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PHYSICIAN ASSISTANT PROGRAM
                         NOVA SOUTHEASTERN UNIVERSITY
                                                   Ft. Lauderdale


                                            Course Syllabus
I.    Course Title:                         PAC 5407 Clinical Pharmacology

II.   Course Director:                      Steve Sager, MPAS, PA-C
                                            Terry building, 2nd Floor, Room 1283
                                            (954) 262-1236
                                            ssager@nsu.nova.edu

III. Meeting Times:                         Refer to the WebEvent online calendar

IV. Instructors' Office Hours:              By appointment.

V. Course Description: At the completion of this course, students will be able to
appropriately prescribe medications in various clinical settings. Preparation for appropriate
prescribing and administration of medicines is accomplished by studying drug classifications,
pharmacodynamic actions, and the rationale for therapeutic use of prescription and non-
prescription medications. In addition, students will be able to describe the potential advantages
and disadvantages of specific therapeutic regimens, universal indications and contraindications
for usage, dosing schedules, and the relative cost of commonly prescribed medications. Students
will administer a variety of medications using patient simulators and will observe the clinical
response. Common errors involving prescription writing will be discussed and practical
exercises will require students to accurately write prescriptions and treatment orders.

VI. Course Goals: This course will enhance the fund of knowledge acquired in Pharmacology
and Clinical Medicine & Surgery upon which to build during clinical rotations. Provide a
specific understanding of the clinical aspects of the pharmacological treatment of the common
illnesses/diseases which are presented.

VII. Course Objectives:

       1.      Acquire a basic knowledge of pharmacotherapy as it relates to drug metabolism,
               pharmacokinetics, and pharmacodynamics.
       2.      Acquire a basic knowledge of the common pharmacotherapies utilized in the
               treatment(s) of the disease.
       3.      Acquire the fundamental knowledge required to evaluate and manage patient's
               pharmacological therapies associated with acute or chronic disorders.
       4.      Integrate the knowledge gained in basic science courses and other physician
               assistant program courses to develop clinical pharmacological treatment
               strategies.



Revised: 4/8/2009
VIII. Learning Objectives:

       Define basic terminology and explain each process as it relates to pharmacokinetics and
       pharmacodynamics to include absorption, bioavailability, distribution, metabolism,
       excretion, clearance.
       Identify and describe different types of medical and prescriptive errors as they relate to
       clinical pharmacology.
       Identify the potential impacts of medical and prescriptive errors on society and health
       care providers.
       Discuss the legal aspects affecting medication administration including drug scheduling
       and federal, state, and institutional regulations regarding dispensing.
       Identify common medical and prescriptive errors.
       Describe strategies that are designed to reduce medical and prescriptive errors.
       Identify the drug class, generic name, brand name, and dosing of commonly prescribed
       medications in the following therapeutic sections:
       a. pain management                                     h. immunologic disorders
       b. allergic disorders                                  i. infectious diseases
       c. cardiovascular disease                              j. musculoskeletal disorders
       d. dermatological disorders                            k. obstetrics & gynecology
       e. HEENT disorders                                     l. pulmonary disease
       f. endocrine disorders                                 m. genitourinary disorders
       g. gastrointestinal disorders                          n. psychological disorders
       Identify the indications and contraindications for commonly prescribed medications.
       Identify the precautions, interactions, and adverse reactions for commonly prescribed
       medications.
       Identify the pregnancy category for commonly prescribed medications.
       Demonstrate proficiency at writing errorless prescriptions.
       Write errorless prescriptions for appropriate medications as part of the treatment plan for
       specific medical conditions.
       Write errorless medication orders as part of a simulated inpatient’s admission orders.
       Demonstrate the ability to provide appropriate patient counseling concerning the various
       risks and benefits of pharmacotherapy.
       Advance your clinical skills as it relates to the pharmacologic treatment of patients.
       Given a clinical scenario, select the appropriate pharmacologic management for the
       following therapeutic sections:
       a. pain management                                     h. immunologic disorders
       b. allergic disorders                                  i. infectious diseases
       c. cardiovascular disease                              j. musculoskeletal disorders
       d. dermatological disorders                            k. obstetrics & gynecology
       e. HEENT disorders                                     l. pulmonary disease
       f. endocrine disorders                                 m. genitourinary disorders
       g. gastrointestinal disorders                          n. psychological disorders
       Accurately identify common & serious adverse events related to the pharmacologic
       management of Arrhythmias, CHF & Angina.




Revised: 4/8/2009
IX. Textbooks:

     Recommended:
     Harvey RA, Champe PC, Howland RD, Mycek MJ. Lippincott’s Illustrated Reviews:
     Pharmacology. 3rd ed. Baltimore, MD: Lippincott Williams & Wilkins; 2006.
     (ISBN 13: 978-0-7817-4118-7)

     Edmunds MW. Introduction to Clinical Pharmacology. 5th ed. St. Louis, MO: Mosby
     Publishing; 2006. (ISBN 13: 978-0-3230-2875-2)

     Raffa RB, Rawls SM, & Beyzarov EP. Netter’s Illustrated Pharmacology. Philadelphia:
     Elsevier Publishing. 2005. (ISBN 13: 978-1-9290-0760-4)

     Physician Assistant’s Prescribing Reference. New York, NY: Prescribing References, Inc.

X.   Evaluation Procedures:

A total of four (4) examinations will be given. No examination grades will be dropped in
calculation of the final grade. Examinations in PAC 5407 will be given during the scheduled
testing periods. The tests will be multiple choice questions based upon information presented in
class, reading assignments, and handouts. Up to 20% of questions may come from information
in the required readings and not from the lecture notes. A minimum grade of 75% (C) must be
achieved to pass the course.

Quizzes – will be administered using audience response devices (“clickers”) and will be given
prior to each lecture for each system discussed. The quizzes will be multiple choice questions
based upon information presented in class, reading assignments, and handouts. Advanced
reading of the material prior to the lecture is required. (Responding to questions asked during the
lectures will be counted as part of the class participation grade.)

The final course grade will be calculated based on the following percentages:
     Quizzes                                         20%
     Four written exams                              15% each
     Take home assignments                           10%
     Classroom participation                         10%


XI. Attendance policy:

Student attendance at all lectures is mandatory. Attendance rolls will be taken. Tardiness
will not be tolerated. Tardy students will not be permitted to enter the classroom. However, if the
student is denied entry into the lecture because of tardiness, he/she will be permitted to enter the
classroom during the next class break. Absences can affect the medical fund of knowledge you
will require for the clinical portion of your training. Absences will result in a reduction of your
grade for in-class participation.



Revised: 4/8/2009
XII. Course Policies:

Student participation in the classroom and laboratory are essential to achieve the course
objectives. It is expected that all students will engage in reading, critical thinking, and problem
solving throughout this course. Several strategies will be employed to facilitate this process:

       All reading assignments are to be completed prior to lecture.
       Students will be randomly called upon to answer questions in class and lab.
       Participation is essential insure learning and is expected of every student throughout the
       course. While in the classroom, students will be selected at random to answer questions
       concerning the reading material.

       Knowing the quot;rightquot; answer is less important than being able to quot;think throughquot; an
       answer.
       The required textbooks will serve as the authoritative answer to a clinical problem if not
       addressed in lecture or written handout.
       Please refer to the Academic Year Handbook concerning the policies and
       procedures for missed exams and for documenting and reporting all absences.
       In addition, immediately notify the course director via phone call of any missed
       lectures, exams, or labs.

XIII. Classroom Behavior and Conduct

Professional behavior and decorum is a requirement for successful completion of this
course. This will be evaluated in both the classroom and in associated encounters with the
instructor and/or staff. Failure to adhere to this standard, regardless of academic
achievement in the course, will subject the individual to referral for possible disciplinary
action and/or dismissal.


**THE COURSE DIRECTOR RESERVES THE RIGHT TO MAKE REVISIONS TO
THIS SYLLABUS AT ANY TIME.**




Revised: 4/8/2009

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PAC 5407 - Clinical Pharmacology Syllabus

  • 1. PHYSICIAN ASSISTANT PROGRAM NOVA SOUTHEASTERN UNIVERSITY Ft. Lauderdale Course Syllabus I. Course Title: PAC 5407 Clinical Pharmacology II. Course Director: Steve Sager, MPAS, PA-C Terry building, 2nd Floor, Room 1283 (954) 262-1236 ssager@nsu.nova.edu III. Meeting Times: Refer to the WebEvent online calendar IV. Instructors' Office Hours: By appointment. V. Course Description: At the completion of this course, students will be able to appropriately prescribe medications in various clinical settings. Preparation for appropriate prescribing and administration of medicines is accomplished by studying drug classifications, pharmacodynamic actions, and the rationale for therapeutic use of prescription and non- prescription medications. In addition, students will be able to describe the potential advantages and disadvantages of specific therapeutic regimens, universal indications and contraindications for usage, dosing schedules, and the relative cost of commonly prescribed medications. Students will administer a variety of medications using patient simulators and will observe the clinical response. Common errors involving prescription writing will be discussed and practical exercises will require students to accurately write prescriptions and treatment orders. VI. Course Goals: This course will enhance the fund of knowledge acquired in Pharmacology and Clinical Medicine & Surgery upon which to build during clinical rotations. Provide a specific understanding of the clinical aspects of the pharmacological treatment of the common illnesses/diseases which are presented. VII. Course Objectives: 1. Acquire a basic knowledge of pharmacotherapy as it relates to drug metabolism, pharmacokinetics, and pharmacodynamics. 2. Acquire a basic knowledge of the common pharmacotherapies utilized in the treatment(s) of the disease. 3. Acquire the fundamental knowledge required to evaluate and manage patient's pharmacological therapies associated with acute or chronic disorders. 4. Integrate the knowledge gained in basic science courses and other physician assistant program courses to develop clinical pharmacological treatment strategies. Revised: 4/8/2009
  • 2. VIII. Learning Objectives: Define basic terminology and explain each process as it relates to pharmacokinetics and pharmacodynamics to include absorption, bioavailability, distribution, metabolism, excretion, clearance. Identify and describe different types of medical and prescriptive errors as they relate to clinical pharmacology. Identify the potential impacts of medical and prescriptive errors on society and health care providers. Discuss the legal aspects affecting medication administration including drug scheduling and federal, state, and institutional regulations regarding dispensing. Identify common medical and prescriptive errors. Describe strategies that are designed to reduce medical and prescriptive errors. Identify the drug class, generic name, brand name, and dosing of commonly prescribed medications in the following therapeutic sections: a. pain management h. immunologic disorders b. allergic disorders i. infectious diseases c. cardiovascular disease j. musculoskeletal disorders d. dermatological disorders k. obstetrics & gynecology e. HEENT disorders l. pulmonary disease f. endocrine disorders m. genitourinary disorders g. gastrointestinal disorders n. psychological disorders Identify the indications and contraindications for commonly prescribed medications. Identify the precautions, interactions, and adverse reactions for commonly prescribed medications. Identify the pregnancy category for commonly prescribed medications. Demonstrate proficiency at writing errorless prescriptions. Write errorless prescriptions for appropriate medications as part of the treatment plan for specific medical conditions. Write errorless medication orders as part of a simulated inpatient’s admission orders. Demonstrate the ability to provide appropriate patient counseling concerning the various risks and benefits of pharmacotherapy. Advance your clinical skills as it relates to the pharmacologic treatment of patients. Given a clinical scenario, select the appropriate pharmacologic management for the following therapeutic sections: a. pain management h. immunologic disorders b. allergic disorders i. infectious diseases c. cardiovascular disease j. musculoskeletal disorders d. dermatological disorders k. obstetrics & gynecology e. HEENT disorders l. pulmonary disease f. endocrine disorders m. genitourinary disorders g. gastrointestinal disorders n. psychological disorders Accurately identify common & serious adverse events related to the pharmacologic management of Arrhythmias, CHF & Angina. Revised: 4/8/2009
  • 3. IX. Textbooks: Recommended: Harvey RA, Champe PC, Howland RD, Mycek MJ. Lippincott’s Illustrated Reviews: Pharmacology. 3rd ed. Baltimore, MD: Lippincott Williams & Wilkins; 2006. (ISBN 13: 978-0-7817-4118-7) Edmunds MW. Introduction to Clinical Pharmacology. 5th ed. St. Louis, MO: Mosby Publishing; 2006. (ISBN 13: 978-0-3230-2875-2) Raffa RB, Rawls SM, & Beyzarov EP. Netter’s Illustrated Pharmacology. Philadelphia: Elsevier Publishing. 2005. (ISBN 13: 978-1-9290-0760-4) Physician Assistant’s Prescribing Reference. New York, NY: Prescribing References, Inc. X. Evaluation Procedures: A total of four (4) examinations will be given. No examination grades will be dropped in calculation of the final grade. Examinations in PAC 5407 will be given during the scheduled testing periods. The tests will be multiple choice questions based upon information presented in class, reading assignments, and handouts. Up to 20% of questions may come from information in the required readings and not from the lecture notes. A minimum grade of 75% (C) must be achieved to pass the course. Quizzes – will be administered using audience response devices (“clickers”) and will be given prior to each lecture for each system discussed. The quizzes will be multiple choice questions based upon information presented in class, reading assignments, and handouts. Advanced reading of the material prior to the lecture is required. (Responding to questions asked during the lectures will be counted as part of the class participation grade.) The final course grade will be calculated based on the following percentages: Quizzes 20% Four written exams 15% each Take home assignments 10% Classroom participation 10% XI. Attendance policy: Student attendance at all lectures is mandatory. Attendance rolls will be taken. Tardiness will not be tolerated. Tardy students will not be permitted to enter the classroom. However, if the student is denied entry into the lecture because of tardiness, he/she will be permitted to enter the classroom during the next class break. Absences can affect the medical fund of knowledge you will require for the clinical portion of your training. Absences will result in a reduction of your grade for in-class participation. Revised: 4/8/2009
  • 4. XII. Course Policies: Student participation in the classroom and laboratory are essential to achieve the course objectives. It is expected that all students will engage in reading, critical thinking, and problem solving throughout this course. Several strategies will be employed to facilitate this process: All reading assignments are to be completed prior to lecture. Students will be randomly called upon to answer questions in class and lab. Participation is essential insure learning and is expected of every student throughout the course. While in the classroom, students will be selected at random to answer questions concerning the reading material. Knowing the quot;rightquot; answer is less important than being able to quot;think throughquot; an answer. The required textbooks will serve as the authoritative answer to a clinical problem if not addressed in lecture or written handout. Please refer to the Academic Year Handbook concerning the policies and procedures for missed exams and for documenting and reporting all absences. In addition, immediately notify the course director via phone call of any missed lectures, exams, or labs. XIII. Classroom Behavior and Conduct Professional behavior and decorum is a requirement for successful completion of this course. This will be evaluated in both the classroom and in associated encounters with the instructor and/or staff. Failure to adhere to this standard, regardless of academic achievement in the course, will subject the individual to referral for possible disciplinary action and/or dismissal. **THE COURSE DIRECTOR RESERVES THE RIGHT TO MAKE REVISIONS TO THIS SYLLABUS AT ANY TIME.** Revised: 4/8/2009