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COURSE INFORMATION
Course Number/Section Course Title Term Days & Times Location AUD 7351 Physiological Assessment of the Vestibular System Summer 2011 May 23 July 13, Monday and Wednesday - 8:30 a.m. to 11:30 a.m. Callier Center Dallas, A229
Guest Lecturers
Office Phone
Email Address
Office Location
Office Hours
Course Syllabus
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COURSE DESCRIPTION
Anatomy, physiology and pathophysiology of the vestibular, oculomotor and related systems used for maintaining equilibrium and balance. Assessment of history, signs and symptoms, and self-perceived handicap to develop differential diagnosis. Procedures used for diagnostic assessment of the vestibular system including informal evaluation techniques, ENG/VNG, rotary chair testing, platform posturography, and VEMP. Medical and non-medical treatments for vestibular and non-vestibular balance disorders.
ELECTRONIC RESERVE
Certain additional readings will be available through Electronic Reserve when possible. The URL for electronic reserves page is: http://bit.ly/dM2A8S The password for access to electronic reserves is: arm87shore
Course Syllabus
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Topics with reading assignments, EXAM DATES and assignment due dates: ______________________________________________________________________________________ Please read text (Jacobson and Shepard) Chapters 3, 7-11, pp 27-44 and pp 133-252 Monday, May 23 A. B. A. B. ENG/VNG Dr. Roeser ENG/VNG Dr. Roeser ENG/VNG Dr. Roeser ENG/VNG Dr. Roeser
Wednesday, May 25
A. ENG/VNG Dr. Roeser B. ENG/VNG Dr. Roeser ______________________________________________________________________________________ Please read text (Jacobson and Shepard) Chapters 1 and 2, pp 1-26. Also read Roeser et al., Audiology Diagnosis, Chapter 4, pp 65-76. Monday, June 6 A. Disorders Affecting Balance Dr. Wilson B. Anatomy and Physiology of the Vestibular System Dr. Wright Please read text (Jacobson and Shepard), Chapter 4, pp 45-62. Wednesday, June 8 A. Vestibular Pathophysiology and Vestibular Compensation Dr. Wilson B. Case History for the Balance Disordered Patient Dr. Wilson ______________________________________________________________________________________ Please read text (Jacobson and Shepard), Chapter 5, pp 63-97. Monday, June 13 A. Informal Tests of Balance Function Dr. Wilson B. Diagnostic Case Studies - Common Vestibular Disorders - Dr. Wilson Wednesday, June 15 Lab Room A 225 Dr. Murzyn ______________________________________________________________________________________ Monday, June 20 MIDTERM EXAM
You may schedule your final practical exam beginning June 22 through July 15 Please read text (Jacobson and Shepard), Chapter 6 and 26, pp 99-131 and pp 585-612. Wednesday, June 22 A. Assessing Dizziness Related Quality of Life Dr. Murzyn B. Fall Risk Assessment Dr. Murzyn ______________________________________________________________________________________
Course Syllabus
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Case History assignment due no later than June 27 Please read text (Jacobson and Shepard), Chapter 18, pp 405-434. Monday, June 27 Vestibular Evoked Myogenic Potentials, Lecture and Lab Dr. Wilson Please read text (Jacobson and Shepard), Chapters 12 and 13, and Chapters 15 and 16; pp 253-318 and pp 339-378. Wednesday, June 29 * A. Whole Body Rotational Testing Dr. Even B. Computerized Dynamic Posturography Dr. Even (See note below) ______________________________________________________________________________________ Monday, July 4 Independence Day Holiday
Disorders Paper assignment due no later than July 6 Please read text (Herdman and Tusa), entire booklet. Wednesday, July 6 A. BPPV Treatment lecture and Canalith repositioning maneuver lab Dr. Wilson B. Non-medical treatment of common vestibular disorders Dr. Wilson ______________________________________________________________________________________ Please read text (Jacobson and Shepard), Chapter 21 and 25; pp 469-478 and pp 543-584. Monday, July 11** A. Medical and surgical treatment of vestibular disorders Dr. Kutz B. Vestibular Rehabilitation Dr. Blau Lab assignment is due on July 13 Wednesday, July 13 A. B. Pediatric Vestibular Issues Dr. Simpkins Review and Questions bringing it all together Dr. Wilson
TAKE-HOME FINAL EXAM DUE FRIDAY, JULY 15, 12:00 NOON. ______________________________________________________________________________________ *Note on June 29th, Dr. Even will present two lectures at UTSWMC in the ENT conference room. Following the lectures students will have the opportunity to visit the rotary chair and DPP labs. (Students who wish to walk as a group to the lecture site should meet at 8:30 a.m. in Room A229 at the Callier Center.)
GRADING POLICY
Letter grades will be assigned based upon the following final percentages. 915-1000 points 825-914 points 735-824 points <735 points (92-100%) (83-91%) (74-82%) (<74%) A B C F
The final grade will be based on performance on two written examinations (midterm and final), a practical examination and other assignments described below.
Course Syllabus
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1. 2. 3. 4.
5.
Two written examinations (a midterm and a final), each worth 350 points. Case History Assignment (150 points), described below. Disorders Papers (50 points each, total = 150 points) described below. Each student will demonstrate proficiency in performing vestibular assessments using ENG and VNG techniques and informal evaluation techniques to the course instructors. The practical examination will be performed by appointment between June 23 and July 16. A rubric is provided which will describe the essential components required (see attached). This practical examination will be graded as satisfactory or unsatisfactory. An unsatisfactory practical examination will lower the final course grade by 30 points. Perform one ENG/VNG assessment and submit data and reports to Dr. Wilson on or before July 14, 2009. This report will be graded as satisfactory or unsatisfactory. Unsatisfactory assessment and/or report will lower the final course grade by 30 points.
ASSIGNMENTS
1. Final Practical Examination Be prepared to perform any portion of the ENG/VNG battery and any of the informal or bedside tests described during classroom lectures. Perform the tests requested as if you were an audiologist and your subject were a patient in a balance clinic. Your performance on the practical examination will be graded satisfactory/unsatisfactory based upon the attached rubric. Please schedule your final practical examination by appointment with Dr. Wilson between June 22 and July 15. The practical exam will take 30 minutes. 2. Lab Assignment: ENG/VNG Assessment Perform a complete ENG or VNG on an adult classmate, family member or other volunteer of your choosing using equipment available in the UTD/Callier Center Clinical Division. Perform all tests that are described in classroom lectures that are considered to be part of a standard ENG/VNG assessment. Print out all results and write a complete professional report describing the results. This assignment is due to Dr. Wilson by July 13, 2010. 3. Case History Assignment The attached case history form contains many items about which a patient with a balance disorder is asked to give information. Create a spreadsheet, listing each item on the form and indicate the reason that the information is important. For example: Question Significance This information is important because the length of the attack points toward specific disorders that the practitioner must consider. Attacks that last only a few seconds to a few minutes may be BPPV, PLF, SSCDetcAttacks that last a few minutes to a few hours may beetc.
This spreadsheet is due in electronic form to me by email (pwilson@utdallas.edu) on or before June 27, 2010.
Course Syllabus
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4. Disorders Papers Assignment Write three short (Maximum 1 page, single-spaced per disorder) bulleted information sheets on the attached assigned disorders using the attached format. Please pay close attention to font style, size and instructions for formatting. These papers will be due in electronic form to me by email (pwilson@utdallas.edu) on or before July 6, 2010.
COURSE POLICIES
Make-up exam No make-up examinations will be given except for good cause and unless approved by the course instructor. Students approved for make-up examinations will be given an alternate date upon request. Extra Credit No provision is made for extra credit. Late Work All assignments must be turned in on time. Late assignments may result in reducing the grade for the class. Special Assignments There are no special assignments. Class Attendance Students are not required to attend class. However, most students find that they are unable to pass examinations without regular attendance. Classroom Citizenship Students should be respectful of other students, the professors and guest lecturers. Field Trip Policies / Off-Campus Instruction and Course Activities One off-campus lecture is planned. It is highly recommended that all students attend this lecture.
Course Syllabus
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D 4. Perform an otoscopic examination. D 5. Determine the need for cerumen removal. D 6. Administer clinically appropriate and culturally sensitive assessment measures. D 7. Perform audiologic assessment using physiologic, psychophysical and self-assessment measures. D 8. Perform electrodiagnostic test procedures. D 11. Document evaluation procedures and results. D12. Interpret results of the evaluation to establish type and severity of disorder. D 13. Generate recommendations and referrals resulting from the evaluation process. D 14. Provide counseling to facilitate understanding of the auditory and balance disorder. D 16. communicate results and recommendations orally and in writing to the patient and other appropriate individual(s). D 17. Use instrumentation according to manufacturers specifications and recommendations. D 18. Determine whether instrumentation is in calibration according to accepted standards. Standard IV-E Treatment D 1. Interact effectively with patients, families, other appropriate individuals and professionals. E 2. Develop and implement treatment plan using appropriate data. E 4. Counsel patients, families and other appropriate individuals. E 6. Collaborate with other service providers in case coordination. E 15. Document treatment procedures and results. E 16. Maintain records in a manner consistent with legal and professional standards. E 17. Communicate results, recommendations and progress to appropriate individual(s). D 18. Use instrumentation according to manufacturers specifications and recommendations. D 19. Determine whether instrumentation is in calibration according to accepted standards.
Student Conduct & Discipline
The University of Texas System and The University of Texas at Dallas have rules and regulations for the orderly and efficient conduct of their business. It is the responsibility of each student and each student organization to be knowledgeable about the rules and regulations which govern student conduct and activities. General information on student conduct and discipline is contained in the UTD publication, A to Z Guide, which is provided to all registered students each academic year. The University of Texas at Dallas administers student discipline within the procedures of recognized and established due process. Procedures are defined and described in the Rules and Regulations, Board of Regents, The University of Texas System, Part 1, Chapter VI, Section 3, and in Title V, Rules on Student Services and Activities of the universitys Handbook of Operating Procedures. Copies of these rules and regulations are available to students in the Office of the Dean of Students, where staff members are available to assist students in interpreting the rules and regulations (SU 1.602, 972/883-6391). A student at the university neither loses the rights nor escapes the responsibilities of citizenship. He or she is expected to obey federal, state, and local laws as well as the Regents Rules, university regulations, and administrative rules. Students are subject to discipline for violating the standards of conduct whether such conduct takes place on or off campus, or whether civil or criminal penalties are also imposed for such conduct.
ACADEMIC INTEGRITY
Course Syllabus
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The faculty expects from its students a high level of responsibility and academic honesty. Because the value of an academic degree depends upon the absolute integrity of the work done by the student for that degree, it is imperative that a student demonstrate a high standard of individual honor in his or her scholastic work. Scholastic dishonesty includes, but is not limited to, statements, acts or omissions related to applications for enrollment or the award of a degree, and/or the submission as ones own work or material that is not ones own. As a general rule, scholastic dishonesty involves one of the following acts: cheating, plagiarism, collusion and/or falsifying academic records. Students suspected of academic dishonesty are subject to disciplinary proceedings. Plagiarism, especially from the web, from portions of papers for other classes, and from any other source is unacceptable and will be dealt with under the universitys policy on plagiarism (see general catalog for details). This course will use the resources of turnitin.com, which searches the web for possible plagiarism and is over 90% effective.
EMAIL USE
The University of Texas at Dallas recognizes the value and efficiency of communication between faculty/staff and students through electronic mail. At the same time, email raises some issues concerning security and the identity of each individual in an email exchange. The university encourages all official student email correspondence be sent only to a students U.T. Dallas email address and that faculty and staff consider email from students official only if it originates from a UTD student account. This allows the university to maintain a high degree of confidence in the identity of all individual corresponding and the security of the transmitted information. UTD furnishes each student with a free email account that is to be used in all communication with university personnel. The Department of Information Resources at U.T. Dallas provides a method for students to have their U.T. Dallas mail forwarded to other accounts.
Course Syllabus
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Copies of these rules and regulations are available to students in the Office of the Dean of Students, where staff members are available to assist students in interpreting the rules and regulations.
DISABILITY SERVICES
The goal of Disability Services is to provide students with disabilities educational opportunities equal to those of their non-disabled peers. Disability Services is located in room 1.610 in the Student Union. Office hours are Monday and Thursday, 8:30 a.m. to 6:30 p.m.; Tuesday and Wednesday, 8:30 a.m. to 7:30 p.m.; and Friday, 8:30 a.m. to 5:30 p.m. The contact information for the Office of Disability Services is: The University of Texas at Dallas, SU 22 PO Box 830688 Richardson, Texas 75083-0688 (972) 883-2098 (voice or TTY) Essentially, the law requires that colleges and universities make those reasonable adjustments necessary to eliminate discrimination on the basis of disability. For example, it may be necessary to remove classroom prohibitions against tape recorders or animals (in the case of dog guides) for students who are blind. Occasionally an assignment requirement may be substituted (for example, a research paper versus an oral presentation for a student who is hearing impaired). Classes enrolled students with mobility impairments may have to be rescheduled in accessible facilities. The college or university may need to provide special services such as registration, note-taking, or mobility assistance. It is the students responsibility to notify his or her professors of the need for such an accommodation. Disability Services provides students with letters to present to faculty members to verify that the student has a disability and needs accommodations. Individuals requiring special accommodation should contact the professor after class or during office hours.
Course Syllabus
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designee must take into account the legislative intent of TEC 51.911(b), and the student and instructor will abide by the decision of the chief executive officer or designee.
THESE DESCRIPTIONS AND TIMELINES ARE SUBJECT TO CHANGE AT THE DISCRETION OF THE PROFESSOR.
Please continue, below, for attachments.
Course Syllabus
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AUD 7351 Physiologic Assessment of the Vestibular System Practical Examination Rubric
As part of your course grade, you will be asked to perform procedures or parts of procedures used in the evaluation of patients with balance complaints, and explain expected findings and the implication of abnormal findings. Your performance for each procedure will be graded in each of the five areas in the left-hand column with a score between 1 and 5. Total scores of all procedures will be averaged together. An average score <3.5 is unsatisfactory.
Objective
Exceptional (5)
No set-up errors
Dripping professionalism
Instruction errors are minor and do not affect test results Minor procedural errors do not affect test results Explanation of expected and abnormal findings is essentially correct with minor errors
No instruction errors
Procedure performed correctly Explanation of expected and abnormal findings is completely accurate
Course Syllabus
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Disorders Papers should follow this format Use Times New Roman Font, Size 12 DISORDER NAME (BOLD, ALL CAPS) AUTHOR OF PAPER (BOLD, ALL CAPS) Nature of the disorder/phenomenon (Not bold, but underlined) (Bullets, complete sentences not necessary)
Management of balance symptoms caused by the disorder References minimum 3 (APA style bibliography)
Course Syllabus
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