Human Biology & Health…(“systems I”) 1
1. Introductory lecture (2hrs)
Course objectives
Overview of system/organ function
Overview of anatomy and relevant structures
Overview of Burden of illness
Patient illustration
2. Normal Development & Embryology
3. Gross Anatomy & Imaging
4. Microanatomy
5. Normal Processes including impact of aging
Physiology
Biochemistry & Molecular biology
Pharmacology
*All material ( where possible) will be presented as normal contrasting to illustrations of abnormal providing clinical relevance
Health & Disease….(“systems II” ) 2
1. Introductory lecture (2 hrs) • Course objectives • Review of Systems I • Burden of illness
Epidemiology and Social
• Patient illustration
2. Clinical Genetics • Review of embryology if relevant
3. *Life Cycle impacts: • Development--> pediatrics --> geriatrics
4. Abnormal Processes: • Specific Abnormality or Disease pathophysiology
*With each entity : 1) Epidemiology 2) Scientific Basis and Anatomy review 3) Prevention and Screening1
4) Cultural, Social and Ethical issues 5) Natural History & Prognosis
6) Diagnosis 2 7) Therapeutics and Disease Management 8) Translational Research & Evidence Based Medicine 9) Health Care System
*Either as part of unit or parallel longitudinal course
1 Includes amongst others nutrition, life style, exercise
2 Includes history, physical, labs, imaging and pathology
UGME CuRe 21stCentury: Module 1 & 2 Course Template DRAFT Mar2012
1
2
Asymptomatic Blood, Urine or Imaging
Abnormality or Mass
Symptomatic Relevant discomfort or mass; Blood, Urine or Imaging Abnormality
Person……Patient
-System:
-Learner:
Anatomy : Gross Microanatomy Embryology/Genetics
Physiology: Lower Urinary Tract Glomerular/Tubular
Pathophysiology: LUTS/ Incontinence Calculi UTI Cystic disease GU Tumors
Community:
Kidney Disease-Acute & Chronic Electrolyte (Na, K, Ca, P04, Mg)
Volume abnormalities Acid base abnormalities Glomerular Diseases
CONCEPT MAP : CuRe URINARY TRACT COURSE
Indigenous Health
Pediatrics Geriatrics Community
Health
Clinical Reasoning
Professionalism
Diagnostic Imaging
Genetics Health Psychology
CanMeds Objectives
• Medical Expert
• Scholar
• Communicator
• Health Advocate
• Collaborator
• Manager
• Professional
Urology Nephrology
Clinical Skills
InterProfessionalActivity/education
-Longitudinal Course or Theme:
Information Science
3
CuRe URINARY TRACT COURSE RENEWAL PROCESS
3
3
Course Leader: Keevin Bernstein [email protected] Education Coordinator : TBA
Anatomy: Sabine Hombach-Klonisch [email protected] Biochemistry : TBA Community Health : TBA Diagnostic Imaging: Mark Vivian [email protected] Generalism : TBA Genetics : Alison Elliot [email protected] Immunology: Patricia Birk [email protected] Infectious Disease: Phillipe Lagace Wiens [email protected] Indigenous Health: Barry Lavallee [email protected] Nephrology HSC: Martin Karpinski [email protected] Nephrology SBGH: Chris Sathianathan [email protected] Pharmacology: Don Smyth [email protected] Pathology: Ian Gibson [email protected] Pediatrics: Patricia Birk [email protected] Urology: Brenda Hildebrand [email protected]
Students : Jesse Marantz (2015) [email protected] Patrick Jung (2015) [email protected] Resident: Alissa Lloyd (PGY4) [email protected]
M1/M2 URINARY TRACT UT Course Committee
4
CuRe URINARY TRACT Jan 20, 2014
4
M1 and M2 Urinary Tract course covers:
UPPER and LOWER URINARY TRACT and MALE GENITALIA:
• Normal urinary tract and male sexual function • Abnormalities that are either
Urology : anatomical abnormalities of the urinary tract and male genitalia
Nephrology : abnormalities of kidney parenchymal function
5
At the completion of M1 UT1 , the Learner should be able to:
1. Describe the burden of illness that pertains to the urinary tract, specifically acute and chronic kidney disease, urinary tract infections, benign and malignant conditions involving the upper and lower urinary tract.
2. Describe normal anatomy, microanatomy and (development) of the urinary tract, and male genitalia.
3. Describe normal urinary tract physiology as it pertains to assessment of urologic or renal function and solute homeostasis.
4. Describe the impact of age and aging on the normal urinary tract physiology.
5. Describe the genetic and developmental disorders associated with cystic kidneys
6. Solve various clinical problems that involve solute abnormalities based upon the understanding of renal physiology & interpretation of lab tests.
CuRe URINARY TRACT COURSE OBJECTIVES
6
At the completion of M2 UT2 , the Learner should be able to:
1. Describe the etiology, pathophysiology, clinical presentation, treatment and prognosis of a variety of diseases of the urinary tract, either urological or nephrological.
2. Using case illustrations differentiate potential urologic from nephrologic diseases based upon random & timed urinary tests (urinalysis, urinary indices, timed urine collection) and diagnostic imaging.
3. Using case illustrations differentiate acute from chronic kidney disease including potential causes, prognosis and treatments.
4. Demonstrate the roles of professionalism and health advocacy in managing or preventing various diseases of the urinary tract.
5. Appreciate cultural and ethnic impact on diseases of the urinary tract.
6. Appreciate the roles of all health care professionals in the management of individuals with diseases of the urinary tract.
CuRe URINARY TRACT COURSE OBJECTIVES
7
CuRe URINARY TRACT COURSE RENEWAL PROCESS
7
7
Build upon existing Kidney course strengths ie nephrology section:
Use compilation of integrated assigned studies and small groups sessions
Strategic WGS for introductory topics, reviews or illustrating integration with
other specialities or disciplines
Enhance Urology section: Include male genitalia
Establish troika – Anatomy, Urology and Diagnostic Imaging - collaborating to create and present Anatomy content in M1, and Urology in M2.
Sabine Hombach-Klonisch, Brenda Hildebrand or Mark Vivian designated as session leader
Integrate Themes Burden of disease- ie aboriginal influences
Geriatrics and pediatrics - effects of aging added to renal physiology at both extremes
Urinary continence
Pharmacology
Add pediatric cases to nephrology small group sessions
Enhanced content on genetics including developing link to cystic disease
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Course
IDSESSION TOPIC-TITLE Dept Date Time Hrs Format Session Leader Notes
UT101 Introduction: Urinary Tract IM/CHS 17-Feb 9:00 2 WGS Keevin Bernstein
UT102Histology of the Kidney and Male
Reproductive Tract Ana 19-Feb 9:00
1 AS Sabine Hombach spermatogenesis
UT103Development of Genito-Urinary
System Ana 19-Feb 10:00
1 WGS Mark Torchia
UT104Anatomy of Lower UT and male
reproductive tract
Ana/
Uro/DI19-Feb 16:00
1 WGS Sabine Hombach
Mark Vivian
Brenda Hildebrand
gross anatomy with radiologic
images dissection
UT105GFR & RBF: Control and
Clinical Assessment IM 20-Feb 9:00
2 AS Keevin Bernstein age effects; young & old.
Hyperfiltration and energy
UT106Bladder & Male Sexual
Function/DysfunctionUro 20-Feb 11:00
1 WGS Rob Bard continence;age effects
UT107 GU Heredity/Cystic Disease IGen/
Peds20-Feb 12:00
1 WGS Alison Elliot
Patricia Birk
UT108 Tubular Secretion & Reabsorption IM 24-Feb 9:00 1 AS Keevin Bernstein
UT109 Renal Hormones IM 24-Feb 10:00 1 AS Keevin Bernstein
UT110 GU Heredity/Cystic Disease II Genet 24-Feb 11:001 SGS/T Alison Elliot
Patricia Birk
UT111 Renal Hemodynamics IM/Peds 25-Feb 9:00 2 SGS/T Keevin Bernstein
UT112 Salt & Water Handling by Kidney IM 02-Mar 11:00 2 AS Keevin Bernstein
UT113Anatomy of Upper UT-Kidneys &
ureters
Ana/
Uro/DI04-Mar 9:00
2 SGS/LP Sabine Hombach
Mark Vivian
Brenda Hildebrand
gross anatomy with radiologic
images dissection
UT114 Control of Salt & Water Balance IM/Peds 05-Mar 9:00 2 SGS/T Keevin Bernstein augment diuretc effects
UT115 Review of Salt Balance (IT1) IM 0 T (O) Keevin Bernstein
UT116 Potassium Homeostasis IM/Peds 06-Mar 9:00 2 SGS/T Martin Karpinski
UT117 Acid Base Balance IM/Peds 09-Mar 11:00 2 SGS/T Martin Karpinski
UT118 Overview of Renal Tubular Function IM 10-Mar 9:001 L Keevin Bernstein
UT119 Volume & Osmolality Control I IM/Peds 10-Mar 10:00 2 SGS/T Keevin Bernstein
UT120 Volume & Osmolarity II IM/Peds 11-Mar 9:00 1 SGS/T Keevin Bernstein
UT121 Instructional Test II 12-Mar 9:00 IT Keevin Bernstein
CuRe URINARY TRACT M1 2015
Course objectives
Overview:
1.system/organ function
2.anatomy& relevant structures
3.Burden of illness
4.ESRD Patient
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SESSION TOPIC-TITLE Depart. Date Time Hrs Format Session Leaders
Bold point person
Notes:Includes
UT201 IM/CHS Mon.Jan 25 9:00
AM
2 WGS Keevin Bernstein
Renal Pathophysiology physiology & Intro case patho
physiology;burden of illness
UT202 Salt and Water I IM/Peds 2 SGS/T Keevin Bernstein
UT203 Salt and Water II IM/Peds 2 SGS/T Keevin Bernstein
UT204 Clinical Acid Base & Potassium
I
IM/Peds 2 SGS/T Martin Karpinski
UT205 Clinical Acid Base & Potassium
II
IM/Peds 2 SGS/T Martin Karpinski
UT206 Renal Pharmacology Pha 1 WGS Don Smyth Diuretics,ACE/ARB,BPH
UT207 Urinalysis IM 1 WGS Keevin Bernstein
UT208 LUTS &
Male Reproductive Abnormalities
Uro/
Ana/DI
2
WGS
Brenda Hildebrand
Sabine Hombach
Mark Vivian
Presentation, imaging, path.,
management includes
Incontinence & Infertility
UT209 GU tumors Uro/
Ana/DI
1
WGS
Brenda Hildebrand
Sabine Hombach
Mark Vivian
Presentation, imaging,
pathology, management
UT210 Calculi URO/DI/ 2WGS
Brenda Hildebrand
Mark Vivian
Presentation, imaging,
management
UT211 Urinary Tract Infection I ID/ 1 WGS Philipe Legace Weins add Ped UTI
UT212 Urinary Tract Infection II ID/Ped/ 1 SGS/TPhilipe LegaceWiens
Patricia Birk
UT213 Urology:Abnormal U/A & GU
Tumours
URO 2 SGS/T Brenda Hildebrand
UT214 Instructional Test I IM 1 IT Keevin Bernstein
UT215 Abnormal Urinalysis IM 1 WGS Keevin Bernstein
UT216 Glomerulonephritis - GN - I IM/
Ped/Pa
2
WGS
Keevin Bernstein
Patricia Birk
Ian Gibson
Approach
Immunology
Case presentations/pathology
UT217 Glomerulonephritis - GN - II IM/PA 1WGS
Keevin Bernstein
Ian Gibson
Case presentations/pathology
UT218 Nephrology: Abnormal
Urinalysis
IM/Peds 2 SGS/T Keevin Bernstein
UT219 Acute Kidney Disease IM 1 AS Keevin Bernstein
UT220 Chronic Kidney Disease IM 1 AS Keevin Bernstein
UT221 Urinary Tract Obstruction URO 1 AS Brenda Hildebrand add Ped VUR
UT222 Kidney Disease Management I IM/CHS1 WGS
Keevin Bernstein Augment Bone & BP mgmt
Burden illness
UT223 Kidney Disease Management II IM/Peds 2WGS
Keevin Bernstein
Patricia Birk
Approach and RRT
UT224 Kidney Disease Management III IM/
NU/Nu
1WGS
Keevin Bernstein Prevention
Multidisciplinary care
UT225 Kidney Disease Management IV IM/Peds 2 SGS/T Keevin Bernstein
UT226 Kidney Disease Management V IM/Peds 2 SGS/T Keevin Bernstein Includes Ped age
UT227 Kidney Disease Management VI IM/Peds 1 SGS/T Keevin Bernstein
UT228 Clinical Potpourri I - Adults IM/Peds 2 SGS/T Keevin Bernstein
UT229 Clinical Potpourri II -Peds Peds 1 SGS/T Patricia Birk
UT230 Instructional Test II IM 2 IT Keevin Bernstein
CuRe URINARY TRACT M2 2016Course
ID
Introduction: Case:Review M1 UT clinical
10
CuRe URINARY TRACT COURSE RENEWAL PROCESS
10
10
M1/M2 URINARY TRACT Course Breakdown
74 Hours
% M1 M2 TOTAL
33 7 18 25
47 14 21 35
3 2 0 2
11 5 3 8
6 1 3 4
100 29 45 74
11 11
11
M1/M2 URINARY TRACT Student Evaluation
All MCQ – 50 % case based:
Instructional Tests 2 per course 4 % if achieved 60 %;
indefinite attempts
Mid term 26 %
Final 70 %
12 12
12
CuRe URINARY TRACT M3 topics
Complex diabetes with CKD and CHF
Multi-organ failure- PCKD – liver and kidney; genetics/ ethics/ clinical management
Multiple myeloma – integrating approach to anemia and kidney disease;
therapy including immunosuppressive therapy, dialysis and BMT
Multisystem disease ie SLE with lupus nephritis and immunosuppressive therapy
Pediatric kidney disease with salt and water management
Multi-organ donation – national system, organ allocations, immunosupressive
therapies, resource allocation based age and co-morbidities
Complex co-morbid disease in either pediatric and adult incorporating fluid,
electrolyte and acid base abnormalities
Elderly patient- lower tract symptoms, mild dementia and other medical
comorbidities addressing therapies
Male Fertility – male/ sperm donation/reproductive technology/ethics
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Composite Clinical Presentations CP4* UGME Sept 2012 DRAFTV6 HEALTH CONDITIONS
SYMPTOMS & SIGNS 34 hemoptysis ABNORMAL LABS 99 ADHD spectrum
1 abdominal mass 35 hirsutism 66 acidosis 100 adrenal disorders
2 abd pain: acute & chronic 36 hoarse voice 67 alkalosis 101 arthritis
3 allergic reactions 37 impotence 68 hemoglobin disorders 102 CVD
4 anxiety 38 incontinence 69 calcium/phopshate/magnesium 103 cirrhosis
5 ascites 39 jaundice 70 cardiac markers/EKG 104 CNS infections
6 blunt trauma 40 joint pain-acute & chronic 71 coagulation abnormalities 105 diabetes
7 burns 41 low back pain 72 creatinine:acute & chronic 106 Drug OD
8 bleeding 42 lymphadenopathy 73 CXR abnormalities 107 eating disorders
9 cardiac murmurs 43 neck mass/thyroid 74 lipd abnormality 108 fungal infections
10 chest pain 44 pain syndrome 75 leukocyte disorders 109 HIV/AIDS
11 constipation 45 palpitations 76 liver enzymes/function 110 hypertension
12 cough- acute & chronic 46 pruritus 77 potassium abnormalities 111 infertiltiy
13 cyanosis 47 red eye 78 platelet disorders 112 kidney disease-chronic
14 delirium 48 paralysis 79 pulmonary function tests 113 lung disease-chronic
15 dementia 49 pelvic pain/mass 80 sodium abnormalities 114 malnutrition
16 diarrhea- acute & chronic 50 seizures 81 urinalysis abnormalities 115 menses/menopause
17 diplopia 51 skin growths FACTORS EFFECTING HEALTH 116 mood disorders
18 dysphagia 52 skin rashes 82 adverse drug reactions 117 multiple sclerosis
19 dyspnea-acute & chronic 53 sleep disorders 83 chronic disease 118 osteoprosis
20 dysuria/UTI 54 somnolence 84 Contraception 119 pediatric emergencies
21 ear pain 55 sore throat 85 Culture 120 palliative care
22 edema 56 syncope 86 WHO Determinants of Health 121 pituitary disorders
23 extremity pain-acute&chronic 57 tendon rupture 87 developmental pediatric delay 122 pregnancy/complications
24 eye trauma 58 testicular swelling/pain/mass 88 Disabilities 123 psychosis
25 fever 59 tinnitus 89 neglect/abusive relationship or behavior 124 suicidal behavior
26 fatigue 60 vomiting 90 educational level 125 shock/resuscitation
27 foot ulcers 61 vision loss acute&chronic 91 elderly/frail 126 sports injuries
28 fracture/dislocation 62 weakness 92 environmental health 127 STI
29 GI bleed 63 wheezing- acute & chronic 93 infectious epidemic/prevention 128 suicidal behavior
30 head injury 64 UT obstruction symptoms-lower 94 food and water security 129 systemic autoimmune disorders
31 headache 65 vertigo/dizziness 95 body weight disturbances 130 surgical infections
32 hearing loss 96 substance abuse/addiction/alcoholism 131 TB
33 hematuria 97 poverty 132 thyroid disorders
98 smoking 133 Venous thrombosis
Directly 16 Indirectly 3
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CuRe M1 Urinary Tract and GI plus LC 2015
Monday Tuesday Wednesday Thursday Friday
February 16 February 17 February 18 February 19 February 20
9:00
10:00
11:00
12:00
13:00
14:00
15:00
16:00
UT and GI
M1 Week 20
Lunch Lunch
GI103 WGS
Anatomy I
GI101 WGS
Introduction to GI
and Nutrition
UT 101 WGS
Introduction to
Urinary Tract
UT102 AS
Histology: Kidney
and Male
Reproductive Tract
GI 105 SGS/LP
Anatomy:Oral
GI106 SGS/LP
Anatomy: Abdomen
Louis Riel Day
Clinical Reasoning
GI102 WGS GI
Embryology and
Congenital
Disorders
UT103 WGS
Development of
Urinary Tract
Clinical Skills
Clinical Reasoning
PR-HM5 AS
History of Medicine
video project
PR-PW3 WGS
Determining Skills
and Values
Clinical Skills
UT104 WGS
Anatomy Lower
Urinary Tract
GI104 WGS
Histology I
LunchLunch
UT105 AS
Renal
Hemodynamics
and GFR
UT106 WGS
Bladder and Male
Sexual Function
UT107 WGS
Heredity/Cystic
Disease
GU Tract I
15
CuRe M1 Urinary Tract and GI plus LC 2015
Monday Tuesday Wednesday Thursday Friday
February 23 February 24 February 25 February 26 February 27
9:00
10:00
11:00
12:00
13:00
14:00
15:00
16:00
G1113 AS
Biliary Physiology
G1114 AS
Pancreas
Physiology
GI 115 WGS
Anatomy Small and
Large Intestine
Lunch
UT and GI
M1 Week 21
GI109 WGS
Anatomy II Liver Lunch Lunch
UT108 AS
Renal Tubular
Reabsorption &
Secretion
UT109 AS
Renal Hormones
GI108 WGS
Gastric Physiology
UT110 SGS/T
Heredity/Cystic
Disease
GU Tract II
GI111 WGS
Histology II LiverGI107 WGS
Oral and
Esophageal
Physiology
UT111 SGS/T
Renal
Hemodynamics
GI110 SGS/LP
Anatomy: Liver,
Gall bladder and
Pancreas
GI112 SGS/T
Liver Physiology
Lunch Clinical Reasoning Lunch
Clinical Reasoning
PR-PW4 SGS
Self Awareness-
Managing Stress
Clinical Skills
Clinical Skills
PR-PW5 WGS
Managing Your
Finances
PR-PW6 WGS
Career Planning
CHS-Pop7
Nutrition Public
Health Perpsective
PR-PW7 WGS
Introduction to
CaRMS
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CuRe M1 Urinary Tract and GI plus LC 2015
Monday Tuesday Wednesday Thursday Friday
March 2 March 3 March 4 March 5 March 6
9:00
10:00
11:00
12:00
13:00
14:00
15:00
16:00
UT and GI
M1 Week 22
Lunch Lunch
Mid Term Exam
UT112 AS
Salt and Water
Handling
GI117SGS/LP
Anatomy: Smal and
large Intestine
GI118 SGS/T
Small
Bowel/Nutrition
Physiology
UT113 SGS/LP
Anatomy Upper
Urinary Tract
UT114 SGS/T
Salt and Water
Handling
Lunch Clinical Reasoning Lunch
Clinical Reasoning
Clinical Skills
Clinical Skills
CHS-SP7
Infant Nutrition /
Breastfeeding
CHS-HD12 SGS
Food Security &
Health
GI120 WGS
Salt & Water
Absorption
GI 116 WGS
Histology: Small &
Large Intestine
GI119 SGS/T
Physiology: Water
soluble vitamins
UT116 SGS/T
Potassium
Lunch
17
Monday Tuesday Wednesday Thursday Friday
March 9 March 10 March 11 March 12 March 13
9:00
10:00
11:00
12:00
13:00
14:00
15:00
16:00
UT and GI
M1 Week23
LunchGI 123 WGS
Gut MotilityLunch
GI 120 SGS/T
Lipid Soluble
Vitamins
UT117 SGS/T
Acid Base
UT 118 WGS
Renal Tubular
Review
UT119 SGS/T
Volume &
Osmolarity I
UT120 SGS/T
Volume &
Osmolarity II
GI 121 WGS
Diet & Nutrition 1
GI 122 WGS
Diet & Nutrition II
UT 121 WGS/A
Instructional Test
GI 124 WGS
Instructional Test
GI 125 SGS/LP
Anatomy Review
Final Exam
Lunch Clinical Reasoning Lunch
Clinical
Reasoning
Clinical Skills
Lunch
Information Science:
Secondary literature
Clinical Skills
CuRe M1 Urinary Tract and GI plus LC 2015