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Medical Neuroscience

Total Contact Hours:

68 hours

Course Director:

John C. Pearson, Ph.D., Professor of Neuroscience, Cell Biology, and Physiology

Course Description:

This course is all about the human nervous system: how it is structured; how it works; what happens when it does not; and how physicians identify lesions from diagnostic studies, history, and physical findings.


Course Objectives & Integration with the Educational Objectives:

K=Knowledge and Lifelong Learning

C=Interpersonal and Communication

P=Professionalism, Advocacy, and Personal Growth

By the conclusion of this course, the student will demonstrate:

K1 An understanding of normal cell and tissue structure and function, including the ability to:

  • Describe the release, reuptake, and degradation of neurotransmitters and neuromodulators
  • Describe pre- and postsynaptic receptor interactions, including those provided by trophic and growth factors
  • Describe brain metabolism, brain homeostasis, the blood-brain barrier, cerebrospinal fluid formation and circulation, and the choroid plexus

K2 An understanding of nervous system development, including the ability to describe the embryonic development, fetal maturation, and perinatal changes of the human nervous system, including neural tube derivatives, cerebral ventricles, and neural crest derivatives

K3 An understanding of normal nervous system organs and systems, including the ability to:

  • Describe the structure and function of the spinal cord, including gross anatomy, blood supply, and spinal reflexes
  • Describe the structure and function of the brainstem, including cranial nerves and nuclei, reticular formation, gross anatomy, and blood supply
  • Describe the structure and function of the brain, including the gross anatomy, blood supply, cognition, language-use, memory, and control of eye movement
  • Describe the structure and function of sensory systems, including those involved in proprioception, pain transmission and modulation, vision, hearing, balance, taste, and olfaction
  • Describe the structure and function of motor systems, including motoneurons arising from the spinal cord and brainstem, descending motor pathways arising from the brainstem and cerebral cortex, the basal ganglia, and the cerebellum
  • Describe the structure and function of peripheral nerves

K4 An understanding of nervous system injury and repair, including the ability to describe mechanisms underlying nervous tissue repair and regeneration, including changes associated with stages of life

K5 An understanding of seven key disease processes:

  • Infectious, inflammatory, and immunological disorders
  • Traumatic and mechanical disorders
  • Neoplastic disorders
  • Vascular disorders
  • Congenital and perinatal disorders
  • Toxic/metabolic disorders
  • Paroxysmal disorders
  • For each of the above disease processes, the student will demonstrate the ability to:
    • Describe the anatomical context and distribution of pathologic changes
    • Describe etiology (if known) and pathogenesis
    • Explain genetic phenotypes and mechanisms
    • Recognize characteristic clinical features
    • Recognize typical gross and histopathologic features
    • Describe natural history and prognosis

K6 An understanding of the mechanisms of action, use, and adverse effects of the following drugs for treatment of nervous system disorders:

  • Anesthetics, local
  • Anticonvulsants
  • Analgesics
  • Antiparkinsonian drugs
  • Skeletal muscle relaxants (antispasmodics)
  • Neuromuscular junction blocking agents
  • Drugs to decrease intracranial pressure (mannitol, antimigraine agents)
  • Anticholinesterases
  • Antiglaucoma drugs

C1 The ability to work effectively in teams, through the team-based learning modules in the areas of neurovascular disease, neurological lesion localization, and infectious diseases of the nervous system

C2 The ability to interpret physical findings and present the localizing signs for the following neurologic diseases:

  • Infectious, inflammatory, and immunologic disorders, including meningitis, multiple sclerosis, and myasthenia gravis
  • Traumatic and mechanical disorders, including subdural and epidural hematomas, cord compression, and peripheral nerve injury
  • Neoplastic disorders, including primary and metastatic
  • Vascular disorders, including cerebrovascular occlusion, venous sinus thrombosis, arterial aneurysms, and hemorrhage
  • Systemic disorders affecting the nervous system, including lupus and diabetic neuropathy
  • Congenital disorders, including neural tube defects, cerebral palsy, mental retardation, and Down syndrome
  • Degenerative disorders, including peripheral neuropathy, Parkinson disease, Huntington disease, and amyotrophic lateral sclerosis
  • Paroxysmal disorders, including epilepsy, headache, and pain syndromes
  • Disorders of special senses, including blindness and deafness
  • Idiopathic disorders affecting the nervous system

P1 Professionalism through the ability to:

  • Be punctual and attend required events
  • Complete online assignments in a timely fashion
  • Be truthful
  • Be courteous to patients, patients' families, staff, colleagues, and other health professionals involved in the administration of this course
  • Maintain confidentiality regarding patient care
  • Demonstrate respect, empathy, responsiveness, and concern regardless of the patient's neurologic problems, personal characteristics, or cultural background
  • Demonstrate scholarship in the form of contributing to a positive learning environment, collaborating with colleagues, and performing self-assessment and self-directed learning
Learning Activities:

Presentations, laboratories, Team-Based Learning, clinical case discussions.

Syllabi:
Assessment:

Three MCQ exams, Team-Based Learning.