BLUEPRINT
MONDAY FEBRUARY 11, 2008 4 FRIDAY MAY 23, 2008
WEEK 1
ELECTRICAL & MECHANICAL PROPERTIES OF THE HEART - PART I / INTRODUCTION TO PHARMACOLOGY
Group - Cardiology
| Day |
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
| Time |
FEBRUARY 11 |
FEBRUARY 12 |
FEBRUARY 13 |
FEBRUARY 14 |
FEBRUARY 15 |
8-10
AM |
Interactive
Sessions:
8-9 am
Cardiac Muscle: Molecular & Cellular Aspects of Contraction
9-10 am
Cardiac Pump Function: Afterload, Preload, Pressure Volume Loops
|
FCM -
Foundations
of Clinical
Medicine
Blocks 1-4
|
Interactive
Sessions:
Introduction to Principles of Pharmacology
|
Structure:
8-9 am
HP REVIEW | Cardiovascular Histopathology |
Interactive
Sessions:
Laboratory Exercise: Action Potential
|
10-12 Noon |
Interactive
Sessions:
10-11 am
Membrane Physiology & Ion Homeostasis at the Cellular Level
11-12 noon
Resting & Action Potential |
Structure:
10-11 am
HP | Cardiovascular Histopathology
11-12 noon
HP | Respiratory Histopathology |
Interactive
Sessions:
Small Group Exercises: Cardiac Muscle Function at the Cellular & Systems Levels (REQUIRED)
|
|
Interactive
Sessions:
10-11 am
Heart Sounds
11-12 noon
Summary & Integration: Integrative Cardiovascular Biology |
12 -
1 PM |
|
|
|
|
|
TOP
WEEK 2
ELECTRICAL & MECHANICAL PROPERTIES OF THE HEART - PART II / DRUG ABS / DIST / METAB
Group - Cardiology
| Day |
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
| Time |
FEBRUARY 18 |
FEBRUARY 19 |
FEBRUARY 20 |
FEBRUARY 21 |
FEBRUARY 22 |
8-10
AM |
Interactive
Sessions:
Small Group Exercises: Membrane Transport Physiology in the Heart & Epithelial Tissues (REQUIRED)
|
FCM -
Foundations
of Clinical
Medicine
Blocks 1-4
|
Interactive
Sessions:
Small Group Exercises: Electrophysiology of Cardiac Muscle: Resting Potential, Action Potential & Conduction Mechanisms (REQUIRED)
|
Structure:
GAR LAB | Dissection of Chest Wall, Pleurae & Lungs |
Interactive
Sessions:
8-9 am
Autonomic Nervous System
9-10 am
Small Group Exercises: Integrated Cardiac Signaling (REQUIRED)
|
10-12 Noon |
Interactive
Sessions:
10-11 am
Cardiac Electrophysiology
11-12 noon
Cardiac Bioenergetics / Metabolism |
Structure:
GAR | Anatomy of the Thoracic Wall, the Pleurae & the Lungs
|
Interactive
Sessions:
TBL: Drug Absorption, Distribution, Metabolism (REQUIRED)
|
Interactive
Sessions:
Block Review Session |
Interactive
Sessions:
10-11 am
Regulation of Blood Flow
11-12 noon
Summary & Integration: Integrative Cardiovascular Biology Part II / Drug Absorption, Distribution, Meteabolism |
12 -
1 PM |
|
|
|
|
PD2: 2011 Orientation Pediatric Module |
TOP
WEEK 3
CARDIOPULMONARY HEMODYNAMICS / PHARMACODYNAMICS
Group - Cardiology
| Day |
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
| Time |
FEBRUARY 25 |
FEBRUARY 26 |
FEBRUARY 27 |
FEBRUARY 28 |
FEBRUARY 29 |
8-10
AM |
IQ Groups:
Case #1
Case #2
|
FCM -
Foundations
of Clinical
Medicine
Blocks 1-4
|
IQ Groups:
Case #1
Case #2
|
Structure:
HP REVIEW | Cardiac Histology
|
IQ Groups:
Case #1
Case #2
|
10-12 Noon |
Interactive
Sessions:
10-11 am
Heart Failure Concepts
11-12 noon
Valvular Heart Disease
|
Structure:
HP | Pathology of Heart Failure & sudden Death |
Interactive
Sessions:
10-11 am
TBL: Pharmaco-
dynamics
11-12 noon
Research & Scholarship: George Dubyak, Ph.D. - Purinergic Receptors / Signaling |
Block 4
Review
Session
Structure:
GAR | Anatomy & Embryology of the Heart |
Interactive
Sessions:
Intro-
duction to Electro-
cardiograms |
12 -
1 PM |
|
|
|
|
|
TOP
WEEK 4
NEUROREGULATION OF THE CARDIOVASCULAR SYSTEM
AND CARDIAC ARRHYTHMIAS
Group – Cardiology
| Day |
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
| Time |
MARCH 3 |
MARCH 4 |
MARCH 5 |
MARCH 6 |
MARCH 7 |
8-10
AM |
IQ Groups:
Case #3
Case #4
|
FCM -
Foundations
of Clinical
Medicine
Blocks 1-4 |
IQ Groups:
Case #3
Case #4
|
Structure:
GAR | Are You Current with ANS? & Cranial Nerve Introduction
|
IQ Groups:
Case #3
Case #4
|
10-12 Noon |
Interactive
Sessions:
Genetic Aspects of Cardiac Diseases
|
Structure:
GAR LAB | Dissection of Pericardium & Heart
|
Interactive
Sessions:
Small Group Exercises: Supraventricular Arrhythmias: Mechanisms & Hemodynamic Consequences (REQUIRED)
|
Block 4
Review
Session
|
Interactive
Sessions:
10-11 am
HP | Renal & Urinary Tract Histology
11-12 noon
Summary & Integration: Neuroregulation of the Cardiovascular System & Cardiac Arrhythmias |
12 -
1 PM |
|
|
|
|
|
TOP
SPRING BREAK:
MARCH 8 - MARCH 16
WEEK 5
REGULATION OF FLUID HOMEOSTASIS / PHARMACOKINETIC CALCULATIONS
Group - Renal
| Day |
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
| Time |
MARCH 17 |
MARCH 18 |
MARCH 19 |
MARCH 20 |
MARCH 21 |
8-10
AM |
IQ Groups:
Case #5
Case #6
|
FCM -
Foundations
of Clinical
Medicine
Blocks 1-4
|
IQ Groups:
Case #5
Case #6
|
Structure
8-9 am
HP REVIEW | Renal Histology
9-10 am
HP REVIEW | Renal Pathology |
IQ Groups:
Case #5
Case #6
|
10-12 Noon |
Interactive
Sessions:
10-11 am
Renal
Overview
11-12 noon
Introduction to
Volume and
Osmolar
Regulation |
Structure:
HP | Kidney Diseases |
Interactive Sessions:
Pharmacology
Session:
Pharmacokinetic
Calculations,
Dosing
Regimens
and Renal
Elimination |
Block 4
Review
Session |
Interactive
Sessions:
10-11 am
How to Read a Chest X-Ray
11-12 noon
Summary & Integration: Regulation of Fluid Homeostasis / Pharmacokinetic Calculations
|
12 -
1 PM |
|
|
|
|
|
TOP
WEEK 6
PULMONARY MECHANICS & OXYGENATION:
OBSTRUCTIVE LUNG DISEASE
Group - Pulmonary
| Day |
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
| Time |
MARCH 24 |
MARCH 25 |
MARCH 26 |
MARCH 27 |
MARCH 28 |
8-10
AM |
IQ Groups:
Case #7
Case #8
|
FCM -
Foundations
of Clinical
Medicine
Blocks 1-4
|
IQ Groups:
Case #7
Case #8
|
Structure:
8-9 am
HP REVIEW | Respiratory Pathology
9-10 am
HP REVIEW | COPD Pathology / Interstitial Lung Disease |
IQ Groups:
Case #7
Case #8
|
10-12 Noon |
Interactive
Sessions:
Physiology & Pathophysiology of Gas Exchange
|
Structure:
10-11 am
HP | COPD
11-12 noon
HP | Interstitial Lung Disease |
Interactive
Sessions:
Respiratory System Mechanics |
Block 4
Review
Session
|
Interactive
Sessions:
Pulmonary Exams
Summary & Integration: Obstructive Lung Disease |
12 -
1 PM |
|
|
|
|
|
TOP
WEEK 7
PULMONARY MECHANICS & OXYGENATION:
RESTRICTIVE LUNG DISORDERS / PHARMACOGENETICS
Group – Pulmonary
| Day |
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
| Time |
MARCH 31 |
APRIL 1 |
APRIL 2 |
APRIL 3 |
APRIL 4 |
8-10
AM |
IQ Groups:
Case #9
Case #10
|
FCM -
Foundations
of Clinical
Medicine
Blocks 1-4
|
IQ Groups:
Case #9
Case #10
|
Structure:
GAR | Posterior Mediastinum
|
IQ Groups:
Case #9
Case #10
|
10-12 Noon |
Interactive Sessions:
10-11 am
Control of
Breathing / Respiratory System Function
11-12 noon
Introduction to Interstitial Diseases |
Structure:
GAR LAB |
Open Gross Anatomy Lab |
Interactive
Sessions:
Pharmacology
Session:
Pharmacogenetics
of Asthma
|
Block 4
Review
Session |
Interactive
Sessions:
10-11 am
Regulation of Potassium
11-12 noon
Summary & Integration: Restrictive Lung Disorders / Pharmacogenetics |
12 -
1 PM |
|
|
Research & Scholarship |
|
|
TOP
WEEK 8
ACID/BASE HOMEOSTASIS
Group - Renal
| Day |
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
| Time |
APRIL 7 |
APRIL 8 |
APRIL 9 |
APRIL 10 |
APRIL 11 |
8-10
AM |
IQ Groups:
Case #11
Case #12
|
FCM -
Foundations
of Clinical
Medicine
Blocks 1-4 |
IQ Groups:
Case #11
Case #12
|
Structure:
GAR | Root of Neck; Nerves of Neck |
IQ Groups:
Case #11
Case #12
|
10-12 Noon |
Interactive Sessions:
Acid-Base Disorders |
Structure:
GAR LAB | Dissection of Posterior Mediastinum |
Interactive
Sessions:
10-11 am
Metabolic
Acidosis and
Toxicology
11–12 noon
Diuretics
|
Block 4
Review
Session
|
Interactive
Sessions:
10-11 am
Heart Demonstrations
11–12 noon
Summary & Integration: Acid-Base Homeostasis |
12 -
1 PM |
|
|
|
|
|
TOP
WEEK 9
OXYGEN DELIVERY TO THE PERIPHERAL ORGANS / DRUG METABOLISM
Group – ½ Renal, ½ Pulmonary
| Day |
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
| Time |
APRIL 14 |
APRIL 15 |
APRIL 16 |
APRIL 17 |
APRIL 18 |
8-10
AM |
IQ Groups:
Case #13
Case #14
|
FCM -
Foundations
of Clinical
Medicine
Blocks 1-4 |
IQ Groups:
Case #13
Case #14
|
Structure:
HP REVIEW |
Histology
HP REVIEW | Pathology |
IQ Groups:
Case #13
Case #14
|
10-12 Noon |
Interactive
Sessions:
10-11 am
Acute Renal
Failure
11–12 noon
Physiological Factors Affecting Drug Metabolism & Distribution |
Structure:
HP | Lung Cancer /
Pulmonary Vasculature
|
Interactive
Sessions:
MSG: Congenital Heart Disease - Left to Right Shunt Lesions |
Block 4
Review
Session
|
Interactive
Sessions:
10-11 am
Oxygen Delivery
11–12 noon
Summary & Integration: Oxygen Delivery to the Peripheral Organs / Drug Metabolism |
12 -
1 PM |
|
|
Research & Scholarship |
|
|
13 -
17 PM |
|
Year 1 OSCE |
Year 1 OSCE |
Year 1 OSCE |
|
TOP
WEEK 10
ATHEROSCLEROSIS/ISCHEMIC HEART DISEASE
Group – Cardiology
| Day |
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
| Time |
APRIL 21 |
APRIL 22 |
APRIL 23 |
APRIL 24 |
APRIL 25 |
8-10
AM |
IQ Groups:
Case #15
Case #16
|
FCM -
Foundations
of Clinical
Medicine
Blocks 1-4
|
IQ Groups:
Case #15
Case #16
|
Structure:
8-9 am
HP REVIEW |
Histology
9-10 am
HP REVIEW |
Pathology |
IQ Groups:
Case #15
Case #16
|
10-12 Noon |
Interactive Sessions:
10-11 am
Pulmonary Hypertension
11–12 noon
Consequences of
Myocardial
Ischemia &
Coronary Blood
Flow
|
Structure:
HP | Atherosclerosis/
Myocardial Infarction
|
Interactive
Sessions:
Pharmacology
Session:
Pharmacology
of Medications
Used in
Treatment of
Coronary Heart
Disease |
Block 4
Review
Session
|
Interactive
Sessions:
10-11 am
Heart Sounds &
Murmurs Related
to Congenital
Heart Disease
(Physiology)
11–12 noon
Summary &
Integration:
Atherosclerosis /
Ischemic Heart
Disease |
12 -
1 PM |
|
|
Research & Scholarship |
|
|
13 -
17 PM |
|
Year 1 OSCE |
Year 1 OSCE |
Year 1 OSCE |
|
TOP
WEEK 11
HYPERTENSION AND CHRONIC KIDNEY DISEASE /
ADVERSE DRUG REACTIONS
Group – Renal
| Day |
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
| Time |
APRIL 28 |
APRIL 29 |
APRIL 30 |
MAY 1 |
MAY 2 |
| 2
8-10
AM |
IQ Groups:
Case #17
Case #18
|
FCM -
Foundations
of Clinical
Medicine
Blocks 1-4
|
IQ Groups:
Case #17
Case #18
|
Structure:
GAR | Open
Gross
Anatomy Lab |
IQ Groups:
Case #17
Case #18
|
10-12 Noon |
Interactive
Sessions:
10-11 am
Pathogenesis
of
Hypertension
11–12 noon
Chronic Kidney
Disease |
Structure:
GAR | Dissection of Root of Neck; Nerves of Neck
|
Interactive
Sessions:
Pharmacology
Session:
Adverse effects
and Drug-Drug
Interactions
involving
Cardiovascular
Drugs: Focus
on Digoxin |
Block 4
Review
Session
|
Interactive
Sessions:
10-11 am
Clinical
Immersion
Preview
11–12 noon
Summary &
Integration:
Hypertension &
Chronic Kidney
Disease /
Adverse Drug
Reactions |
12 -
1 PM |
|
|
Research & Scholarship |
|
|
TOP
WEEK 12
CLINICAL IMMERSION
PROPOSED CLINICAL SCENARIOS
Monday, MAY 5- Friday, MAY 9 |
Clinical
Scenario |
Associated Systems |
Clinical Settings |
Highlighted Diagnostic Tests and Modalities |
Treatment Modalities |
Additional Topics |
Cardiology:
Ischemic heart
disease /
CAD / CHF |
Hypertension
Cholesterol
Renal effects
of CHF
Pulmonary
effects of CHF |
Outpatient
10B /
Telemetry
CICU
MICU |
Renal panel
Cholesterol panel
EKG
Radiology
Stress test
Cath lab
Echo lab |
Cholesterol
lowering agents
Antihypertensive
agents, diuretics,
afterload agents
Anti-anginal
agents, Acute MI
protocols, Surgical
modalities |
EBBP |
Renal: Chronic
renal disease
Electrolyte and
acid-base |
Cardiac effects
Acid-base |
Outpatient
Ward
Hemodialysis
unit 10B/
telemetry
MICU, SICU,
CICU |
Urinalysis
Electrolytes
ABGs
Hemodialysis |
Medical
management
Hemodialysis |
EBBP
Ethics |
Pulmonary:
Asthma and
COPD |
Environmental,
allergic aspects
Tobacco abuse |
Outpatient
Ward
10B
MICU |
PFT lab
Radiology
ABGs |
Bronchodilator
agents, oxygen
Environmental
modification
Immune
modulation and
other disease
modifiers
|
Epidemiology,
environmental
aspects
EBBP
Ethics |
Pulmonary:
Acute respiratory
insufficiency /
ARDS |
Pneumonia
Ventilator
management |
MICU, SICU |
CBC,
differential
Radiology
Microbiology lab
ABGs
|
Respiratory,
vent, weaning
protocols |
EBBP
Ethics
Organizational
structures
(IHI bundles) |
Multidisciplinary:
Shock states |
Cardiac
Renal
Respiratory |
Operating
room
Ward
10B /
Telemetry
MICU, SICU |
Electrolytes
ABGs
Radiology
CVP, PA catheters
Pathology
Hemodialysis/
CVVH |
Fluid
management,
hemodynamic
support
Ventilatory
management
Antimicrobial
agents |
EBBP
Ethics |
TOP
WEEK 13
SHOCK
(Disruption of Homeostatic Mechanisms)
Group - Pulmonary
| Day |
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
| Time |
MAY 12 |
MAY 13 |
MAY 14 |
MAY 15 |
MAY 16 |
8-10
AM |
IQ Groups:
Case #19
|
FCM -
Foundations
of Clinical
Medicine
Blocks 1-4
|
IQ Groups:
Case #19
|
Structure:
HP REVIEW |
Structure
Review
Session |
IQ Groups:
Case #19
|
10-12 AM |
Interactive
Sessions:
10 - 11 am
Small Group
Sessions:
Septic Shock
11 - 12 amPulmonary
Edema |
Structure:
HP | Shock / ARDS
/
Pneumonia
|
Interactive
Sessions:
Pharmacology
Session:
Mechanisms of
Action of
Therapeutic
Agents Used
to Treat Shock
|
Block 4
Review
Session
|
Interactive
Sessions:
10 - 11 am
Pharmacology
at the Extreme of Life
11 - 12 am
Summary &
Integration:
Shock |
12 -
1 PM |
|
|
|
|
|
TOP
WEEK 14
INTEGRATION AND REFLECTION
| Day |
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
| Time |
MAY 19 |
MAY 20 |
MAY 21 |
MAY 22 |
MAY 23 |
8-10 AM |
|
8-10 am
Structure Exam
Anatomy
(1 hour)
Histo
(1 hour)
|
Independent
Study Time |
8-12 noon
Summative
Synthesis Essay
Question (SSEQ)
Exam: BEGINS PROMPTLY AT 8:00 am |
8-11:30 am
NBME
Cumulative
Achievement
Test
|
10-12 Noon |
|
Self-Directed
Learning Time
|
| |
12 -
1 PM |
|
|
|
|
|
TOP |