Kinney, Anthony E.

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University of Montana

University of MontanaScholarWorks at University of MontanaSyllabi Course Syllabi9-2014PT 523.01: Clinical Medicine I - Introduction toClinical MedicineAnthony E. KinneyUniversity of Montana - Missoula, anthony.kinney@umontana.eduLet us know how access to this document benefits you.Follow this and additional works at: https://scholarworks.umt.edu/syllabiThis Syllabus is brought to you for free and open access by the Course Syllabi at ScholarWorks at University of Montana. It has been accepted forinclusion in Syllabi by an authorized administrator of ScholarWorks at University of Montana. For more information, please contactscholarworks@mso.umt.edu.Recommended CitationKinney, Anthony E., "PT 523.01: Clinical Medicine I - Introduction to Clinical Medicine" (2014). Syllabi. 2166.https://scholarworks.umt.edu/syllabi/2166University of Montana School of Physical Therapy & Rehabilitation Science PT 523 Introduction to Clinical Medicine Autumn 2014, Professional Year I 1 CreditInstructor:Toby Kinney, PT, DPT, OCS, FAAOMPT, MBA SB 104 Phone: 243-4684 Email: anthony.kinney@ umontana.edu Office Hours: By appointment; please arrange appointm ents by email.Course Meeting Times & Location:Professional Year 1, Autumn Semester, Block II: beginning 10/17/2014Fridays, 1:10pm to 3pmCourse Meeting Location: Unless otherwise specified Skaggs Building Room 114 Laboratory Meeting Location: Skaggs Building 020Clock Hours:-In class lecture/discussion/group assignment: 12 hours -Online lecture: 2 hours -Laboratory: 2.0 hours Course Description:Introduction to the International Classification of Function (ICF) model, tissue healing, pathology of the musculoskeletal, chart review, medical interviewing and screening, and vital signs.Course Prerequisites: None.Required Reading:Jette AM (2006). Toward a Common Language for Function, Disability, and Health. Phys Ther. 86:726- 734. http://ptjournal.apta.Org/content/86/5/726.full.pdfMueller MJ & Maluf KS. Tissue Adaptation to Physical Stress: A Proposed "Physical Stress Theory” to Guide Physical Therapist Practice, Education and Research. Phys Ther. 82(4):383-403. http://ptjournal.apta.O rg/content/82/4/383.fullRequired TextbooksGoodman CC and Snyder TEK. Differential Diagnosis for Physical Therapists. Screening for Referral 5tk edition. Saunders, 2007.Purpose: To provide students with an understanding of the interrelationship of a patient’s health condition and limitations in activities and participation in society. In addition, obtaining a clear medical history and background through chart review and medical interview will be explored and reinforced. An understanding of tissue healing; with a focus on tissues of the musculoskeletal system will be discussed.Teaching Methods and Learning Experiences:1University of Montana School of Physical Therapy & Rehabilitation Science PT 523 Introduction to Clinical Medicine Autumn 2014, Professional Year I 1 CreditThis course will utilize a combination of delivery methods including on-line and in person lectures, in- class discussions, and laboratory. Lecture notes and links to required reading will be posted in Moodle. Please check Moodle on a daily basis for updates in course materials and announcements.All Course Slides and Course Notes are the property of the instructor and shall not be shared or disseminated without permission.Services for Students with DisabilityThe University of Montana assures equal access to instruction through collaboration between students with disabilities, instructors, and Disability Services for Students (DSS). If you think you may have a disability adversely affecting your academic performance, and you have not already registered with DSS, please contact DSS in Lommasson 154. The course instructor will work with you and DSS to provide an appropriate accommodation.Methods of Student Evaluation:The course grade will be composed of the following:(For detailed description see Appendices)(1) Course Examination 60%(2) Group Project 30%(3) Professionalism______________________ 10%Total 100%G r a d in g  S c a l e :The grading criteria will follow the policy o f the School o f Physical Therapy and Rehabilitation Science (see student handbook) with a passing grade being a “C” and a 73 percent.Percentage Letter Grade Grade Point90-100 A 487-89 B+ 3.383-86 B 380-82 B- 2.777-79 C+ 2.373-76 c 270-72 c- 1.767-69 D+ 1.363-66 D 160-62 D- 0.7<60 F 0Academic Conduct:Please be familiar with The University of Montana Student Conduct Code Section IV, "Academic Conduct” fhttp://life.umtedu/VPSA/documents/Student%20Conduct%20Code%20FULL%20- %20UPDATED%20AUG%2 02 8% 202012.pdf) in practicing academic honesty. It is expected that all students m ust practice academic honesty. Academic misconduct is subject to an academic penalty by the course instructor and /o r  disciplinary sanction by the University. Any evidence of cheating or plagiarism will result in failure of the course.Professional Behaviors:2University of Montana School of Physical Therapy & Rehabilitation Science PT 523 Introduction to Clinical Medicine Autumn 2014, Professional Year I 1 CreditPlease become familiar with the University of Montana Doctor of Physical Therapy Program Student Handbook 2014-2015, specifically page 14 thatlists Generic Abilities/Professional Behaviors. Professional behaviors are expected in the course. These include (but are not limited to ): responsibility for one's own learning; completion of group and individual assignments in a timely manner; on time attendance; coming to class prepared; treating fellow students, staff, and faculty with respect; receiving and giving constructive criticism if appropriate. Course attendance and viewing of on-line lectures is required. Excused absences are for illness, injury or emergencies. For unexcused absences students will be subject to the following grade deductions from final grade.1 absence -  2 %2 absences -  5%3 absences -  10%>3 absences. Students will be subject to disciplinary and/or remedial consequences that may include dismissal from the course.Unprofessional conduct by a student when involved with schoolwork, in and out of the School, may also be considered grounds for unsatisfactory progress in the Program and is subject to review by the Professionalism & Academic Requirements Committee (PARC), and potentially the Dean of the College of Health Professions & Biomedical Sciences.Cell Phone/Electronics PolicyCell phones should be turned off and put away. No text messaging during class. Lap top computers may be used to take notes and when appropriate, search the web for information pertaining to the topic being discussed in class. Other uses of personal computing devices in class are prohibited.COURSE OBJECTIVESI. Disablement Models and the International Classification of Function (ICF)a. Describe the Nagi disablement model.b. Describe the ICF model.c. Demonstrate application of the ICF model in the context of patient/client managementd. Describe the process of hypothesis-oriented algorithms within the context of the ICF model of disability as it is used to guide physical therapy diagnosis, evaluation, and treatm ente. Differentiate between disease and illness, signs and symptoms, acute and chronic illness.II. Orthopedic and Musculoskeletal Pathologya. Describe common orthopedic and musculoskeletal pathology seen in physical therapy practice.(1) Fractures(2) Sprains(3) Strains(4) Contusions(5) Lacerations(6) Ruptures(7) Delayed Onset Muscle Soreness (DOMS)Objectives cont.3University of Montana School of Physical Therapy & Rehabilitation Science PT 523 Introduction to Clinical Medicine Autumn 2014, Professional Year I 1 CreditDescribe the common signs/symptoms of persons with these disorders.(1) Fractures(2) Sprains(3) Strains(4) Contusions(5) Lacerations(6) Ruptures(7) Delayed Onset Muscle Soreness (DOMS)c. Describe the common forms of medical intervention for these disorders.(1) Fractures(2) Sprains(3) Strains(4) Contusions(5) Lacerations(6) Ruptures(7) Delayed Onset Muscle Soreness (DOMS)d. Introduction to physical therapy management of patients with these disorders.(1) Fractures(2) Sprains(3) Strains(4) Contusions(5) Lacerations(6) Ruptures(7) Delayed Onset Muscle Soreness (DOMS)III. Patient/Client Interviewinga. Describe the appropriate interview process for patients receiving physical therapy.b. Using case studies and examination, determine appropriate interview questions and analyze the information received for further examination.c. Using case studies and w ritten examination, determine from interview data when referral to other health care professionals is appropriate.d. Differentiate between disease and illness, signs and symptoms, acute and chronic illness.IV. Medical Screeninga. Define differential diagnosis and state the role it plays in physical therapy practice.b. Recognize constitutional symptoms of systemic disease and utilize them in the completion of differential diagnosis of examination results and medical and psychological information.c. Determine the need for further examination or consultation by a physical therapist or for referral to another health care professional.d. Demonstrate the ability to perform heart rate, blood pressure, temperature, and respiratory rate during the medical screening process.4University of Montana School of Physical Therapy & Rehabilitation Science PT 523 Introduction to Clinical Medicine Autumn 2014, Professional Year I 1 CreditCourse Schedule and ContentDate Topic NotesClass 1 10/17/14In t ro  t o  C o u r s e ,  Pr inc ip les  o f  T is sue  Heal ingClass II 10/24/14No ClassOn- l in e  l e c t u r e  a n d  e x e r c i s e  a b o u t  Physical  S t r e s s  T h e o r y On- l in e  M o o d l e  L ec tu reClass III 10/31/14P a t h o l o g y  & M g m t  o f  Bo n e  a n d  Car t i l ageClass IV 11/7/14 P a t h o l o g y  & M g m t  o f  Li g a m e n tClass V 11/14/14 P a t h o l o g y  & M g m t  o f  M u sc l eClass VI 11/21/14 Ca se  Discuss ions:  MSK P a t h o l o g yClass VII 11/28/14 M ed ic a l  S c r e e n i n gG r o u p  A s s i g n m e n t s  d u e  in c lassClass VIII 12/5/14Lab: M ed ic a l  I n te rv ie w in g  & Vital SignsC o u r s e  E va lu a t io nsOn- l in e  M o o d l e  S u p p l e m e n t  t o  b e  c o m p l e t e d  b e f o r e  clasClass IX 12/9/14 Final Examination 10am to Noon in SB1145University of Montana School of Physical Therapy & Rehabilitation Science PT 523 Introduction to Clinical Medicine Autumn 2014, Professional Year I 1 CreditAppendix A: Description of Course Evaluation Activities1) Group Writing Assignment (Due November 28, 2014 by l:10pm)-30%  of Course Grade Working in assigned groups of 4-5 students will be assigned a specific musculoskeletal pathology to analyze relative to the tissue healing/physical stress theory model.2) Professionalism (ongoing)-10% of Course GradeStudents will be evaluated on an ongoing basis on their ability to adhere to the Generic Abilities designated in the Student Handbook.3) Course Examination (September 10, 2013)-60%  of Course GradeThe course examination will be a 90-minute in-class, independent exercise consisting of multiple choice, fill-in-the blank and short answer questions.6

PT 523.01: Clinical Medicine I - Introduction to Clinical Medicine

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PT 523.01: Clinical Medicine I - Introduction to Clinical Medicine

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