Medical Education
Educational efforts in the School of Medicine include traditional pathology and anatomy lectures, one-on-one surgical pathology teaching at the microscope, cadaver dissection, clinical pathology laboratory training, and daily faculty-led pathology conferences for resident physicians, forensic pathology experiences, and small group tutoring within the setting of a problem-based learning medical school curriculum. These coures offerings are only open for students enrolled in the School of Medicine.
405 Anatomic Pathology
Students may observe the dissection of gross surgical specimens and follow them through to final microscopic diagnosis. During final check out of surgical specimens between the resident and staff pathologists, the student may participate actively in the study or discussion of slides via a four-headed microscope. The student may attend any hospital based or forensic autopsies performed during the time he/she is on the Anatomic Pathology Rotation, may discuss the findings of the case with the resident and staff pathologists responsible for the individual cases, and may, depending on her/his interests, make important contributions to the interpretation of the findings. This rotation does encourage substantial independent study by the student as well as attendance at and participation in four to six departmental resident teaching conferences each week. Many excellent microscopic study sets are readily available for personal study. Students seeking experience in a particular organ system(s) will be encouraged to review the present study sets and to help select additional cases to add to the appropriate set(s).
Course Availability (Blocks): 15A, 15B, 16A, 16B, 17A, 17B, 18A, 18B, 19A, 19B, 20A, 20B; not available during IB
Prerequisites: Must have permission from the Medical Student Program Coordinator
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406 Clinical Pathology
1. Blood Bank
This rotation is an individualized and largely unstructured experience. During the first few days, students will be expected to become familiar with technical procedures and programs handled by the blood bank. They will do so by the process of observation and by reading. Emphasis will be placed on the indications for and value of component therapy. As the student acquires the necessary background, he/she will become involved in the individual case problems handled by the staff and resident pathologists. The student will be asked to review the patients' charts for needed information and to present his evaluation of problems and projected solutions. Students will need to be in contact with Dr. Luger at least two weeks in advance.
2. Chemistry/Immediate Response Lab
The student rotating on the clinical chemistry service will attend "abnormal laboratory results" rounds. In preparation for rounds, the medical records or selected patients with computer-detected abnormal results will be reviewed. Protein electrophoretic patterns on serum, urine and cerebrospinal fluid, serum lipoprotein patterns, isoenzyme fractionation, and lecithin-sphingomyelin ratio reports may be reviewed with the attending pathologist. Students also participate in the management of the University Hospital's control laboratory, The Immediate Response Lab. Students will also participate in a continuing education conference and attend other pertinent conferences.
3. Hematology
There is no predetermined pattern or program for elective rotations in this area. Instead, the individual student is encouraged to develop his own educational objectives, appropriate to his intended field (e.g. family practice, child health, surgery, etc.) and appropriate to the time frame selected by the student. These objectives will be reviewed at or before the start of the rotation with the responsible pathologist, mainly to see that they are realistic for the time frame chosen. Students will be active participants in the daily review of bone marrow aspirates and of diagnostic peripheral blood smears. The contribution of Flow Cytometry in assessing lymphoreticular diseases is available for review. Students are expected to complete a mutually agreeable research on a patient care project during the 1-2 months. This rotation requires approval from Dr. Bill Caldwell at least one month prior to start date.
4. Ellis Fischel
The student completing this rotation will acquire a fairly broad-based knowledge of the role of clinical pathology in management of patients with cancer, leukemia, and lymphoma at the Ellis Fischel Cancer Center. This will include more general laboratory data from hematology, chemistry, microbiology, and more specialized data from cytogenetics, molecular pathology, flow cytometry, and special hematology. Students will be expected to make regular assessments of patient's progress and clinical problems, in conjunction with laboratory monitoring. The opportunity exists in any of these laboratories for more intensive study, including morphologic evaluation of blood and bone marrow, cytogenetic karyotyping, and other projects appropriate to the level of education and desire. This rotation may be scheduled for either 4 or 8 weeks, with prior approval of the laboratory director, Dr. Bill Caldwell at least one month in advance.
5. Renal Pathology & Transplant Immunology
The student will have an opportunity to gain experience in all aspects of renal biopsy pathology including diagnostic light, electron, and immunofluorescence microscopy of renal biopsies. This will include both native kidney and renal allograft biopsies. A fine teaching set of representative slides of diverse pathologic conditions is available for guided independent study. In addition, the student will have the opportunity to rotate through the transplantation immunology laboratory and gain first hand experience in the clinical aspect of kidney allograft matching.
Course Availability (Blocks): 15A, 15B, 16A, 16B, 17A, 17B, 18A, 18B, 19A, 19B, 20A, 20B; not available during IB
Prerequisites: Must have permission from the Medical Student Program Coordinator
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407 Forensic Pathology
This rotation of 4 weeks will enable the students to witness some forensic cases the Boone and Callaway Medical Examiner and hospital autopsy cases from the University and VA Hospitals. In this process, the student may be involved in death site investigation, and will be involved in gross autopsy findings, and final forensic autopsy disposition. If circumstances and confidentiality issues permit, the student may be able to go to a court setting to see the Medical Examiner's testimony.
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408 Anatomical Pathology/Clinical Pathology
Students may observe the dissection of gross surgical specimens and follow them through to final microscopic diagnosis. During final check out of surgical specimens between the resident and staff pathologists, the student may participate actively in the study or discussion of slides via a four-headed microscope. The student may attend any hospital based or forensic autopsies performed during the time he/she is on the Anatomic Pathology Rotation, may discuss the findings of the case with the resident and staff pathologists responsible for the individual cases, and may, depending on her/his interests, make important contributions to the interpretation of the findings. This rotation does encourage substantial independent study by the student as well as attendance at and participation in four to six departmental resident teaching conferences each week. Many excellent microscopic study sets are readily available for personal study. Students seeking experience in a particular organ system(s) will be encouraged to review the present study sets and to help select additional cases to add to the appropriate set(s).
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772 Anatomy Elective
The objective of this elective is to provide anatomical background or enhance the knowledge of human gross anatomy that the student already possesses.
Because this elective is focused on the area of specialization the student intends pursuing, the evaluation will be based on successfully reaching specific objectives that have been decided between the student and the instructor at the outset of the elective.
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Advanced Biomedical Sciences (ABS) Courses
Advanced Biomedical Sciences (ABS) courses are offered through the Department of Pathology and Anatomical Sciences. Requirements for these courses may be found at http://somis.umh.edu/src/adv_biomed_sci_req.shtml or by contacting Tammy Phanichkul , Medical Student Program Coordinator, at 573-884-4079. Prior approval for these courses must be obtained from the Medical Student Program Coordinator. Two weeks prior to the start of the block, please contact Dr. Matthew Ravosa for specific instructions.
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680 Advanced Medical Neuroscience
The objective of this course is to provide in-depth exploration fo selected area of medical neuroscience.
Review of basic neuroanatomy, then literature study of a selected neuroscience topic such as: cognition, visual system, motor system, neuropsychopharmacology, pain, etc. Completion of a review paper suitable for publication
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682 Pathology & Anatomical Sciences Research
The objective of this course aims to provide the opportunity for research directed at, and/or detailed review of, important issues in anatomical and/or clinical investigation. The specific areas of research and/or review will be developed in conjunction with the course director.
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684 ABS Anatomical Sciences Teaching
The objective of this course is to provide in-depth exploration of anatomy while assisting in the education of medical students in clinical anatomy, anatomical dissections, and interpreting diagnostic imaging. Cadaver dissection, instruction of medical students, mentoring medical students in anatomy, and completion of a summary paper on a topic mutually agreeable to course director are required.
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686 Pathology & Anatomical Sciences Research & Review
The objective of this course aims to provide the opportunity for research directed at, and/or detailed review of, important issues in anatomical and/or clinical investigation. The specific areas of research and/or review will be developed in conjunction with the course director.
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740 Anatomy Abdomen & Thorax
The objective of this course is to provide in-depth exploration of the anatomy of the thorax and abdomen.
Special note: Cadaver dissection, observation of surgical procedures, and completion of a library research paper on a topic mutually agreeable to course director and student, or presentation of an anatomical review lecture to residents or the M-2's studying for the National Boards.
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744 Anatomy Pelvis & Perineum
The objective of this course is to provide in-depth exploration of the anatomy of the pelvis and perineum.
Special note: Cadaver dissection, observation of surgical procedures, and completion of a library research paper on a topic mutually agreeable to course director and student, or presentation of an anatomical review lecture to residents or the M-2's studying for the National Boards.
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748 Anatomy Head & Neck
The objective of this course is to provide in-depth exploration of the anatomy of the head and neck.
Special note: Cadaver dissection, observation of surgical procedures, and completion of a library research paper on a topic mutually agreeable to course director and student, or presentation of an anatomical review lecture to residents or the M-2's studying for the National Boards.
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749 Anatomy Back & Limbs
The objective of this course is to provide in-depth exploration of the anatomy of the back and limbs.
Special note: Cadaver dissection, observation of surgical procedures, and completion of a library research paper on a topic mutually agreeable to course director and student, or presentation of an anatomical review lecture to residents or the M-2's studying for the National Boards.
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