University of Missouri-Kansas City School of Medicine Course Syllabus MED 9485 Ambulatory Care Pharmacology Spring Semester 2013

Course Description: This course assists students in application of basic pharmacology knowledge to clinical practice. The course consists of 5 topics, which are based on established clinical practice guidelines and are essential to providing primary care in the Internal Medicine clinic. Make sure you study all five modules, which teach about the management of common conditions in ambulatory care patients: Asthma and COPD Pain Common Infections Diabetes Mellitus Cardiovascular: Hypertension and Hyperlipidemia The self-paced pharmacology curriculum makes use of the concepts of life-long learning, selfawareness, and personal growth. Managing your time is a challenge. There are increasing demands you will encounter and priorities you must set. You should carefully plan your pace of study and direct your learning accordingly. Just as physicians must continue to learn and remain current with the medical literature while keeping a hectic work schedule, you must consider how you will complete this instruction in addition to your other curriculum requirements. Fortunately, you will find that the course content is relevant and applicable to your current clinic curriculum. Course Learning Objectives: The overall course addresses selected learning objectives from the UMKC Experienced Based Curriculum, which are listed on pages 5. Additionally, each module has specific learning objectives, which can be found in the respective handouts. Course Director: Julie Banderas, PharmD, banderasj@umkc.edu, 235-5249 Course Faculty: This is a self-directed learning course; however the faculty is readily available for assistance. We have strived to provide you with useful learning materials. For assistance with a specific topic you should contact the faculty responsible for that section. For general questions or concerns about the course, please contact the course director, Dr. Banderas. Email is usually the most effective way to initiate contact with the faculty. 1. Management of Chronic Pain in the Ambulatory Care Setting Faculty: James Wooten, PharmD, 235-2197, wootenj@umkc.edu 2. Management of Cardiovascular Disease in the Ambulatory Care Setting Faculty: Julie Banderas, PharmD, 235-5249, banderasj@umkc.edu 3. Management of Common Adult Infections in the Ambulatory Care Setting Faculty: John Foxworth, PharmD, 235-1925, foxworthj@umkc.edu 4. Management of Asthma and COPD in the Ambulatory Care Setting Faculty: James Wooten, PharmD, 235-2197, wootenj@umkc.edu

5. Management of Diabetes Mellitus in the Ambulatory Care Setting Faculty: Paul Cuddy, PharmD, 235-1809, cuddy@umkc.edu Course Learning Materials: There is not a textbook for this course. The instructors have created a handout for each topic of study. They are very thorough and current. They can be found in the Blackboard course under Course Content. The handouts are PDF files, which are meant for students to download and print as needed. Publicly available guidelines and other supporting documents may also be linked to the course content. It is assumed that students have mastered basic pharmacology concepts and will be required to use that knowledge in answering exam questions. Practice questions have been posted to be used by students to assess how well they have mastered the material. Under the menu button Review Questions you will find review questions in a discussion board format, you may post responses and questions for discussion among your peers. However, faculty will not be regularly monitoring these posts, so if you have a question please contact the instructor by email. Under the menu button Practice Quizzes you will find practice quizzes for some of the topics. Grading and Exams: This is a letter-graded course based on test performance. The grading is displayed in the table below. The test questions are derived from the learning objectives in each subject area. Each test is a random sampling of 40 questions from a larger databank of questions. Each topic is equally represented on the exam (8 questions for each topic). You are allowed 60 minutes to complete the test. You must achieve a 70% to pass the test. You have THREE total attempts to pass the test. Your grade is based on your HIGHEST score. Only students that score a 90% or higher on their FIRST attempt receive an A. All students MUST complete testing by May 10. Percentage Score 90 first attempt only 90 second or third attempt 85-89 80-84 75-89 70-74 Awarded Grade A AB+ B C+ C

If you do not pass the test by May 10, you risk failing the course. Procrastination and poor planning are UNPROFESSIONAL behavior. Students who end up in situations where they have not passed the test by May 10 will be limited to only one attempt to pass the test.

Course Evaluation: Completing the course evaluation is a requirement for the course. We do appreciate constructive student feedback and have made changes based on student suggestions. The course evaluation is available through OASIS. Testing Information: These are very important details. If you do not understand, please contact Dr. Banderas as soon as possible. Self-Paced Pharmacology tests are taken through Blackboard and are proctored. You are strongly encouraged to plan ahead and take the exam early in the semester rather than wait until the end. One reason is because the content is useful to you now. Students who take the exam early generally 2

earn higher grades. Between now and May 3 you may schedule a time to take the exam by contacting the proctor, Marcia Bell. She will only be able to accommodate a limited number of students each day; therefore it wont work if the majority of you wait until April to schedule an appointment. Your final chance to take the exam will be during the week of May 6 to 10. Testing during that week will be on a first come first serve basis (no appointments) and will be in the first floor computer testing center. Follow these steps to schedule your exam. 1. To take the exam between now and May 3: Contact Marcia Bell in advance of the time you would like to take the exam. Ms. Bells contact information is bellml@umkc.edu. When scheduling an appointment be prepared to provide your first and last name and your UMKC email address. If Ms. Bell needs to followup it will be via UMKC email. If the university is closed for inclement weather, the appointment is cancelled. Ms. Bell will tell you where to meet her for the exam: could be first or third floor. Show up for your appointment. If something unexpected and verifiable comes up, it is acceptable to contact Ms. Bell as soon as possible to cancel. However, no shows are unprofessional behavior and will be noted. Repeated cancellations are also unprofessional. This is so important I will type it again. Show up for your appointment. No shows are unprofessional behavior and will be noted. If you wait until April to contact Ms. Bell to schedule an appointment, she will not have many IF any appointments available. If the latter is the case, you will take it during the week of May 6 to 10, see below. 2. To take the exam May 3: May 6 to 10 is your last chance to take the exam. This is walk in, no appointments, first come first served. The computer testing center has been reserved for testing on these days. See hours in the table below:
May6 Monday 8to12 May7 Tuesday 8to12 May8 Wed 8to12 1230to430 May9 Thurs 8to12 1230to430 May10 Fri 8to12 1230to430

You must plan ahead. Do not put off testing to the end of the semester. Although the computer testing center will be available during the last week, you dont want to wait until then to make your first attempt. If you believe you have a special situation regarding the testing availability, please contact Dr. Banderas NOW. You will need to sign in to Blackboard in order to take the test. You will have 60 minutes to complete the test. You are not allowed to bring any materials with you to take the exam nor are you allowed to remove any papers from the testing center. A calculator, pencil and paper will be provided. Once you begin a test, it will count as one of your THREE attempts. Be sure you are ready to take the exam before going to take it. Each student receives THREE TOTAL ATTEMPTS to pass the test. 3

We are only able to provide students with their score following a successfully completed exam attempt. We will not provide details regarding which exam items were missed or allow students to view the test or view specific items. However, students are always welcome to discuss or review concepts with instructors in order to prepare for next exam attempts. In the event that VERIFIABLE issues with Blackboard or other VERIFIABLE computer problems interfere with test completion the student will have to retake the test. The date and time of the retake may be negotiated between the student and the course director. Course policies: Statement of Discrimination & Sexual Harassment: The faculty, administration, staff, and students of the University of Missouri-Kansas City are dedicated to the pursuit of knowledge and the acquisition of skills that will enable us to lead rich and full lives. We can pursue these ends only in a culture of mutual respect and civility. It is thus incumbent upon all of us to create a culture of respect everywhere on campus and at all times through our actions and speech. As a community of learners, we are committed to creating and maintaining an environment on campus that is free of all forms of harassment, intimidation, and discrimination. Any form of discrimination or coercion based on race, ethnicity, gender, class, religion, sexual orientation, age, rank, or any other characteristic will not be tolerated. Should you, a friend, or a colleague ever experience any action or speech that feels coercive or discriminatory, you should report this immediately to the course director, Dr. Banderas at 235-5249 or banderasj@umkc.edu or to Dr. Susan Wilson, Associate Dean for cultural Enhancement and Diversity in office M1-109 of the office of the Dean of the School of Medicine, and/or the Affirmative Action Office. The Affirmative Action Office, which is ultimately responsible for investigating all complaints of discrimination or sexual harassment, is located at 218A Administrative Center, 5115 Oak Street; the office may be contacted at 816-235-1323. All formal complaints will be investigated and appropriate action taken. FERPA: All educational records are protected by FERPA (Family Education Rights and Privacy Act) as described in the University Collected Rules and Regulations, section180.020 Student Records. If you have questions or would like more information regarding this regulation and its implementation at UMKC visit http://web2.umkc.edu/registrar/ferpa.asp or http://www.umsystem.edu/ums/departments/gc/rules/information/180/020.shtml Students with disabilities: Students with disabilities will be accommodated as outlined by the office of UMKC Student Disability Services at http://www.umkc.edu/disability/ Student conduct: In order to maintain a proper learning environment within the classroom, it is important for all students enrolled in this course to treat both the faculty and their peers with courtesy, civility and respect. Conduct for which students are subject to sanctions includes academic dishonesty, such as cheating, plagiarism, or sabotage. For more information regarding this regulation visit http://www.umsystem.edu/ums/departments/gc/rules/programs/200/010.shtml If after investigation by the instructor a student is found to have cheated on an exam, they will receive a 0 for the exam score. Inclement weather: If the University is closed for inclement weather, the scheduled appointments for testing will be cancelled and the testing center will be closed.

UMKC Competencies and Learning Objectives for Medicine 9485

From the UMKC School of Medicine Competencies and Learning Objectives, this course specifically addresses the following: Professionalism Honesty: The student is honest in all aspects of coursework for the baccalaureate-MD degree. Responsibility: The student carries through on assignments and other responsibilities; attends required courses and rotations; arrives promptly for meetings, classes, rounds, and clinics; keeps scheduled appointments; accepts personal responsibility for group projects and for assigned patients; and completes course evaluations in a timely and thoughtful fashion. Medical Knowledge including Applications of Basic Science & Problem-Solving The student knows and understands important facts and concepts in biostatistics, immunology, microbiology, pathology, and pharmacology and is able to solve problems/answering questions posed within each of these disciplines. The student applies facts and concepts of anatomy, behavioral/social sciences, biochemistry, biostatistics, genetics, immunology, microbiology, neurosciences, pathology, pharmacology, and physiology to the overall care of the patient (especially in docent rotation, continuing care clinic, and family medicine). The student applies basic facts and concepts from the clinical sciences, internal and family medicine to patients they have been assigned to see in continuing care clinic, docent rotation, and the family medicine rotation. As part of routine history-taking the student elicits relevant non-biological factors such as, psychological, cultural, social, and economic factors in the formulation of a problem list and management plan. Practice-based Learning and Improvement including Lifelong Learning & Self-Appraisal The student exhibits behaviors indicative of self-awareness through a process of self-reflection about their cognitive, emotional, and social abilities. The student is able to identify real situations of stress and his/her responses to them and practices personal techniques for relaxation and time management. The student can describe techniques to balance their academic obligations, clinical responsibilities and their personal needs and knows of resources they can access to achieve that balance. The student identifies his/her learning needs in order to achieve the learning objectives of Year 3 and 4 courses and rotations, plans a program to meet those needs, determines how well they have met them, and decides what further learning issues they need to address. The student demonstrates specific lifelong learning skills including comprehension of basic medical literature, critical appraisal of straightforward studies using the scientific method, formulation of questions for literature searches, and performance of straightforward literature searches to locate information relevant to addressing clinical problems. Patient Care including history-taking, physical exams, procedures, diagnosis, management, prevention The student can develop management plans for patients whose problems are straightforward. The student can recommend appropriate preventive care for patients in the outpatient setting. The student is able to provide basic education to patients with common straightforward problems.