This disclosure form is to be signed, dated, and returned to the

Course Syllabus
ORTH 3010
Topics: Ocular Motility I
Fall Semester, 2012
4 semester credits
Contact hours: 60 lecture
Mondays 3:15 – 5:00 pm
Tuesdays 3:25 – 5:00 pm
Old Main, 1st floor, Room 103
HENRIETTA SCHMOLL
School of Health
Orthoptics
Prerequisite: accepted student in Orthoptic major
Faculty Information
Name: Lisa P. Rovick, MHSc, CO, COMT
Office location: Minneapolis Campus. Old Main #401
Phone: 651-690-7778 Cell: 612-716-4418
E-mail [email protected]
Office Hours: Mondays 10:00 – 12:30 (beginning October 1); by appointment
Course Description (from catalog)
This course introduces you to ophthalmology, including the role, duties and responsibilities of the orthoptist.
Ethics, professional associations and certification, and patient privacy and confidentiality (HIPAA) will be
discussed. You will be introduced to the structure and function of the human visual system including the
globe, orbit, ocular adnexa, extraocular muscles, conjunctiva, cornea, iris, pupil, angle structures, ciliary
body, crystalline lens, vitreous, retina, optic disc, optic nerve, visual pathway and neuro-anatomy. Binocular
vision, vision development and abnormalities such as amblyopia, neurologic control of eye movements and
abnormalities will be discussed. You will learn and practice the elements and techniques of a basic
sensorimotor evaluation, including evaluation of sensory status and measurement of eye alignment and eye
movements. This course will also include completion of a programmed text in medical terminology.
Course Goals
The overall goals for this course are to provide a knowledge and skill base upon which all of the additional courses in
the orthoptic major are built:
Course Goal
Liberal Arts Goal
1. Describe the structures and functions of the eye and visual pathway.
Discipline-Based Competence
2. Describe fundamental concepts of eye movements and binocular vision.
Discipline-Based Competence
3. Explain and demonstrate basic skills involved in an ocular and
Discipline-Based Competence
sensorimotor examination.
4. Research the published Pediatric Ophthalmology and Orthoptic
literature.
Critical and Creative Inquiry
5. Prepare and present findings of the above research to an audience.
Effective Communication, Lifelong
Learning
LIBERAL ARTS GOALS
Ocular Motility I (ORTH 3010) advances the attainment of the University’s “Goals of a Liberal Arts Education”,
generally, as this course prepares students to explore the nature of critical thinking in Orthoptics. Additionally,
the following liberal arts goals are met in this course:
Leadership
and
Collaboration
Ethics and
Social Justice
Diversity and
Global
Perspectives
Critical and
Creative
Inquiry
DisciplineBased
Competence
Effective
Lifelong
Communication Learning
Students
collaborate in
the
preparation of
the Evening
Seminar
presentations
and other
group projects
during the
semester.
During case
discussions
students are
reminded
about
respectful
approach
and
sensitivity to
patients with
varying
levels of
ability.
Cultural
differences
are addressed
in the context
of case
discussions
-research
and
discussion
of topics
that apply
to the
discipline of
Orthoptics.
-Students
learn the
underlying
pathology of
strabismus.
-Presentation
at monthly
Evening
Seminars
-Selection of
appropriate
examination
techniques in
the
evaluation of
the
pathology
introduced.
Participation
in monthly
Evening
Seminar, a
continuing
education
event.
Learning Outcomes
Student Learning Objectives
Instructional
Upon successful completion of this
Strategy
Method of Assessment
course, you will be able to:
Describe the structures and functions
Lecture, anatomy lab
Weekly quiz, midterm and final
of the brain, eye and orbit including:
direct identification,
examinations. Eye model project.
In the anatomy lab:
a.
group project
identify the major structures of
the brain
1.
b.
identify and trace the structures
involved in the visual pathway from
the optic nerve
c.
identify cranial nerves II, III, IV,
V, VI as they exit the brain stem
2.
Deduce the meaning of a medical term
Programmed text,
Weekly quiz, midterm, final
through the understanding of the
classroom discussion.
examinations.
Discuss the development of vision, the
Lecture, discussion,
Weekly quiz, midterm and final
concepts of binocular vision and
simulation
examinations.
List the elements and demonstrate
Lecture, discussion,
Weekly quiz, midterm and final
proper technique used in the
simulation
examinations, clinical skill checklist.
Discussion
Weekly quiz.
Describe ethical clinical practice, as
Discussion, role-
Midterm and final examinations.
outlined in the Orthoptic Ethics
playing
structure of medical terminology
3.
amblyopia.
4.
assessment of visual acuity, binocular
vision and eye alignment.
Describe the different subspecialties
5.
within the field of eye care and the
patient populations served by each.
6.
Statement.
7.
Summarize, through a PowerPoint
Presentation, lecture,
presentation, assigned peer reviewed
discussion,
journal articles and select appropriate
supporting documentation to support
these findings.
Student peer review
Teaching/Learning Activities:
Instruction/facilitation methods include lecture, demonstration, skills laboratory sessions, and case-study learning.
Evaluation methods include written examination, writing exercises and assessment of Evening Seminar presentations.
Percentage of final grade
Participation
Includes class and small group discussions
1. Weekly Content quiz
Weekly content quiz (based on material presented and
discussed during previous week) 10 pts./quiz
25%
2. Eye Model Group Activity
5%
Students will design and build a working model of a globe,
with all extraocular muscles and their respective cranial
nerves, suspensory ligaments and other structures involved in
the rotation of the globe in the orbit.
3.. Monthly Evening Seminar presentation
10%
-Preparation of presentation (clarity, logical sequence,
citations present) 20%
-Demonstrates understanding of material presented 30%
-Clarity of presentation 30%
-Evaluations from audience and peers 20%
4. Midterm and Final Examinations written comprehensive
30% per exam
examination at midterm and end of semester
Grading Policies
The final course grade for Ocular Motility I (ORTH 3010) is as follows:
Final Percentage
Final course grade
90 – 100
A
80 – 89
B
70 – 75
C
60 – 74
D
< 60
F
A final percentage of 75 or greater in this course is required for continued enrollment in the orthoptic major.
Exceptions to this rule may be made at the discretion of the program director.
ASSIGNMENTS: All students are expected to turn in assignments by the DUE dates. Every assignment for this class
must be completed in order to receive a final grade for the course. It is your responsibility to contact the course
instructor in advance of the due date, if you are struggling with an assignment or if you need an extension.
EXCUSED ABSENCES: Make up course requirements (exams, quizzes, projects, etc) must be rescheduled at a mutually
convenient time. It is your responsibility to arrange a make-up schedule with the course instructor IN ADVANCE.
UNEXCUSED ABSENCES: make-up course requirements that were missed must be completed by the student within
three (3) school days of their original date. If not completed within this time frame, the total point value of the course
requirement is forfeited.
INCOMPLETE GRADES: “A grade of incomplete is given only when unusual circumstances deem it appropriate.
Ordinarily, such circumstances would involve matters that are not wholly within a student’s control, such as illness. If you
wish to receive an incomplete grade you must complete a Petition for Incomplete Grade form
(available online http://minerva.stkate.edu/RecOffFrms.nsf/Incomp4?OpenForm )
no later than the last day of the term in which course requirements are due. You must be making satisfactory progress
in the course and you must have completed 75% of the course at the time the petition is filed. Incompletes are awarded
at the instructor’s discretion. If granted, the normal deadline for completion of work is no more than eight weeks after
the last day of classes in the session or sub-session in which the course is offered. The instructor may establish a due
date after the normal deadline if you request it and special circumstances warrant it. The instructor will submit an
alternate grade that will automatically be recorded if you do not complete the requirements for the course by the
deadline. If you complete the course requirements in the time allotted, the instructor must submit the final grade by
the deadline. Extensions to the due date originally agreed to by you and your instructor must be approved by the
appropriate academic dean.” (Petition for an Incomplete Grade, from St. Catherine University Catalog).
REQUIRED EVALUATION ACTIVITIES
PERCENTAGE OF GRADE
Weekly content and Medical Terminology quizzes
25%
(the lowest scoring quiz in each section will be dropped)
Eye model group activity
5%
Evening Seminar presentations
10%
Midterm examination
30%
Comprehensive final examination
30%
TOTAL
100%
Textbooks and Other Required Materials
REQUIRED:
Medical Terminology… A Programmed Systems Approach 9 th edition revised (there is a new edition out this
year….we’ll use 9th edition…less expensive) Authors are Dennerll, Jean Tannis & Davis, Phyllis E. ISBN: 14180-2021-4
JCAHPO/ATPO Pocket Guide order this from the JCAHPO web site.
http://www.jcahpo.org/pdfs/Pock_Guide_Order_Form.pdf
Handbook of Pediatric Strabismus and Amblyopia Wright, K., Spiegel, P, & Thompson, L. ed Springer 2006.
ISBN: 0-387-27924-5 e-ISBN: 0-387-27925-4
Fundamentals for Ophthalmic Technical Personnel. Cassin, B. W. B Saunders, 1995. ISBN: 0-7216-4931-9
Binocular Vision And Ocular Motility. vonNoorden, Gunter Available online (you may print your own copy, if
you prefer to read on paper) through Cybersight: http://www.cybersight.org/bins/content_page.asp?cid=12193
Purchase from instructor:
Orthoptic Syllabus $100.00
The Orthoptic Basic Science Lecture Series on DVD, with manual $75.00
Basic Clinical & Science Course. Section 5 (Neuro-Ophthalmology). Published by the American Academy of
Ophthalmology ISBN: 978-1-61525-294-7 ~$90.00 (you’ll get this a bit later in the semester)
OPTIONAL:
Management of Strabismus and Amblyopia A Practical Guide second edition. Pratt Johnson, Tillson ISBN: 086577-992-9 (you don’t need to purchase this one, but it’s a good one to have)
Clinical Orthoptics, 2nd ed. Rowe , Fiona. Blackwell Publishing, 2004 ISBN: 1-4051-1342-1 (this is a required
text for the spring semester)
Learning Resources
• This is a Desire 2 Learn supported course. Course documents will be uploaded to this portal, which may be
accessed at: https://stkate.desire2learn.com/
Your USERNAME and PASSWORD will be the same as in KateWay.
If needed, please call the HELP DESK at 651-690-6204.
• It is your responsibility to check D2L DAILY for messages, updates, assignment folders, websites,
and other support material for this course.
ATTENDANCE
St. Catherine University defines attendance as participating in the faculty and student interaction required
by the course. Regular attendance is expected of all students. Students are expected to arrive at class on
time and stay for the duration of the class. Students, whether present or not, are responsible for in–class
content and class assignments (see Assignments section). Absences for any reason will be taken into account
in the evaluation of the student’s work.
If you cannot get to class (e.g. illness, car won’t start, relative dies), contact the instructor before class
begins. Instructors must be informed about any absence before class or it will be unexcused.
Students who do not attend class on the first day of class will be withdrawn from the course by the
Registrar’s Office. Even if the student does not attend class meetings, the student remains financially
responsible for paying tuition for the course, up to the date of formal withdrawal. The deadlines for adding,
dropping and withdrawing from a course are found on the Academic Calendar (on Kateway).
ACCOMODATIONS
Saint Catherine University is committed to equal access for all and recognizes that disability is an aspect of
diversity. The University’s goal is to create learning environments that are usable, equitable, inclusive and
welcoming. If there are aspects of the instruction or design of this course that result in barriers to the
learning environment, accurate assessment or your achievement, please contact the Resources for
Disabilities office as soon as possible. Access Consultants can be reached in the O’Neill Center at 651-6908160 to discuss academic adjustments or accommodations.
ACADEMIC INTEGRITY POLICY
The mission of St. Catherine University provides for excellence in education through the search for truth
and justice. In accordance with the mission, the University expects all students and faculty to uphold the
highest standards of academic integrity, and acts of academic dishonesty will not be tolerated. Academic
dishonesty includes, but is not limited to, the following examples of conduct:
 violating the academic rights of another student;
 cheating on assignments or exams, including the use of crib notes or other unauthorized materials;
 submitting papers or assignments written by another person (student, commercial agency, etc);
 copying from another student's paper;
 stealing copies of exams or answer sheets;
 conveying test items to other students;
 plagiarizing on papers and other assignments;
 consenting to have one's work used by another student as her/his own;
 falsely reporting information or misrepresenting actions in clinical or classroom laboratories;
 depriving other students of necessary course materials by stealing books, periodicals or other
materials from the library, media center, labs, etc.;
 submitting the same paper, or substantially similar papers, to meet the requirements of more than
one course without approval of the appropriate instructors;
 interfering in a harmful way with another student's work, such as sabotaging another student's
laboratory experiment or entering or deleting data in another student's computer account or
 unlawfully duplicating copyrighted materials.
CONDUCT AND ACADEMIC INTEGRITY PLEDGE
Each student is expected to adhere to all Orthoptic Program Student Policies and Procedures including the
following Conduct and Academic Integrity Pledge.
I, _______________________________________________________, pledge to uphold the ideals of
St. Catherine University that learning be pursued in a spirit of excellence, life be lived with a commitment to
values of justice and caring, and leadership be carried out appropriately, actively and positively. Having read
the Orthoptic Ethics Statement and the Policy on Academic Integrity, I hold myself bound to respect and
obey it in all matters of personal conduct and academic integrity.
(Students will be asked to sign this learning contract at the beginning of the Orthoptic Program to indicate
their acceptance of these expectations.)
REAFFIRMATION OF CONDUCT AND ACADEMIC INTEGRITY PLEDGE
I re-affirm the St. Catherine University Orthoptic Program Conduct and Academic Integrity Pledge for this
evaluation activity.
Student signature ______________________________________________
Date ______________
(This Reaffirmation of Conduct and Academic Integrity Pledge will be included on all exams, tests and
written assignments, with the student’s signature and date, indicating their adherence to this pledge.)
When academic dishonesty is alleged, the faculty member will immediately discuss with the student the
grounds for suspicion and educate the student about the academic integrity policy and the consequences for
violating the policy. If the faculty member determines that a violation has occurred, she/he will check with
the Academic Affairs Office on her/his campus to inquire if the student has been reported previously for
violations of the Academic Integrity Policy. The Academic Affairs Office maintains a database of past
offenses; however, these notations do not become a part of a student's permanent academic record unless
they are the basis for expulsion from the University. The faculty member will forward a description of the
violation, a copy of the evidence, and a proposed sanction to the Academic Affairs Office.
The Associate Dean for Academic Affairs Bonnie LaDuca, as well as the faculty member's department chair
or program director, will be available to consult with the faculty member regarding an appropriate sanction,
based in part on the severity of the infraction and whether the student had a prior history of such
offenses. Faculty-determined sanctions will generally involve a reduced grade or zero credit on the
assignment, test, or project or a reduced or failing grade in the course. For very serious offenses, the
department chair or program director may impose the penalty of dismissal from the student's academic
program. For the most serious offenses, the academic dean or her/his designee may impose the penalty of
academic suspension or expulsion from the University.
For a more detailed explanation of the Academic Integrity Policy, consult the online Le Guide: Student Code
of Conduct and Community Expectations. Pay particular attention to sections III. Code of Conduct, IV.
Sanctions resulting from Code violations, and VIII. Academic Integrity. Faculty members can find additional
guidelines on the Academic Affairs website.
Tentative Class Schedule (subject to change, as needed) Ocular Motility I Fall Semester 2012
Week
topic
Homework/readings
Mon, 9/10
Skull, orbits, brain,
Med Term Unit 1
blood supply
Cassin Chapters 2-3
http://memo.cgu.edu.tw/cgmj/3303/330310.pdf
ongoing throughout the semester: Orthoptic Basic Science Series DVD: Ocular Anatomy
Orthoptic Syllabus p. 2-3,10-12
Tues,
Globe, muscles, nerves,
Med term quiz
vonNoorden Chapter 3,6
9/11
cranial nerves
unit 1
Cassin Chapter 1, 6, 10, pg. 307-308
Wright Chapter 2: pp 24-60
Orthoptic Syllabus p. 7-9, 12-14
Mon. 9/17
Eyelid, tears, conj. &
Med Term Unit 2
cornea
Cassin p. 3-6, 397-399
Orthoptic Syllabus p.3-5
Tues,
Fixation, Eye
Med Term quiz
Cassin pg 161-163, 278-279, Chapter 21
9/18
movements, Hering,
unit 2
Wright Chapter 2: pp 61-67
Sherrington Laws,
ongoing throughout the semester: Orthoptic Basic Science Series DVD: Oculomotor Physiology of the Eyes
positions of gaze, axes
Syllabus p. 24-26
of rotation (Fick, etc)
Mon,
Tenon’s, episclera,
9/24
sclera, angle
Med term unit 3
Cassin p.6-8, 406-418
Syllabus 5-6, 17-18
structures, uvea
Tues,
Visual development,
Med term quiz
Cassin pg. 157-163
9/25
age-appropriate vision
unit 3
Wright Chapter 1: pp 1-12, Chapter 4
testing
vonNoorden Chapter 14
Article: Dissociation of processing of featural and spatiotemporal information in the infant cortex
http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6WNP-50G06781&_user=1822421&_coverDate=07%2F05%2F2010&_rdoc=1&_fmt=high&_orig=search&_sort=d&_docanchor=&vi
ew=c&_acct=C000054564&_version=1&_urlVersion=0&_userid=1822421&md5=4bf825352d72b0bc5171c7ba36e
ac689
ongoing throughout the semester: Orthoptic Basic Science Series DVD: Amblyopia
Mon, 10/1
Lens, vitreous, retina,
Med term unit 4
color vision, optic
Cassin Chapter 5, p.397, 424-426
Syllabus p. 6-7, 12
nerve
Tues,
Tropia/phoria. Basic
Med term quiz
Cassin Chapter 20
10/2
types of strabismus
unit 4
Wright Chapter 3: pp. 84-94
(includes Dissociated
Syllabus
strabismus)
Mon, 10/8
Tues
Clinical Discussion
Med term unit 5
Cassin Chapter 7, 16
Visual pathway, visual
Syllabus
fields, pathology
ongoing throughout semester: Orthoptic Basic Science DVD: Neuro Anatomy
Evening seminar prep.
10/9
Med term quiz
Evening seminar prep. and practice
unit 5
Mon,
Clinical Discussion
10/15
Cover tests, corneal
Med term unit 6
Cassin Chapter 20
Wright Chapter 5:pp. 143-160
reflex tests
Syllabus
(Hirschberg/Krimsky)
Recording results
Mon.
10/15
Evening Seminar 6:30-8:00 pm
AMBLYOPIA
(anatomy & physiology of amblyopia, types of amblyopia, traditional/historical treatment, treatment recommendations from ATS studies,
looking to the future; clinical pearls)
Tue,
Review
10/16
No med term quiz.
Review: 3-4 pm
Midterm Exam: 4-5 pm
MIDTERM
EXAM
Two part examination: Part 1: Ocular A&P, terminology through unit 6 (30 points)
Part II: Ocular Motility topics
Mon,
Clinical
Med Term unit 7
BCSC Neuro Ophth. Pg 20, 27-37,
10/22
Discussion
50-55, Chapter 11
Neuroanatomy
Cassin Chapter 6, 8, 10
intro (circle of
Willis, cranial
nerve pathways,
chiasm)
Tues,
Sensory fusion,
10/23
motor fusion,
Med term quiz unit 7
CASSIN pg. 278-282
Wright Chapter 3: pp. 70-83, Chapter 6: pp 174-188
Panum’s area,
Basic Science Series DVD: Abnormal Binocular Physiology of the Eyes
monofixation,
retinal
correspondence
Mon,
Clinical
10/29
Discussion
Med term unit 8
BCSC Neuro Ophth pg 48-49, 52
Cassin Chapter 8
More
Neuroanatomy
Cerebellum
Tues,
Fusional
10/30
amplitudes,
Med term quiz unit 8
Cassin pg 15, 139-145, 170, 194-195, 282-287
Wright pp. 90-100
accommodative
vonNoorden
amplitudes,
Near reflex
Mon, 11/5
Clinical
Discussion
Pons and cranial
nerve nuclei
EYE MODEL
DUE
Med term unit 9
Cassin Chapter 10
BCSC pg. 51-62
Tues,
Diplopia:
11/6
monocular,
Med term quiz unit 9
BCSC Chapter 8
Wright pp. 174-178, 188-204
binocular
Diplopia vs
confusion
Mon
NO LECTURE
NO LECTURE (make up = Evening Seminar)
11/12
Tues,
Please go to assigned clinic
NO LECTURE
NO LECTURE (make up = Evening Seminar)
11/13
Please go to assigned clinic
Mon,
Clinical
11/19
Discussions
Med term unit 10
Cassin Chapter 9
BCSC pp. 37-41, Chapter 7
Introduction to
Wright pp. 423-440
paralytic and
supranuclear
disorders (neuro
ophthalmic
disorders)
Tues
Evening Seminar
11/20
Prep
Mon
Cadaver lab
11/26
session
Clinical
Med term quiz unit 10
Evening Seminar Prep
Med term unit 11, 12
Meet in St. Paul
Neuro anatomy review
Discussion
Ocular and orbital anatomy dissection (guided)
Pupil function,
Video: http://www.medicalvideos.us/play.php?vid=87
includes pupil
pathway
Mon.
11/26
Syllabus p. 17-18
Evening Seminar 6:30-8:00pm
VISION SCREENING DEBATE
Olivia McKinley, Laura Olson, Rhea Curtis screening vs. comprehensive eye exam
Dimitra Triantafilou, Emily Dockendorf, Trish Walsh photoscreening vs. critical line testing
Tues,
Pupil disorders,
Med term quiz unit 11,
11/27
testing
12
Mon, 12/3
Clinical
Med term unit
Cassin Chapter 22
13, 14
BCSC Chapter 13, pg 247
Med term quiz 13, 14
Cassin pp. 286-287
Review
Discussion
Torticollis:
BCSC Neuro-Ophthalmology (Section 5) Chapter 15 starting page 169.
Watch YouTube videos on Horner’s, APD, Adies, normal pupil testing, neutral density filters for grading APD
ocular and nonocular
Non-organic
(Functional)
vision loss
Tues.
Spectacle
12/4
problems
related to
strabismus,
prism correction
Mon.
Final Exam
Med term unit 15 +
12/10
review
review
Tues,
Evening Seminar
Med term quiz unit 15
12/11
Prep
Date TBD
FINAL EXAM
(written)
Evening Seminar prep
Final exam review session, if time
2 parts: Ocular A&P + Terminology 1 hour
Ocular Motility 1 hour
Mon.
Evening Seminar 6:30-8:00 pm
12/17
Evidence-based orthoptic practice
Speakers:
Olivia McKinley, Trish Walsh Cochrane studies of X(T)
Rhea Curtis, Dimitra Triantafilou
Emily Dockendorf, Laura Olson: Cochrane studies of amblyopia therapy
J-term
January 2-31,
2013
Happy New Year!
Report to your clinic. Please contact your assigned clinic and make arrangements for the first day
Anatomy Lab
Students in the course will have the opportunity to have a session in the anatomy lab after studying the structures of the brain
in the classroom and in text and diagrams
Prior to attendance in the anatomy lab, students will complete training in the required protocol and other lab procedures
Consent and protocol forms are below. The link to the orientation video is
http://mediamill.cla.umn.edu/mediamill/embed/18412
POLICIES REGARDING ANATOMY LAB USE BY STUDENTS, FACULTY & STAFF
With regards to anatomy lab participation at St. Catherine University, students, faculty and staff are required to
follow these policies.
1. No cell phones and/or cameras are allowed in the laboratory. Videotaping or photographing the human
anatomical material is strictly prohibited without the prior consent of St. Catherine University’s anatomy lab
director and the Anatomy Bequest Program Proposal Review Committee at the University of Minnesota,
including but not limited to any images which will published or distributed.
2. Students, faculty and staff shall track all loaned human anatomical material by keeping the donor’s
acquisition number tag with the donor at all times during the loan. If the tag becomes disassociated from the
donor, the course instructor should be contacted immediately, who then will notify the St. Catherine University
anatomy lab director. All tissue removed from the donor during dissection must be retained, identified with the
donor’s acquisition number, tracking during the loan and returned at the completion of the loan.
3. Anatomical material must not be removed from the dissecting laboratory.
4. Only registered students, teaching assistants and faculty/staff members can access the human donors
and/or anatomical material. Visitors and guests are not allowed unless a written request for access is granted
by the St. Catherine University anatomy lab director.
5. Both conversational and written language relating to the donor and donor dissection by human anatomy lab
students, faculty and staff should be respectful and discrete. Any information about the donor including the
donor’s demographical, social or medical history is confidential and students, faculty and staff are not allowed
to disclose this information.
6. The use of the Internet in general, and social media sites in particular, including, but not limited to,
Facebook, MySpace, Twitter, etc., by students, faculty and staff as a venue for discussing any aspect of the
donor or donor dissection is strictly prohibited.
7. Doctor of Physical Therapy Program and Physician Assistant program students: Any student who wishes to
access the lab after standard business hours is required to have at least one other student in the same
academic program present with them at all times in the anatomy lab.
8. Non-compliance with the above policies may result in a student being immediately expelled from the course
with a failing grade. Students, faculty and staff who are not in compliance with these policies may be referred
for further disciplinary actions such as a conduct review hearing, and/or criminal charges, as applicable.
January 2013
St. Catherine University - Human Anatomy Lab
Orientation video from the University of Minnesota Anatomy Bequest Program
Each St. Catherine University student utilizing the Human Anatomy Lab is required to view the following orientation
video and then print off and sign the disclosure form and return it to their faculty member PRIOR to accessing the
Human Anatomy Lab for the first time.
http://mediamill.cla.umn.edu/mediamill/embed/18412
Anatomy Bequest Program
Human Anatomy Access Orientation Disclosure Form
The opportunity to review and dissect the human body is a privilege afforded to only a limited number of
individuals. It carries with it an important responsibility for treating the person who has given his/her own body to
advance your education and research with utmost respect and dignity.
It is important that each individual appreciate the opportunity afforded and observe the policies outlined in the
Anatomy Bequest Program Human Anatomy Access Orientation. These policies have been set up to promote
respect for the donor and success for you in the laboratory. Failure to adhere to these rules may result in your
eviction from the Anatomy lab.
Please read the following statements and place a check mark in the respective boxes to signify your compliance
and comprehension of the rules.
In order to have access to the human anatomical materials provided by the Anatomy Bequest Program, I
verify that I have taken part in a Human Anatomy Access Orientation session either in person or by video.
I understand that my access to the human anatomical materials is a privilege, and all donations have been
made by consenting individuals and/or families to better aid in anatomy education and research.
I understand that it is my responsibility to adhere to the policies of the Anatomy Bequest Program and
additional laboratory policies outlined in the course syllabus or proposal form.
I understand that failure to comply with the established rules and policies regarding human anatomical
materials may result in my eviction from the anatomy lab.
I also verify that to the best of my knowledge I do not know any Anatomy Bequest Program whole body
donors who have died within the last two years.
If a donor is known, please leave this box unchecked, and fill in the donor’s name:
_____________________________________________
This disclosure form is to be signed, dated, and returned
to the course/lab instructor for filing.
Print Name
Sign Name
Date