TEACHING GUIDE COURSE STRUCTURE
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1 TEACHING GUIDE COURSE STRUCTURE DEGREE: MEDICINE YEAR: 2015 / 2016 YEAR OF STUDY: FIRST COURSE TITLE ANATOMY : LOCOMOTOR & NERVOUS SYSTEMS ECTS TYPE Period Calendar Pre-Requisites Total Basic Obligatory 1 er C 2ºC Weeks 9 X x 16 None COURSE LANGUAGE Castellano Valenciano English X Department BIOMEDICAL SCIENCES SPECIFIC AREA OF KNOWLEDGE HUMAN ANATOMY AND EMBRIOLOGY COURSE COORDINATOR AND OTHER PROFESSORS José Vicente Amaya Valero ( Coordinator ) Name Office/Faculty Office 344, Luis Campos Gorriz Building Student appointment schedule jose.amaya@uch.ceu.es Wednesday INTRODUCTION TO THE COURSE Anatomy is the setting ( structure ),in which the events of life occurs. Most medical procedures are referred to a specific localization, organ, tissue, system, therefore human Anatomy knowledge is a necessary tool for clinical medicine, and its relationship with physiology and pathology, provides mechanisms to understand health and disease. Medicine / Morphology, structure and function of the human body/anatomy: locomotor & nervous systems. /
2 INTRODUCTION TO THE COURSE This course is focused on human Anatomy, and more specifically on locomotor and nervous systems. The importance of this subject lies on that the acquisition of the competences of this course will be the basis that will enable students to understand the Anatomy of other systems and the pathophysiology, that will be taught in more advanced courses. PRE-REQUISITES Previous knowledge of general biology (Health Sciences Bachelor or similar) and general physiology. Similarly, to understand the processes and functions in living organisms, we must know how it works, so the study of Anatomy should be accompanied by the study of physiology. COURSE OBJECTIVES The specific objectives in the training of physicians are aimed at training professionals that have to be able to carry out activities oriented to the promotion, maintenance and restoration of health, through: - The prevention of disease, considering the social environment in which they originate. - The diagnosis, treatment and rehabilitation of patients. - The knowledge of the diseases prognosis. Particularly, the goal of this Anatomy course is to understand the locomotor and nervous system to get the tools for medical practice in all previous referred activities. GENERAL AND SPECIFIC SKILLS OFFERED BY THE COURSE General Skills (RD1393) General Skill 1 Knowledge Acquisition Students will gain specific knowledge relating to the locomotor and nervous system anatomy. General Skill 2 Application of Knowledge Students have to transfer theoretical concepts to three-dimensional human structure. Correlations between structure and function are of special interest in this area. General Skill 3 Collect and Interpret and Analyse Relevant Data Students will gain the ability to gather and interpret relevant data. Clinical issues are analysed. General Skill 4 Communication Students will gain the opportunity to improve their communication skills via public exposition in seminars of concepts learned. General Skill 5-Independent Learning Students will be required to develop learning skills necessary to undertake in depth, detailed studies with a high degree of autonomy Specific Skills Students taking this course will be able to understand the locomotor and integrative neuroanatomy. Learning outcomes. - To explain and to describe the locomotor and integrative neuroanatomy - To recognize the basic Functional Anatomy of lower, upper limb and nervous system COURSE CONTENTS Study of the locomotor and integrative neuroanatomy. Medicine / Morphology, structure and function of the human body/anatomy: locomotor & nervous systems. /
3 COURSE STRUCTURE AND DESIGN 1. Lectures (PA1): Training activity oriented mainly to knowledge acquisition (General Skill 1) and presentation of subject theory material. 2. Seminars (PA2): The seminars will seek to build and develop the concepts raised in the classroom, in an open and collaborative environment (General Skills 2 and 3). Oral presentation of the students. Group activities: group work sessions supervised by the teacher. Clinical Case Discussions based on Anatomical knowledge. 3. Practices (PA4): Training activity oriented mainly to develop the skill of knowledge transfer or application (General Skill 2) and is presented in the form of practical activities, including the study of anatomy based on real specimens and dissections. Medicine / Morphology, structure and function of the human body/anatomy: locomotor & nervous systems. /
4 ESTIMATION OF STUDENT WORKLOAD PHYSIOLOGY Credits: 6 ECTS Breakdown of Student Work Hours Formative Activity Contact hours (A) Independent study (B) Total work hours. (C) C = A + B TAUGHT CLASSES Introduction of the subject 1 1 Theory Classes Debates Feedback and Review of Assignments Others PRACTICAL CLASSES Problem Solving Debates Feedback and Review of Assignments Laboratory Others SEMINARS Problem Solving Debates Presentation and discussion about coursework assignments WORKSHOPS Presentation and discussion about coursework assignments Oral presentations COURSEWORK Preparation time required EXAMS AND ASSESSMENTS Exam preparation time Exams and Tests TOTAL RELATIONSHIP BETWEEN WORK HOURS AND ECTS CREDITS 180/30=6/ ECTS ASSESSMENT CRITERIA Student evaluation will be carried out by a system of continuous assessment based on: Final Exam (50%) The final exam is eliminatory (failing to achieve the pass mark, 5 out of 10, in the final exam results in automatic failure of the subject). Questions will be derived from everything that had been explained in lectures and seminaries, and won t be limited to the information written in class slides. Theoretical-Practical Continuous Evaluation (50%) The continuous evaluation component of this subject will be calculated according to the outline described below: One mid-course exam (20%) Practical exam ( 20% ). Medicine / Morphology, structure and function of the human body/anatomy: locomotor & nervous systems. /
5 ASSESSMENT CRITERIA Practical Reports (10%) Students must score a minimum of 5 out of 10, in the final exam for the continuous evaluation score to be applied. COURSE PROGRAM LECTURES Lesson 1. Lower limb. Osteology. Pelvis, Hip knee, Ankle, Foot. Joints and Ligaments. ( 3 hours ) Lesson 2. Lower limb.musculature : Functional groups of the lower limb. Lumbar and sacral plexus. The hip and thigh muscles Anterior and hamstrings muscles. Sciatic, obturator and femoral nerve) Lesson 3. Lower limb. Musculature. the leg. Distal functional groups. Tibial nerve. Medial and lateral plantar nerves. The short muscles of the foot. Lesson 4. Lower limb. Neurovascular systems. Forms and relations. Lymphatic vessels and lymph nodes. Cutaneous nerves. Aponeuroses. Lesson 5. Lower limb. Functional Anatomy. General overview. Summary. Lesson 6.Morphology of anterior and lateral abdominal wall. Principal structures and function. Perineal region. The pelvis floor muscles. Lesson 7. Upper limb. Osteology. Shoulder Girdle. Shoulder, elbow, wrist, hand. Joints and ligaments.basic movements. Lesson 8. Upper limb. Musculature proximal Functional groups. Braquial plexus. branches and supraclavicular functional groups. Lesson 9. Upper limb. Distal Functional neuromuscular groups. Median, ulnar, musculocutaneous and radial nerve. The hand. Lesson 10.Upper limb. Neurovascular systems. Forms and relations. Lymphatic vessels and lymph nodes. Cutaneous nerves. Aponeuroses. Lesson 11. Upper limb. Functional Anatomy. General overview. Summary. Lesson 12. Introduction to the study of the nervous system. Nervous system of the life of relationship and autonomic nervous system. Central and peripheral nervous system. Lesson 14. Morphology of the spinal cord. External configuration and relations. Spinal meninges. Vascularization of the spinal cord spinal cord. Structure: Cytoarchitecture and myelo-architecture. Morpho- functional study of motor and sensory pathways. Lesson 15. Morphology of the brainstem: external configuration of the medulla oblongata, pons and midbrain. Topography and functional levels. Fiber tracs and Nuclei. Main Projection Fiber systems. Medicine / Morphology, structure and function of the human body/anatomy: locomotor & nervous systems. /
6 COURSE PROGRAM Lesson 16. Systematization of the XII cranial nerves: Origin, routes, relations and functions. Lesson 17. Morphology of the cerebellum. Segmentation of the cerebellum. Structure and function of the cerebellum. Cytoarchitecture and myelo-architecture. Connections of the cerebellum Lesson 18. Concept of diencephalon. Division of the diencephalon: Epithalamus, thalamus. Thalamus. Systematization of their nuclei. Ventral reticular nuclei. Lesson Striatum. Topography. Functional integration. Nervous circuits. Subthalamus (Nuclei Inputs). Lesson 19. Anatomic and functional study of Pituitary gland- hypothalamus. Pituitary topography. Vascularization. Lesson 20. Morphology of the brain: Cerebrum. Generalities and morphometric data. Fissures and lobes of the cerebral cortex. Cerebral cortex. Cytoarchitecture and myeloarchitecture. Areas of the cerebral cortex. Clinical Anatomy of the cerebral cortex. Lesson 21. Limbic system. Amygdaloid complex and hippocampus. Functional integration of the limbic system. Lesson 22. Motor and Sensory Pathways. Upper Motor Neuron Syndrome. Pyramidal and extrapyramidal systems. Somatosensory system. Lesson 23. The autonomic nervous system. Anatomy and function of the cervical, thoracic and abdomino- pelvic sympathetic system. Anatomy and function of the parasympathetic system. Lesson 24. The Vascular system: arteries and veins of cerebrum, brainstem and cerebellum. Venous sinuses and Meninges. Lesson 25. Cerebrospinal fluid and morphology of the ventricular system SEMINARS Seminars 1-2: (Dr.J. V. Amaya ). - Clinical Anatomy - Functional Anatomy Neuro-Anatomy Seminars: Dr. Piquer/ Dr. Gallego / Dr. Rodriguez Spinal Cord Brainstem - 4. Basal Ganglia Cranial Nerves Thalamus - Hypothalamus Pituitary - 6. Neocortex -Vascular - Ventricles PRACTICES Practice 1: Osteology Practice 2: Posterior lower limb dissection Practice 3: Anterior lower limb dissection Medicine / Morphology, structure and function of the human body/anatomy: locomotor & nervous systems. /
7 COURSE PROGRAM Practice 4: Lower limb overview. Practice 5: Spinal Cord And Pathways Practice 6: Brainstem/Cerebellum Practice 7: Cranial Nerves Practice 8: Thalamus Basal Ganglia Practice 9: Brain Hemispheres (Neocortex And Fibers) Practice 10: Limbic System Vascular - CSF BASIC BIBLIOGRAPHY SCHUENKE, M. Y SCHUELTE,E.:THIEME ATLAS OF ANATOMY: GENERAL ANATOMY AND MUSCULOSKELETAL SYSTEM. THIEME MOORE K L Y DALLEY AF. CLINICALLY ORIENTED ANATOMY, WOLTERS KLUWER, th EDITION. DIAMOND, M.C./SCHEIBEL, A.B./ ELSON, L.M. THE HUMAN BRAIN COLORING BOOK. 1rst ED. HARPER COLLINS SNELL, R.S. CLINICAL NEUROANATOMY. 7th ED. LIPPINCOTT WILLIAMS & WILKINS NETTER, F.H ATLAS OF HUMAN ANATOMY. 6th ED. ELSEVIER SCIENCE SCHUENKE, M. Y SCHUELTE,E.: ATLAS OF ANATOMY: HEAD AND NEUROANATOMY. THIEME OTHER SUPPORT MATERIALS Pubmed: RECOMMENDATIONS TO STUDENTS TAKING THIS COURSE It is essential to study the subject every day and regularly perform a general review of all content taught during the week and try to answer the essential concepts listed at the end of each topic. It is very important to attend all classes (lectures, practices and seminars). It is recommended that, whenever possible, the students read prior to exposure the content of the classes. It is also recommended an active attitude during the development of classes participating and raising possible questions. Students may also clarify their questions using hours of tutoring from teachers, or contacting with the teacher through internet. It is suggested to comply with continuous assessment, not as a requirement, but as a recommendation to acquire basic and general skills. The student will follow the Guidelines for Coexistence in the Classroom approved by the Faculty of Health Sciences". Research Repercussion. For basic sciences such as physiology and anatomy, the research activity is comparable to the welfare work that can make a healthcare professional who teaches a clinical course. The research that professors carries throughout their life allow them to understand various physiological and anatomical basic concepts such as changes in cell membrane potential, ion channels function in cellular processes, modulation of the synapse, tissue types, electrical activity of the different muscles in different movements, etc., even when these same mechanisms exceed their function and give rise to a pathology. In summary, the research allows professors to teach the students not just a summary compilation of theoretical concepts, but a real vision of the functions of the different human body systems. Medicine / Morphology, structure and function of the human body/anatomy: locomotor & nervous systems. /
8 Research Repercussion. This also allows professors to anticipate the more common questions or problems of the student. When possible, the application of the scientific method in teaching, may help the student to develop key cognitive skills (memory and thinking abilities), without which the student will not be fully trained for their future career. Research activities have also allowed us to design some practices based on our own experience. Professional activity Repercussion. Given the importance of individual health and disease prevention at the community, medical schools have rethought its mission to ensure the training of professionals. This mission is not only aimed at treating the disease, but also at preventing diseases and at the maintenance of health. Understood in this way the teaching of Anatomy becomes of decisive importance, in addition to its classical function as a basic science. Medicine / Morphology, structure and function of the human body/anatomy: locomotor & nervous systems. /
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