ANA500: Gross Human Anatomy

ANA500 Gross Human Anatomy / Kolega Fall Year 1 ANA500: Gross Human Anatomy 1. Course Directors 2. Administrative Details Dr. John Kolega Primary Course Designation: Biomedical 328 Sherman Hall Secondary Course Designation: Biological Department of Pathology and Anatomical Sciences Course Type: Required 829-3527 Year/Semester: D1/1 (1 st year/fall) kolega@buffalo.edu Credit Hours: 6 Office Hours:, 3-5pm 3. Participating Faculty Dr. Raymond Dannenhoffer Dr. Cynthia Dlugos Dr. Robert Hard 221F Farber Hall 327 Sherman Hall 315 Biomedical Research Bldg. 829-2540, rpd@buffalo.edu 829-2545, cadlugos@buffalo.edu 829-3521, hard@buffalo.edu Dr. James Karnes Dr. Frank Mendel Dr. Charles Severin 321 Sherman Hall 208 Farber Hall 40 Biomedical Research Bldg. 829-7750, karnesj@dye.edu 829-2541, fcmendel@buffalo.edu 829-2802, severin@buffalo.edu 4. Keywords Regional Anatomy, Cross-sectional Anatomy, Bones, Muscles, Innervation, Blood Supply, Skeleton, Blood Vessels, Thorax, Abdomen, Autonomic Nerves, Musculoskeletal System, Nervous System, Viscera, Extremities 5. Course Meeting Days, Times & Locations Lectures: s and s at 8AM in Farber 150 (Butler). Laboratory: 9 AM to 11 AM, 9 AM to noon, 1 PM to 4 PM 6. Course Description ANA500 teaches the identification, function, and relationships of the gross structures of the human body. Knowing what the parts of the body are and how they interact provides a basic foundation for the study of physiology and pathology in general, with gross anatomy of the head and neck specifically providing an introduction and framework for more detailed study of dental anatomy later in the curriculum. The course is organized into three blocks: Block I deals with back and upper limbs; Block II covers thorax and; and Block III covers head and neck. Instruction includes 8 hours of laboratory per week distributed over 3 sessions and two one-hour lectures per week. In the laboratory, students dissect cadavers and examine skeletons, medical images, and other materials to learn the morphology and spatial relationships of anatomical structures. Eight students are assigned to each cadaver, and these 8 are further divided into 4 groups of 2 students. Each group of 2 dissects assigned regions of the body and presents their work to the other 6 students at the table in a manner similar to that used when a physician/dentist presents a case to his or her colleagues. Thus, each group dissects approximately 1/4 of the body and receives detailed instruction on the remaining 3/4 of the body from their tablemates. 7. Course Purpose The purpose of this course is to establish familiarity with the gross structures of the body, and to understand the spatial and functional relationships among those structures. This provides a basic road ANA500 Gross Human Anatomy / Kolega Page 1 of 13 June 15, 2010

ANA500 Gross Human Anatomy / Kolega Fall Year 1 map of the body when navigating future medical studies. The lectures and textbooks provide basic factual information regarding the names, locations, and functions of anatomical structures. The laboratory provides direct exposure to the real structures, as well as demonstration and visualization of their interconnections in three-dimensional space, which cannot be readily accomplished with text or pictures. Structures are dissected and presented with an emphasis on their functions in the body, the clinical implications of their specific locations and interconnections, and the potential consequences of damage to the structures. 8. Course Goals Students should become familiar with the names and locations of the gross structures in the body, understand the spatial and functional relationships between structures, and recognize variation of gross anatomy between individuals. They should also learn to effectively communicate anatomical information among colleagues and practice cooperation in accomplishing major tasks (completing dissections and preparing informational presentations) and professional responsibility (efficiency, timeliness, and quality of dissections and presentations) 9. Learning Objectives Upon successful completion of this course, students will be able to: a. describe anatomical structures and locations in professional medical terminology. b. identify and locate the major anatomical structures of the human body in cadavers and in living bodies. c. locate and recognize anatomical structures in medical images (X-rays, MRIs, CTs). d. determine endangered or damaged structures by analyzing the location of an injury and the presence or absence of functional deficits. e. predict potential functional consequences of damage to specific anatomical structures. 10. Associated Competencies The DDS program is focused on the attainment of competency in 38 different areas. Students may refer to the student handbook for a list of the competencies http://intranet.sdm.buffalo.edu/committee/curriculum. This course contributes to the dental students attainment of the following competencies (numbers as listed in the competency document). Learning Objective SDM Competency from Appendix 1 9a 5 9b 1, 2, 16, 18, 19, 20, 21 9c 2, 16, 18, 19, 20, 21 9d 13, 16, 18, 19, 20, 21 9e 13, 16, 18, 19, 20, 21 11. Student Evaluations Methods Grades will be determined on the basis of three examinations, worth 210 points each, with adjustments for laboratory participation. Each exam consists of 21 laboratory stations at which anatomical specimens are presented (dissected material, cross section, bone, skeleton, radiograph, MRI or CAT scan), plus a written case study in short answer format. The first exam is worth 25% of the final grade, the second is worth 35%, and the 3rd is worth 40%. The final letter grade will be assigned based upon the final weighted numerical average with: Grading A=89.5% or higher B=79.5-89.4% C=64.5-79.4% F=below 64.5% ANA500 Gross Human Anatomy / Kolega Page 2 of 13 June 15, 2010

ANA500 Gross Human Anatomy / Kolega Fall Year 1 Grading Criteria Evaluation Types* % Weight Exam 1 Visual image or laboratory station examination (with integrated Written Examination elements) 25% Exam 2 Visual image or laboratory station examination(with integrated Written 35% Examination elements) Exam 3 Visual image or laboratory station examination(with integrated Written Examination elements) 40% *Evaluation Types (see Appendix 2 for full descriptions) 100% Exam grades will be affected by laboratory participation as follows: There will be 8 students at each cadaver, divided into 4 groups of 2 students. Each group of 2 students will be assigned a series of dissections and allowed several laboratory sessions to complete each dissection. A day-by-day schedule for each dissecting group is provided in the course manual. As each dissection is completed, the dissecting group will present its work to the other 6 students at the table in a manner similar to that used when a physician presents a case to his or her colleagues. Presentations are scheduled at the beginning of a laboratory session and must be presented on time. Failure to present a dissection at the assigned time will result in 10 percentage points being deducted from the student s score on the unit exam. A second failure to present will result in an additional 10-point deduction and a letter to the Dean s Office concerning unprofessional conduct. A third failure to present on time will result in failure of the course, regardless of performance on the examinations. Faculty will also confirm that each dissection has been adequately complete. The first time a dissection is deemed incomplete or of very poor quality, the responsible students will be required to clean it up and give a new presentation to the faculty. Any additional instances of inadequate dissection will constitute failure to present and the students responsible for the dissection will be subject to the penalties described above for failing to present. 12. Learning Resources Book Requirements: Clinically Oriented Anatomy. 6th ed. K. L. Moore and A. F. Dalley. Lippincott, Williams and Wilkins. (2009) Grant's Atlas of Anatomy, 12th ed. A. Agur. Lippincott, Williams and Wilkins. (2008). Grant's Dissector. 14th ed. P.W. Tank Lippincott, Williams and Wilkins. (2008). Cross-sectional Human Anatomy. D. Dean and T.E. Herbener. Lippincott, Williams and Wilkins. (2007) Before We Are Born. 7th ed. K.L. Moore and T.V.N. Persaud. Saunders. (2008). Course Syllabus: Human Gross Anatomy ANA 500 (Dental Version) - 2009 Edition. Other required materials: Bone Sets: Students will be issued bone sets (one set for every four students) during the first few laboratory sessions. Bones must be returned in good condition at the end of the semester. Fees for lost or damaged bones must be paid before final grade will be issued. 13. Instructional Media a. Instructional Modes: Verbal auditory 20% Visual 60% Psychomotor/Tactile 20% b. Instructional Tools: Handouts/Manuals, Models, Video, Slideshow (i.e. PowerPoint), Predissected cadaver material c. Instructional Methods: Lecture, Small group learning, Live Demonstration, Cadaver dissection ANA500 Gross Human Anatomy / Kolega Page 3 of 13 June 15, 2010

ANA500 Gross Human Anatomy / Kolega Fall Year 1 14. Course Schedule See attached document 15. Course Policies & Procedures Policies and procedures of the course are written in accordance with the Faculty Handbook and Academic Policies. Course Policies are written to clarify expectations of the course director regarding attendance, behavior, grading, academic integrity, professionalism, disabilities, remediation, etc. Refer to the student handbook for more detailed information http://intranet.sdm.buffalo.edu/student/handbook/. A. Course Failure and Remediation Students who earn an "F" grade in this course may be given the opportunity to remediate. Remediation will be permitted only at the discretion of the School of Dental Medicine's Executive Council. For students granted remediation, the program for ANA500 consists of the following 3 items: 1) Students should attend the lectures in the summer gross anatomy course ANA407 (5 days/wk, 1 1/2 hrs/ lecture). This provides an organized, daily schedule for studying, providing review on a daily basis and drawing attention to what students know well and what needs more attention. However, the two courses are not identical - some ANA407 lectures are considerably more detailed than ours and some are quite superficial. Remediating students are responsible for what is in the ANA500 manual, not the ANA407 manual. 2) Students should meet with one of our faculty (their choice) once each week during the summer to answer questions and review problematic material. 3) Students must take a written comprehensive exam that is given approximately 2 weeks after the summer course (typically the 2nd of July). The exam is 100 multiple choice questions, distributed over the subject material of the entire ANA500 course in proportion to the lecture and dissection time devoted to each topic. A grade of 65% or better is required for successful remediation. B. Disabilities This institution supports the goals and requirements of Section 504 of the Rehabilitation Act of 1973, which mandates academic adjustments, commonly called reasonable accommodations, be provided for students with documented disabilities. If you have a disability and may require some type of instructional and/or examination accommodation, please contact me early in the semester so that I can provide or facilitate in providing accommodations you may need. If you have not already done so, you will need to contact the Disability Services office, the designated office on campus to provide services for students with disabilities. The office is located at 25 Capen Hall and the telephone number is (716) 645-2608. C. Attendance As described in the student handbook, "attendance at scheduled classes, laboratory sessions, clinical assignments and examinations is mandatory. Absence can negatively affect both knowledge and grades. Students are expected to arrive on time to class. Late arrival is disruptive for both students and faculty, and interferes with effective learning. Absences fall into two general categories: planned and unplanned. Please review the student handbook for how to proceed in these instances, and advise me accordingly, or the Office of Student Affairs 829-2839 if there is an emergency or medical illness. D. Canceled Classes If, for any reason, a scheduled session is not held, the scheduled event will occur at the next session unless otherwise announced. ANA500 Gross Human Anatomy / Kolega Page 4 of 13 June 15, 2010

ANA500 Gross Human Anatomy / Kolega Fall Year 1 E. Course Evaluation Comprehensive evaluation of this course will be administered online at the end of the course through the Office of Academic Affairs. Eliciting feedback and constructive criticism is important so that Course Directors may take action to improve the course. Students are expected to participate fully in this important process. F. Changes in the Course The following changes have occurred in this course since the last time it was offered: 1. The laboratory examination no longer includes a live station requiring students to identify anatomical defect(s) in a mock patient. 2. All dissections will now be assessed by staff to verify that they have been adequately performed. G. Distractions in the Classroom/Behavioral Expectations As students in a health professions school, students are expected to display conduct consistent with their status as entering members of the profession. Specifics of expected conduct are listed in both the university "Student Conduct Rules, University Standards and Administrative Regulations" and in the School of Dental Medicine "Student Handbook". In recent years, cell phones, pagers, and other electronic devices have been sources of disruption in classrooms. All electronic devices except those specifically required by the course director or lecturer are not permitted in class. If these devices go off during class, the student with the device will be asked to leave. H. Professional Conduct The University has a responsibility to promote academic honesty and integrity and to develop procedures to deal effectively with instances of academic dishonesty. Students are responsible for the honest completion and representation of their work, for the appropriate citation of sources, and for respect for others academic endeavors. By placing their name or student identifier on quizzes and examinations, students certify that the work is theirs and theirs alone. Students may not refer to any material or look at other student's papers during quizzes or examinations. Students observed so doing will receive a grade of zero for that quiz or examination. In addition, such incidents of academic dishonesty will be addressed as described in the university "Student Conduct Rules, University Standards and Administrative Regulations" the complete text of which can be found at http://www.student-affairs.buffalo.edu/judicial and as described in the School of Dental Medicine Student Handbook, the complete text of which can be found at: http://intranet.sdm.buffalo.edu/student/handbook/. ANA500 Gross Human Anatomy / Kolega Page 5 of 13 June 15, 2010

HUMAN GROSS ANATOMY 8-17 FIRST 8-18 WEEK 8-19 8-20 Laboratory #1 Introduction and begin to remove skin from back 8-21 Lecture #1 3:15 pm Structure of the Vertebral Column 8-24 8-25 Lecture #2 Muscles of the Back; Spinal Nerves Laboratory #2 All: Clean and reflect superficial back muscles Group A: Begin superior back and posterior neck. Group B: Begin deep back. Group C: Begin scapular region. Group D: Begin posterior triangle. 8-26 8-27 Lecture #3 Kolega Blood Supply of the Back; Anatomy of the Shoulder Laboratory #3 Group A:Continue superior back and posterior neck. Group B: Continue deep back Group C: Continue scapular region. Group D: Continue posterior triangle. 8-28 Lecture #4 Posterior Cervical Triangle and Axilla vasculature Laboratory #4 Group A: Complete superior back and posterior neck. Group B: Complete deep back Group C: Complete scapular region. Group D: Continue posterior triangle. ANA500 Gross Human Anatomy / Kolega Page 6 of 13 June 15, 2010

HUMAN GROSS ANATOMY 8/31 9/1 A. Lecture #5 Posterior Cervical Triangle and Axilla - nerves Laboratory #5 Group A: Present superior back and posterior neck. Begin pectoral region. Group B: Present deep back. Begin arm, flexor regions of forearm. Group C: Present scapular region. Assist groups A & B until beginning Axilla. Group D: Continue posterior triangle. All: Turn body on back 9/2 9/3 Laboratory #6 Group A: Continue pectoral region Group B: Continue arm, flexor regions of forearm. Group C: Begin axilla. Group D: Continue posterior triangle. 9/4 Lecture #6 Arm/Forearm/Wrist No lab. Time available for clinical preceptorships. 9-7 9-8 Labor Day Lecture #7 Hand 9-9 9-10 9-11 No Lecture ANA500 Gross Human Anatomy / Kolega Page 7 of 13 June 15, 2010

Laboratory #6a Group A: Complete pectoral region Group B: Continue arm, flexor regions of forearm. Group C: Continue axilla. Group D: Complete posterior triangle.. HUMAN GROSS ANATOMY Laboratory #7 Group A: Present pectoral region. Begin superficial palm. Group B: Continue arm, flexor regions of forearm. Group C: Continue axilla. Group D: Present posterior triangle. Begin deep palm and extensor region of forearm. Laboratory #8 Group A: Continue superficial palm. Group B: Complete arm, flexor regions of forearm. Group C: Complete axilla. Group D: Continue deep palm, extensor region of forearm 9-14 9-15 No lecture Laboratory #8a Group A: Continue superficial palm. Group B: Continue arm, flexor regions of forearm. Group C: Conitnue axilla. Group D: Continue deep palm, extensor region of forearm 9-16 9-17 Laboratory #9 Group A: Complete superficial palm. Group B: Present arm, flexor forearm. Group C: Present axilla. Group D: Complete deep palm, extensor region of forearm 9-18 No lecture Laboratory #10 Group A: Present superficial palm Group B: Observe & review. Group C: Observe & review. Group D: Present deep palm, extensor region of forearm 9-21 9-22 9-23 9-24 9-25 B. Lecture: review session All Review Lab closed for exam setup Lab closed for exam setup EXAM I ANA500 Gross Human Anatomy / Kolega Page 8 of 13 June 15, 2010

HUMAN GROSS ANATOMY 9-28 9-30 Yom Kippur Lecture #10 Abdomen, peritoneum, and viscera Laboratory #12 (Group C) Remove anterior body wall (Group D) Begin celiac trunk and associated viscera 10-1 10-2 Laboratory #13 (Groups C ) Continue Anterior body wall (Group D) Continue celiac trunk and associated viscera. (Group A) Begin superior mesenteric artery and associated viscera. ALL: Examination of peritoneal cavity and abdominal viscera. 10-3 Lecture #11 Autonomics Laboratory #14 (Group C) Begin inferior mesenteric artery and viscera. (Group D) Continue celiac trunk and associated viscera. (Group A) Continue superior mesenteric artery and associated viscera. (Group B) Begin posterior body wall 10-6 10-7 Lecture #12 Glands, blood supply to the abdomen Laboratory # 15 (Group C) Continue Inferior mesenteric artery (Group D) Complete celiac trunk and associated viscera. (Group A) Continue superior mesenteric artery and associated viscera. (Group B) Continue posterior body wall 10-8 10-9 Laboratory # 16 (Group C) Continue inferior mesenteric artery (Group D) Present celiac trunk and associated viscera; Begin Skull 1. (Group A) Complete superior mesenteric artery and associated viscera. (Group B) Continue posterior body wall 10-10 Lecture 13 Development of the Gut Laboratory # 17 (Group C) Complete inferior mesenteric artery (Group D) Continue Skull (Group A) Present superior mesenteric artery and associated viscera, Begin Skull 2 (Group B) Continue posterior body wall ANA500 Gross Human Anatomy / Kolega Page 9 of 13 June 15, 2010

10-13 10-14 Lecture #14 Posterior body wall, diaphragm, autonomics HUMAN GROSS ANATOMY 10-15 10-16 Skull lecture Mendel Laboratory # 18 (Group C) Present inferior mesenteric artery; Begin lungs.. (Group D) Continue Skull 1 (Group A) Continue skull 2 (Group B) Complete posterior body wall 10-17 No lecture at 8:00; lab lecture instead. Laboratory #19 Group D Complete skull 1 Group B Present posterior body wall, Begin Superior mediastinum Group C: Continue lungs Group A : Continue skull 2 10-20 10-21 Lecture #16 Thoracic cavity and diaphragm Laboratory # 20 (Group C) Complete lungs. (Group D) Present skull 1. Begin heart. (Group A) Complete skull 2 (Group B) Continue superior mediastinum. 10-22 10-23 Laboratory #21 (Group C) Present lungs; Begin posterior mediastinum (Group D) Continue heart (Group A) Present skull 2 (Group B) Complete superior mediastinum 10-24 Lecture #17 Anterior, Superior, Posterior Mediastinum, Laboratory #22 (Group D) Continue heart. (Group C) Continue posterior mediastinum. (Group B)Present superior mediastinum. Begin Skull 3. ANA500 Gross Human Anatomy / Kolega Page 10 of 13 June 15, 2010

HUMAN GROSS ANATOMY 10/27 10-28 Lecture #18 Middle Mediastinum Laboratory #23 (Group C) Complete posterior mediastinum (Group B) Continue Skull 3 (Group D) Complete heart 10/29 10/30 Laboratory #24 (Group B) Present Skull 3 (Group D) Present heart (Group A)-Present posterior mediastinum 10-31 Lecture # 19 Development of Thoracic Organs and Diaphragm Lab # 25 All Review 11/3 11/4 Autonomics Review (8:00) Lab: All Review 11/5 11/6 11/7 Lab closed for exam setup Lab closed for exam setup Exam II 11-9 11-10 11-11 11-12 11-13 Lecture 21a Neck I Lecture 21b Neck II Group A: Free time Group B: Intro to Face and Scalp Group C: Intro to Root of Neck/ Anterior Triangle Group D: Free time Group A: Free time Group B: Continue Face and Scalp Group C: Continue Root of Neck/ Anterior Triangle Group D: Intro to Ear Group A: Intro to Cranial Cavity Group B: Complete Face and Scalp Group C: Continue Root of Neck/ Anterior Triangle Group D: Continue Ear ANA500 Gross Human Anatomy / Kolega Page 11 of 13 June 15, 2010

HUMAN GROSS ANATOMY 11-16 11-17 11-18 11-19 11-20 Lecture 22 Face and Scalp Lecture 23 Cranial Cavity Group A: Continue Cranial Cavity Group B: Present Face and Scalp; Intro to Oral Cavity Group C: Complete Root of Neck/ Anterior Triangle Group D: Continue Ear Lab Starts at 8:00 am Today Group A: Complete Cranial Cavity Group B: Continue Oral Cavity Group C: Present Root of Neck/ Anterior Triangle; Intro to Nasal Cavity Group D: Complete Ear Group A: Present Cranial Cavity: Intro to orbit Group B: Complete Oral Cavity Group C: Continue Nasal Cavity Group D: Present Ear; Intro to Pharynx/Larynx 11/23 11/24 11/25 11/26 11/27 Lecture 24 Ear and Orbit Group A: Continue Orbit Group B: Present Oral Cavity; Intro to Temporal/Infratemporal Regions Group C: Complete Nasal Cavity Group D: Continue Pharynx/ Larynx Thanksgiving ANA500 Gross Human Anatomy / Kolega Page 12 of 13 June 15, 2010

HUMAN GROSS ANATOMY 11/30 12/1 12/2 12/3 12/4 Lecture 25 Oral and Nasal Cavities Lecture 26 Pharynx and Larynx Group A: Complete Orbit Group B: Continue Group A: Present Orbit Group B: Complete Group A: Review Group B: Present Temporal Temporal/Infratemporal Temporal and Infratemporal and Infratemporal Regions Regions Group C: Present Nasal Cavity; Intro to Cranial Nerves I-VI Group C: Complete Pharynx/ Larynx Group D: Continue Orbit Regions Group C: Continue Cranial Nerves I-VI Group D: Present Pharyx/ Larynx; Intro to CN VII- XII Group C: Complete Cranial Nerves I-VI Group D: Continue Cranial Nerves VII-XII. 12-7 12/8 12/9 12/10 12/11 Lecture 27 Review Temporal/Infratemporal Regions Group A: Review Group B: Review Group C: Present Cranial Nerves I-VI Group D: Complete Cranial Nerves VII- XII Lecture 28 during lab time Cranial Nerves and Autonomics 10:00 am, Farber 144 Lab: Group A: Review Group B: Review Group C: Review Group D: Present Cranial Nerves VII-XII All Review 12/14 12/15 12/16 12/17 12/18 Exam III ANA500 Gross Human Anatomy / Kolega Page 13 of 13 June 15, 2010