2018-19 Bulletin of the Duke University School of Medicine

Master of Health Sciences Degree Programs 199 setting to enhance readings and lectures. Students develop skills in clinical reasoning across multiple medical disciplines during term- based Synthesis Sessions. This is a core course around which most other courses are organized and is a corequisite for Pharmacology and Therapeutics, I, II, III (PHYASST 223, 224, 225) and Diagnostic Methods, I, II, III (PHYASST 210, 211, 212). Credit: 5; 10; 10. Staff PHYASST- 223, 224, 225. Pharmacology and Therapeutics I, II, III. The essentials of basic pharmacological principles and disease process therapeutics. Topics for this course are sequenced with Clinical Medicine I, II, III (PHYASST 220, 221, 222) and Diagnostic Methods, I, II, III (PHYASST 210, 211, 212) and are provided primarily in lecture format. Credit: 1; 1; 1. Mesaros PHYASST-230. Fundamentals of Surgery. The course focuses on the basic surgical concepts needed for the PA to function in primary care settings as well as major surgical areas. The course emphasizes surgical concepts, topics and surgical technique. A substantial part of this course consists of essential hands-on laboratory exercises emphasizing surgical skills required in a primary care setting. Credit: 3. Howard PHYASST-231, 232, 233. Patient Assessment and Counseling I, II, III. An introduction to history-taking, physical examination techniques, counseling, documentation and presenting clinical information along with the practical application of these clinical skills. Emphasis is placed on acquiring the skills, knowledge and sensitivity needed to communicate and intervene effectively in a wide variety of patient encounters. Teaching methods include lecture, small group demonstrations and practice sessions as well as clinical assignments to examine and/or interview standardized patients and patients in hospital, and outpatient settings. Students also access standardized patients in a controlled setting. Audiovisuals and asynchronous learning are also used. Credit: 3; 3; 3. Sanchez PHYASST-251. Practice and the Health System. This course provides an overview of the American health care system with a focus on the PA profession. It provides a system perspective on issues discussed in Prevention and Population Health. An interdisciplinary faculty will provide lectures and lead conversations on various aspects of health care, including such topics such as: the history of the PA profession, financing cost control and reimbursement, legislation and regulation, political issues, quality of care and professional organizations. The first part of the course will focus on US Health Care System and will utilize the opioid epidemic as example issue for focus. The second portion of the course will focus on the PA profession, regulation, political issues and professional organizationss. Credit: 1. Everett PHYASST-255. Evidence-Based Practice I. A lecture and seminar course that provides a practical approach to making sound medical decisions on the basis of current evidence in the medical literature. Through a series of didactic presentations, group exercises, and reading, students will learn the basic principles of evidence-based medicine. Basic skills in using MEDLINE and other medical databases will be emphasized and practiced. Research principles, research ethics, and basic statistical review are introduced. Credit: 2. Morgan Preclinical Year Courses - Elective PHYASST-261. Beginning Medical Spanish. This elective course is designed to improve students’ communication in clinical situations with patients whose native language is Spanish. The focus of the instruction will be on learning conversational skills in order to take clinical histories, conduct physical examinations and give instructions to Spanish speaking patients. For students with very little or no previous Spanish language training or experience. Credit: 1. Staff PHYASST 262. Intermediate Medical Spanish. This elective course is designed to improve students’ communication in clinical situations with patients whose native language is Spanish. The focus of the instruction will be on strengthening conversational skills in order to improve students’ ability to take clinical histories, conduct physical examinations and give instructions to Spanish speaking patients. For students with previous, but not extensive, Spanish language training or experience. Credit: 1. Staff PHYASST 263. Advanced Medical Spanish. This elective course is designed to refine students’ communication in clinical situations with patients whose native language is Spanish. The focus of the instruction will be on strengthening conversational skills specific to taking clinical histories, conducting physical examinations and giving instructions to Spanish speaking patients. For students with extensive previous experience speaking Spanish. Credit 1. Staff Clinical Year Courses - Required PHYASST 299. Bridge: The Path to Patient Care. This two-week course provides physician assistant students with preparation to begin the clinical year rotations. Topics covered include: preceptor expectations, self-care, electronic medical records access, professionalism and Advanced Cardiac Life Support. Credit: 2. Blazar PHYASST 300A, 300B. Primary Care. These two, four-week clinical courses are an opportunity for physician assistant students to understand the principles of Family Medicine and their application in community practice. Students are introduced to problems commonly encountered by family physicians and physician assistants, as well as to the unique aspects of community practice. Students confront the diversity of community and family health care needs, as well as occupational and environmental issues impacting health and learn about some of the resources to meet those needs. Many of the training sites provide care for underserved populations in rural North Carolina communities. Credit: 4, 4. Staff PHYASST-305. Evidence-Based Practice II. This required four-week course helps students to build skills in evidence-based medicine and quality improvement. The evidence-based medicine component focuses on finding and using best available evidence to address clinical questions. The quality improvement component builds the student’s capacity to examine population health and clinical quality indicators and to plan interventions to improve quality of health and healthcare. Credit: 3. Morgan PHYASST-310. Behavioral Medicine. This four-week course provides physician assistant students with an opportunity to participate in the care of patients with psychiatric illness and/or behavioral disorders. Rotation sites may provide students with inpatient, outpatient, or mixed experiences. This rotation facilitates the acquisition of communication and behavioral modification skills which are useful in the primary care setting. Credit: 4. Staff PHYASST-320A, 320B. Internal Medicine. These two, four-week courses provide the opportunity for physician assistant students to understand the principles of general internal medicine and their application in clinical practice. Students are introduced to problems commonly encountered in inpatient and/or community internal medical practice. Students confront a diversity of health care needs and issues impacting general medical health and learn about resources required to meet these needs. Credit: 4, 4. Staff

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