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WR2 Curriculum

 
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WR2 CURRICULUM BLOCKS

 

FOUNDATIONS OF MEDICINE & HEALTH


BLOCK 4

HOMEOSTASIS

 

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
         

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