GROSS HUMAN ANATOMY (A550) Fall 2013

Course Director and Lecturer: Lecturer:

Dr. Valerie Dean OLoughlin (VDO) Dr. Andy Notebaert (AN)
010A J ordan Hall 010 J ordan Hall
855-7723 855-3788
vdean@indiana.edu anotebae@indiana.edu

Laboratory Director: Assistant Laboratory Director:
Mr. J im Heersma Mr. J im Knowlton
Classroom Building 126 J ordan Hall 003
855-0948 856-1063
jheersma@indiana.edu jrknowlt@indiana.edu

Associate Instructor Associate Instructor:
Bradley Barger Stacey Dunham
jbbarger@indiana.edu dunhams@indiana.edu

Classrooms: Guest Instructors:
Lecture - J ordan Hall 009 Lee McKinley, MD
Laboratory J ordan Hall 312 Andrew Walker (3
rd
year med student)

Required Texts:
1. Essential Clinical Anatomy, Keith Moore, Anne Agur, and Arthur Dalley,
Lippincott Williams & Wilkins, Baltimore, 2011, Fourth Edition (ma)
OR
Clinically Oriented Anatomy, Keith Moore, Arthur Dalley and Anne Agur,
Lippincott Williams & Wilkins, Baltimore, 2010, Sixth Edition. (MD)

2. Langmans Medical Embryology, T.W. Sadler, Lippincott Williams & Wilkins,
Baltimore, 2012, Twelfth Edition. (S)
3. Bates Guide to Physical Examination and History Taking, Lynn Bickley and
Peter Szilagyi, Lippincott, Philadelphia, 2010, Tenth Edition.

4. ONE of the following 3 atlases:
a. Grant's Atlas of Anatomy, Anne Agur and Art Dalley, Lippincott
Williams and Wilkins, Baltimore, 2013 Thirteenth Edition.
b. (Thieme) Atlas of Anatomy, Anne M. Gilroy et al., Thieme, New York,
2013, 2
nd
edition (see the 30% off coupon to order online)
c. (Netter) Atlas of Human Anatomy, Frank H. Netter, Saunders,
Philadelphia, 2011, 5
th
edition.

You will be provided with an online dissector from Thieme publishing. You will access the
dissector with an IPad provided to each gross anatomy lab table. In addition, you will have
access to an online version of the Thieme (Gilroy) Atlas of Anatomy on the Ipad in lab.



COURSE WEBSITE URL: http://www.indiana.edu/~anat550

The course website contains copies of the lecture and lab syllabi, contact information,
and anatomical and clinically related web links. It also contains multiple embryology
animations developed in part by Valerie OLoughlin the url for this site is:
http://www.indiana.edu/~anat550/embryo_main

Additional class materials (including podcasts of lectures, dissection videos, additional
readings, and grade assignments) will be posted on our Gross anatomy Oncourse site.

COURSE DESCRIPTION:
This course examines the gross anatomy of the human. Developmental anatomy and regional
anatomy of the back, thorax, abdomen, pelvis and perineum are examined. Cadaver-based
dissection labs accompany lecture topics.

LEARNING GOALS:
By the end of the year, you will:
1. learn the anatomy vocabulary necessary to communicate effectively as a physician.
2. develop an understanding of the three-dimensionality of the body, and the relationships
of body structures. This understanding is essential for interpreting medical images such
as CTs, MRI, etc.
3. learn the surface and deep anatomy that is necessary to perform and understand a
physical examination of a patient.
4. develop a better understanding of anatomical hot spots and why these anatomical areas
are clinically relevant.
5. understand the origin of anatomical structure (embryology) and the basis for
developmental abnormalities (birth defects).
6. develop an appreciation for human variation.
7. learn what information is essential in a typical autopsy report, and you will complete
your first autopsy report based on the dissection of your donor.

GRADED ASSESSMENTS FOR ANATOMY A550:
Three (3) Lecture Exams will range in value from 90 points to 140 points. These exams
will include multiple choice questions, matching questions, 4X questions, and short
answer/essay questions. The lecture instructors will provide a copy of last years exams
for study purposes. In addition, sample lecture exam questions may be found in your
A550 Course Guide (distributed on the 1
st
day of class).

Three (3) Lab Exams take place in the Gross Anatomy lab. Exam questions ask for the
correct identification of pinned anatomical structures on cadavers, MRIs, bones and cross
sections.

Daily lecture quizzes worth 2 points each will occur during lecture. Each quiz will
consist of a board-style multiple choice question that will test you either on the previous
lecture or on the current days reading assignment. These quizzes may not be made up.
There will be 23 quizzes, and 20 of these twenty three will count towards your grade.
(So, you may miss up to 3 quizzes without your grade being affected).


There will be one (1) Team Based Learning (TBL) activity worth 10 points during
the semester. Students will work in groups on for the TBL exercise and each group
must turn in their write up (A set of questions will be given to each group to answer).

3 Lecture Exams 310 points
3 Lab Exams 260 points
20 Daily Lecture Quizzes (2 pts each) 40 points
1 TBL Activity 10 points
Semester TOTAL 620 points


POLICY FOR RESCHEDULING EXAMS:

Occasionally, circumstances may interfere with a students' ability to complete an examination at
the scheduled time. Students may request an extension or delay when health or life
circumstances would preclude effective performance on an examination. Such circumstances
might include death in the immediate family, serious illness, or trauma. Students are required to
talk with course directors if they believe circumstances might justify a postponement. The course
director will have the discretion to reschedule the examination or to deny the student's request.
Requests for exam postponement will be considered only if the student provides documentation
written by an official (e.g., counselor, physician, clergy) on official letterhead stating the reason
for the absence. Exam postponement due to illness or injury will require a statement signed by a
physician that has examined the student at the time of illness documenting that the student was
unable to take the exam as scheduled; the exact nature of the illness need not be disclosed.
Exams must be made up no later than one week after the originally scheduled exam date.

Requests to extend this time must be accompanied by additional official documentation and the
course director will have the final say on whether an extension will be given. A student that fails
to comply with the above requirements will receive a 0 for the missed exam.

EVALUATION AND GRADING POLICIES:

The Indiana University School of Medicine evaluation program guidelines are as follows for
medical students:
Honors (H) 10-20% of the class
High Pass (HP) 30-50% of the class
Pass (P) 40-60% of the class
Fail (F) 0-5% of the class

Final grades will be determined based on total points. Class distribution curves are taken into
consideration when determining the exact cutoff lines for the above guidelines. However, the
pass cutoff for the class is firmly set at 70%. Students earning below a 70% will have to
remediate the class in the form of an NBME statewide exam, taken during the summer.

All Medical Students will be required to take a comprehensive NBME statewide exam (in the
form of a final exam) at the end of the spring semester. There is no pass-fail requirement for the
exam, but the exam will count 20% of your total grade. Graduate students do not need to take
the comprehensive shelf exam.

Competencies Assessed in Gross Anatomy:

A. Effective Communication is evaluated by: (l) successfully completing the TBL and
(2) examining oral communication on a one-to-one basis as students interact with
each other and respond to faculty questions in the laboratory.

B. Life-long Learning is addressed by: (1) active participation in lab and lecture
activities and (2) completing the TBL exercise.

C. Self-awareness, Self-care, and Personal Growth are assessed by completing a
questionnaire examining the students attitude toward the donors (cadavers) (See
sample of Gross Anatomy Laboratory Experience Questionnaire).

D. Professionalism and Role Recognition are evaluated by (1) observing students
attitudes regarding teamwork in their dissection groups and in their TBL, (2)
completion of the individual limb dissection, and (3) completing the Gross Anatomy
Laboratory Experience Questionnaire.

E. Basic Clinical Skills are assessed by (1) learning to evaluate x-rays, CT scans, MR
images and integrating these radiological techniques with anatomical structure and
(2) completing a Donor Report (autopsy report) based on the dissection of your
donor. The Donor Report can be downloaded from the A550 website.

ACADEMIC DISHONESTY
As explained in the Academic Dishonesty section of the Student Handbook:
(http://msa.medicine.iu.edu/studenthandbook/cheatingplagiarism/ )

Any form of cheating is incompatible with the moral conduct expected of members of the
medical profession and will not be tolerated.

Cheating is dishonesty of any kind with respect to examinations or any graded or assessed in-
course assignment or activity, and includes acts such as seeking or accepting assistance on an
exam, being in the unauthorized possession of examination materials, sharing exam information
to assist another student, collaboration on individually graded assignments or projects, alteration
of records or the creation of false records, forging a signature or the unauthorized use of another
persons electronic signature, and plagiarism. It is the responsibility of the student not only to
abstain from cheating but, in addition, to avoid the appearance of cheating and to guard against
making it possible for others to cheat.

Plagiarism is a form of unethical conduct in which one claims someone elses work for his/her
own. Materials taken from another source must be fully acknowledged and the author must be
given proper credit. The origin of plagiarized work may be print or digital media such as books,
journals and periodicals, databases, laboratory notes, patient exam notes, electronic medical
records and also materials used in oral presentations.

Students suspected of academic dishonesty will be referred to the Student Promotions
Committee and may be dismissed from medical school.



ADAPTIVE EDUCATIONAL SERVICES:
If you need any special accommodations due to a disability and you are a student in the School
of Medicine please contact the IU School of Medicine Committee on Students with Disabilities.
Patricia Ann Wade, Ph.D.
Learning Specialist, Office for Mentoring and
Student Development
(317) 274-2042
patwade@iupui.edu
Mary Alice Bell, MS
Director, Office for Mentoring and Student
Development
(317) 274-7173
mbell@iupui.edu
Any student at any IUSM campus requesting accommodations for a disability must apply to the
Indiana University School of Medicine Disabilities Accommodations Committee and must register
with the adaptive educational services office at the host campus (Disability Services for
Students, 812-855-7578 or http://www2.dsa.indiana.edu/dss ). Guidelines for applying along
with a list of the adaptive services offices on each campus are available in the Student Handbook
at
http://msa.medicine.iu.edu/files/3113/3252/6774/DisabilitiesAccommodationsPolicy.pdf
Accordingly, "no qualified individual with a disability shall, by reason of such disability, be
either excluded from participation in or be denied the benefits of the services, programs, or
activities" of Indiana University School of Medicine. Please be aware, faculty and staff are
prohibited from discriminating or retaliating against any individual who has opposed any act or
practice that the individual believes is discriminatory, or because the individual made a charge,
testified, assisted, or participated in any manner in an OCR or EEOC investigation. Moreover,
university faculty and staff shall not coerce, intimidate, threaten, or interfere with any individual
in the exercise of enjoyment of the protections or rights granted by Section 504 or Title II.

Graduate students with documented disabilities who will require accommodations should contact
the Office of Disability Services for Students in Bloomington to obtain appropriate
documentation of their disability and the determined accommodation.

EDUCATIONAL, PERSONAL SERVICES, COUNSELING AND SPECIAL NEEDS:

Please refer to the Medical Sciences website (http://bloomington.medicine.iu.edu ) for links to
agencies and services available on the Bloomington campus for educational services and
personal needs counseling. Individual and/or special accommodations will need to be approved
by the School of Medicine as described in the student handbook.











Study Tips:

1. We strongly encourage you to study together and work in groups when preparing for both
lecture and lab. Discuss complex topics and quiz each other. Working in a group will
allow all involved to better understand the material and help clarify any misconceptions.

2. Make sure you examine and study ALL of the bodies in the gross lab. As you will learn,
variation is considerable and structures can look completely different in different bodies.


3. Do NOT try to cram for the exams. Lecture exams ask you not only to identify
material, but to apply and synthesize your knowledge. Instead, try to study a little bit
every day.

4. If you have questions, or arent doing as well as youd like, please see one of the
instructors right away! We want you to succeed and we are here to help. However, we
do not know if you need help unless you come and speak with us!

Good luck!!!
GROSS HUMAN ANATOMY (A550): Lecture Schedule - Fall 2013

DATE AREA LECTURER READING IN BIG MOORE (MD),
little moore (ma) OR SADLER (S)

8/13 Tu Introduction VDO ma: 42-46
Medical Imaging MD: 2-12, 66-70

OPTIONAL Intro to Systems Anatomy VDO ma: 2-43
ONLINE (2 lectures) MD: 12-46
REVIEW (watch these if youve never had an anatomy course before will not be on exam)

8/15 Th Back and vertebral column VDO ma: 274-288, 293-5 301-310
MD: 441-452, 472-6, 482-488
S: 142-144

ONLINE Embryology I (1.5 lectures) VDO S: Chs 2 & 3
LECTURE (this lecture WILL be on the embryology exam)

8/20 Tu Spinal Cord and Spinal Nerves VDO ma: 31-37, 294-301
MD: 496-507

8/22 Th Embryology II (1.5 lectures) VDO S: Chs 4, 5 & 6, pp 296-7
(ignore molecular discussion)

8/27 Tu Autonomic Nervous System VDO ma: 36-42, 186
MD: 57-65

8/29 Th Thoracic Wall VDO ma: 47-67, 185-191
MD: 72-78, 81-106,
S: Ch 7

9/03 Tu Abdominal Wall VDO & AW ma: 116-135
Ultrasound of abdominal wall MD: 182-206
(Watch pre-lecture prior to class!) S: 260-263
Also read (skim):
http://www.nysora.com/files.php?file=uploaded%2FJ NYSORA%2FVolume12%2F%28v12p28-33%29TAPBlock.pdf

9/05 Th Embryology III (1.5 lectures) VDO S: Chs 8 & 9

9/10 Tu EXAMINATION (120 points: 60 pts gross, 60 pts embryology)

9/17 Tu Thorax Respiratory System AN ma: 68-79
MD: 106-127
S: 201-207

9/19 Th Thorax Mediastinum I AN & LM ma: 80-102, 114-5
Ultrasound of Lungs and Heart MD: 127-160
S: 162-178

9/24 Tu Thorax Mediastinum II AN ma: 102-113
MD: 160-180
S: 179-191, 195-200
9/26 Th Thorax Mediastinum III AN ma: 117-118, 135-143
GROSS HUMAN ANATOMY (A550): Lecture Schedule - Fall 2013

DATE AREA LECTURER READING IN BIG MOORE (MD),
little moore (ma) OR SADLER (S)

Abdomen GI tract and peritoneum MD: 182-184, 217-225

10/01 Tu Abdomen GI tract I AN ma: 143-146, 161-162
MD: 229-238, 263-265
S: 208-230

10/03 Th Abdomen GI Tract II AN ma: 146-154, 165-174
MD: 239-246, 268-281

10/08 Tu Abdomen GI Tract III AN ma: 154-161, 162-165
MD: 246-253, 265-268

10/10 Th Abdomen GI Tract IV AN & LM MD: 254-261, 281-288
Ultrasound of the GI tract

10/15 Tu EXAMINATION (100 points)

10/22 Tu Team Based Learning Exercise (3 hrs) VDO & AN

9/17 Tu Thorax Respiratory System AN ma: 68-79
MD: 106-127
S: 201-207

9/19 Th Thorax Mediastinum I AN & LM ma: 80-102, 114-5
Ultrasound of Lungs and Heart MD: 127-160
S: 162-178

9/24 Tu Thorax Mediastinum II AN ma: 102-113
MD: 160-180
S: 179-191, 195-200

9/26 Th Thorax Mediastinum III AN ma: 117-118, 135-143
Abdomen GI tract and peritoneum MD: 182-184, 217-225

10/01 Tu Abdomen GI tract I AN ma: 143-146, 161-162
MD: 229-238, 263-265
S: 208-230

10/03 Th Abdomen GI Tract II AN ma: 146-154, 165-174
MD: 239-246, 268-281

10/08 Tu Abdomen GI Tract III AN ma: 154-161, 162-165
MD: 246-253, 265-268

10/10 Th Abdomen GI Tract IV AN & LM MD: 254-261, 281-288
Ultrasound of the GI tract

11/21 Th FINAL EXAMINATION (90 points)
Posterior Abdominal Wall, Perineum, Pelvis
GROSS HUMAN ANATOMY (A550): Laboratory Schedule Fall 2013

In an effort both to reduce contact hours and improve student collaboration in Anatomy A550-551 (Human
Gross Anatomy), peer teaching will be implemented in the Gross Anatomy lab. The class will be split into two
groups (Group 1 and Group 2), whereby each lab table will have members from both groups. Group 1 will
dissect one day of each week, and group 2 will dissect the 2
nd
day of each week. For the first hour of each
lab, the group that previously dissected will teach/review their dissection with the other group. The group that
is not dissecting on a given day will still be responsible for the dissector reading and any dissection material in
lab (models, bones, etc.).

This revised teaching format means that students will not have to be present for the entire time in each lab, and
thus their contact hours will be reduced. Instructors will be present during all lab time, and thus the instructors
will have greater contact hours than the students.

A specific breakdown of the STUDENT contact time is listed:

Date/day Area Thieme Online Dissector assignment Group 1
lab
contact
hours
Group 2
lab
contact
hours
Tues, Aug
13
Introduction, split
tables up into group 1
and 2 teams
A550 course guide

1.5 1.5
Thurs,
8/15
Superficial Back

Trunk: Skeletal and Surface Anatomy of
Back
Trunk: Muscles of Superficial Back
2 0.5
Tues, 8/20 Deep back

Trunk: Muscles of Intermediate Back
Trunk: Muscles of Deep Back
0.5 1.5
Thurs,
8/22
NO lab (optional
review and catch up
dissection time)
XX XX
Tues, 8/27 Spinal Cord

Trunk: Vertebral Column and Spinal Cord 2 0.5
Thurs,
8/29
Body Wall (Thorax)

Trunk: Skeletal and Surface anatomy of the
thoracic Wall
Trunk: Breast
Trunk: Muscles of Anterior Thoracic Wall
0.5 2
Tues, 9/3 Body Wall (Abdomen)

Trunk: Skeletal and Surface Anatomy of
Abdominal Wall
Trunk: Superficial Fascia of Abdominal
Wall
Trunk: Muscles of Abdominal Wall
(do NOT reflect abdominal wall)
2 0.5
Thurs, 9/5 Peer review of
dissections, optional
review and catch up
dissection time
0.5 0.5
GROSS HUMAN ANATOMY (A550): Laboratory Schedule Fall 2013

Tues,
9/10
EXAMINATION (60 points)
(including osteology of vertebral column, posterior skull, and thorax)
Tues, 9/17 Pleural Cavity, Lungs

Thorax: Pleural Cavities and Mediastinum
Thorax: Lungs

XXX 1
Thurs,
9/19
Heart I

Thorax: Pericardial Sac
Thorax: External Heart

1.5 0.5
Tues, 9/24 Heart II

Thorax: Chambers of the Heart 0.5 2
Thurs,
9/26
Superior and Posterior
Mediastinum
Thorax:Superior Mediastinum
Thorax: Posterior Mediastinum
Thorax: Muscles of the Posterior Thoracic
Wall

2 0.5
Tues, 10/1 Peritoneum and
Peritoneal Cavity

Abdomen: Reflection of Abdominal Wall
Abdomen: Peritoneum and Peritoneal
Cavity
You also may want to start the celiac trunk
dissection, so you dont fall behind

0.5 2
Thurs,
10/3
Celiac Trunk, spleen,
liver, gallbladder

Abdomen: Celiac Trunk, Stomach, Spleen,
Liver, Gallbladder
2 0.5
Tues, 10/8 Mesenteric vessels
and intestines
Abdomen: Superior Mesenteric Artery and
Small Intestine
Abdomen: Inferior Mesenteric Artery and
Large Intestine

0.5 2
Thurs,
10/10
Duodenum, pancreas,
and hepatic portal vein

Abdomen: Pancreas and Hepatic Portal
Vein
(DO NOT remove the GI tract)

1.5 0.5
Tues,
10/15
EXAMINATION (100 points)

Tues,
10/22
NO lab XXX XXX
Thurs,
10/24
Posterior abdominal
viscera (kidneys,
adrenals, aorta)

Abdomen: Removal of GI Tract
Abdomen: Posterior Abdominal Viscera
1.5 XX
Tues,
10/29
Posterior abdominal
wall

Abdomen: Muscles of Posterior
Abdominal Wall
Abdomen: Neurovasculature of Posterior
Abdominal Wall
0.5 1.5
GROSS HUMAN ANATOMY (A550): Laboratory Schedule Fall 2013

Thurs,
10/31
Pelvis, external
genitalia, spermatic
cord, scrotum,
determining sex of
pelvis
Pelvis: Skeletal and Surface Anatomy
Pelvis: Labium Majus
Pelvis: Scrotum
Pelvis: Scrotum, Spermatic Cord, Testis
2 0.5
Tues, 11/5 Perineum, Anal
Triangle

Pelvis: Gluteal Region
Pelvis: Anal Triangle
0.5 2
Thurs,
11/7
Female Urogenital
triangle
Male Urogenital
Triangle

Pelvis: Female Urogenital Triangle
Pelvis: Male Urogenital Triangle
2 0.5
Tues,
11/12
Female Pelvis
Male Pelvis

Pelvis: Female Pelvis
Pelvis: Male Pelvis
SELECTED tables will do the following
additional dissections:
Pelvis: Female Pelvic Hemidissection
Pelvis: Male Pelvic Hemidissection
0.5 2
Thurs,
11/14
Peer review of
dissections and
OPTIONAL review
time
0.5 0.5
Thurs,
11/21
EXAMINATION (100 points) (including osteology of the pelvis)