PMCU-4004 - Principles of Aviation & Space Medicine

PMCU-4004 - Principles of Aviation & Space Medicine

Elective Title: Principles of Aviation & Space Medicine
Course Number: PMCU-4004
Elective Type: career Duration/Weeks: 4 Max Enrollment: 10 & 25
Prerequisites: Successful completion of Year 3
Additional Requirements: C-form required to enroll (period 1 up to 10 students, period 2 up to 25 students)
Responsible Faculty Director: Ronak Shah, DO, MBA, MPH Periods Offered: 1 & 2 excluding holiday period 8 
Coordinator: Tawny Stromberg & Amber Anthony Other Faculty: Serena Aunon-Chancellor, MD, MPH; Amy Kreykes, MD, MPH, Natacha Chough, MD, MPH; and Rebecca Blue, MD, MPH augmented by multiple guest lecturers from the aerospace medicine industry (e.g. NASA, FAA, USAF, USN, USA, and commercial space industry).
Location to Report on First Day:
Remote Course - MS Teams

Comprehension and appreciation of major contributions to the advancement of aviation and space flight by life science professionals and awareness of current and future medical challenges of aviation and spaceflight. Provide a thorough familiarization with the history of aviation, spaceflight and the specialty of aerospace medicine, human physiology in aviation and spaceflight, human factors engineering concepts related to aviation and spaceflight, the role of aerospace specialists in the selection, training, medical certification and health maintenance of aviation and spaceflight personnel.

Students who complete this course will be prepared to: 1) identify the circumstances in which human factors impose hazardous limitations on current or proposed aerospace operations; 2)review the literature pertinent to the issue; 3)recognize gaps in the related knowledgebase; 4)outline research objectives to address the knowledgebase deficits; 5)demonsrtate familiarization with the history of aviation, spaceflight and the specialty of ASM; describe changes in normal human physiology during aviation and spaceflight; apply human factors engineering concepts related to aviation and spaceflight; identify the role of ASM specialists in the selection, training, medical certification and health maintenance of aviation and spaceflight personnel; introduce and understand civil, military, international, and space-related aerospace medicine topics; introduce and interact with leaders from the field of aerospace medicine; and understand the role of regulation on the health and safety of air crew and passengers.

Description of course activities
Assigned readings; lecture/seminars daily. Presenters will be Aerospace Medicine Residency faculty or invited guests with expertise and experience in the breadth of Aerospace medicine topics to include: aerial application and pesticides; hyperbaric medicine/chamber dive; Physiologic training/altitude chamber ascent; Medical Air Evacuation; NASA JSC visit, International travel medicine; astronaut and pilot medical certification/selection; impact, crash protection and restraint systems; medications and flying; aviation accident investigation; aviation cardiology; aviation ophthalmology; aviation otolaryngology; aviation neurology; medical factors in aerobatics; military aviation; International flight safety; and medical aspects of a mission to Mars.

Type of students who would benefit from the course
This course would be useful to students wishing to explore careers in Aerospace Medicine or are interested in this topic as potentail future consultants to the space program.

Weekly Schedule
  Clinical Activities (estimated schedule)  
Day of Week   AM   PM

 Average number of patients seen per week: 0
 Call Schedule:

Research Activities (estimated schedule)
Activity Hours per Week
Faculty Contact-Time 35
Self-Directed Study 8
Other Library and online research for presentation or report 5

Method of Student Evaluation
1.  Clinical Observation
  A. Where are students observed on this elective?
    Inpatient Service   Ambulatory   Surgery   Standardized patients
Patients simulators   Other
  B. Frequency - How often are students observed clinically?
  C. Format - What method(s) are used to document the student's clinical performance?
    Daily oral feedback   End of period oral feedback   Written feedback

2.  Oral Presentation
  A. Audience - To whom does the student present?
    Faculty and classmates
  B. Frequency / Duration of Presentation(s)?
    20-30 minute presentation during last week
  C. Format - What guidelines are set for the student's presentation?
    20-30 minute oral presentation to the class with appropriate visual aids (i.e. PowerPoint presentation with annotated remarks and references).
  D. Assessment - Who assesses the student's presentation performance?
    Self-assessment   Peer assessment   Faculty assessment
  E. Method of content selection
    Current cases  Student-selected topic   Assigned topic

3.  Written Assignment (H&P's, notes, papers, abstracts, etc.)
  A. Frequency of written assignment(s)?
  B. Format - What guidelines are set for the student's written work?
  C. Length of written assignment(s)?
    Abstract   Annotated bibliography   1 - 2 page paper   3+ page paper
  D. Are recent references required?   No    If yes, how are they selected?
    We removed the paper requirement from the course.
  E. Method of content selection - e.g. student-selected, relate to cases, etc.?
  F. Audience - Who assesses the student's written performance?
    Peer Assessment     Faculty Assessment     Other

4.  Examination
    Oral   Written multiple choice   Written essay / short answer   OSCE

5.  Extra Course Activities
  What expectations do you have for the student to demonstrate participation in the elective (e.g. small group activities, seminars, thoughtful questions, providing resources, journal club, resident lecture attendance)?
    Students are expected to participate in class discussions, ask insightful questions of lectureres, read assignments, and prepare for tours and onsite presentations at various NASA JSC localtions and at the Flight Safety International.

6.  Additional Costs
  Please list any additional costs and/or purchases (books, materials, movies to watch, etc.) that are required for this course. Include an estimated total cost. If there are no additional costs, please enter "None".

7.  Other Modes of Evaluation
  Please explain below.
    50% of the course grade is based on class participation (preparation for class, discussions in small groups, engaging in discussions with visiting faculty, and asking insightful questions during class)and 50% on a final oral presentation with accompanying fully annotated PowerPoint presentation on a topic selected by the student and approved by the course director. Students must complete the course evaluation to receive final grade.

8.  If this course is an Acting Internship, please complete the following:
  A. Objectives for the AI should relate directly to the Entrustable Professional Activities (EPAs). Each AI should describe how the four key Year-4 EPAs that our school has identified as being Year-4 skills are assessed. The Year-4 objectives are:
1. Entering and discussing orders/prescriptions.
2. Give or receive patient handover to transition care responsibility.
3. Recognizing a patient requiring urgent or emergent care and initiating management.
4. Obtaining informed consent for tests and procedures.
Specify how the student will be given formative feedback on their clinical skills.

Year-4 students should demonstrate mastery of EPAs they developed in the clerkship year, including recommending and interpreting common diagnostic and screening tests, and performing general procedures of a physician. They should be able to demonstrate masterfully and independently skills they mastered in Years 2-3, including efficiently performing comprehensive admission-notes and succinct daily progress notes and perform accurate, concise, and hypothesis-driven clinical presentations, form clinical questions and retrieve evidence to advance patient care. They should be able to demonstrate basic understanding of and beginning mastery of collaborate as a member of the interprofessional team and identify system failures and contribute to a culture of safety improvement.

List advanced clinical skills that a student will be assured an opportunity to practice.

How specifically will this AI build on developing skills from the clerkship year to prepare students for internship?

What opportunities will typically be available to all students who take this AI (procedures, required presentations, etc.)? What opportunities may be available based on patient load/presentation or student initiative (ie. Writing a case report)?

An AI should have expectation of a minimum of 32 hours per week of clinical responsibilities. Duty hours should be capped at ACGME limits for an intern, thus up to 24 hours followed by 4 hours of activities related to patient safety, education, and handoff. Students cannot work more than 80 hours per week averaged over 4 weeks. They can only have 1 day off in a 7-day work week with 8 hours off between shifts.

Clinical responsibilities will vary depending on specialty, but how is the student functioning with work commensurate to a PGY1 with an appropriate level of training?

How is the student demonstrating drawing clinical conclusions and/or developing a management plan and documentation as an intern would do?

How and by whom will midpoint feedback be provided to the student? How will you remediate deficiencies identified at midpoint?

Acting Internship students often seek letters of recommendation following their experience. How many different Faculty will work directly with the student and have knowledge of the student's abilities to detail in a written evaluation? Describe the degree of supervision and interaction with faculty vs. residents or other providers and how feedback will be obtained if more direct work is with residents or other providers.