The Indiana University School of Medicine offers the first and second year of the regular medical curriculum at a number of regional campuses throughout the state in cooperation with the distinguished institutions of higher learning located in those cities. Following admission to the School of Medicine, a freshman may be assigned to one of the following centers: Evansville Center for Medical Education, Fort Wayne Center for Medical Education, Lafayette Center for Medical Education at Purdue University, Muncie Center for Medical Education at Ball State University, Northwest Center for Medical Education at Gary, South Bend Center for Medical Education at the University of Notre Dame, or Terre Haute Center for Medical Education at Indiana State University.

Evansville Center for Medical Education
Fort Wayne Center for Medical Education
Lafayette Center for Medical Education at Purdue University
Muncie Center for Medical Education at Ball State University
Northwest Center for Medical Education at Gary
South Bend Center for Medical Education at the University of Notre Dame
Terre Haute Center for Medical Education at Indiana State University

Evansville Center for Medical Education

Assistant Dean and Director: Professor Stith

General Information
First-Year Courses
Second-Year Courses

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General Information

Indiana's third largest city, Evansville is the economic, retail, and manufacturing hub of the three-state area serving northwestern Kentucky, southeastern Illinois, and southwestern Indiana. It is an area undergoing rapid growth and expansion through which the Ohio River flows as both artery of commerce and backdrop for cultural and recreational activities.

Because the region's principal medical referral center is Evansville, our students have access to the expertise of the physicians and specialists who staff the city's clinics and three hospitals. Over 200 of these physicians are members of the clinical faculty, providing instruction in the first- and second-year curricula, third-year family practice clerkships, and fourth-year senior electives. A substantial number of these volunteers are Evansville Center for Medical Education (ECME) alumni.

ECME occupies the third floor of the Health Professions Center at the University of Southern Indiana. In addition to offices and research facilities, other features include two-tiered classrooms, a multipurpose teaching lab, a gross anatomy lab (with showers for post-dissection clean-up), a center library with a dedicated computer room, private study rooms and carrels, and a student lounge.

Center-based faculty members guide students through the courses that form the framework for their understanding of medicine. First-year students begin their course work with Biochemistry, Gross Anatomy, Histology, and Introduction to Medicine I: Patient-Doctor Relationship. Second semester courses are Physiology, Microbiology/Immunology, Neurobiology, and Introduction to Medicine I: Patient-Doctor Relationship.

The second-year student advances to Pharmacology, General Pathology, and the self-study Biostatistics tutorial in the first semester, and returns from semester break to Medical Genetics and Systemic Pathology. The backbone course of the second year, Introduction to Medicine II, begins in late August and ends in early May.

Enhancing the student-to-physician/ instructor dialogue are ECME-sponsored seminars, hospital grand rounds, continuing medical education symposia, summer Hospital Medical Education program (HME), the summer research studies for qualified students, and social events with members of the medical community and the Vanderburgh County Medical Society. Through the teaching hospitals, Deaconess and St. Mary's, students have a wide choice of third-year clerkships and fourth-year electives. Students who are interested in a family practice residency at either hospital may elect to take the majority of their senior electives in Evansville.

The University of Southern Indiana, ECME's state-supported host institution, is the fastest growing of Indiana's colleges and universities. Offering undergraduate and graduate degree programs, USI boasts enrollment numbers approaching 10,000. ECME students are accorded special graduate student status entitling them to take advantage of the academic, entertainment, athletic, and recreational facilities available to USI students.

The Evansville Center for Medical Education seeks to help students not only realize their goals of attaining an M.D., but also appreciate the art of practicing medicine. Please visit our Web site at shaw.medlib.iupui.edu/ecme/ecmepage.htm.

For additional information concerning the Evansville Center, contact:

Rex D. Stith, Ph.D.
Health Professions Center, 3rd floor
Evansville Center for Medical Education
8600 University Blvd.
Evansville, IN 47712-3534
Telephone: (812) 464-1831
Fax: (812) 465-1184

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First-Year Courses

ANAT D503 Gross Anatomy (7 cr.) A study of human anatomy, including dissection of the entire body. Lecture series will include topics in gross anatomy, developmental anatomy, radiographic anatomy, and selected clinical applications of anatomy. Saxon

ANAT D504 Histology (5 cr.) Lectures and laboratory study of the microscopic structure and function of cells, tissues, organs, and systems of the human body. Histogenesis and multidisciplinary sections on cell biology and endocrinology are included. Staff

ANAT D505 Neurobiology (5 cr.) A study of the anatomy, functions, and clinical aspects of the human nervous system. McGraw

BIOC B800 Biochemistry (5 cr.) Macromolecules, enzymes, bioenergetics, intermediary metabolism, nutrition, metabolic control systems, and endocrinology. Lectures and problem-based learning. Tunnicliff and Coe

IMMU J601 Medical Immunology (2 cr.) A study of human immunology from a biomedical perspective, concentrating on the fundamentals of innate and adaptive immune responses, followed by a focus on immunodeficiency diseases, autoimmune diseases, tumor immunology, and manipulation of immune responses. The course is designed to develop proficiency for Competency VI, "The Social and Community Contexts of Health Care," Level 1. Aldrich

MICR J602 Medical Microbiology (4 cr.) Lectures, clinical case studies, clinical specimen evaluation, and independent study covering the topics of microbial physiology, pathogenic microbes and parasites, antibiotics and chemotherapy, disease pathogenesis, and host-parasite interactions. The competencies addressed and evaluated in this course are problem-solving (Competency VIII, Level 1) and Competency III as to fund of knowledge. Both competencies will be addressed as they pertain to clinical microbiology; students will be tested to see if they are able to frame, understand, and solve unidimensional or straight-forward problems and to see if they are able to use science to guide diagnosis, management, therapy, and prevention of infectious diseases in problem-based learning situations. Rogers

PHSL F513 Physiology (9 cr.) A study of human function. Elements of homeostasis, excitable cells, circulation, digestion, respiration, and excretion are discussed at the molecular, supra-molecular, cellular, tissue, organ, organ system, and organismal levels. Lecture, laboratory, and discussion. Schaeffer

X600 Introduction to Clinical Medicine I: The Patient-Doctor Relationship (60 hrs.) (3 cr.) A multidepartmental interdisciplinary course designed to introduce students to the patient-doctor relationship through interactions with faculty and patients in a variety of settings. In small groups facilitated by primary care and behavioral science faculty, students direct their learning toward the complexity of the context from which a patient seeks medical care. In order to achieve this, students examine normal human behavior and development throughout the life cycle. Issues addressed include preventive health care, sexuality, cultural diversity, minority health issues, religion and spirituality, family dynamics, the economics of health care, and death and dying. Kalb

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Second-Year Courses

MGEN Q661 Medical Genetics (2 cr.) A comprehensive course in human genetics emphasizing the principles of genetics and their application to clinical medicine through the family history, clinical findings, and laboratory studies. Examples of specific problems, their evaluation, and genetic counseling will be used to supplement didactic material. Coe

MXCI X661 Introduction to Medicine (21 cr.) This course provides an introduction to the principles of patient interviewing and the physical examination, followed by the clinical application of these principles. Lectures are also provided by clinical faculty in surgery, obstetrics, psychiatry, surgical subspecialties, and the subspecialty topics of internal medicine. Eubanks and clinical faculty

MSCI X662 Biostatistics (1 cr.) An introductory syllabus geared to the teaching of the fundamentals of statistics. The primary purpose is to provide students with the ability to critically evaluate the reliability of biomedical data found in the literature. Tunnicliff

PATH C663 General Pathology (6 cr.) Introduction to mechanisms of disease through demonstrations, lectures, laboratory, and conferences; emphasis on basic concepts and principles of disease processes. Rayburn

PATH C664 Systemic Pathology (4 cr.) Presentation of pathology by organ systems with emphasis on etiologic factors, evolution of lesions, pathologic physiology, and clinical correlations. Rayburn

PHAR F664 Pharmacology (6 cr.) Comprehensive lectures, discussions, reviews, and laboratories with emphasis on the principles of drug action. Representative members of the most important groups of drugs are discussed in detail with regard to sites and mechanisms of action, and "dry" laboratories are designed to involve the student in various types of pharmacological problem-solving skills. Raess

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Fort Wayne Center for Medical Education

Assistant Dean and Director: Professor Ragatz

General Information
First-Year Courses
Second-Year Courses

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General Information

The Fort Wayne Center for Medical Education (FWCME) is located on the Indiana University–Purdue University Fort Wayne campus (IPFW). The center occupies the third floor of the modern Classroom Medical Building.

The center's educational and research facilities include classrooms, teaching and computer laboratories, well-equipped individual faculty research laboratories, and a medical library. IPFW, located along the St. Joseph River in the northeastern section of Fort Wayne, is one of the most spacious and picturesque campuses in the state. The campus has an average enrollment of 10,000 undergraduate and graduate students, making it the fifth largest university in the state. IPFW offers numerous academic programs and allows the center's students access to well-equipped computer facilities, the campus library, the student union, and a sports center equipped with various courts, a track, and a variety of exercise equipment.

Eight tenured full-time faculty are involved in the first- and second-year programs. The faculty includes expert instructors in the fields of medical biochemistry, anatomy, histology, cell biology, embryology, microbiology, immunology, physiology, pharmacology, and neuroscience. Five part-time faculty serve as course directors for Introduction to Clinical Care for freshman, Introduction to Medicine for sophomores, General and Systemic Pathology, Biostatistics, and Medical Genetics.

The Fort Wayne Center's first-year academic program is based on semesters: Gross Anatomy, Biochemistry, and Histology/Embryology are offered in the first semester. The second semester offers Medical Physiology, Neuroscience, and Microbiology/Immunology. For two hours per week throughout the first year, students gain clinical experience in history taking, patient/doctor relationships, etc., in the Introduction to Clinical Care course. The second-year academic program follows a modified semester format, with Medical Pharmacology, Biostatistics, Medical Genetics, and General Pathology being offered in the first semester. Systemic Pathology is offered in the second semester. The Introduction to Medicine course spans both semesters of the sophomore year and includes aspects of advanced history taking, medical ethics, nutrition, physical diagnosis, radiology, infectious diseases, cardiology, etc. More than 160 local physicians have medical school clinical faculty appointments and participate in both the first- and second-year programs.

The Fort Wayne Medical Education Program offers family practice and orthopedic residencies in collaboration with the three community hospitals (Parkview, St. Joseph's, and Lutheran) and the Veterans Administration Medical Center. A variety of junior clerkships and senior electives, as well as continuing medical education events for both students and practicing physicians are offered. Physicians, residents, and hospital personnel are easily accessible to medical students and enthusiastically provide informal clinical training and advice on career planning.

Fort Wayne is one of the 10 cities in 1998 to earn the All-America City title from the National Civic League. With a population of 195,000, it is the second largest metropolitan area in the state. The Botanical Garden, award-winning Fort Wayne Children's Zoo, Art Museum, Philharmonic, Performing Arts Center, and historical attractions provide its residents with cultural activities. Fort Wayne has professional hockey and baseball teams. Eighty-seven parks and playgrounds, covering over 2,000 acres of public park land, and nearby state parks offer recreational activities for outdoor enthusiasts.

Please see our Web site at histo.ipfw.edu.

For further information or a videotape contact:

Dr. Barth H. Ragatz
Assistant Dean and Director
Fort Wayne Center for Medical Education
2101 Coliseum Boulevard East
Fort Wayne, IN 46805-1499
Telephone: (219) 481-6731

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First-Year Courses

ANAT D506 Gross Anatomy (7 cr.) The study of anatomy of the adult human body by dissection, demonstrations through instructor prosections and teaching models, and skeletons. Topics of radiographic anatomy will also be presented. Clinical applications will be emphasized through films, clinical correlation conferences, and case studies. Vilensky

ANAT D507 Histology and Embryology (5 cr.) Examination of structures of normal human cells, tissues, and organs at the light and electron microscopic level. Relationships of structures to function are emphasized. Topics of embryology will also be covered. Clinical correlation conferences are presented. Hoversland

ANAT D508 Neurosciences (5 cr.) Interdisciplinary investigation of the physiology and the gross and microscopic structure of the brain, spinal cord, and nervous system of humans. Aspects of brain energy metabolism, neurotransmitter synthesis and degradation, and psychopharmacology are presented. Laboratory activities include dissection of brain and spinal cord, examination of histologic sections, and clinical correlation conferences. Sweazey

BIOC B509 Medical Biochemistry (6 cr.) Introduction to biochemical terminology, methods, and concepts in a framework relevant to the practice of medicine. Principal topics include structures and reactions of the major classes of biological molecules, protein structure and function, enzymology, metabolism of biological molecules, biosynthesis of macromolecules, regulation of cellular activities, and introductory hematology. Demonstrations, case studies, and clinical correlation conferences are presented during laboratory sessions. Redman and Ragatz

MICR J525 Medical Microbiology and Immunology (7 cr.) Study of biological properties of bacteria, viruses, rickettsiae, fungi, and human parasites. Microbial physiology, genetics, and the action of antimicrobial agents are covered. Dynamics of host-parasite relationship relative to immunologic phenomena are presented. Diagnostic microbiology and immunology, research methodology, and clinical correlation conferences are presented in the laboratory. Merkel

X600 Introduction to Clinical Care I: The Patient-Doctor Relationship (60 hrs.) (3 cr.) A multidepartmental interdisciplinary course designed to introduce students to the patient-doctor relationship through interactions with faculty and patients in a variety of settings. In small groups facilitated by primary care and behavioral science faculty, students direct their learning toward the complexity of the context from which a patient seeks medical care. In order to achieve this, students examine normal human behavior and development throughout the life cycle. Issues addressed include preventive health care, sexuality, cultural diversity, minority health issues, religion and spirituality, family dynamics, the economics of health care, and death and dying. Blusys and Staff

PHSL F515 Human Physiology (7 cr.) Physiological function and regulation of the respiratory, cardiovascular, gastrointestinal, and excretory systems. Muscle structure and function; general properties of nerves, acid/base, electrolyte, and fluid homeostasis are also presented. Pathophysiologic function is introduced in clinical correlation conferences. Laboratory exercises serve to amplify concepts from lectures. Bell

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Second-Year Courses

MGEN Q682 Medical Genetics (1 cr.) This lecture course covers probability, population genetics, inheritance, metabolic diseases, hemoglobinopathies, genetic diagnosis, and counseling. Bader and Staff

MSCI X683 Biostatistics (1 cr.) This brief lecture course will introduce descriptive statistics, common distributions, comparison of two parameters, regression analysis, analysis of variance, experimental design, and epidemiologic statistics. Zubovic

MSCI X681 Introduction to Medicine (20 cr.) This multidisciplinary course is designed to introduce clinical medicine to sophomore medical students, using a lecture format and problem solving through taking patient medical histories, physical diagnosis and specialty physical diagnosis, and radiology conferences. These skills will be learned via direct patient contact. An organ systems approach will be used. Heger and Staff

PHAR F684 Pharmacology (6 cr.) This lecture/lab conference course covers pharmacodynamics, pharmacokinetics, biotransformation, drug interactions, and mechanism of action of major drug classes. Koritnik

PATH C683 General Pathology (6 cr.) Students will be introduced to pathologic terminology and disease processes by lectures, laboratory exercises, case studies, autopsies, and medicine/pathology conferences. Smith and Staff

PATH C684 Systemic Pathology (6 cr.) Pathology of the organ systems will be presented by lectures, laboratory exercises, case studies, and pathology/medicine conferences. Etiologies, morphologic, physiologic changes will be noted; course coverage will be correlated with the Introduction to Medicine course as much as possible. Smith and Staff

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Lafayette Center for Medical Education at Purdue University

Assistant Dean and Director: Professor Coppoc

General Information
First-Year Courses
Second-Year Courses

General Information

The Lafayette Center for Medical Education was established in 1971 and is located on the campus of Purdue University, West Lafayette, Indiana. The greater Lafayette area consists of Lafayette and West Lafayette with populations of approximately 45,000 and 28,000 respectively. Medical students are registered as special graduate students in the University Graduate School. Housing is handled through University Residences, telephone (765) 494-1000. Extracurricular activities include a number of movie theaters in Greater Lafayette, as well as the local symphony orchestra and theater groups including among others, the Feast of the Hunters' Moon. Because the medical students are enrolled at Purdue as special graduate students, they are entitled to student rates for the many athletic department activities (Big Ten Conference), the Purdue convo-series, Co-Rec gym, Memorial Union, and other Purdue facilities. Work for spouses is coordinated through the Dean of Students office as well as the local office of Employment Security Division. Students may seek part-time work as waiters and counselors in dorms as well as waiters for fraternities and sororities.

Purdue University enrolls nearly 38,000 undergraduates and graduate students with approximately 7,000 graduate students pursuing advanced degrees. The Lafayette Center has 3 full-time and 40 part-time faculty members and 135 clinical associate faculty (physicians). Lynn Hall is the site of lectures, varied laboratory experiences including anatomy and pathology courses, and study areas. Libraries are available in Lynn Hall, Lilly Hall, Stewart Center (main campus library) and in the hospitals that the students visit. These hospitals include Community Health Clinic, Lafayette Home Hospital, Saint Elizabeth Medical Center, Purdue University Student Health Center, Wabash Valley Hospital, and the Indiana Veterans' Home.

The Lafayette Center calendar follows the Purdue University calendar of 16 weeks per semester with one week of finals per semester. Opportunity exists for independent study and combined Ph.D./M.D. degrees. The students have well-equipped computer/internet facilities and audio-visual material available at the Lafayette Center in Lynn Hall. Clinical activities include visits to physician's offices, hospitals, hospital emergency rooms, clinics, and various social agencies.

For further information concerning the Lafayette Center, write:

Director
Lafayette Center for Medical Education
Purdue University
Lynn Hall, Room B181
West Lafayette, IN 47907-1522
Phone: (765) 494-8591
Fax: (765) 494-7994
E-mail: mededadmin@vet.purdue.edu
Web site: www.vet.purdue.edu/depts/lcme

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First-Year Courses

BCHM 563 Medical Biochemistry/Lab (3 cr.) Carbohydrate and energy metabolism; metabolic pathways of small molecules; molecular endocrinology. Special emphasis on biochemical aspects of human medicine. Designed for Competency III "Using Science to Guide Diagnosis, Management, Therapeutics, and Prevention," Level 1. Hutchcroft and Staff

BIOL 535 Medical Microbiology (3 cr.) Properties of bacteria, viruses, fungi, and animal parasites of medical importance and their relation to infectious diseases. Designed to develop proficiency for Competency 1 "Effective Communication," and Competency III "Using Science to Guide Diagnosis, Management, Therapeutics, and Prevention," Level 1. Filmer and Staff

BIOL 595D Human Physiology (5 cr.) A study of human/mammalian physiology from a biomedical perspective, concentrating on the following systems: pulmonary, gastrointestinal, endocrine, renal, and cardiovascular. Designed to develop proficiency for Competency III "Using Science to Guide Diagnosis, Management, Therapeutics, and Prevention," and Competency VIII "Problem Solving," Level 1. Rane and Staff

BIOL 595C Molecular Biology of the Cell (3 cr.) A lecture course that will introduce the cell with emphasis on molecular mechanisms and the relationship between structure and function. Topics include: the properties and interaction of the macromolecules that comprise the cell; DNA, RNA, and protein synthesis and processing, regulation of transcription and translation; protein sorting the organelle traffic; cell motility; signal transduction; and the cell cycle. Designed to develop proficiency for Competency III "Using Science to Guide Diagnosis, Management, Therapeutics, and Prevention, and Competency IV: Lifelong Learning," Level 1. Sherman and Staff

BMS 530 Human Gross Anatomy and Embryology (8 cr.) A systemic study and dissection of the body using a regional approach. Conferences and discussions with members of staff and practicing physicians. Series of lectures on developmental and clinical anatomy. Designed for Competency III "Using Science to Guide Diagnosis, Management, Therapeutics, and Prevention," Level 1. Walker and Staff

BMS 531 Human Histology and Cell Biology (5 cr.) A study of cell structure and function, basic tissues and their arrangement into organs and organ systems. Lectures, small group laboratories, conferences and discussions with staff. Designed for Competency III "Using Science to Guide Diagnosis, Management, Therapeutics, and Prevention, "Competency IV "Lifelong Learning," and Competency VIII "Problem solving," Level 1. Turek and Staff

BMS 533/BIOL 504 Human Neuroscience (5 cr.) Introduction to neuroscience as it relates to modern medicine. Basic principles of neurophysiology, neuroanatomy, and the nomenclature will be taught. Understanding of molecular and systemic basis of specific neurological diseases will be emphasized. Systematic integration of structure/ function relationships and neurology will be practiced in laboratories and case presentations. Designed to develop proficiency for Competency III "Using Science to Guide Diagnosis, Management, Therapeutics, and Prevention" and Competency VIII "Problem Solving," Level 1. Jaeger and Pak

MSCI PBL 620 Concepts of Health and Disease I (2 cr.) A course for first-year medical students incorporating small group, problem-based learning. Students work in small groups facilitated by faculty tutors to discuss clinical cases. Designed to develop Competency I "Effective Communication," Competency III "Using Science to Guide Diagnosis, Management, Therapeutics, and Prevention," Competency IV "Lifelong Learning," Competency V "Self-awareness, Self-care and Personal Growth," and Competency VIII "Problem Solving," Level 1. Tacker and Staff

MSCI X600 Introduction to Clinical Medicine I: The Patient-Doctor Relationship (3 cr.) A multi-departmental course designed to introduce students to the patient-doctor relationship. Students learn to survive medical school while maintaining peak performance, to establish rapport with patients through service learning, to take and record a proper medical history, to relate empathetically with individuals in different stages of life and cultural or socioeconomic groups. Students also learn to deal with selected ethical issues in the patient-physician relationship. Designed for Competency I "Effective Communication," Competency II "Basic Clinical Skills," Competency VI "Social and Community Contexts of Health Care," Competency VII "Moral Reasoning and Ethical Judgement," and Competency IX "Professionalism and Role Recognition," Level 1. Hortin and Staff

VPB 535 Principles of Human Immunology (1 cr.) Limited to medical students only. An overview of the fundamental concepts of human immunology. Focuses on the interaction between the host and microbial pathogens and on mechanisms that underlie hypersensitivity reaction, autoimmune disease, and immune deficiencies. Discusses the principles of vaccination and serological testing. Designed to develop proficiency for Competency III "Using Science to Guide Diagnosis, Management, Therapeutics, and Prevention," and Competency IV "Lifelong Learning," Level 1. Snyder and Staff

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Second-Year Courses

MCMP 610 Pharmacology and Toxicology I (3 cr.) Basic principles and clinical aspects of modern pharmacology and toxicology. Physicochemical characteristics of drugs, structure-activity relationships, toxicities, side effect. Drugs that affect the cardiovascular, renal, endocrine, and peripheral nervous systems. Designed to develop proficiency for Competency I "Effective Communication," Competency III "Using Science to Guide Diagnosis, Management, Therapeutics, and Prevention," Competency IV "Lifelong Learning," and Competency VII "Moral Reasoning and Ethical Judgement," Level 1. Coppoc and Staff

MCMP 611 Basic Principles of Pharmacology and Toxicology II (3 cr.) Continuation of MCMP 610. Drugs that affect the central nervous system, gastrointestinal and hematopoietic systems, chemotherapeutic agents, and introductory toxicology. Designed to develop proficiency for Competency I "Effective Communication," Competency III "Using Science to Guide Diagnosis, Management, Therapeutics, and Prevention," Competency IV "Lifelong Learning," and Competency VII "Moral Reasoning and Ethical Judgement," Level 1. Coppoc and Staff

MGEN 603 Medical Genetics (2 cr.) A comprehensive course in human genetics emphasizing the principles of genetics and their application to clinical medicine through the family history, clinical findings, and laboratory studies. Examples of specific problems, their evaluation, and genetic counseling will be used to supplement didactic material. Designed for Competency III "Using Science to Guide Diagnosis, Management, Therapeutics, and Prevention," Level 1. Dlouhy

MSCI PBL 640 Concepts of Health and Disease II (2 cr.) A course for second-year students, incorporating small group, problem-based learning. Students work in small groups facilitated by faculty tutors to discuss clinical cases. Designed to develop proficiency for Competency I "Effective Communication," Competency III "Using Science to Guide Diagnosis, Management, Therapeutics, and Prevention," and Competency VIII "Problem Solving." Babbs and Staff

MSCI X631 Introduction to Medicine II (18 cr.) A multi-departmental course designed to introduce clinical medicine. Includes medical history taking and physical examination skills learned at the bedside with direct patient contact. Clinical medicine is surveyed concurrently with emphasis on pathophysiology and diagnosis. Problem-solving skills are stressed, including synthesis and interpretation of medical data. Designed for Competency I "Effective Communication," Competency II "Basic Clinical Skills," Competency VI "Social and Community Contexts of Health Care," and Competency IX "Professionalism and Role Recognition," Level 1. Babbs and Staff

VPB 530 Human Pathology I (6 cr.) Introduction to the study of mechanisms of disease, including definitions, etiology, gross and microscopic lesions, and pathogenesis by means of lectures, laboratory demonstrations and conferences; emphasis on the basic concepts and principles of disease processes. Designed to develop proficiency for Competency III "Using Science to Guide Diagnosis, Management, Therapeutics, and Prevention," and Competency VIII "Problem Solving," Level 1. Kreisle and Staff

VPB 531 Human Pathology II (5 cr.) Introduction to the study of mechanisms of disease, including definitions, etiology, gross and microscopic lesions, and pathogenesis by means of lectures, laboratory demonstrations and conferences; emphasis on the basic concepts and principles of disease processes. Designed to develop proficiency for Competency III "Using Science to Guide Diagnosis, Management, Therapeutics, and Prevention," and Competency VIII "Problem Solving," Level 1. Kreisle and Staff

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Muncie Center for Medical Education at Ball State University

Assistant Dean and Director: Professor Triplett

General Information
First-Year Courses
Second-Year Courses

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General Information

The Muncie Center for Medical Education is located on the periphery of the Ball State University campus, immediately adjacent to Ball Memorial Hospital in Muncie, Indiana. Muncie is an agricultural-industrial community with a population of approximately 80,000. The Muncie Center for Medical Education is located in the northwest portion of the city. Ample student housing is available in the immediate vicinity of the center.

Ball State University has an enrollment of approximately 19,000 students pursuing both undergraduate and graduate degrees. Among the resources available at Ball State University is a library complex, which is available to students at the Muncie Center for Medical Education. In the physical education department, an indoor track and an Olympic-size swimming pool are available for student use. Among the cultural opportunities available at Ball State University are the Muncie Symphony, Artists Series, Concert Series, and Muncie Ballet Company. The Muncie Civic Theatre also provides entertainment throughout the year.

The Muncie Center for Medical Education has 13 full-time faculty members involved in the first- and second-year programs. One of the major advantages of the Muncie Center is its proximity to Ball Memorial Hospital. Ball Memorial Hospital is a 400-bed community hospital with a full range of specialists. The medical staff of Ball Memorial Hospital is committed to medical education, and there are currently 67 residents involved in postgraduate education at Ball Memorial Hospital. Residencies are offered in family practice, internal medicine, sports medicine, pathology, and transitional. Freshman students at the Muncie Center for Medical Education are associated with house staff members. There are opportunities for summer externships at Ball Memorial Hospital for students between their freshman and sophomore years.

The North Tower in Ball Memorial Hospital includes a surgical suite, a laboratory, and radiology departments. There is also an extensive medical library with a full range of journals, books, and audiovisual equipment. Extensive computer support is available in the library.

An Outpatient Pavilion houses physicians' offices.

The Edmund F. Ball Medical Education building was completed in June of 2000. It houses the Ball Memorial Hospital Family Practice Clinic/Residency Program and the teaching and research programs of the Muncie Center for Medical Education.

For further information concerning the Muncie Center, write:

Director
Muncie Center for Medical Education
Ball State University
Muncie, IN 47306-1099
Telephone: (765) 751-5100
Fax: (765) 751-5116
E-mail: iverneman@bsu.edu
Web site: www.bsu.edu/web/mcme

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First-Year Courses

ANAT 601 and 601L Human Gross Anatomy (7 cr.) A strong background in basic morphologic and functional relations. Emphasis on regional anatomy. Ten hours of laboratory weekly. Jarial

ANAT 606 Medical Neuroanatomy (6 cr.) Normal structural and functional organization of the human central nervous system as a background for the interpretation of its dysfunction. Assumes prior knowledge of human gross anatomy and general physiology. Lannoo

ANAT 631 Medical Histology (5 cr.) Normal and abnormal developmental processes related to the differentiation of tissues and organs; microscopic study of organs and tissues as background for physiological and pathological consideration. Ganion

BIOL 642 Medical Microbiology I (6 cr.) Microbiology for medical students. Considers bacteria, fungi, and viruses as agents in human disease and the immunological and serological aspects of the host-parasite relationship. The basic principles of parasitism and life cycles of selected protozoa and helminths important to humans. Attention will be given to preparation, staining, and recognition of the parasites, along with prevention and therapy. Webb and Walker

CHEM 667 Medical Biochemistry I (6 cr.) Chemistry of major cellular constituents; enzymes as the catalysts of intracellular chemical reactions, with emphasis on underlying principles of physical and organic chemistry. Five lectures, two group conference hours, and one four-hour laboratory weekly. Wagner

X600 Introduction to Clinical Medicine I: The Patient-Doctor Relationship (60 hrs.) (2 cr.) A multidepartmental interdisciplinary course designed to introduce students to the patient-doctor relationship through interactions with faculty and patients in a variety of settings. In small groups facilitated by primary care and behavioral science faculty, students direct their learning toward the complexity of the context from which a patient seeks medical care. In order to achieve this, students examine normal human behavior and development throughout the life cycle. Issues addressed include preventive health care, sexuality, cultural diversity, minority health issues, religion and spirituality, family dynamics, the economics of health care, and death and dying. Adrian and Routh

PHYS 640 Medical Physiology (6 cr.) Provides a concise summary of mammalian and human physiology for medical students. Review of cellular physiology; comparative physiology included where pertinent. Overall organization based on coverage of the organ-systems type. Laboratory exercises will demonstrate general principles of physiology and introduce basic techniques and instrumentation. Milton

PHYS 641 Medical Physiology (6 cr.) Continuation of PHYS 540. Milton

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Second-Year Courses

MGEN Q641 Medical Genetics (2 cr.) A comprehensive course in human genetics, emphasizing the principles of general and molecular genetics and their application to clinical medicine through family history, clinical findings, and laboratory studies. Dlouhy

MSCI X641 Introduction to Medicine (22 cr.) A multidepartmental course designed to introduce clinical medicine. Includes medical history taking and physical examination skills learned at the bedside with direct patient contact. Clinical medicine is surveyed concurrently with emphasis on pathophysiology and diagnosis. Problem-solving skills are stressed, including synthesis and interpretation of medical data. Staff

MSCI X642 Biostatistics (1 cr.) Biostatistics for medical students; basic statistical techniques and their application to medical problems are introduced. Zimmerman

PATH C643 General Pathology (4 cr.) Introduction to mechanisms of disease through demonstration, lectures, laboratory, and conferences; emphasis on basic concepts and principles of disease processes. Jolgren

PATH C644 Systemic Pathology (8 cr.) Presentation of pathology by organ systems with emphasis on etiologic factors; evolution of lesions; pathologic, physiologic, and clinical correlations. Jolgren

PHAR F644 Pharmacology (5 cr.) Lectures, quizzes, laboratory. Drugs classified as to site and mechanism of action; representative members of each class of drugs discussed; rational clinical uses emphasized. Zimmerman

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Northwest Center for Medical Education at Gary

Assistant Dean and Director: Professor Baldwin

General Information
First-Year Courses
Component Descriptions
Second-Year Courses

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General Information

The Northwest Center for Medical Education is located on the Indiana University Northwest campus in the Glen Park area of the city of Gary. The Northwest Center occupies about 28,000 square feet of a separate building on the southwest corner of the local campus. The current enrollment at the IU Northwest campus is more than 5,000 students. There is an extensive program of evening classes.

Indiana University Northwest sponsors an active local drama group, Theater Northwest. The Northwest Indiana Symphony Orchestra presents a series of concerts throughout the year. In addition, the numerous cultural events, sports events, and museums in Chicago are an hour or less from the city. For those who prefer an escape to the outdoors, the Indiana Dunes National Lakeshore is not to be overlooked, and there are numerous other parks in Lake, Porter, and LaPorte counties as well.

A well-populated industrialized region of the state of Indiana, the area offers a variety of housing opportunities in urban and suburban settings. Diverse opportunities for supplementary work, especially for nurses, are available at several major health clinics and seven major hospitals, as are educational opportunities at other local campuses such as Valparaiso University, Calumet College, and Purdue University—Calumet.

For 18 years the Northwest Center for Medical Education offered a traditional first- and second-year medical curriculum. The Regional Center Alternative Pathway, however, begun in 1990-91, is an innovative curriculum based on problem solving and active learning. In the first two years of medical school, the program integrates basic and clinical sciences into seven steps or curricular units presented sequentially. Small groups of five to six students meet weekly with a faculty tutor to analyze a medical case problem and set the necessary objectives for self-directed study. The small group tutorials are supplemented by work in basic science laboratories where medical students test certain hypotheses. Students refine and synthesize the learned information in follow-up sessions, and if needed, set new advanced learning objectives. A minimum of optional basic lectures supplements the content at each step, presented by experienced faculty who introduce key concepts and guide and orient students to the appropriate learning objectives.

In addition to medical students, the center accepts graduate students in basic science in collaboration with the respective department in Indianapolis. The center also accepts postdoctoral fellows, who are trained in advanced research under the auspices of the center faculty.

Medical students are welcome to participate in the individual faculty research programs currently under way at the Northwest Center. Outstanding medical students may also be selected by the Students Research Committee of the Indiana University School of Medicine to do independent study at the Northwest Center.

Students are encouraged to attend: (a) the weekly series of seminars in basic sciences and in clinical research; (b) the continuing education programs and symposia for physicians; and (c) a number of other medical educational activities that are offered by the local hospitals.

In addition to guest lectures and other clinical components of the Regional Center Alternative Pathway, the medical students also have access to the Steven C. Beering Medical Library and Medical Resource and Learning Center. This unit contains an extensive series of periodicals and reference materials, as well as audiovisual and computer-directed learning programs.

The Northwest Center for Medical Education has organized and implemented a medical genetics clinic, a cytogenetics laboratory, and electron microscopy services. With these laboratories, the Northwest Center for Medical Education is serving the community and local physicians as a resource center.

For additional information concerning the Northwest Center, write:

Director
Northwest Center for Medical Education
3400 Broadway
Gary, IN 46408-1197
Telephone: (219) 980-6555
E-mail: wbaldwin@iun.edu
Web site: shaw.medlib.iupui.edu/nwcme/nwcme.html

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First-Year Courses

PBL 610 Step 1: The Molecular Basis of Medicine (6 cr.) This step deals with the basic principles of biochemistry and molecular biology as they apply to medicine. Specifically, in this step the student will gain a working knowledge of amino acids, proteins, enzymes, thermodynamics, digestion and metabolism of carbohydrates, lipid, protein, and amino acids (both catabolic and anabolic pathways), metabolic control, lipoprotein metabolism and lipid transport, nitrogen waste disposal, heme metabolism, purine and pyrimidine metabolism, structure of nucleic acids, replication of DNA, synthesis of RNA and protein, genetic code and genetic control in eukaryotes, recombinant DNA technology, the biochemistry of vision, muscle and nerve metabolism, integration of metabolism, vitamins and nutrition, and hormone action. Offered by the Northwest Center for Medical Education only.

PBL 620 Step 2: Human Structure (12 cr.) Human Structure is an intensive integrated step combining cell biology, histology, gross anatomy, embryology and radiology which is designed to acquaint the medical student with the structures of the human body from gross to subcellular. A combination of small-group, case-based sessions, supervised laboratory periods and selected general lectures are used to instruct the students in this step. The clinical cases are designed to stimulate student-directed learning and problem solving with materials gathered from pathology, surgery, and radiology. The laboratories will offer experience in viewing normal structures from gross dissections to electron micrographs. The emphasis of the step is on gathering a general understanding of the correlations of structure with function and on the views of the body possible with the various macroscopic and microscopic imaging techniques. Offered by the Northwest Center for Medical Education only.

PBL 631 Step 3: Systemic Function (6 cr.) This step builds on the knowledge and problem-solving skills the medical students acquire in Steps 1 and 2. Step 3 is a comprehensive analysis of human physiology, organized around the main organ systems of the body. The themes developed over the six-week period explore physiological aspects of cellular phenomena, the autonomic nervous system, the cardiovascular system, the renal system, the respiratory system, the endocrine system, and the gastrointestinal system. Central to the step is a weekly analysis of medical problems. This serves to integrate physiological aspects of the organ systems with clinical problem solving and with material introduced in Steps 1 and 2. Scheduled key lectures are also used to complement the problem-based learning. Offered by the Northwest Center for Medical Education only.

PBL 641 Step 4: Neural Control and Disease (6 cr.) The Neural Control step studies the structure and function of the nervous system. This multidisciplinary step integrates neuroanatomy, neurophysiology, and neurochemistry with a strong core element of introductory neurology. Emphasis is on directing students in the acquisition of clinically relevant information that can be successfully applied to the performance of the neurological examination and lesion localization. Problem-based learning sessions, laboratory exercises, and lectures emphasize basic structure and function of neurons, regional neuroanatomy, motor and sensory systems, special senses, hypothalamus and the autonomic nervous system, cerebral hemispheres and behavior, and introduction to the mechanisms and treatment of neurological disorders and diseases. Offered by the Northwest Center for Medical Education only.

PBL 645 Step 5: Medications and Disease (6 cr.) An intensive and systematic study of the drugs used in diagnosis, prevention, and treatment of human diseases in a Problem-Based Learning (PBL) format. The core contents are given as comprehensive lectures that include classification of drugs, effects and mechanism of action, disposition, fate, toxicity, uses, drug interactions, and contraindications. Through the PBL tutorial sessions, the students engage in cases that involve a multidisciplinary approach and integration of pharmacological principles in treating diseases. Offered by the Northwest Center for Medical Education only.

PBL 661: Doctor/Patient Relationship (4 cr.) Since the inception of the Northwest Center for Medical Education's Regional Center Alternative Pathway, the curriculum has included a component called the Doctor/Patient Relationship. Doctor/Patient Relationship is designed to foster desired characteristics of the primary care physician. In this component students develop skills to communicate effectively with patients and their families, to show empathy toward patients, and to appreciate patient differences in cultural values and socio-economic levels. Students also are exposed to a series of clinical experiences which illustrate the impact of illness on patient's lives and what they expect from their physicians. Offered by the Northwest Center for Medical Education only.

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Component Descriptions

Behavioral Science
The Behavioral Science curriculum deals with systemic introduction to human development involving learning, conditioning and perception. Cases, including those used in Step 1 through Step 5, will be used to emphasize human behavioral studies regarding those concepts which are considered useful in understanding and treating disturbed behavior. The development of personality and the role of mental mechanisms in healthy and unhealthy adjustments are reviewed also.

Medical Ethics
Medical Ethics consists of a series of seminars devoted to discussion of various topics such as disclosure, confidentiality, informed consent, and death and dying. Cases posing dilemmas that relate to step cases will be presented, along with abstract material to facilitate conceptual and ethical analysis.

History Taking and Physical Diagnosis
The H & P Learning Center's goal is to support medical education, evaluation, and research. It uses standardized patients to create simulations of history and physical findings of real patients. Standardized patients are individuals trained to present a patient's history and physical examination findings in a consistent manner. They are also trained to evaluate the clinical and interpersonal skills of individual medical students. Students will be involved in many projects utilizing the H & P Learning Center and standardized patients during the Doctor/Patient Relationship course.

History Taking
The fundamentals of history taking consist of five introductory history-taking sessions in the first half of the freshman year. To aid in the development of history-taking skills, students will be participating in several projects involving hands-on training with standardized patients in the H & P Learning Center. In addition to the introductory history-taking sessions, students will be involved in a series of preceptor visits. Each student will be paired with a local area family practitioner. The student will shadow the preceptor in a primary care setting. As the student develops history-taking skills, he/she will interview patients seen in the preceptor's office. Preceptors will critique the student's write-ups and provide feedback so improvement can be made on their history-taking skills. At the end of the history-taking instruction, students will be evaluated by standardized patients in the H & P Learning Center.

Physical Diagnosis
The second term of the freshman year will continue with instructing the fundamentals of the Physical Examination. This portion of the curriculum consists of ten sessions. Each week a portion of the physical exam will be presented first by demonstration on a standardized patient, and then by having students pair up to practice. Standardized patients will also be used in a series of learning sessions in the H & P Learning Center. During this segment of the curriculum the students will have an opportunity for hands-on experience in the physical exam. Students will examine standardized patients "from head to toe" in several H & P Learning Center Projects. The history and physical exam instruction will culminate in a testing session using standardized patients in the performance of a head-to-toe physical exam with history and health-risk appraisal in the H & P Learning Center.

Chronic Patient Assignments
At the beginning of each academic year, freshmen students will be assigned one chronic patient to monitor and care for consistently for the two years they stay at the NWCME. Students will be expected to visit or speak with their patient on a weekly and/or biweekly basis. They also will be expected to keep a detailed journal of their experiences in treating their patient. In turn, the patient will utilize their medical student as a resource for questions concerning treatment, and as a means of emotional support. The intent of this project is to introduce students to the art of building a solid doctor-patient relationship. Students should look to their preceptors for help and guidance during this experience. All students must report any significant patient comments or physical exam findings to the patient's primary care physician. All charts and journals will be considered confidential material and only first names should be used when documenting any information turned into NWCME.

Discussion Series
In addition to Behavioral Science, Medical Ethics and History Taking and Physical Diagnosis, the Doctor/Patient Relationship will include a group discussion segment which has been characteristic of this portion of the curriculum since its inception at the Northwest Center for Medical Education. The Discussion/Brown Bag Series is designed to encourage group cohesion among students and to provide a mechanism for communication for both the students and the faculty. The discussion series will be interspersed with preceptor visits the first ten weeks of the freshman year. Sessions will consist of guest speakers, panel discussions, and student discussions. These sessions will be organized around topics which integrate the various components of the Doctor/Patient Relationship. The series may include such topics as professionalism, the Managed Care Plans, family systems, prevention and health maintenance, the importance of community in health care systems, cross-cultural issues in patient care and issues in documentation and confidentiality. Faculty members involved in all areas of the Doctor/Patient Relationship will be encouraged to attend these sessions so all issues will be viewed from a variety of perspectives.

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Second-Year Courses

PBL 650 Step 6: Invasion and Defense (11 cr.) This interdisciplinary course deals with the nature of infectious agents and tumors and the host response to invasion and injury. Students learn the concepts of general pathology, immunology, microbiology, infectious diseases, and elements of pharmacology through discussion and problem-solving of clinical cases and independent study. Offered by the Northwest Center for Medical Education only.

PBL 662 Step 7: Pathophysiology and Advanced Problem Solving (28 cr.) A multidisciplinary course emphasizing etiology, pathophysiology, morphological changes and evolution of lesions in an open system approach. Through clinical cases, sophomore medical students identify learning issues in problem-based learning sessions and in a few lectures; key concepts are introduced.

This step is subdivided into three units:

• First Unit (7 weeks): includes the in-depth study of cardiology, pulmonary medicine, nephrology, and obstetrics/gynecology.
• Second Unit (7 weeks): introduces and discusses endocrinology, gastroenterology, pediatrics, and medical genetics extensively.
• Third Unit (8 weeks): deals with neurology, hematology/oncology, psychiatry, rheumatology, and geriatrics.