.
DO 239CG – Osteopathic Principles and Practice VI
Lectures and practice sessions are correlated and directed toward the understanding and management of various appendicular problems. Basic principles are taught and practiced along with basic techniques including muscle energy, HVLA and LAS.
DO 240AG, 240BG, 240CG – Primary Care Skills IV, V, VI
1 credit each term
Total 3 credits
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.