College of Osteopathic Medicine Gross Anatomy Course Syllabus 2013/2014
Course Details & Information:
Course Name Gross Anatomy Course Number ANAT*1101 Graduating Class Year 2017 Discipline Anatomy Course Option Type Required
Course Administration & Duration:
Department Anatomy Chief Coordinator M.A. Khan, Ph.D.
Credit Hours 6.5
Method Lecture/Laboratory/Seminar/ Grand Rounds
Co-Coordinator Donald Matz, Ph.D.
Dates August 12, 2013 - May 2, 2014
DO Gross Anatomy August 12, 2013 – May 2, 2014
Text or Required Readings: I. REQUIRED
Gross Anatomy Textbooks
Essential Clinical Anatomy, Moore/Agur, Lippincott Williams and Wilkins, (4th Edition)
Human Anatomy Dissection Guide, Khan, Jen House, (4th Edition)
Before We Are Born, Moore/Persaud, Saunders, (8th Edition).
Gross Anatomy Atlases
Imaging Atlas of Human Anatomy, Weir, Jamie, Mosby, (4th Edition)
Atlas of Human Anatomy, Netter, Saunders Elsevier, (5th Edition) or Atlas of Anatomy: Gilroy, Thieme, New York (2nd Edition)
II. RECOMMENDED
Grant's Atlas of Anatomy: Agur and Dalley, Lippincott Williams and Wilkins, (13th Edition)
Dorland's Medical Dictionary, (32nd Edition)
Color Atlas of Anatomy, Rohen, Yokochi, Lutgen, Drescoll, Lippincott Williams and Wilkins, (7th Edition)
Description:
The gross anatomy course provides an in-depth study of the human body using cadaveric dissection. Additional emphasis is placed on developmental anatomy and normal radiographic anatomy.
Electronic Exam:
If electronic examinations are to be implemented, further detailed instructions will be amended to this course syllabus and posted to the course site.
Course Goals & Objectives:
Goals
The students, at the end of this course, will be expected to have a thorough understanding of gross anatomy, embryology and radiographic anatomy of the human body.
One of the unique privileges in the anatomy course will be dissection of the human body. Students will have the opportunity to explore in depth what will later have to be recalled from memory. Dissection exercises will provide the students with a unique opportunity of examining the entire body. Even surgeons get only fleeting glimpses of parts of the body. Study of developmental anatomy and radiographic anatomy will provide yet another perspective in studying the human body.
Although anatomical structures are static in death, they are constantly changing in life. Hence, there is a necessity for making functional anatomy one of the goals of this course. The anatomy faculty will endeavor to meet this goal by stressing not only clinical significance, but also interrelationships of anatomy with other disciplines.
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Specific objectives for each lecture are found in the lecture handout.
Upon completion of this course the students will be able to:
1. List the bones and bony landmarks of the axial and appendicular skeleton. 2. List and describe the joints of the body including ligaments and normal variations. 3. List the detailed origin, insertion, innervation and function of all muscles of the body. 4. List and describe the arterial, venous and lymphatic pathways of the body. 5. Describe the sensory and motor innervation of different parts of the body. 6. Describe the normal and variant gross anatomy of the organ systems of the human body. 7. Describe the normal and variant developmental anatomy of the various organ systems of the human body. 8. Describe normal radiographic anatomy of the body.
Requirements:
LECTURE/LAB ATTENDANCE Attendance at scheduled lectures
Attendance: is required at all scheduled gross anatomy lectures.
Attendance at laboratory sessions
Attendance is mandatory in the gross anatomy labs and attendance will be taken. Each student will be allowed two (2) absences from laboratory sessions during the semester without penalty. Additional absences will result in a failing grade in gross anatomy course. If you miss a lab you are diminishing the educational experience of the other students in your lab group. The students in your lab group are depending on your participation to complete the lab exercise for the day.
Should extraordinary circumstances require a student to miss more than two lab sessions, the student must submit a written petition to the chief coordinator of the course stating the reason for the absence as well as any necessary documentation. This should be done as soon as possible and MUST be done no later than one week from the absence in question. Failure to submit a written petition for excusal from lab will result in a failing grade. Vacations, weddings, and other voluntary personal activities do not count as extraordinary circumstances and will not be excused.
We have set aside a total of five points for professionalism in gross labs. Students must earn these points by coming prepared to the lab sessions, keeping cadaver tables clean, properly taking care of the cadavers and acting professionally in the lab at all times.
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Resources: Chief M.A. Khan, Ph.D. Phone 515-271-1694 Coordinator Office Ryan Hall, Room 159 E-mail [email protected]
Office Hours By appointment
Co- Donald Matz, Ph.D. Phone 515-271-1653 Coordinator Office Ryan Hall, Room 158 E-mail [email protected]
Office Hours By appointment
Academic Linda Jensen Phone 515-271-1620 Assistant Office Ryan Hall, Room 165 E-mail [email protected]
Office Hours 7:45 am – 4:15 pm
Attributes & Core Competencies:
This course reflects and addresses the following American Osteopathic Association Core Competencies:
II. B. Medical Knowledge
II. E. Professionalism
The gross anatomy course objectives meet the medical knowledge and professionalism core competencies. The core competency of professionalism is addressed by the unique privilege of dissection of a human body in the gross anatomy lab. The human cadavers are obtained through the donation of individuals who wish to further the education of medical students. As such, the honor of learning the art of anatomy from these individuals demands our utmost respect. The human cadaver is your “first patient” and the student will maintain professional behavior during the dissection activities.
As a part of professional behavior we will also expect the students to keep their cadaver tables and the general work area around the cadaver clean at all times. This behavior, regarding your experience with the cadaver also extends outside the confines of the anatomy laboratories.
Evaluation:
As per student handbook:
1. No student may have any books, notes, or electronic equipment (cell phone, computer, calculator, etc.) on his/her desk or person during an examination or quiz unless directed to do so by the course coordinator. 2. Do not bring backpacks, I-Pods, radios, food and/or drinks in the exam room. 3. Students are required to be present in the exam room at the start of the exam. Students arriving late will not be allowed to take the exam. 4. Students are strongly discouraged to take bathroom breaks during the examination. However any student feeling a need to use the bathroom will be required to sign a log book before leaving and on returning to the exam room. 5. Proctors will not answer any questions or provide any explanation concerning the exam questions.
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Students not conforming to the above regulations will be reported to the course coordinator and may be reported to the Student Promotion and Evaluation Committee (SPEC) for further action.
Test questions will come from the lecture material, handouts, required text books and observations in the laboratory.
Copying, retention and/or dissemination of exam questions, or requesting such material from fellow students will be considered an act of cheating and therefore subject to academic discipline.
The Anatomy Department will retain all exam booklets at the end of each examination.
GRADING
The final grade in this course will be determined by dividing the total number of points earned (written and lab exam scores and professionalism score) by the total number of points possible in the course. A student must earn 70% of the total number of points possible to pass the course. Final course grade cannot exceed 100%.
Grading Scale:
A+ 97 - 100% C+ 77 – 79% A 93 - 96% C 70 – 76% A- 90 – 92% F 69% or below B+ 87 – 89% B 83 – 86% B- 80 – 82%
Points awarded for Anatomy Seminars and Grand Round presentations will be considered extra credit points and will be added to your total score.
Final grades will be rounded up for percentage grades of .50 or higher. For instance, a final grade of 79.50 would be rounded up to an 80% (B-) but a 79.49 would remain at 79% (C+).
ADVANCED DISSECTION IN ANATOMY SEMINARS AND GRAND ROUNDS
The students are encouraged to attend the noon-time seminars presented by the 2nd year MSA students enrolled in the Advanced Dissection in Anatomy course and Grand Rounds presented by Physical Diagnosis Department. Dates and titles of the Seminars and Grand Rounds will be announced on Angel. Students will be awarded one point per session as an incentive for attending. It is the student’s responsibility to sign the attendance sheet to receive credit.
WRITTEN (LECTURE) EXAMINATIONS
If you have a disability and need accommodations, you must request them by contacting the Accommodations Officer in Educational Support Services, [email protected], and submit an application with the necessary documentation. Please note that accommodations should be submitted well in advance of the date needed.
The following procedure will be followed for the questions in the lecture exams:
1. About 10% of the questions in the written exams II – VI will consist of material covered in the previous exam. 2. What appears on the computer-graded answer sheet determines the score on the written exam. No other document will be used for this purpose. 3. Students will have an opportunity to review the exam questions during a scheduled exam review session for the entire class. Copies of the exam will be available for the students at this time. During the review session, the students will not be allowed to bring into the room their computers, books or
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any other electronic equipment including cell phones. Failure to do so will force the faculty to cancel the session.
LABORATORY/PRACTICAL EXAMINATIONS
Concerns involving the practical exam questions will be brought to the attention of the chief coordinator within two days (48 hours) after the end of the scheduled exam.
MAKE-UP POLICY
Make-up examinations will be granted according to the Student Handbook for your class. The format of the examination will be at the discretion of the faculty and may include multiple choice, short answer, or short essay type questions.
In the event that a student believes that exceptional circumstances not covered in the Student Handbook have caused a missed examination, the student should contact the chief coordinator of the course at extension 1694. The chief coordinator will make a determination on the merits of the exceptional circumstances.
RE-EVALUATION OF THE COURSE
Students who fail the gross anatomy course will either enroll in the summer re-evaluation program or repeat the course at its next offering. The summer re-evaluation examinations will be scheduled by the Registrar during the summer following the year in which the failure occurred. If the student passes the summer re-evaluation examination his/her final course grade will be entered as F/C.
Examination Schedule
Examination Date Group Written Practical
Exam I 9/6/13 Lab Grp 1 8:00 a.m. LH 3 Lab Grp 2 8:00 a.m. AUD
Exam II 10/7/13 B 9:15 a.m. LH 3 7:00 a.m. Gross Labs C 10:30 a.m. AUD 8:45 a.m. Gross Labs A 8:00 a.m. AUD 10:30 a.m. Gross Labs
Exam III 11/15/13 C 9:15 a.m. LH 1 7:00 a.m. Gross Labs A 10:30 a.m. AUD 8:45 a.m. Gross Labs B 8:00 a.m. AUD 10:30 a.m. Gross Labs
Exam IV 1/10/13 A 9:15 a.m. LH 2 7:00 a.m. Gross Labs B 10:30 a.m. AUD 8:45 a.m. Gross Labs C 8:00 a.m. AUD 10:30 a.m. Gross Labs
Exam V 2/28/13 B 9:15 a.m. LH 1 7:00 a.m. Gross Labs C 10:30 a.m. AUD 8:45 a.m. Gross Labs A 8:00 a.m. AUD 10:30 a.m. Gross Labs
Exam VI 5/2/13 C 9:15 a.m. LH 1 7:00 a.m. Gross Labs A 10:30 a.m. AUD 8:45 a.m. Gross Labs B 8:00 a.m. AUD 10:30 a.m. Gross Labs
The number of questions listed for each written and/or practical exam is an approximate figure.
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For the purpose of Anatomy examinations only the class is divided into three groups (A, B and C).
You must appear for your written or practical exam at the time when it is scheduled for your group. The Anatomy faculty has the option of not allowing you to take the exam if you are in the wrong group.
Lecture Listing LECTURER LECTURE TITLE Keywords 1 Khan/Matz Introduction and Terminology Anatomical position 2 Dyche Early Development I Trophoblast; morula, zygote 3 Dyche Early Development II Germ layers; blastocyst 4 Matz Spinal Cord and Typical Spinal Nerve Dorsal and ventral rami 5 Matz Autonomic Nervous System Sympathetic; parasympathetic 6 Khan Posterior Cervical Triangle Cervical plexus 7 Khan Anterior Cervical Triangle Ansa cervicalis; cervical triangles 8 Khan Base of Neck Subclavian artery 9 Spocter Neuro/viscerocranium Cranial and facial bones 10 Khan Superficial Face Cranial and facial bones 11 Khan Parotid Bed Parotid gland 12 Spocter Brain and Meninges Lobes of Brain and Gyri 13 Khan Infratemporal Fossa Mandibular nerve; TMJ 14 Khan Cranial Nerves Peripheral Distribution Cranial Nerves I – XII 15 Khan Orbit Extraocular muscles; lacrimal gland 16 Khan Ear Tympanic cavity 17 Khan Oral/Nasal Cavities Nasal sinuses; tongue; salivary glands 18 Khan Palate/Pharynx Soft palate; hard palate 19 Matz Larynx Laryngeal cartilages; muscles 20 Khan/Matz/Spocter Clinical Correlations Facial paralysis 21 Spocter Vertebral Column Articulations; ligaments, development 22 Khan Superficial Back Dermatomes; trapezius 23 Khan Deep Back I Intrinsic muscles 24 Khan Deep Back II Erector spinae; suboccipital triangle 25 Matz Thoracic Cavity Development Cranial/caudal folding 26 Matz Thoracic Wall Osteology; intercostal muscles 27 Matz Lungs Borders and surfaces: development 28 Matz Heart I Borders and surfaces 29 Matz Heart II Cardiac skeleton 30 Matz Mediastinum I Superior and inferior mediastinum 31 Matz Mediastinum II Radiology 32 Khan/Matz Clinical Correlations 33 Meachen Abdominal Wall Muscles, rectus sheath 34 Meachen Inguinal Region and Spermatic Cord Superficial and deep inguinal rings 35 Meachen Abdominal Cavity I Foregut, midgut, hindgut 36 Meachen Abdominal Cavity II Digestive tract, portal system 37 Meachen Abdominal Cavity III Abdominal organs 38 Meachen Abdominal Cavity IV Posterior abdominal wall 39 Spocter Pelvis I Pelvic bones, ligaments 40 Spocter Pelvis II Pelvic bones, ligaments 41 Khan Perineum I Perineum 42 Khan Perineum II Perineum 43 Matz Pelvic Radiology Pelvis, radiology 44 Khan Gluteal Region Sciatic nerve, cluneal nerve 45 Khan Gluteal Region/Posterior Thigh Gluteal muscles 46 Khan Anterior/Medial Thigh Femoral nerve and artery 47 Khan Anterior Leg Crural fascia; crural muscles 48 Khan Posterior Leg Posterior tibial artery; gastrocnemius muscle 49 Khan Dorsum of Foot Dorsalis pedis artery 50 Khan Plantar Foot Plantar aponeurosis; deep plantar arch 51 Khan Plantar Foot & Joints Tarsal bones and joints 52 Khan Hip & Knee Joints Hip, knee joints 53 Khan Clinical Correlations Arches, orthosis
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54 Dunn Upper Limb I Osteology; fascial planes 55 Dunn Upper Limb II Pectoral region; scapular region 56 Dunn Upper Limb III Axillary vessels; brachial plexus 57 Dunn Upper Limb IV Forearm; hand 58 Dunn Upper Limb V Hand; joints of upper limb 59 Khan/Matz/Dunn Clinical Correlations Upper brachial plexus injuries
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Dissection Lab Listing Dissection Manual Dissection Manual Lab Numbers Title Lab # Page # Lab 1 Posterior Triangle of Neck 14 61 Lab 2 Anterior Triangle of Neck I 15 68 Lab 3 Anterior Triangle of Neck II 16 68 Lab 4 Superficial Face and Scalp 17 78 Lab 5 Parotid Bed 18 87 Lab 6 Deep Face and TMJ I 19 89 Lab 7 Deep Face and TMU II 20 89 Lab 8 Calvaria and Cranial Fossa 21 95 Lab 9 Orbit and Contents 22 101 Lab 10 Ear 23 108 Lab 11 Bisection of Head 24 109 Lab 12 Oral Cavity & Submandibular Region 25 110 Lab 13 Nasal Cavity, Palate and Pharynx 26 115 Lab 14 Larynx 27 119 Lab 15 Superficial Back 1 1 Lab 16 Deeper Muscles of Superficial Back 2 9 Lab 17 Deep Group (Intrinsic) Muscles of the Back 3 11 Lab 18 Suboccipital Triangle 4 16 Lab 19 Spinal Cord 5 19 Lab 20 Anterior Thoracic Wall 28 123 Lab 21 Thoracic Cavity 29 130 Lab 22 In Situ Mid-thoracic Structures 30 137 Lab 23 Heart and Coronary Circulation 31 142 Lab 24 Dissection of the Heart Chambers 32 147 Lab 25 Posterior Mediastinum I 33 150 Lab 26 Posterior Mediastinum II 34 150 Lab 27 Anterior Abdominal Wall 35 158 Lab 28 Inguinal Region 36 167 Lab 29 Abdominal Cavity 37 169 Lab 30 Celiac Trunk 38 177 Lab 31 Vascular Supply to the Intestine 39 181 Lab 32 Posterior Abdominal Wall 40 185 Lab 33 Diaphragm 41 188 Lab 34 Pelvis I 43 193 Lab 35 Pelvis II 44 196 Lab 36 Perineum 42 191 Lab 37 Gluteal Region 45 199 Lab 38 Thigh I 46 202 Lab 39 Thigh II 47 202 Lab 40 Anterior Compartment of Leg 49 217 Lab 41 Posterior and Lateral Compartments of Leg 48 211 Lab 42 Plantar Foot I 50 222 Lab 43 Plantar Foot II 51 222 Lab 44 Joints of Lower Limb 52 227 Lab 45 Scapular Region 6 24 Lab 46 Axillary Fossa I 8 34 Lab 47 Axillary Fossa II 8 34 Lab 48 Arm 9 40 Lab 49 Forearm I 10 43 Lab 50 Forearm II 11 48 Lab 51 Hand I 12 50 Lab 52 Hand II and Joints of Upper Limb 12 50
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Faculty, Guest Faculty, & Guest Lecturers:
Rachel Dunn, Ph.D. William J. Dyche, Ph.D. Assistant Professor of Anatomy Professor Emeritus of Anatomy DMU DMU
M.A. Khan, Ph.D. Julie Meachen, Ph.D. Professor of Anatomy Assistant Professor of Anatomy DMU DMU
Donald G. Matz, Ph.D. Mohammed Spocter, Ph.D. Professor of Anatomy Assistant Professor of Anatomy DMU DMU
Teaching Assistants (MSA Graduate Students)
Jori Avery Heather Horgen
Scot Cohen Kiran Napa
Ethan Elkins Kayla Olson
Ellen Fisher Philip Schulte
Equipment List
The following required equipment must be purchased by the student:
1. Laboratory coat (not a jacket) 2. Plastic apron (optional) 3. Gloves (non-latex) 4. Safety eye wear 5. Disposable scalpels 6. Dissection kit to contain: Scissors, Probe, Forceps, Hemostat
You are expected to wear a clean laboratory coat and your DMU name badge in the lab.
Anatomy Laboratory Rules and Regulations
1. It is especially appropriate to demonstrate in Anatomy Laboratory the philosophy, habits of conduct, and personal appearance associated with being a medical student. You are in the presence of the dead and therefore, it is understood that you will act with respect at all times. 2. The honor of learning the art of anatomy from donated bodies calls for the highest levels of respect both inside and outside the lab. Out of respect for body donors and their families, students are not to discuss or disclose any information pertaining to the cadaver, or to describe dissection procedures, outside of the anatomy lab. If information is brought to the attention of the anatomy department that students have been discussing or disclosing these details by way of email, social networking sites (Facebook, Twitter, Blogs, etc.) or conversations in public places then those students involved in this misconduct will receive a failing grade entered as “0”, in the laboratory (all practical examination scores) portion of the anatomy course. Please see “Professional Standards for Students Using Social Media” in your student handbook.
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3. There will be no drinking or eating in the laboratory. Photographing cadaver specimens is not permitted. Cell phones and radios are not allowed in the gross labs. 4. Cadavers must be kept clean and moist. At the beginning of each session cadavers must be inspected from head to toe and front to back for mold, etc. Solutions are provided to aid students in maintaining cadavers in the best possible condition. At the end of each study session the area around your table must be cleaned and the cadaver properly covered. Failure to do so will be considered unprofessional behavior and subject to disciplinary action. 5. Cadaver materials which are removed during dissection are to be placed in tissue containers located at one end of the cadaver table. 6. Used scalpels are to be placed in appropriately designated containers. 7. Special instruments and materials which are provided only long enough to accomplish a given procedure must be returned as soon as practical to the supply table. Never leave them overnight in the cadaver tables. 8. Audiovisual aids may not be taken from the laboratory. 9. Students must secure permission of an instructor to enter the supply and/or preparation rooms. 10. PLEASE NOTE: Visitors are not allowed in the gross anatomy labs at any time. 11. Students who are pregnant, planning a pregnancy, or have respiratory problems must inform the course coordinator or the chair of the anatomy department. Students will be directed to the Health and Safety Coordinator for education on the risks of formaldehyde exposure. 12. Students are required to wear a clean laboratory coat and gloves at all times. Used gloves must be discarded in the designated waste containers in the Laboratory. They must not be carried out of the Laboratory. 13. Computers in the gross lab are there only for accessing the lab instructions. They are not to be used for “surfing” the Internet or other personal use.
Dress Requirements
OSHA regulations require that all personnel in the Gross Anatomy Laboratories wear a long lab coat, gloves, and close toe shoes. No shorts will be allowed. These rules apply at all times including evenings and weekends. If you are not in compliance with these rules you will not be permitted to stay in the laboratory.
Classroom Assignments
Lectures: SEC Auditorium unless otherwise listed in block schedule
Gross Labs: Ryan Hall, Gross Anatomy Laboratories, Room 125 - 129
The class is divided into two groups (Group I & II) for laboratories as indicated in the block schedule.
There will be five students assigned to each cadaver.
The cadaver table assignments will be posted in the glass case outside the gross anatomy labs and also on Angel.
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Policies:
1. Policies and Procedures for Skin Cuts
All first year medical students are to have an updated tetanus booster before acceptance into university programs.
When a student receives a cut or puncture in the gross anatomy lab, it is the responsibility of the student to clean and bandage the wound, and fill out an incident report form.
Antiseptic soap, antibiotic cream and bandages are available in the gross labs for this purpose within the First Aid Cabinets in Gross lab rooms 125 and 129.
When cut, the student shall:
1. Locate First Aid cabinet near the sink in Ryan Hall Rooms 125 and 129 2. Bleed the cut under running water. 3. Clean the cut with antiseptic soap. 4. Use Betadine swabs and antibiotic cream to dress the cut. 5. Place a Band-Aid over the wound. 6. An incident report form MUST be filled out and submitted within 24 hours of the incident to the Health and Safety Coordinator. (The online “Incident Report Form” is on Student Pulse. Hard copy forms are located within the First Aid cabinets). 7. If the injury is such that medical attention is necessary and/or the student chooses to be seen by a physician (either at the University clinic or outside the University), the student may do so assuming full responsibility for any medical charges incurred. 8. An incident report form must be filled out and sent to the Clinic Administration
2. Policy for Accidental Eye Contact by Tissue and Embalming Fluid
The student, upon entering the anatomy laboratory, should locate eye-wash bottles (in each laboratory room) and/or eye-wash basin (located in Ryan 125, south end of the anatomy laboratory).
When accidental eye splash or contact occurs the student shall:
1. Immediately notify the anatomy facilitator, teaching assistant or a lab group member. 2. Locate the closest eye-wash bottle and/or eye-wash basin and flush the eye with all of the bottled solution and water. 3. If flushing with the eye-wash bottle, move to the eye-wash basin and continue flushing eye for another 15-20 minutes. If the students still feels that the eye is affected continue flushing the eye. 4. If the injury is such that medical attention is necessary and/or the student chooses to be seen by a physician (either at the University clinic or outside the University), the student may do so assuming full responsibility of any medical charges incurred. 5. A Student Injury Report Form must be filled out and submitted within 24 hours of the incident to the Health and Safety Coordinator. The location of the online “Student Injury Report Form” is on Pulse/Students/Student Health/Injury Reporting. Hard copy forms are located within the First Aid cabinets.
3. Pregnant students or students with respiratory problems
Students, faculty or staff who are pregnant, planning a pregnancy, or have respiratory problems during Anatomy Departmental courses with an anatomy dissection component must inform the course coordinator or the chair of the anatomy department. Students will be directed to the Health and Safety Coordinator for education on the risks of formaldehyde exposure.
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4. Bone Checkout and Return Policy
Bones will be available for checkout at the beginning of the gross anatomy course and are to be returned at the end of the course. A grade of incomplete (“I”) will be assigned to students who do not return the bones at the end of the course. The incomplete grade will not be removed until the bones are returned to the department or the department is reimbursed for the cost of lost/damaged bones.
5. Evening/Weekend Open Labs
1. Gross labs are normally open Monday through Friday from 6:00 a.m. to 10:00 p.m. unless indicated otherwise. 2. Additionally the labs will be open on Saturdays and Sundays from 1:00 pm to 5:00 pm unless indicated otherwise.
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