Introduction to Graduate Anatomy Course: Notes 2023

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Robotic

• The Human brain can really play with your mind
• Kelly's Heroes - Oddball Negative Waves
• Please do not question your decision to pursue this career path
• The adults that you are - epiphany to save a life, time to raise a family and be a parent
• You are not disadvantaged for having limited anatomical experience

Schedule

• Three days a week - just getting started
  • 9 - 11 formal lecture
  • 11-12 time frame for guests and review, I will highlight the preceding lecture according to your questions.
  • 1-5: Laboratory

Examinations - Much more than Assessment

• Laboratory - 100 points, 50 tags of ID (Explain ID), Relationships (Brad Staton story)
  • Laboratory examinations are as much about furthering learning as they are about assessment. Relationships.
  • Brad Staton stories - Aortic arch aneurism, blindfolded while working on motorcycle engines
• Essay - 100 pts, mostly written, hand written, tell a story, not about citing lists and tables, you are transitioning to another side of the equation.
  • Grading of the essays is logarithmic. Many ways to get 60% of the point value. Nearly impossible to get 100% of the point value.
  • Don't leave a blank page.
  • Look at previous examination keys.
  • Handwritten in class - AI, Cut/Paste, Wikipedia, Plagiarism
• Passing the course versus staying in the graduate curriculum are not the same thing.
  • 60% of 800 points (480 pts) to pass the course.
  • Staying in the graduate curriculum requires passing with more than 60% of the possible points.

How to Study

• This course is much more than rote memorization; you could take Stedman's Dictionary to the examination to no avail.
• We are not here to teach you a list of facts from a book. We expect you to know this.
• We are here to encourage you to correct and write the book. You are no longer students in the usual sense. You are colleagues.
• In a few short weeks you will become critics. You will find "mistakes" in nearly everything you read.
• Look at previous examinations. Not a cheap shot. Do it this weekend. Not the day before the examination. Get a feel for the depth.
• We are not big on tables - study from tables, but on your examination; write about tables. Nothing worse than mixing up cell content and showing that you don't understand. Don't take the risk.
• Drawings. We do not bias any favor toward artists. If you draw a figure; you must write the figure caption. Explain interposition. Best answers are often entirely prose.
• Relationships, anatomy, and function.

Laboratory Decorum

• Shared by others
• We can, and shall, have fun within the confines of respectful and considerate behavior.
• Please do not base your behavior on the behavior of others; you are models
• No photographs, to photograph the whiteboard, take it into the hall, avoid anything that might trigger a scandal.
• Truthfully, no cell phones, certainly no cell phones exposed to the room, vibrate and in your pocket, leave the room to answer, Official: no cell phones with cameras, thus, no cell phones.
• No radios blaring, shared space, respect for the living and the dead.
• No ear buds; especially during class time.
• Hats? Respect. No hat police. I would hope that you do not.

The Text Book - Gray's

• We must have a "bible." Gray's is the only book in print for a scholarly account of anatomy.
• Drake and the preface of Gray's Anatomy for Students.
• We will not lower your grade for citing wrong information in Gray's. Nonetheless, please put a priority on lecture material. For example, the urogenital diaphragm.
• Give the Gray's account if you want but, if possible, contrast the account to the lecture account.

Clinical Faculty and Guest Lectures

• They are giving up clinical hours and, in some cases, wages. For the 9 of us.
• Please, turn cartwheels to attend the clinical lectures. There are only seven of you. Your absence can be embarrassing.
• From a practical standpoint; the examinations are heavily biased by the subject matter presented by our clinical colleagues.
• We will not test you on therapies proper.

Gross Anatomy Web Site.

• www.humangrossanatomy.com
• Registration is currently open. I will close it once the six of you are registered.
  • Obfuscate if you want.
• Please register in the next day or so.
  • Access to handouts and image database
• Why is Google Mail not allowed for registration?
  • As an aside - FERPA
• You can be anonymous on the message board

Typical Short Answer Question

• Chronic reflux of gastric acid into the distal esophagus may lead to a precancerous condition known as Barrett's Esophagus. Discuss the anatomy of the distal esophagus and lower esophageal sphincter. Provide a brief account for the:
  • Arterial supply - derived from celiac trunk by way of lG and esophageal A.
  • Venous supply - esophageal varices
  • lymmphatic supply - metastatic disease apt to spread to celiac nodes.
  • nervous supply - parasympathetic by vagus, somatic by phrenic
  • Vertebral level - T10
  • anatomy of the lower esophageal sphincter - Barrett's
    • Not an anatomical sphincter
    • Right and left crus of diaphragm - predominately right
    • Phrenic nerve
    • Z line