Musculoskeletal/Integument (SMD 563)
Total Contact Hours: 36 hours
Co-Course Directors: Smita Krishnamurthy, M.D.., Assistant Professor, Pathology & Dermatology; Julian Trevino, M.D., Associate Professor, Dermatology
Course Description: This course presents the common diseases and illnesses affecting the skin and musculoskeletal systems, including infectious, neoplastic, environmental, and immunologic. Through laboratory exercises, case discussions, and team-based learning modules, diagnostic and therapeutic approaches are discussed.
Course Learning Goals, Assessment, Practice, and Teaching and Learning Activities, and their Integration with the Institutional Educational Objectives:
Institutional Objectives |
Learning Goals |
Assessment Activities (graded) |
Practice/Feedback Activities (non-graded) |
Teaching and Learning Activities |
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Identify the normal histology and physiological functions of skeletal muscle, discriminate between normal and abnormal skeletal muscle, and identify pathogenic mechanisms and clinical presentation of common disorders of skeletal muscle when given a case vignette of a patient with possible disorder in this domain. |
MCQ Exam |
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Textbooks Faculty Notes Live Lecture |
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Identify the key features of peripheral nerve injury and recovery in the context of clinical signs and symptoms; interpret results of EMG and nerve conduction studies in context of patient history & physical findings, pose differential diagnosis. |
MCQ Exam |
Patient Panel |
Textbooks Faculty Notes Live Lecture EMG Demo |
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Explain the movements that occur at various types of synovial joints; describe the process of long bone growth and explain how hormones and physical stress regulate bone remodeling. |
MCQ Exam |
Practice Questions Faculty Notes |
Textbooks Faculty Notes Live Lecture |
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Given a case vignette of a patient with a fracture, detail the stages of fracture repair and its biologic mechanisms. |
MCQ Exam |
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Faculty Notes Live Lecture |
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Given case vignettes of patients with probably bone diseases, identify the pathogenic mechanisms in relation to clinical features and natural history of those disorders. |
MCQ Exam |
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Textbooks Faculty Notes Live Lecture |
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Accurately explain the patho-physiologic basis, clinical presentation, diagnostic criteria, and treatment options for a patient with a common joint disorder. |
MCQ Exam |
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Textbooks Faculty Notes Live Lecture |
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Given case vignettes with images, identify common and potentially lethal dermatologic conditions and indicate their pathogenesis, presentation and course, and evidence-based treatment approaches. |
MCQ Exam |
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Textbooks Faculty Notes Live Lecture |
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Given a case vignette of a patient requiring therapeutic agents for a skin disorder, indicate drug of choice and mechanism of action, contraindications, adverse side effects, and potential drug-drug interactions. |
MCQ Exam |
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Textbooks Faculty Notes Live Lecture |
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Given a case vignette of a patient with a possible skin cancer, interpret biopsy findings within context of staging, and indicate choices of treatment and prognosis. |
TBL IRAT/GRAT MCQ Exam |
TBL GAPP |
Textbooks Faculty Notes Live Lecture |
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After case presentations of Low Back Pain, Progressive Paraplegia, Multiple Joint Aches, Acute Hot Joint, and Shoulder pain, indicate key pathogenic features, next steps in diagnosis, differential diagnosis, and treatment options. |
MCQ Exam |
Differential Diagnosis Cases |
Textbooks Faculty Notes Live Lecture |
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During live patient presentations on Spinal Cord Injury and Myotonic Dystrophy, ask pertinent questions about their history, course of illness, impact of illness on their lives. |
No formal assessment |
Patient Panel |
Textbooks Faculty Notes Live Lecture |
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Presented with a case vignette of a patient who needs or is taking an antipyretic analgesic or NSAID, identify drug options given clinical presentation and history, articulate mechanisms of action, contraindications, adverse side effects, and drug-drug interactions for selected options. |
MCQ Exam TBL peer feedback at end of Term 1 |
Differential Diagnosis Cases |
Textbooks Faculty Notes Live Lecture Pharm Discussion with Residents |
Institutional Educational Objectives
Category addressed | Definition |
---|---|
1. Institutional Objectives | What does our institution want our graduates to do? |
2. Learning Goals | If your students mastered the content of your course, what would they be able to do? |
3. Assessment Activities (graded) 4. Practice/Feedback Activities (non-graded) |
What will students need to do for them and others (peers, professors) to know whether they have achieved this specific learning goal? |
5. Teaching and Learning Activities | How will students get the information they need to learn? |
Knowledge and Lifelong Learning
- K1: The graduate will demonstrate knowledge of the basic medical sciences; clinical skills; and the ability to acquire, manage, and use current information for clinical decision-making and problem-solving in the care of individual patients, family members, populations, and systems of care delivery.
- K2: The graduate will demonstrate knowledge of the ethical, social, economic, and cultural influences upon the health of and health care delivery to patients and patient populations, and will be able to propose realistic approaches to improving the health of an individual patient and for a patient population.
- K3: The graduate will be able to identify the diverse factors that influence the health of the individual and the community; identify the socio-cultural, familial, psychological, economic, environmental, legal, political, and spiritual factors impacting health care and health care delivery; and be able to respond to these factors by planning and advocating the appropriate course of action at both the individual and the community level.
Interpersonal and Communication
- C1: The graduate will demonstrate the ability to establish a professional relationship with a patient, build a comprehensive medical and social/personal history, conduct either a focused or comprehensive physical examination as indicated, construct a differential diagnosis, and recommend a course of treatment consistent with current standards of care.
- C2: The graduate will demonstrate the ability to communicate (written and oral) clearly, professionally, and effectively with patients, their family members, health care team members, and peers.
- C3: The graduate will demonstrate the capacity to listen to and respond appropriately to constructive feedback from peers and teachers, as well as give constructive feedback and evaluation to peers and faculty as requested.
Professionalism, Advocacy, and Personal Growth
- P1: The graduate will be able to identify personal strengths and weaknesses in the care of patients and working with colleagues and allied health professionals, and, if indicated, demonstrate the ability to make changes in behavior that facilitate collaborative relationships.
- P2: The graduate will demonstrate through the period of undergraduate medical education a pattern of responsible behaviors consistent with the highest ethical standards of the profession: honesty, confidentiality, reliability, dependability, civility, and punctuality.
- P3: The graduate will demonstrate a commitment to leadership and the advancement of new knowledge.