Clinical Neurology - Dx 4524
Farshid Marzban Ph.D., D.C.
Michael Hall D.C., DABCN

Spring 2007 - Course Syllabus

Dx 4524 - Tri 5
3 lecture hours per week (45 lecture hours per trimester)
2 lab hours per week (30 lab hours per trimester)
4 credit hours (75 total contact hours)
Prerequisites: Systemic Anatomy, Clinical Biomechanics, Neuroscience I, Extraspinal Biomechanics

Course Description:

This course builds upon neuroanatomy and neurophysiology by presenting clinical neurological conditions. Students are also introduced to neurological testing and examination procedures, and their significance in diagnosis and chiropractic treatment.

Course Missions, Goals and Objectives:

As discussed in the Mission Statement of the College, Doctors of Chiropractic serve as primary health care providers. As such, this course must prepare the future doctor of chiropractic to recognize a broad range of health conditions that may present in clinical practice. While the emphasis is on the neuromusculoskeletal conditions most commonly seen, the course also covers less frequently seen conditions that may need to be referred for treatment by another health care provider, concurrent with conservative chiropractic care.

·  Click here for detailed list of Clinical Neurology Lab test criteria

Required Texts:

  • Mosby's Crash Course: Neurology, Anish Bahra & Katia Cikurel
  • Neurological Examination Made Easy, Geraint Fuller
  • Neuroanatomy through Clinical Cases

Recommended Texts:

  • Orthopedic Neurology, Stanley Hoppenfeld
  • Principles of Neural Science, E.R. Kandel, J.H. Schwartz, T.M. Jessell
  • Neurological Differential Diagnosis, John Patten
  • Mazion's Illustrated Reference Manual of Ortho/Neuro/Physio Clinical Diagnostic Techniques, J.M. Mazion & L.M. Mazion
  • The Merck Manual of Diagnosis and Therapy
  • Priciples and practice of Chiropractic, S. Haldeman

Required Equipment:

Students should bring their equipments to everylab. If a student fails to do so, the student will lose 5 points from his/her following practical grade.
 

·  Oto/Opthalmoscope diagnostic set

·  Disposable Otoscope specula 4 mm

·  Sphygmomanometer

·  Stethoscope

·  Tuning Forks 512 & 128

·  Penlight

·  Digital Oral or Tympanic Thermometer with disposable covers

·  Tongue Depressors

·  Taylor Reflex Hammer

·  Tape Measure

·  Goniometer

·  Disposable Gloves

·  Alcohol Wipes

·  Cotton Balls

·  Safety Pins

·  A patient gown for laboratories

·  Additional equipment as described in class

These items are all available in the bookstore. Several of the smaller items are packaged together into a miscellaneous package.

Attendance, Grading, and Classroom Conduct Policy:

Evaluation:

  • The overall course grade is the average of the scores from five examinations and five quizzes:

                            15%  -  Lecture exam one
                            15%  -  Lecture exam two
                            15%  -  Lecture exam three
                            20%  -  Lecture final exam
                            15%  -  Lab midterm exam
                            20%  -  Lab final exam

  • In order to ensure that the student has a comprehensive grasp of the material, lecture examinations (after exam one) are cumulative, with about 70-80% of the examination covering new material, and 20-30% of the exam comprised of previous material.
  • Lecture midterm exam one will cover all material presented up to that point.
  • Lecture midterm exam two will cover new material, presented since lecture midterm test one, with some review questions over the material tested on exam one.
  • Lecture midterm exam three will cover new material, presented since lecture midterm test two, with some review questions over the material tested on exam one and two.
  • The written final examination, during finals week, is comprehensive covering material from the entire course.

Laboratory midterm and final examinations are given over a week period during weeks 8 and 14. The exam is during your regularly scheduled laboratory time period. There are no make ups for a missed exam, and a missed laboratory examination is scored as zero.

Course Specific Changes to Attendance and Grading Policy:

  • As a reward for outstanding academic performance and attendance, if at the end of week 14 the student has:
    • a cumulative average of 90% or better before entering the Final week, and
    • Receivng 80% or better in every exam (lab and lecture) and quiz, and
    • 90% cumulative attendance (lecture and lab combined)

 

the student is exempt from taking the final exam and will receive an A for the course. Since this course has 75 contact hours per trimester, the student can only miss 7 hours class time. If you miss 8 or more hours, regardless of the reason, you are not eligible for this option.
 

  • For many of our lectures, the first five minutes will be a review of important concepts covered during previous lectures. During this five minutes I will call on students by name for each question. If the student is present and has a reasonably correct answer, We will enter 2 points on our tally sheet, which will be a bonus credit on the next written examination. If the student is absent, I will enter a zero and that student will not be called on again until every student on the tally sheet has been called upon, at which point the process will begin again. Obviously you have to be on time and in your seat at 7:15 in order to be eligible for this bonus credit.
  • Clinical Neurology is similar to adjusting in that it is a manual dexterity skill that must be practiced to attain mastery. For this reason, lab participation is a requirement for this course. Occasional absences are unavoidable and the student is allowed to miss 2 lab sessions before a penalty will be levied. However, any additional absences, regardless of the reason, will result in a deduction from the overall course grade based upon the following table. If you miss your regularly scheduled lab section and your schedule allows you to attend a different section, please do so, and you will receive credit.

Number of labs missed

Percent deducted from overall course grade

1

0%

2

0%

3

1%

4

3%

5

6%

6

10%

7

15%

8

21%

9

28%

10

36%
  • Each lab begins with a demonstration of the skill for that week. If the demonstration is delayed waiting for late students, this holds up the entire class. Or when a student arrives during the middle of the demonstration, this is very disruptive to learning. For this reason, roll is taken verbally at the beginning of the two hour lab. Students who are present on time will receive the full 2 hour lab credit. Students who arrive after roll has been taken, should enter quietly and not interrupt the lab demonstration. Once the class pairs up for the 'round robin' practice session, it is the student's responsibility to let me know you are present, and I will record 1 hour credit for lab that week. This one hour deduction will count as 1/2 lab absence as covered in the previous paragraph. If you are going to be late to lab, you may be better off coming to a different lab section on time.
  • "All courses offered by the Department of Diagnosis and Clinical Applications are essential to the success of your future practice, the safety of your patients, and protection of your assets from malpractice litigation. This is one such a course and you are required to maintain a minimum of 50% attendance in order to be eligible for a passing grade. If you attend less than 50% of the contact hours for this course,  whether the absence is excused or not, you will receive an "F" as your course grade."


 

Office Hours:

  • Will be announced

You may reach Dr. Marzban at extension 7321 or FMarzban@parkercc.edu.

You may reach Dr. Hall at extension 7306 or MHall@parkercc.edu