BAPTIST MEMORIAL COLLEGE OF HEALTH SCIENCES Memphis, Tennessee DIAGNOSTIC MEDICAL SONOGRAPHY Course Title: Trimester: Instructor: DMS

453 Neurosonography Summer 2013 Abby Kurtz, BHS, RDMS, RVT, RDCS E-mail: abigail.kurtz@bchs.edu Office hours: by appointment Weekly Hours of Instruction: Classroom testing On-line course (Meets Monday, May 6th) Monday 3:30-4:30 May 27, June 17, July 15, August 5, August 12

Time Allocation:

Pre-requisite: Instructional Materials

Successful completion of 45 hours of general study requirements including BIO 320, BIO 301, MAT 110, ENG 102, AHS 202, AHS 204 and permission of program chair. Required Text: Rumack, C.M., Wilson, S.R., & Charboneau, J.W.(2010). Diagnostic ultrasound (4th ed). St. Louis, MO: Elsevier Mosby. Volume II Resource Text: LaRusso, S. (2011). SDMS national certification exam (NCER) registry review series Neurosonography. Plano, TX: SDMS. (can only be purchased through the SDMS, $55) Curry, R.A. and Tempkin, B.B. (2011). Exercises in Sonography(3rded).. Philadelphia: W.B. Saunders

Other Course Requirements: Student membership to the Society of Diagnostic Medical Sonography On- course: Moodle To access Moodle go to http://bchs.mrooms3.net/ Computer Support: o It is the students responsibility to ensure that they have access to a computer. Refer to the IT department for technical difficulties or questions at is.support@bmhcc.org Students are responsible for weekly checks on Moodle for class power points, assignments, discussion board, and announcements. Students will meet with the faculty member during the first week of classes to participate in an online education session on the use of Moodle software Personal college username and password is required to access Moodle The Moodle grade book is for communication of grades only. The Moodle grade book is not the official grade book; the official grade book is maintained by the course instructor and contains the grades of record. Course Description: The study and application of medical sonography related to neurosonography. Topics to include examination techniques, recognition of pathology, differential diagnosis, pertinent lab values, anatomy, and clinical signs and symptoms.

*Course syllabus subject to change

Course Assessment: DMS 453 contributes to the development of the sonographer by incorporating the following elements into the course: Knowledge (Cognitive Domain): Neonatal brain and pediatric spine anatomy, pathology and sonographic applications Clinical Proficiency (Psychomotor Domain): Sonographic protocols of the prenatal brain, neonatal brain and pediatric spine Application of prenatal brain anatomy through simulation Application of neonatal brain protocols through building of anatomical models Behavioral Skills (Affective Domain): critical thinking, communication, professionalism, and time management

Course Outcomes: Through classroom (on-line) activities, written examinations, assignments the student will: 1. 2. 3. 4. 5. 6. 7. 8. Differentiate the sonographic features of brain development Describe the anatomy and sonographic features of the neurosonography and the pediatric spinal cord Explain the physiology of the brain and pediatric spine as it applies to diagnostic medical sonography. Evaluate the sonographic features associated with anomalies, pathologies, and differential diagnosis in neurosonography and pediatric spinal cord sonography. Interpet lab values associated with neurosonography and pediatric spinal cord sonography. Assess pertinent clinical patient history, lab values, other diagnostic examinations and sonographic findings as the information applies neurosonography and the pediatric spinal cord. Identify proper patient care including the use of personal protection equipment. Identify proper patient education regarding neurosonography and pediatric spinal cord sonography.

Academic Honesty BCHS students are expected to demonstrate personal and professional integrity and honor at all times as reference in the BCHS Student Handbook and BCHS College Catalog. ADA Students with Disabilities - Procedures for Receiving Academic Accommodations Baptist College has a process by which students with valid and documented learning disabilities can request academic accommodations. (See BCHS Student Handbook) Students must make an appointment for an academic accommodation consultation with the disability services coordinator within the first two weeks of a trimester, or as soon as the need for the accommodation is identified. The earlier a request is submitted, the earlier that request can be addressed. An appointment can be made by e-mailing Bill.Finnell@bchs.edu or calling Bill Finnell, Disability Services Coordinator at (901) 572-2660 Mr. Finnells office is on the main campus in room 227 located on the second floor, third hall. Assignments and Participation Attendance and punctuality for all planned experiences in the classroom and on-line classes are expected and are referenced in the DMS Student Handbook. All assignments are to be completed PRIOR to the due date. Classroom participation for all planned experiences in the on-line classroom is required. It is the responsibility of the student to read weekly materials and complete assignments as required. Note: Each student must be in class on time. If you are not in the classroom when the faculty begins class, you must wait until the next break to enter the classroom. There will be no interruptions by students entering after class has commenced.

*Course syllabus subject to change

Electronic Devices All electronic devices (cell phones, pagers, iPods, etc.) must be set to silent or off during scheduled class times. Usage of electronic devices for nonacademic reasons (including text messaging) is prohibited during scheduled class times. This includes all classroom activities and following tests. Make-up Tests and Late Work Make-up Tests o Students will receive a grade of 0 for missed exams. o If the student has contacted the instructor in advance of the scheduled test time a make-up exam will be given and a 10-point deduction will be taken from the final test grade. o All make-up exams must be scheduled and taken within 1 week of absence. o Instructor has the right to grant exceptions in emergency situations. Late Work o All assignments are to be completed PRIOR to due date identified on Moodle o If a student is not able to complete the assignment prior to the due date the student must contact the instructor prior to the due date with specific questions or further clarification. o Late assignments may be awarded a maximum of 50% of the point value of the original assignment. o All late and make-up assignments must be completed within one week of the original due date to receive 50%.All late work received after one week of the original due date will receive a grade of

Method for Student Appeal Refer to the DMS Student Handbook and BCHS Student Handbook: Appeals for Academic Grievance Refund Policy- Summer 2013 Refund Policy and Dates for Tuition and Fees This policy applies to dropping a course or withdrawing from school: A student who withdraws from a course on or before the published registration date for the term in which they are enrolled will receive 100% Tuition and Course Fee Refund with the below date: o For the Summer 2013 trimester, this date is May 2, 2013 A student who withdraws from a course after the published registration date for the term in which the student is enrolled through the change/add period specified for the course in which the student is enrolled will receive a 100% Tuition Only Refund with the below date: o Course begins 05/06/13 and ends 08/17/13, refund through May 13, 2013 No tuition or fee refund will be processed after the change/add period specified for each course. Course fees are non-refundable after the published registration date for the term. A schedule of specific refund dates for each term will be published on the College website, will be distributed to all students via email each trimester and via course syllabi. All fees not related to a course are non-refundable. Student Responsibility: Complete reading and assignments prior to scheduled class time Be active in course participation activities Ask questions on moodle and/or contact instructor for questions or clarification Make appointments with faculty for individual assistance Interact in pre- and post-conference meetings Practice time management when completing assignments and studying for examinations Utilize college services for assistance with stress, test taking or study skills, health concerns or other issues

*Course syllabus subject to change

Course Grade: DMS 453 is an on-line course that offers a combination of instructional formats. Instructional formats include Power Point lectures and weekly assignments. The course is divided into two main learning elements: On-line classroom lecture videos and weekly assignments. Students will be evaluated through written tests, on-line quizzes, and assignments. Grading Scaleo A= 93-100 B=85-92 C=77-84 F=76 and below o The Moodle grade book is for communication of grades only. The Moodle grade book is not the official grade book; the official grade book is maintained by the course instructor and contains the grades of record o The final course grade is derived from the examination average score and the assignment average score o Final course grade of less than 77 will result in failure of the course. Exams will be averaged together to make up 70% of the final course grade Students will be evaluated by completing 5 multiple choice tests Test 1-Sonography Principles, Care of the Neonate, and Embryology-May 27 Test 2-Anatomy , Physiology, and Sonographic Techniques-June 17 Test 3-Pathologies and Differential Diagnosis-July 15 Test 4-Pathologies, Differential Diagnosis, and Pediatric Spine-August 5 Test 5- Comprehensive Final Examination August 12 Each test is of equal value 5 exams will be averaged together to make up 70% of the students final course grade. Students must have an overall test average of 77 to successfully pass the course. . Students are required to take the examination at the college. Dates and test times are listed in the course syllabus.

Assignments will be averaged together to make up 30% of final course grade. All assignments are to be completed individually. Students working in groups to complete assignments will be in violation of standards of conduct as outline in the BCHS student handbook. Working as a group toward an assignment that is designated as an individual assignment is considered cheating. Assignment grades will be calculated using the following: On-line Quiz (4)- 40% o May 17th, June 7th, June 28th, and July 26th Webinar Assignments (3)-30% o Due: June 14th, July 12th, and August 2nd Image Analysis Assignments (3)-30% o Due: June 17th, July 15th, and August 5th

Instructions for each assignment are available on Moodle.

*Course syllabus subject to change

Neurosnography Course Outline Schedule Introduction to Course Date May 6 Instructor MR Resources for Content Handouts will be given in class Model Magic Neurosonography protocol Spine protocol Content Focus Syllabus review Moodle review Basic anatomy review of lateral ventricles, posterior fossa, and cerebrum with model magic Introduction to protocol and scan techniques Class Activity Review syllabus Moodle demonstration Build basic anatomy review of lateral ventricles, posterior fossa, and cerebrum with model magic Watch neurosonography video Discuss protocol and scan techniques for neurosonography and pediatric spine

Learning Module 1- Sonography Principles, Care of the Neonate, and Embryology Learning Objectives: 1. Differentiate the sonographic features of brain development 2. Describe the anatomy and sonographic features of the neurosonography 3. Explain the physiology of the brain as it applies to diagnostic medical sonography. 4. Interpet lab values associated with neurosonography 5. Assess pertinent clinical patient history, lab values, other diagnostic examinations and sonographic findings as the information applies neurosonography 6. Identify proper patient care including the use of personal protection equipment. 7. Identify proper patient education regarding neurosonography *References pages in NCER: 3-12, 18, 46 (Section A and Section B 1-2), and 105-111 Date May 6-12 Instructor AK Resources Chapter 47 pages 1558- 1560 pages 1568-1569 Moodle Video Lecture Chapter 34 pages 1197-1198 Moodle Video Lecture Chapter 48 pages 1637-1653 Moodle Video Lecture All Resources for Module 1 Doppler of the brain Embryology of the brain Read assigned chapter Watch and record notes from video lecture Complete moodle quiz (due May 17) Read assigned chapter Watch and record notes from video lecture Test Content Focus Equipment Sonographic technique Standardized reports Class Activity Read assigned chapter Watch and record notes from video lecture

May 13-19 AK May 20-26 AK May 27 AK

All content focus areas in Learning Module 1

*Course syllabus subject to change

Learning Module 2- Anatomy, Physiology, and Sonographic Techniques Learning Objectives: 1. Differentiate the sonographic features of brain development 2. Describe the anatomy and sonographic features of the neurosonography 3. Explain the physiology of the brain as it applies to diagnostic medical sonography. *References pages in NCER: 17-19, 47-56 (Section B) , and 64 (1 and 2 only) Date May 28June 2 Instructor AK June 3-9 AK June 10-16 AK Resources Chapter 47 pages 1569-1574 Moodle Video Lecture Chapter 47 pages 1560-1564 Moodle Video Lecture Chapter 47 pages 1564-1568 Moodle Video Lecture Coronal sonographic techniques Sagittal sonographic techniques Posterior fontanelle sonographic techniques Mastoid fontanelle sonographic techniques Other sonographic techniques 3D imaging All content focus areas in Learning Module 2 Content Focus Developmental anatomy Class Activity Read assigned chapter Watch and record notes from video lecture

Read assigned chapter Watch and record notes from video lecture Complete moodle quiz (June 7) Read assigned chapter Watch and record notes from video lecture Submit webinar documentation (June 14)

June 17

AK

All Resources for Module 2

Test Image Analysis Assignment due

*Course syllabus subject to change

Learning Module 3- Pathologies and Differential Diagnosis Learning Objectives 1. 2. 3. 4. 5. 6. Differentiate the sonographic features of brain development Describe the anatomy and sonographic features of the neurosonography Explain the physiology of the brain as it applies to diagnostic medical sonography. Evaluate the sonographic features associated with anomalies, pathologies, and differential diagnosis in neurosonography Interpet lab values associated with neurosonography. Assess pertinent clinical patient history, lab values, other diagnostic examinations and sonographic findings as the information applies neurosonography

*References pages in NCER: 63-83 Date June 18-23 Instructor AK June 24-30 AK July 8-14 AK July 15 AK Resources Chapter 47 pages 1574-1583 Moodle Video Lecture Chapter 47 pages 1583-1587 Moodle Video Lecture Chapter 47 pages 1587-1596 Moodle Video Lecture All Resources for Module 3 All content focus areas in Learning Module 3 Content Focus Classification of congenital brain malformations Disorders of neural tube closure Disorders of diverticulation and cleavage Disorders of sulcation and cellular migration Destructive lesions Hydrocephalus Class Activity Read assigned chapter Watch and record notes from video lecture

Read assigned chapter Watch and record notes from video lecture Complete moodle quiz (June 28) Read assigned chapter Watch and record notes from video lecture Submit webinar documentation (July 12) Test Image Analysis Assignment due

*Course syllabus subject to change

Learning Module 4- Pathologies, Differential Diagnosis, and Pediatric Spine Learning Objectives 1. Describe the anatomy and sonographic features of the the pediatric spinal cord 2. Explain the physiology of the brain and pediatric spine as it applies to diagnostic medical sonography. 3. Evaluate the sonographic features associated with anomalies, pathologies, and differential diagnosis in neurosonography and pediatric spinal cord sonography. 4. Interpet lab values associated with neurosonography and pediatric spinal cord sonography. 5. Assess pertinent clinical patient history, lab values, other diagnostic examinations and sonographic findings as the information applies neurosonography and the pediatric spinal cord. 6. Identify proper patient care including the use of personal protection equipment. 7. Identify proper patient education regarding pediatric spinal cord sonography *References pages in NCER: 63-83 and 92-100 Date July 16-21 Instructor AK July 22-28 AK July 29August 4 AK August 5 AK Resources Chapter 47 pages 1596-1623 Moodle Video Lecture Chapter 47 pages 1623-1630 Moodle Video Lecture Chapter 51 pages 1733-1767 Moodle Video Lecture All Resources for Module 4 All content focus areas in Learning Module 4 Pediatric spinal cord Content Focus Hypoxic-Ischemic events Edema Infarction Injury Infection Intracranial masses Class Activity Read assigned chapter Watch and record notes from video lecture

Read assigned chapter Watch and record notes from video lecture Complete moodle quiz (July 26) Read assigned chapter Watch and record notes from video lecture Submit webinar documentation (Aug 2) Test Image Analysis Assignment due

Test 5 Comprehensive Final Exam Monday August 12th at 3:30 * This is a comprehensive examination. The exam will include all content areas for the course.

*Course syllabus subject to change

Sarah Craig

Amy Taylor

Kim Bomar

Kellie Naumann

Carmen Costello

Test 70% Test 1 Test 2 Test 3 Test 4 Test 5 Test Average Total Points Test Average X 7 DMS 453 Neurosonography Summer 2013 Assignments 30% On-line Quiz On-line Quiz On-line Quiz On-line Quiz Webinar Webinar Webinar Image Analysis Assignment Image Analysis Assignment Image Analysis Assignment Assignment Average Total Points Test Average X3

Sarah Craig

Amy Taylor

Kim Bomar

Kellie Naumann

Carmen Costello

*Course syllabus subject to change

Heather Thacker

Heather Staten

Allison Cates

Kaitlyn Mullett

Laura Burris

Heather Thacker

Heather Staten

Allison Cates

Kaitlyn Mullett

Laura Burris

DMS 453 Neurosonography Summer 2013

Carmen Costello

Midterm and Final course grade Mid Term Course Grade Test 1 Test 2 Quiz 1 Quiz 2 Module 2 Webinar Module 2 Assignment Mid-Term Course Letter Grade Final Course Grade All Tests All Assignments Final Course Letter Grade

*Course syllabus subject to change

Heather Thacker

Kellie Naumann

Heather Staten

Kaitlyn Mullett

Allison Cates

Laura Burris

Sarah Craig

Amy Taylor

Kim Bomar

DMS 453 Neurosonography Summer 2013

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