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Eastern Virginia Medical School Curriculum Objectives for MD Program: Years One and Two Office of Medical Education December 18, 2014

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Eastern Virginia Medical School Curriculum Objectives for MD Program: Years One and Two Office of Medical Education December 18, 2014 Eastern Virginia Medical School Curriculum Objectives for MD Program: Years One and Two Office of Medical Education December 18, 2014 These tables are arranged by course, and then by course topic (generally a class session), and then by objective. EVMS CURRICULUM OBJECTIVES: MD PROGRAM YEARS ONE AND TWO 2 ANT101: Gross Anatomy and Embryology Superficial Back Spine Describe the body wall in terms of tissue layers. Describe the intrinsic (deep) and extrinsic (superficial) muscles of the back in terms of general attachments, actions and innervation. Describe the typical vertebrae and its component parts Describe the portions of the spinal column and the differences in the regional components. Describe posterior muscles acting on the shoulder in terms of attachments, actions and innervation. Describe the blood supply to the extrinsic muscles of the back. Describe the cutaneous innervation of the back and posterior shoulder. Deep Back and Spinal Cord Describe the major identifying features of cervical, thoracic, lumbar, sacral and coccygeal vertebrae. Describe the anatomy of typical, and atypical, intervertebral joints. Describe the ligamentous structures supporting the vertebral column. Describe normal and abnormal curvatures of the vertebral column. Describe the thoracolumbar fascia in terms of location and attachments. Describe the errector spinae and transversospinalis muscle groups in terms of attachments, unilateral and bilateral actions, and innervation. Describe the spinal cord in terms of its relationship to the vertebral column, the meninges, meningeal structures and meningeal spaces. Describe blood supply and venous drainage of the vertebral column and spinal cord. Intro to Nervous System and Describe the components of the central and peripheral portion of the nervous system. Organization of a Typical Spinal Nerve Describe the structure of unipolar and multipolar neurons, and the location of their soma. Differentiate between somatic and visceral paths in terms of structures innervated. Differentiate between sensory/afferent and motor/efferent in terms of structures innervated. Describe a synapse in terms of presynaptic and post synaptic structures. Describe a somatic reflec arc in terms of receptor, afferent limb, location of synapse, efferent limb, and effector. Describe a cross section of the spinal cord in terms of dorsal, ventral and lateral horns, and the neuron soma found in e ach. EVMS CURRICULUM OBJECTIVES: MD PROGRAM YEARS ONE AND TWO 3 Describe the organization of a spinal nerve in terms of dorsal and ventral roots and rami, and the origin, and types, of nerve fibres found in each. Describe the organization of a somatic plexus. Gluteal region and Posterior Thigh Describe the major bony and ligamentous structures of the pelvis and femur. Describe the gluteal muscles and the six lateral rotators in terms of attachments, actions, and innervation. Describe the muscles of the hamstring group in terms of attachments, actions, and innervation. Describe the course, and distribution, of the sciatic, superior and inferior gluteal, tibial and common fibular nerves. Describe the blood supply to, and venous drainage of, the gluteal region and posterior thigh. Describe the boundaries and contents of the popliteal fossa. Describe the lymphatic drainage of the regions. Anteromedial Thigh Describe the deep fascia of the thigh and the intermuscular septa. Describe the femoral triangle, the adductor canal, and the contents of each. Describe the course, and distribution, of the branches of the femoral artery. Describe the deep and superficial venous drainage of the thigh. Describe the anatomy of the hip and knee joints with reference to bony and ligamentous structures. Describe the muscles in the anterior and medial compartments of the thigh with respect to attachments, actions, and innervation. Leg and Foot Describe the fascial compartments of the leg and their contents. Describe the muscles of the anterior, posterior and lateral compartments in terms of attachments, actions, and innervation. Describe the bony and ligamentous structures of the ankle joint. Describe the relationships of tendons, blood vessels and nerves on the medial and lateral aspects of the ankle joint. Describe the fascial compartments of the foot and their contents. Describe the muscles of the plantar surface of the foot in terms of layers, attachments, actions and innervation. EVMS CURRICULUM OBJECTIVES: MD PROGRAM YEARS ONE AND TWO 4 Describe the blood supply, and the venous and lymphatic drainage, of the leg and foot. Describe the cutaneous innervation of the lower limb. Pectoral Region and Axilla Describe the anterior muscles that act on the shoulder girdle and shoulder joint in terms of general attachments, actions and innervation. Describe the boundaries and contents of the axilla. Describe the organization of the brachial plexus. Describe the course, branches, and distribution of the subclavian and axillary arteries, and the collateral circulation of the shoulder. Describe the general pattern of superficial and deep lymphatic drainage of the upper limb and pectoral region, and the five groups of axillary nodes. Describe the major features of the mammary gland including the nipple, areola, lobules of gland, septa, lactiferous ducts and sinuses, innervation, blood supply and general pattern of venous and lymphatic drainage. Shoulder and Brachial Region Describe the joints of the shoulder girdle. Describe the course, branches and distribution of the brachial artery, and the collateral circulation of the elbow. Describe the muscles of the brachial region in terms of general attachments, actions and innervation. Describe the compartments of the brachial region and the muscular, vascular, and nervous structures found in each. Describe the cubital fossa in terms of its boundaries and contents. Describe the structure of the elbow joint and the movements possible at the humeroulnar and proximal radioulnar joints. Flexor Forearm and Hand Describe the compartments of the forearm and the muscular, neural and vascular contents of each. Describe the attachments, actions and innervation of the muscles of the anterior (flexor) forearm. Describe the thenar, hypothenar, and mid palmar compartments of the hand and their contents. Describe the general attachments, actions, and innervation of the intrinsic muscles of the hand. Describe the blood supply to the forearm and hand. EVMS CURRICULUM OBJECTIVES: MD PROGRAM YEARS ONE AND TWO 5 Describe the cutaneous innervation of the anterior forearm and palmar hand. Describe the fascial relationships of the flexor retinaculum and palmar aponeurosis. Describe the course of the median and ulnar nerves in the forearm and hand. Extensor Forearm and Hand Describe the muscles of the extensor compartment in terms of attachments, actions, and innervation. Describe the course of the radial nerve in the forearm. Describe the compartments and spaces of the forearm and the muscular, neural and vascular structures found in each. Describe the boundaries and contents of the anatomical snuff box. Describe the cutaneous nerve distribution of the upper limb. Describe the actions of the intrinsic and extrinsic muscles of the hand in providing movements of the wrist and digits. Thorax, Lungs and Pleura Describe the boundaries of the thorax. Thorax, Lungs and Pleura Describe blood supply and cutaneous innervation of the thoracic wall. Describe attachments, action and innervation of thoracic wall muscles. Describe the relationships of parietal and visceral pleura. Describe the anatomy of the lungs in terms of lobes, fissures and surface markings. Describe the bronchopulmonary tree from trachea to segmental bronchi. Describe the hilar structures of the lung. Describe the lymphatic drainage of the lungs and thoracic wall. Heart and Pericardium Describe the extent, attachments, layers and recesses of the pericardium. Describe the surfaces and borders of the heart in situ. Describe the major internal and external features of the heart chambers. Describe the atrioventricular and semilunar valves and their relationships to the skeleton of the heart. Describe the major branches of the coronary arteries and the major tributaries of the cardiac veins and coronary sinus. Describe the specialized conducting system of the heart and the sympathetic and parasympathetic input to the cardiac plexuses. Mediastinum Describe the boundaries of the superior, anterior, middle and posterior mediastinum. EVMS CURRICULUM OBJECTIVES: MD PROGRAM YEARS ONE AND TWO 6 Describe the contents of the superior mediastinum and their relationship to each other. Describe the contents of the anterior mediastinum and their relationship to each other. Describe the contents of the middle mediastinum and their relationship to each other. Describe the contents of the posterior mediastinum and their relationship to each other. Autonomic Nervous System Describe the sympathetic and parasympathetic parts of the autonomic nervous system in terms of origin in the CNS, and location of ganglia. Describe a cross section of a spinal cord segment with its pair of spinal nerves between T1‐L2, above T1, and between S2‐S4. Describe the pathway for sympathetic innervation of the body wall, thoracic viscera, and abdominopelvic viscera. Describe the pathway for parasympathetic innervation of thoracic viscera and the gut to the left colic flexure, and of the gut beyond the left colic flexure and the pelvic viscera. Describe the pathways used by visceral afferents for pain and for normal physiological function.
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