ANAT SC 3109 - Applied Anatomy of the Thorax and Abdomen

North Terrace Campus - Semester 2 - 2019

The Applied Anatomy of the Thorax and Abdomen course aims to provide students with a comprehensive understanding of the anatomical aspects that form the basis of common surgical approaches and procedures in the thorax and abdomen. It employs dissection of the human body as a core activity. It involves the study of the thorax, including the thoracic wall, mediastinum, heart and coronary vessels, trachea, lungs and pleura; and the abdomen including abdominal wall, peritoneum, liver, pancreas, gastrointestinal tract, urinary system, male and female reproductive organs, nerves and blood vessels. Clinical scenarios, for example, appendicitis, cholecystectomy, peptic ulcer, coronary bypass, pericardiocentesis, central venous line insertion, vagotomy, ligation of uterine tube, hysterectomy, vasectomy and inguinal herniorraphy will be used to emphasise the applied anatomy of thorax and abdomen.

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Course Details

Course Code	ANAT SC 3109
Course	Applied Anatomy of the Thorax and Abdomen
Coordinating Unit	Medical Sciences
Term	Semester 2
Level	Undergraduate
Location/s	North Terrace Campus
Units	3
Contact	Up to 5 hours per week
Available for Study Abroad and Exchange	N
Prerequisites	Level I MBBS
Corequisites	Level II MBBS
Restrictions	Available to level II MBBS students only
Assessment	Theory paper, practical spotter exam, practical spotter test, in-course assessment

Course Staff

Course Coordinator: Dr Jaliya Kumaratilake

Course Coordinator:Dr Jaliya Kumaratilake
Phone: +61 8313 5478
Email: jalia.kumaratilake@adelaide.edu.au
Location: Room N125, Medical School North

Tutor: Dr Ian Johnson
Phone: +61 8 8313 5988
Email: ian.johnson@adelaide.edu.au
Location: Room S519b, Medical School South

Tutor: Dr Andrew Buchanan
Phone: +61 8 8313 3127
Email: andrew.buchanan@adelaide.edu.au

Course Timetable

The full timetable of all activities for this course can be accessed from Course Planner.

Course Learning Outcomes

1	Understand the locations and appearances of the thoracic and abdominal viscera through dissection
2	Understand the structural and functional relations of thoracic and abdominal organs through dissection
3	Demonstrate the anatomy, including relations, of viscera using medical images (MRI and CT scans)
4	Appreciate the variations of location and appearances of the same organs in different cadavers
5	Understand the anatomical bases of common surgical approaches and procedures
6	Develop the technical skills of dissection and selected surgical approaches and procedures
7	Exhibit problem-solving skills in cardiovascular, respitory, and gastrointestinal presentations
8	Demonstrate appropriate teamwork in shared dissection tasks and time management
9	Understand the ethical issues of dissection of human cadavers and develop responsibilities in using the human body for acquisition of knowledge, including demonstration of a professional attitude in dissection classes and treatment of the dissected bodies with respect and dignity.

University Graduate Attributes

This course will provide students with an opportunity to develop the Graduate Attribute(s) specified below:

University Graduate Attribute	Course Learning Outcome(s)
Deep discipline knowledge informed and infused by cutting edge research, scaffolded throughout their program of studies acquired from personal interaction with research active educators, from year 1 accredited or validated against national or international standards (for relevant programs)	1-9
Critical thinking and problem solving steeped in research methods and rigor based on empirical evidence and the scientific approach to knowledge development demonstrated through appropriate and relevant assessment	1-9
Teamwork and communication skills developed from, with, and via the SGDE honed through assessment and practice throughout the program of studies encouraged and valued in all aspects of learning	8.9
Career and leadership readiness technology savvy professional and, where relevant, fully accredited forward thinking and well informed tested and validated by work based experiences	1-9
Intercultural and ethical competency adept at operating in other cultures comfortable with different nationalities and social contexts able to determine and contribute to desirable social outcomes demonstrated by study abroad or with an understanding of indigenous knowledges	9
Self-awareness and emotional intelligence a capacity for self-reflection and a willingness to engage in self-appraisal open to objective and constructive feedback from supervisors and peers able to negotiate difficult social situations, defuse conflict and engage positively in purposeful debate	7-9

Learning Resources
Required Resources

Dissection Kit
Containing large and small pointed pairs of scissors, toothed and non-toothed forceps, pointer/probe, good quality scalpel handle # 4 and blades #22 or 23 (or scalpel handle number 3 and blades # 10 or 15), and an artery forceps (haemostat).

Recommended Resources
Gross anatomy textbook: one of the following
1. Moore K H et al., Clinically Oriented Anatomy, 6th ed., 2010, Lippincott Williams & Wilkins, Philadelphia.
2. Drake, RL, Vogel W and Mitchell A W M, Gray’s Anatomy for Students, 2005, Elsevier Churchill Livingstone, Philadelphia.
Reference Book
1. Scott-Conner, C. & Dawson, D.L. (2009). Operative anatomy. Sydney: Lippincott Williams and Wilkins
Anatomy atlas: one of the following:
1. Abrahams P, Boon JM and Spratt J (2008) McMinn’s Clinical Atlas of Human Anatomy, Sixth ed., Mosby
2. Moses KP, Banks JC, Nava PB Petersen D (2005) Atlas of Clinical Gross Anatomy, Elsevier Mosby,
3. Agur AMR & Lee MJ (2013) Grant's Atlas of Anatomy, 13th Ed. Lippincott Williams and Wilkins, Philadelphia.
4. Clemente CD (2011) Anatomy a Regional Atlas of the Human Body, 6th ed., Lippincott Williams & Wilkins
Dissection Manual
1. Tank P W (2013) Grant’s Dissector, 15th edition, Lippincott Williams and Wilkins, Philadelphia.
Online Learning

The primary communication channel is via MyUni and University e-mail. Check MyUni regularly before each class. All documentation including past exam papers, weekly dissection tasks, formative assessment questions and lecture notes will be placed on MyUni https://myuni.adelaide.edu.au/webapps/login/

Not reading one’s University-provided e-mail or MyUni announcements will not be a valid reason for missing important deadlines etc.

Learning & Teaching Modes

Lectures are supported by dissection program and formative assessments tasks/questions related to the week’s activities. Practical dissection classes are hands on experience of discovery and it is expected that everyone will contribute.

Workload

The information below is provided as a guide to assist students in engaging appropriately with the course requirements.

The information below is provided as a guide to assist students in engaging appropriately with the course requirements.

As a 3-unit course, Applied Anatomy of Surgical Procedures: Thorax, Abdomen requires approximately 12 h of work per week, including 2 lecture and 3 hours of practical dissections attendance.

Learning Activities Summary

Week	Topic	Lecture
Week 1	Thorax and abdomen introduction	Thoracic wall Anterior abdominal wall
Week 2	Chest and groin	Mediastinum Inguinal canal and hernia
Week 3	Heart and upper GIT	External heart morphology and imaging Pertinoneum, greater and lesser sacs Feedback formative test 1
Week 4	Heart and upper GIT	Internal anatomy of the heart Upper GIT blood supply
Week 5	Heart Small bowel	Great vessels, autonomic plexuses Duodenum and pancreas. Heart Feedback formative test 2
Week 6	Mid course spotter assessment	Feedback/revision/ Q&A
Week 7	Liver Posterior mediastinum	Portal circulation Oesophagus. Azygos sytem
Week 8	Posterior abdominal wall	Inferior vena cava, aorta, biliary system
Week 9	Thorax and abdomen overview	Thorax and abdomen overview Feedback formative test 3
Week 10	Revision	Students will create their own spotter questions and answers that will contribute to the formative assessment next week
Week 11	Revision/formative assessment	Revision.Formative assessment
Week 12	No teaching	No teaching
Week 13	No teaching	No teaching

Specific Course Requirements

Attendance in lectures and dissections is compulsory to pass the course. In order to pass Applied Anatomy of the Thorax and Abdomen, students are required to achieve a grade of at least 50% for the course. If you are unable to attend any of the lectures or practical classes you are required to provide a valid reason.

Policy on return of examination papers
The Discipline of Anatomy and Pathology does not return examination papers to students. However, students who fail the examination may have an opportunity to review their paper with a member of the academic staff at the beginning of the following semester.

Small Group Discovery Experience

As no two human cadaver dissections will be the same or fit exactly with text book descriptions, anatomical variations, the effects of prior surgery and various pathologies will be discovered by each group of 4 students that dissect a cadaver.

The University's policy on Assessment for Coursework Programs is based on the following four principles:

Assessment must encourage and reinforce learning.
Assessment must enable robust and fair judgements about student performance.
Assessment practices must be fair and equitable to students and give them the opportunity to demonstrate what they have learned.
Assessment must maintain academic standards.

Assessment Summary

Assessment Task	Assessment Type	Weighting	Learning Outcome(s) being addressed
Assessment 1--Written Examination (individual assessment)	Summative	50%	1-3, 5, 7
Assessment 2— Practical examination (individual assessment)	Summative	20%	1-4
Assessment 3—Practical test end of semester (individual assessment)	Summative	20%	1-4
Assessment 4— continuous assessment during the practical classes to determine knowledge of the current topic, preparation for the task, participation in the dissection, engagement and attendance (individual assessment), and the ability to work as a team (team assessment).	Summative	10%	6-9

Assessment Related Requirements

Attendance in lectures and dissections is compulsory to pass the course. In order to pass Applied Anatomy of Surgical Procedures: thorax and Abdomen, students are required to achieve a grade of at least 50% for the course. If you are unable to attend any of the lectures or practical classes you are required to provide a valid reason.

Assessment Detail

Assessment comprises several parts:

Formative assessments
Formative assessments e-Learning will be provided weekly online in the form of clinical scenarios, quizzes, images, diagrams etc. All students should attempt the formative assessment, time will be allocated in lectures for questions/
answers. There will be 3 formative assessments conducted during dissection classess using electronic voting systems and designed to give feedback. There will be 2 formative practical assessments followed by feedback sessions. Practical tutors will test students' knowledge informally and will provide feedback and answers to questions.

Summative assessments
All tests and exams will be conducted by full-time academic staff
Assessment 1--Written Examination (individual assessment)
Supervised
Weighting: 50%
Type/duration Theory paper, a mix of clinical scenarios, short answers and MCQs, 2 hours.
Date: Exam period end of semester 2

Assessment 2— Practical examination (individual assessment)
Weighting 20%
Type/duration Practical Anatomy spotter exam – 30 min
Date: Examination period end of semester 2

Assessment 3—Practical test Mid-semester (individual assessment)
Supervised
Weighting 20%
Type/duration Practical anatomy spotter test – 30 min
Date: first week after mid-semester break

Assessment 4— continuous assessment during the practical classes to determine knowledge of the current
topic, preparation for the task, participation in the dissection, engagement and attendance (individual
assessment), and the ability to work as a team (team assessment),
Supervised
Weighting 10%

Submission

No information currently available.

Course Grading

Grades for your performance in this course will be awarded in accordance with the following scheme:

M10 (Coursework Mark Scheme)
Grade	Mark	Description
FNS		Fail No Submission
F	1-49	Fail
P	50-64	Pass
C	65-74	Credit
D	75-84	Distinction
HD	85-100	High Distinction
CN		Continuing
NFE		No Formal Examination
RP		Result Pending

Further details of the grades/results can be obtained from Examinations.

Grade Descriptors are available which provide a general guide to the standard of work that is expected at each grade level. More information at Assessment for Coursework Programs.

Final results for this course will be made available through Access Adelaide.

Replacement/Additional Assessment:

On Medical or Compassionate Grounds
To request a replacement/additional examination on Medical or Compassionate grounds, appropriate forms should be obtained from the appropriate web site, completed and submitted in the appropriate time frame. Students are advised
to refer to the university’s website and policy on replacement/additional examinations. The academic staff will make the final decision regarding the offer of a supplementary examination. Sitting a replacement/additional examination offered on this basis will result in a formal mark being awarded, i.e. pass, credit or distinction.

On Academic Grounds
Students cannot request a replacement/additional examination on academic grounds. Replacement/additional examinations will be offered to students on academic grounds (normally a final grade of between 45% and 49%).
Those sitting supplementary examinations on academic grounds will be required to achieve a grade of at least 50% in the replacement/additional examination to pass the course. Successful completion of replacement/additional examination offered on this basis can only result in a final mark for the course of 50%.

Replacement/additional examinations are only held during the official university supplementary examination period and students are expected to be available to sit replacement/additional examinations at this time.
Students who are offered a replacement/additional examination, but who fail to sit on the set date and time will be deemed to have failed AATA. Pre-booked vacation, overseas travel or family celebrations are unacceptable reasons to be unavailable for the replacement/additional examination. Those who cannot sit the replacement/additional (supplementary) examination on the basis of extraordinary medical or compassionate grounds may be offered the opportunity to sit another examination at the time of the next available examination of AATA (usually Semester II of the following year). A withheld result will be entered on the student academic record until such examination is sat.
Failure to sit the next available exam will result in a grade of fail being awarded.

Student Feedback

The University places a high priority on approaches to learning and teaching that enhance the student experience. Feedback is sought from students in a variety of ways including on-going engagement with staff, the use of online discussion boards and the use of Student Experience of Learning and Teaching (SELT) surveys as well as GOS surveys and Program reviews.

SELTs are an important source of information to inform individual teaching practice, decisions about teaching duties, and course and program curriculum design. They enable the University to assess how effectively its learning environments and teaching practices facilitate student engagement and learning outcomes. Under the current SELT Policy (http://www.adelaide.edu.au/policies/101/) course SELTs are mandated and must be conducted at the conclusion of each term/semester/trimester for every course offering. Feedback on issues raised through course SELT surveys is made available to enrolled students through various resources (e.g. MyUni). In addition aggregated course SELT data is available.

We were pleased that there was 92% broad agreement from students that they were satisfied with the quality of this new course. In response to this first course SELT we have improved the clarity of the practical notes and lecture objectives, added more feedback sessions, placed last year’s assessment online as an example and altered the sequence of delivery of course content.
Student Support
Policies & Guidelines
This section contains links to relevant assessment-related policies and guidelines - all university policies.
On Medical or Compassionate Grounds
To request a replacement/additional examination on Medical or Compassionate grounds, appropriate forms should be obtained from the appropriate web site, completed and submitted in the appropriate time frame. Students are advised to refer to the university’s website and policy on replacement/additional examinations. The academic staff will make the final decision regarding the offer of a supplementary examination. Sitting a replacement/additional examination offered on this basis will result in a formal mark being awarded, i.e. pass, credit or distinction.

On Academic Grounds
Students cannot request a replacement/additional examination on academic grounds. Replacement/additional examinations will be offered to students on academic grounds (normally a final grade of between 45% and 49%). Those sitting supplementary examinations on academic grounds will be required to achieve a grade of at least 50% in the replacement/additional examination to pass the course. Successful completion of replacement/additional examination offered on this basis can only result in a final mark for the course of 50%.

Replacement/additional examinations are only held during the official university supplementary examination period and students are expected to be available to sit replacement/additional examinations at this time.
Students who are offered a replacement/additional examination, but who fail to sit on the set date and time will be deemed to have failed AATA. Pre-booked vacation, overseas travel or family celebrations are unacceptable reasons to be unavailable for the replacement/additional examination. Those who cannot sit the replacement/additional (supplementary) examination on the basis of extraordinary medical or compassionate grounds may be offered the opportunity to sit another examination at the time of the next available examination of AATA (usually Semester II of the following year). A withheld result will be entered on the student academic record until such examination is sat. Failure to sit the next available exam will result in a grade of fail being awarded.
Fraud Awareness

Students are reminded that in order to maintain the academic integrity of all programs and courses, the university has a zero-tolerance approach to students offering money or significant value goods or services to any staff member who is involved in their teaching or assessment. Students offering lecturers or tutors or professional staff anything more than a small token of appreciation is totally unacceptable, in any circumstances. Staff members are obliged to report all such incidents to their supervisor/manager, who will refer them for action under the university's student’s disciplinary procedures.

The University of Adelaide is committed to regular reviews of the courses and programs it offers to students. The University of Adelaide therefore reserves the right to discontinue or vary programs and courses without notice. Please read the important information contained in the disclaimer.

Authorised by:	Deputy Vice-Chancellor and Vice-President (Academic)
Maintained by:	Course Outlines Administrator