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Osteopathic Clinical Anatomy Orientation: “The Immersion” Lawrence M. Witmer, PhD Professor of Anatomy Dept of Biomedical Sciences College of Osteopathic.

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Presentation on theme: "Osteopathic Clinical Anatomy Orientation: “The Immersion” Lawrence M. Witmer, PhD Professor of Anatomy Dept of Biomedical Sciences College of Osteopathic."— Presentation transcript:

1 Osteopathic Clinical Anatomy Orientation: “The Immersion” Lawrence M. Witmer, PhD Professor of Anatomy Dept of Biomedical Sciences College of Osteopathic Medicine Ohio University Athens, Ohio Handout download: Blackboard or dbms-witmer/anatomy_immersion.htm from Vesalius, De Humani Corporis Fabrica (1543) 2 August 2010

2 Features of the Immersion Starts early, first medical school experience “Immersion”—highly focused, few other activities Four days per week (Mon-Tues-Thurs-Fri) Three hours of lab per day, balance of time is largely for reading and other preparation OMM is the other major player in the Immersion Also, Evidence-Based Medicine…an introduction Brings all students together prior to PCC & CPC start Frontloads musculoskeletal anatomy (back & limbs) Has a strong clinical emphasis

3 Justification for the Immersion Gross anatomy is the foundation and language of medicine—particularly Osteopathic Manipulative Medicine (OMM) Provide that foundation prior to beginning the rest of your training Quickly bring all students up to the same level Better prepare all our students for OMM training Provide a clinical focus & orientation at the outset Starting the process of clinical thinking & problem solving

4 What Is Clinical Anatomy? Systemic Anatomy Regional Anatomy Clinical Anatomy Carpal tunnel syndrome paresthesia thenar wasting hand weakness arterial system head & neck thorax upper limb abdomen & pelvis lower limb (from M&D COA5 2006) median nerve

5 Why Emphasize Clinical Anatomy? Medical school is for training physicians, not anatomists Promotes critical thinking and clinical problem- solving using anatomical knowledge Enhances ability to learn and retain anatomy Retention is better if learning is done in the context in which it will be ultimately used “Seeing the forest [clinical application] for the trees [anatomical structures]” “Reciprocal illumination” Need anatomy to understand clinical practice Need clinical correlations to understand anatomy

6 Anatomy of the Immersion: Webpage Available on Blackboard or

7 Anatomy of the Immersion: “Blue Coats” L. Witmer, PhD Professor Course Coordinator J. Eastman, PhD Professor R. Staron, PhD Assoc. Professor M. K. Eastman, MS Instructor Amanda Kocoloski, MSIV DFM Fellow Amy Johnson, MSIV OMM Fellow Jillian Davis Grad TA William Porter Grad TA Jason Bourke Grad TA Amy Martiny Grad TA S. Schumm Grad TA

8 Anatomy of the Immersion: Assistants 2nd Year OUCOM medical students tutoring, prosections, practical exams Stephanie DeAngelis, OMSII OUCOM TA Maricor Docena, OMSII OUCOM TA Travis Dugger, OMSII OUCOM TA Lindsey Williams, OMSII OUCOM TA

9 Anatomy of the Immersion: The Lab 28 tables, 4 or 5 students/table Sections A & B, alternate AM/PM slot weekly Teams do their own dissections. Division of labor: cutters, readers, … Dissect BOTH sides of cadaver Come to lab at off times to finish up Attendance in lab is mandatoryABBBBBBAAAAAABBB B BBA A A A A

10 Anatomy of the Immersion: The Lab Mandatory Attendance Why? Material is central to your training Responsibility to your dissecting team Honoring the gift of a willed body Stay for the whole lab Work on dissection If dissection is completed, work with other resources (e.g., other cadavers, bones, x-rays, cross-sections, etc.) How? Fingerprint scanner Swipe your finger at the beginning & end of lab

11 Anatomy of the Immersion: The Lab 2010Renovation

12 Clinical Themes Posted at the beginning of lab Provide clinical correlations For your reference; instructors may or may not discuss Available online prior to lab Question of the Day (QOD) Short clinical vignette Table team explores the QOD Witmer & Fellows will discuss QOD with pairs of tables Anatomy of the Immersion: Clinical Themes & Question of the Day A A A AAAAA A A A A A A WitmerFellow

13 Relevant pages to read are on the schedule. Pages in Moore’s COA 5th ed. are on schedule PDF Moore’s Clinical “Blue Boxes” are key (but you won’t understand them without reading what’s between!) Dissector & Atlas must be at each table! Read dissector prior to coming to lab Anatomy of the Immersion: Books

14 1. Required weekly self-assessment quizzes online on Blackboard 2. Required weekly self-assessment lab practical exams 4. Formal assessment in the Fall when relevant in PCC (Content Exams) & in CPC (MS Block) 5. The problems presented to you by your patients will continuously test your anatomical knowledge and its clinical application 3. Inspection of results of Blackboard quizzes & practicals by faculty Anatomy of the Immersion: Assessment

15 Cadavers & Body Donation Role of the cadaver: 3D anatomy, variation, “diagnosis” of pathology, etc. Significance of the cadaver A profound experience Directly see & handle structures you’ll later have to imagine Opportunity and privilege to work on an actual human Potentially uncomfortable feelings Death: Illness, end-of-life, dying, corporeal remains A very different kind of intimacy Overcoming societal taboos Sadness: clear evidence of their humanity Body donation Conscious, often family decision to donate The ultimate gift Honoring that gift Respect, professionalism USE the gift: prepare for lab, don’t miss lab, study & learn from all the cadavers Great book! — Body of Work, by C. Montross, MD


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