University of Texas Pan American Physician Assistant Department Radiology Seminar Summer I 2015

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1 Course Number: PHAS 5111 Credit Hours: 1 University of Texas Pan American Physician Assistant Department Radiology Seminar Summer I 2015 Course Title: Radiology Seminar Course Location: Room HSHE Class Time(s): MWTh 9-10 AM Required Texts & Materials: Learning Radiology, William Herring, MD ISBN # Instructor & Contact Information: Audrey Jones, DO Assistant Clinical Professor, Medical Director UTPA Physician Assistant Department All correspondence will be through course Blackboard. HSHE Susan K. Simmons, PA-C, Clinical Assistant Professor UTPA Physician Assistant Department All correspondence will be through course Blackboard. HSHE Course Description: Radiology Seminar This course provides the physician assistant student with an overview of radiographic technologies such as X-rays, computed tomography scans, ultrasounds, magnetic resonance images and other specialized radiographic studies. Basic interpretation and use of radiographic studies in clinical practice are emphasized in this course. Prerequisite: PHAS 5301, 5318,

2 Course Grading: The final grade will be based on the following percentages and include three exams with a final comprehensive exam Exam I 25% A Exam II 25% B 80- <90 Exam III 25% C 70- <80 Final 25% F <70 Physician Assistant Core Competencies: This course will prepare the student to meet certain PA competencies. The Radiology Seminar course outcomes and learning objectives relate to the Competencies for the Physician Assistant Profession (2012) as follows: Core Competencies for the PA Profession Medical Knowledge Specific Competencies Addressed in PHAS Evidence-based medicine 2. Scientific principles related to patient care 3. Appropriate diagnostic studies 4. Management of general medical and surgical conditions to include pharmacologic and other treatment modalities 5. Interventions for prevention of disease and health promotion/maintenance 6. Screening methods to detect conditions in an asymptomatic individual Interpersonal & Communication Skills 1. Use effective communication skills to elicit and provide information 2. Adapt communication style and messages to the context of the interaction 3. Demonstrate emotional resilience and stability, adaptability, flexibility, and tolerance of ambiguity and anxiety 4. Accurately and adequately document information regarding care for medical, legal, quality, and financial purposes 2

3 Patient Care 1. Work effectively with physicians and other health care professionals to provide patient-centered care 2. Demonstrate compassionate and respectful behaviors when interacting with patients and their families 3. Make decisions about diagnostic and therapeutic interventions based on patient information and preferences, current scientific evidence, and informed clinical judgment 4. Develop and implement patient management plans 5. Counsel and educate patients and their families 6. Provide health care services and education aimed at disease prevention and health maintenance 7. Use information technology to support patient care decisions and patient education Professionalism 1. Understanding of legal and regulatory requirements, as well as the appropriate role of the physician assistant 2. Professional relationships with physician supervisors and other health care providers 3. Respect, compassion, and integrity 4. Accountability to patients, society, and the profession 5. Commitment to excellence and on-going professional development 6. Commitment to ethical principles pertaining to provision or withholding of clinical care, confidentiality of patient information, informed consent, and business practices 7. Sensitivity and responsiveness to patients culture, age, gender, and abilities 8. Self-reflection, critical curiosity, and initiative 9. Healthy behaviors and life balance 10. Commitment to the education of students and other healthcare professionals 3

4 Practice-Based Learning & Improvement 1. Analyze practice experience and perform practice-based improvement activities using a systematic methodology in concert with other members of the health care delivery team 2. Locate, appraise, and integrate evidence from scientific studies related to their patients health 3. Utilize information technology to manage information, access medical information, and support their own education 4. Recognize and appropriately address personal biases, gaps in medical knowledge, and physical limitations in themselves and others Systems-Based Practice 1. Understand the funding sources and payment systems that provide coverage for patient care and use the systems effectively 2. Practice cost-effective health care and resource allocation that does not compromise quality of care 3. Advocate for quality patient care and assist patients in dealing with system complexities 4. Partner with supervising physicians, health care managers, and other health care providers to assess, coordinate, and improve the delivery and effectiveness of health care and patient outcomes 5. Accept responsibility for promoting a safe environment for patient care and recognizing and correcting systems-based factors that negatively impact patient care 6. Apply medical information and clinical data systems to provide effective, efficient patient care 7. Recognize and appropriately address system biases that contribute to health care disparities 8. Apply the concepts of population health to patient care 4

5 Americans With Disabilities Act (ADA): Students with disabilities are encouraged to contact the Disability Services office for a confidential discussion of their individual needs for academic accommodation. It is the policy of the University of Texas-Pan American to provide flexible and individualized accommodation to students with documented disabilities that may affect their ability to fully participate in course activities or to meet course requirements. To receive accommodation services, students must be registered with the Disability Services office (DS), University Center #108, or disabilityservices@utpa.edu Learning and Assessment Activities: 1. Lectures Lectures will be given for each section of study. Handouts for each lecture will be available in BBL. 2. Self-Study: WEB LINKS: Priority: Other sites: Very Good Harvard radiology site: C-spine trauma x-rays Cervical spondylotic myelopathy EBM Rx Neck injuries Spinal Cord Emergencies Shoulder 1 (exam) Shoulder 2 (disorders) Trigger Points Wrist Scoliosis Low Back Pain Hip Fx Knee Pain 5

6 Course Goals: This is a basic course in image interpretation of most common images seen in primary care. The course will cover basic radiology, common terms use in radiology, differential diagnosis of common findings, common pitfalls in interpretations and take home points in each section covered. Sections covered will include Cardiology, Pulmonary, GI, Bone and common pediatric findings. Students are expected to know their anatomy as it applies to identification of structures of images being reviewed. Instructional Objectives: Cognitive Objectives: The student will explain the pathophysiological mechanism of the presenting condition. The student will state the signs and symptoms the patient presented and explained the mechanism bring on the same to the patient. Recognize the indications, contraindications, and value of the performing diagnostic testing. The students will defend the ordering of diagnostic test they regularly order for various medical conditions and justify the medical necessity. Recognize when to refer patients for appropriate medical care when services are beyond those you can provide. Affective Objectives: Be able to justify studies diagnostic test and procedures ordered: Exhibit ethical behavior in all professional activities. Take responsibility for quality of care and health outcomes Provide culturally sensitive care Continue to learn and help others. Psychomotor Objectives: The aptitude to order or recommend appropriate radiological or other necessary diagnostic studies. The competence to recognize radiology patterns to come to a diagnostic conclusion and develop a management plan for patient care. The capability to follow patient progress by recording review and periodic reevaluation as needed 6

7 Learning Objectives: The student is expected at the completion of this course if attendance in all lectures, reading all assignments and completion of all formative and summative exams with 80% or better to: 1. use proper terminology base on anatomical terms in describing imaging interpretation, 2. develop a differential diagnosis of presenting finding on imaging, 3. justify medical necessity on ordering imaging diagnostics, 4. identify legal obligations and consequences when interpreting imaging and 5. follow up as required by interpretation Course Outline & Schedule: Monday, June 8, 2015 Learning Radiology Chapter 1, 2 and 3 Specific Objectives: A. Technique Learn the difference between PA vs. AP CXR Learn the utility of a lateral decubitus CXR Understand the terms inspiration, penetration, and rotation as they apply to determining a technically adequate film B. Anatomy Learn the basic anatomy of the fissures of the lungs, heart borders, bronchi, and vasculature that can be seen on a chest x-ray C. Interpretation Develop a consistent and thorough technique for reading images Learn how the silhouette sign can help localize pathology Wednesday, June 10, 2015 Learning Radiology Chapters 4, 5, 6, and 7 Specific Objectives A. Recognize causes of opacified hemithorax B. Recognize Atalectasis C. Recognize a pleural effusion D. Recognize pneumonia E. Recognize pneumothorax F. Recognize pneumopericardium G. Recognize subcutaneous emphysema 7

8 Thursday, June 11, 2015 Learning Radiology Chapters 8, 9, 10 Specific Objectives A. Recognize pneumothorax B. Recognize pneumopericardium C. Recognize subcutaneous emphysema D. Recognize pericardial effusion E. Recognize cardiomegaly F. Recognize normal pulmonary vasculature G. Recognize common cardiac diseases H. Recognizing correct placement of lines and tubes Monday, June 15, 2015 Learning Radiology Chapters 11 and 12 Specific Objectives A. Learn basics for CT of chest B. Recognizing diseases of the chest Wednesday, June 17, 2015 Exam 1 Thursday, June 18, 2015 Review Exam 1 Learning Radiology Chapters 13, 14, 15, 16, 17, 18 Specific Objectives 1. Recognize normal anatomy on an abdominal film series 2. Discuss normal bowel gas patterns 3. Differentiate large from small bowel on an abdominal film series 4. Understand the views of the abdominal film series and be able to discuss how they are obtained and when they should be ordered 5. Evaluate an abdominal series for organomegaly 6. Identify functional ileus 7. Distinguish a small bowel obstruction from a large bowel obstruction 8. Identify a volvulus of the colon 9. Describe signs of free intraperitoneal air 10. Identify causes of free intraperitoneal air 11. Recognize causes and significance of air in the bowel wall 12. Identify and discuss air in the biliary tree and possible causes 13. Distinguish patterns of calcification and their significance 8

9 14. Recognize the images and findings of blunt trauma on plain films 15. Identify gastrointestinal, hepatic and urinary tract abnormalities on plain films. Monday, June 22, 2015 Continuation of above Wednesday, June 24, 2015 Continuation of above Thursday, June 25, 2015 EXAM 2 Monday, June 29, 2015 Review Exam 2 Learning Radiology Chapters 21 and 23 Specific Objectives A. Recognize normal bone anatomy B. Recognizing abnormalities of bone density C. Recognizing pathologic fractures D. Recognizing joint disease Wednesday, July 1, 2015 Learning Radiology Chapters22 and Recognize acute fractures 2. Identify dislocations and subluxations 3. Describe fractures 4. State the types of salter harris fractures 5. Explain the stages of fracture healing 6. Describe the normal spine on plain films 7. Identify compression fractures of the spine 8. Identify spondylolisthesis and spondylolysis 9. Identify malignancy involving the spine 10. Evaluate a plain film of the spine for osteomyelitis 11. Evaluate pain films of the spine for trauma Thursday, July 2, 2015 Continuation Monday, July 6, 2015 Continuation 9

10 Wednesday, July 8, 2015 EXAM 3 Thursday, July 9, 2015 Review Monday, July 13, 2015 Final Exam 10