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------=_NextPart_01C87F76.007D76B0 Content-Location: file:///C:/2B39C638/B6PosterCurr2008_files/pres.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; charset="utf-8" ------=_NextPart_01C87F76.007D76B0 Content-Location: file:///C:/2B39C638/B6PosterCurr2008_files/slide0001.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="windows-1252" 2008 Block 6 Poster Style E 24 by 48
Block 6: Cognition, Sensation, and Movement
Leaders: Drs. David Agle, Kathleen Clegg , David Dean, Alan Lerner, and Shana Miskovsky
Design Team Members:
Drs. Krishan Chandar, Moni= ca MacDougall, and Maryellen Davis - Course Manager: Nivo Hanson
=
=
Goals and Objectives
=
=
=
=
=
=
Overview
=
=
=
=
Strengths
Utilize Basic Science Concepts In Neuroscience, Psychia= try And Musculoskeletal Medicine In Approaching Clinical Cases
Block 6 consist of th= ree components: Neuroscience, Musculoskeletal, and Mind.
The Neuroscience port= ion of Block 6 simultaneously takes a top-down approach to the gross structures and pathwa= ys, as well as functional subsystems, of the nervous system and a bottom-<= /span>up approach to anatom= y and physiology of the nervous system. The Musculoskeletal p= ortion of Block 6 will begin with the development of the skeleton and limbs, progress through the formation and maintenance of normal bones and joint, proceed with an examination of the so= ft tissues and spinal mechanisms responsible for creating or controlling join= t movement, and conclud= e with pathological, congenital and acquired processes which affect musculoskeletal syste= m. The Mind portion of Block 6 will explore normal psychological development, the diagnosis of = psychopatho= logy throughout life, and treatments of psychiatric disorders, including pharmacothe= rapy and psychosocial interventions.
=
BLOCK 6 WEEK-BY- WEEK CURRICULUM <= /div>
Week 1: Introduction to Neuroscience
Neuroscience <= /b>
• Overview of the nervous system
• Localization of lesions based on knowledge of sensory-motor systems =
• Chemical basis= for neuromuscular transmission
=
Week 2: Sensory and Mot= or Systems
Neuroscience <= /b>
• Anatomy and mechanisms for overall balance, eye movements and vision
• Lesion localiz= ation in these portions of the nervous system
=
Week 3: Blood Supply and Stroke
Neuroscience <= /b>
• Anatomy and fu= nction of the cerebrovasculature
• Threshold for cerebral ischemia
• Ischemic and b= rain hemorrhagic
• Role of reticu= lar formation
=
Week 4:  Development and Movement =
Musculoskeletal and Neuroscience
• Basics of norm= al musculoskeletal system
• Cellular constituents of bone and cartilage
• How motion is created and controlled by joints, ligaments, menisci
=
Week 5:  Injury
Musculoskeletal and Neuroscience
• The pathophysi= ology of peripheral nerve laceration and compression
• Case work with orthopaedic emergencies
• Muscle disease, peripheral neuropathy, epilepsy and anti-epileptic drugs
• Classification= of myopathy
• Define the peripheral nervous system
=
Week 6: Tumors and Infe= ctions =
Musculoskeletal and Neuroscience
• Epidemio= logy and etiology of selected tumors of soft tissue and bone = and for musculoske= letal infections
• Introduction of basic diagnostic and management principles
• Brain tumor and infectio= ns of the central nervous system
=
Week 7: Cognition and Headache
Neuroscience <= /b>
• Role of hypothalamus in control of somatic functions
• Thalamic and neural basi= s of emotions
• Anatomical structures of the limbic system and the amygdala
• Language and panic disorders
=
WEEK8: = Development of Personality
Mind
• Life span development= 3;
• Abnormal disorders of childhood and adolescence
• Biopsychosocial model of personality
=
WEEK 9:= Mood and Anxie= ty Disorders
Mind
• Neurochemical basis of m= ood and anxiety
• Risk factors for suicide=
• Hypochondriasi= s, somatoform disorder and conversion disorder
=
WEEK = 10: Psychopatholog= y: Impact on the Individual and the Community =
Mind
• Major psychotic disorder= s
• Symptoms and treatment of sexual dysfunction
• Forensic topics =
=
WEEK 11: Clinical Immer= sion =
<= span style=3D'font-size:167%'>Ř Intervie= ws with psychiatric patients
<= span style=3D'font-size:167%'>Ř Applicat= ion of knowledge of musculoskeletal anatomy
<= span style=3D'font-size:167%'>Ř Facets of orthopaedic surgery
<= span style=3D'font-size:167%'>Ř Splintin= g
<= span style=3D'font-size:167%'>Ř Joint and bursal injections
Ř Training standardized psychiatric interviews in lumbar puncture
=
WEEK 12: Reflection and Integration
• Assessment for Block 6 a= nd Block 7
• Reviews with  the Experts
• The topics felt very interrelated and the block flowed well from one
   topic to another.
• The faculty was extremely approachable, especially the Neuro faculty. <= /div>
   I appreciate greatly that they were w= illing to spend extra time for
   the Noon Reviews to make sure that st= udents were getting
   adequate teaching.
• Psych was covered= very well (probably too well), and musculoskeletal
  was very interesting.
• I enjoyed the IQ cases.  Most of the cases were rel= evant to the entire
  block, rather than focusing on a single obscure topic.
• The medium size g= roups for psychiatry were the first medium size
   groups in the entire curriculum that = were well-run and beneficial.
• The beginning neu= ro cases were very good. However, they would
   have been more high yield if there we= re more time for introductory
   lectures.
• I enjoyed and gre= atly benefited from the psychiatry medium sized
  groups.  They were very good in elucidating the unique aspects of 
  several mental and personality disorders.  Actually, all of the m= edium
  sized groups were very helpful for my learning (including neuro)
  because I was able to speak with exper= ts about questions that  
  developed from the group discussion and clarify any confusion I had.
  Neuro and musculoskeletal IQ cases wer= e well written and lectures  =
  matched IQ case topics.
• The material in B= lock 6 correlated well with the structure material.
• I thought the neu= ro cases were exceptional.  I was ner= vous about
  neuro because I had no previous exposu= re but felt the teaching was
  adequate and that I have an extensive = grasp of the concepts now.
• The neuro component was well-designed. The anatomy faculty were
   very organized, worked very hard to facilitate our learning.
=
=
Lessons Learned
• More support for Clinical Immersion
• Need to plan for redundancy in presenting information, multiple times
  in multiple formats.
• Students apprecia= te IQ cases and other cases that transcend
  disciplines and build on previously ac= quired knowledge.
• The IQ cases did facilitate the students learning at the depth intended. =
• Students really appreciated Medium Sized Groups with videotapes of
  patient and standardized patient inter= views; will incorporate more of 
  these, and use the Media Center. <= /span>
• Students would be= nefit from more introductory lectures prior to some
  of the Medium sized Groups.
• Some students found the Thu= rsday review sessions helpful, but
  attendance was very low; will relook a= t how best to utilize this time.
• Clinical Intervie= wing of psychiatric patients during Clinical Immersion
  week was very useful, even though very= labor intensive to coordinate.
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