Doctorado en Naturopatia- U.T

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  • 8/13/2019 Doctorado en Naturopatia- U.T

    1/181Naturopathic Medicine Doctoral Program

    Doctorate in Naturopathic Medicine

    TURABOUNIVERSIDAD DEL

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    Copyright August 2009 Ana G. Mndez University System. All Rights Reserved.

    IMPORTANT NOTES:

    Universidad del Turabo Catalog is published for informational purposes and should not be considered as a contractbetween a student and the Institution. Information contained herein supersedes that previously published and issubject to change.

    At Universidad del Turabo (UT), every effort is made to provide accurate and up-to-date information. However, theUniversity reserves the right to change without notice statements in the catalog concerning rules, policies, fees,curricula, courses, or other matters when necessary. Changes may apply to current and former students.

    Universidad del Turabo reserves the right to make changes in course offerings, curricula, and other policiesaffecting its programs. In the specific case of a curriculum revision, current students will be moved horizontally tothe new curriculum. Students will be required to take new courses at a level higher than that at which the studentis currently enrolled but never courses at a level below. All current and former students enrolled in the Institution

    are subject to these conditions.

    In addition, UT is currently reviewing and restructuring many of our academic programs in an effort to enhance theirquality and improve our efficiency. In that process, some of the programs and courses mentioned in this cataloguemay be modified, consolidated with other programs or courses, or eliminated. If you have questions about aparticular program or course, you should contact the appropriate university school or department. In case that aprogram is eliminated, the program director will prepare a course schedule to assure the graduation of thosestudents enrolled in the program.

    It is the students responsibility to know and comply with the rules expressed herein, which coincide with currentbylaws and regulations of the University, the administrative resolutions and the federal laws on civil rights.

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    SCHOOL OF HEALTH

    SCIENCES

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    Universidad del Turabo 2009-20104

    SCHOOL OF HEALTH SCIENCES

    STAFF

    Angel L. Rivera/ Dean

    Carmen M. Prez Velzquez/ Associate Dean &

    Nutrition Program Director

    Rebecca Alberti / Community Health SystemsDepartment Director

    Nydia V. Bou / Health Professions DepartmentDirector

    Efran Rodrguez Malav / Doctoral ProgramDirector

    Anayra Barreras / Student Affairs Director

    Ana D. Serrano/ Student Affairs Official

    Joannie Ortz Lpez /Administrative Director

    Angeliz Prez Gaud /Administrative Secretary

    Mildred del Valle/ Interdisciplinary Services ClinicDirector

    Lizette Lebrn/ Administrative Secretary

    DOCTORATE IN NATUROPATHIC MEDICINE

    PROGRAM

    Description

    The Doctorate in Naturopathic Medicine is a four-year program to train holistic primary care physiciansand prepare them to sit for examination in statesand provinces that license N.D.s (naturopathicphysicians).

    The curriculum includes holistic and non toxicapproaches to healing with a strong emphasis on

    disease prevention and optimizing wellness. This fouryear program requires hands-on clinical experiencewith the different modalities and bio-medicalsciences.

    Mission

    To prepare excellent naturopathic physicians in thetradition of medical science and art of natural healingwho can respond to the needs of local and globalcommunities.

    Vision

    An innovative educational setting for doctors innaturopathic medicine with balanced efforts betweenacademic offerings, clinical services, and researchendeavors.

    ND Goals and Objectives

    1. Provide comprehensive education innaturopathic medicine by integration ofknowledge in the Basic Sciences and ClinicalServices.

    1.1 Acquire a broad and in-depth knowledgeof health promotion, risk reduction anddisease prevention.

    1.2 Acquire an in-depth study of the humanbody.

    1.3 Integrate didactic and cl inicalexperiences on illness and diseasemanagement.

    1.4 Develop excellent clinical skills to

    diagnose the causes of disease.1.5 Develop excellent clinical skills to treat

    effectively patients who have diseases,using naturopathic therapeutics.

    2. Empower graduates as primary-care physicianswho demonstrate;

    2.1 Well developed sense of personalwellness.

    2.2 Knowledge of their unique skills ashealers.

    2.3 Knowledge of the scope of the practiceand its limitations.

    2.4 Responsibility in finance and business.2.5 Clinical competence and confidence.2.6 Clinical research and evidence-based

    practice skills.

    3. Foster a high degree of professionalism as akey member of the interdisciplinary health careteam.

    3.1 Become a provider of excellence andconsistent patient care.

    3.2 Demonstrate the ability to carry out asystematic approach to naturopathic

    medical diagnosis and treatment.3.3 Practice the principles of NaturopathicMedicine as adopted by the American

    Association of Naturopathic Physicians.3.4 Advocate for professional standards and

    political processes.3.5 Recognize the importance of

    professional ethics.3.6 Apply knowledge in global health care

    systems and policies.3.7 Respect cultural differences and

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    5Naturopathic Medicine Doctoral Program

    appreciate human diversity.4. Produce graduates committed to continuous

    improvement with the ability to:4.1 Apply practical knowledge in their

    practice setting.4.2 Continuously develop skills throughout

    their career as naturopathic physicians.

    ADMISSIONS REQUIREMENTS

    Academic Requirements

    Baccalaureate Degree-completion prior to

    matriculation. Total postsecondary courseworkmust meet a minimum GPA of 3.25 andcompleted at an accredited college oruniversity. Accreditation must be recognized bythe United States Department of Education.(25%)

    Prerequisite Coursework-The following

    courses should be approved before registration,and a official transcript before registration onthe program must be submitted.

    Area Sem. Credit

    Biology 12Chemistry 12Physics 3Psychology 6

    English 6Humanities 6Spanish 3

    Algebra or Pre-calculus 3

    Post Graduate Exam- Results of the Graduate

    Record Exam (GRE) or the Spanish Test ofAptitude for Graduate Studies (EXADEP) or anycomparable test.

    General Requirements

    Doctoral Admission Application- with a $75.00nonrefundable application fee**.

    Three Let ters o f Recommendation-

    accompanying forms from an undergraduate orgraduate academic reference, from a workexperience (occupational) reference, and ahealth care provider or personal reference. Lettersand forms must be current (within one year) andmailed directly from the reference to UT. (25%)

    Personal Essay- the personal essay/statementshould tell us about an applicants background,abilities, interests and experiences, and howthese will make them good candidates for UTNaturopathic Medical School. (10%) Ideally,applicants should share some personalexperiences and genuine thoughts in their

    essays. Explaining why they are applying to UTis also helpful. The Admissions Committee willlook for writing ability as well as content whenreading the essay. One page per essay questionis the standard. (see essay guidelines for moreinstructions).

    Resume or Curriculum Vitae (CV)-the resumeshould include work experience, activities,community service and any honors/awardsreceived. (25%)

    Participate in an interviewwith the DoctoralAdmissions Committee (25%)

    Any other requirement established by the School

    Documentation should be sent on or before theapplication deadline to:

    Doctoral Studies CenterUniversidad del Turabo

    PO Box 3030Gurabo, PR 00778-3030

    Tel. (787) 743-7979 ext. 4270, 4268 4273Fax: (787) 743-7979 ext. 4275

    [email protected]

    *The Admissions Committee will review applications,interview candidates for admission, and makeadmission decisions.

    **Submission of application and followed with thereceipt of all required materials and credentials will

    allow the admissions office to contact those qualifiedapplicants for an interview with the AdmissionsCommittee.

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    Curriculum

    Total Credits 278

    Clinical Science Education courses 58

    Basic Science Courses 49

    Naturopathic Clinical Practice Courses 51

    Naturopathic Clinical Science Courses 34

    Oriental Medicine Courses 21

    Physical Medicine Courses 12Clinical Nutrition Courses 12

    Botanical Medicine Courses 11

    Homeopathic Education Courses 8

    Health Sciences Courses 7

    Naturopathic Medicine Philosopy

    and Practice Courses 6

    Mind and Body Medicine Philosophjy

    and Practice Courese 6

    Clinical Science Education Courses (58 crs.)

    CLSE 701 Human Pathology I 3CLSE 703 Clinical and Physical Diagnosis I

    with Laboratory 6CLSE 705 Laboratory Diagnosis I with

    Laboratory 3CLSE 707 Pharmacology I 3CLSE 709 Human Pathology II 3CLSE 711 Clinical and Physical Diagnosis

    II with Laboratory 6CLSE 713 Laboratory Diagnosis II with

    Laboratory 3CLSE 715 Pharmacology II 3CLSE 717 Human Pathology III 3CLSE 719 Clinical and Physical Diagnosis

    III with Laboratory 6CLSE 721 Laboratory Diagnosis III with

    Laboratory 3CLSE 723 Human Pathology IV 3CLSE 725 Environmental Medicine and

    Toxicology 2CLSE 727 Diagnostic Imaging I 2CLSE 729 Diagnostic Imaging II 2CLSE 731 Diagnostic Imaging III 2CLSE 733 Minor Surgery with Laboratory 3CLSE 735 Medical Genetics 2

    Basic Science Courses (49 crs.)

    BASC 700 Human Gross & DevelopmentalAnatomy 10

    BASC 702 Medical Physiology & Organ

    Systems I 6BASC 704 Biochemistry & Cel lular Systems I 3BASC 706 Medical Histology 4BASC 708 Medical Physiology and Organ

    Systems II 6BASC 710 Biochemistry & Cellular

    Systems II 3BASC 711 Neuroanatomy 4BASC 712 Medical Physiology and Organ

    Systems III 7BASC 714 Biochemistry and Cellular

    Systems III 3BASC 716 Microbiology and Public Health 3

    Naturopathic Clinical Practice Courses (51 crs.)

    NPCL 765 Diagnostic Imaging Practicum 2NPCL 770 Field Observation I 2NPCL 775 Clinical and Physical Diagnosis

    Rotation I 2

    NPCL 780 Field Observation II 2NPCL 785 Clinical and Physical Diagnosis

    Rotation II 2NPCL 790 Field Observation III 2NPCL 795 Laboratory Results Practicum 1NPCL 800 Clinical Secondary Shifts I 2NPCL 802 Clinical Secondary Shifts II 2NPCL 804 Clinical Secondary Shifts III 2NPCL 806 Clinical Secondary Shifts IV 2NPCL 808 Clinical Secondary Shifts V 2NPCL 810 Clinical Secondary Shifts VI 2NPCL 812 Clinical Primary Shift I 2NPCL 814 Clinical Primary Shift II 2NPCL 816 Clinical Primary Shift III 2

    NPCL 818 Clinical Primary Shift IV 2NPCL 820 Clinical Primary Shift V 2NPCL 822 Clinical Primary Shift VI 2NPCL 824 Clinical Primary Shift VII 2NPCL 826 Clinical Primary Shift VIII 2NPCL 828 Clinical Primary Shift IX 2NPCL 830 Clinical Primary Shift X 2NPCL 832 Clinical Primary Shift XI 2NPCL 834 Clinical Primary Shift XII 2NPCL 838 Knowledge Integration 2

    Naturopathic Clinical Science Courses (34 crs.)

    NPCS 701 Gynecology 2

    NPCS 702 Obstetrics 2NPCS 703 Cardiology 2NPCS 705 Pediatrics 2NPCS 707 Eyes, Ear, Nose and Throat 2NPCS 709 Rheumatology and Pain 2NPCS 711 Emergency Medicine 2NPCS 713 Oncology 2NPCS 715 Dermatology 2NPCS 717 Endocrinology 2NPCS 719 Geriatrics and Aging 2NPCS 721 Gastroenterology and Proctology 2NPCS 723 Urology 2NPCS 725 Pneumology 2NPCS 727 Neurology 2

    NPCS 729 Mental Health and Psychiatry 2NPCS 731 Intravenous Therapies with

    Laboratory 2

    Oriental Medicine Courses (21 crs.)

    ORME 700 Fundamentals and Theory ofChinese and Oriental Medicine 3

    ORME 702 Tradit ional Chinese MedicineDiagnosis 2

    ORME 704 Meridians and Points I withLaboratory 3

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    ORME 706 Meridians and Points II withLaboratory 3

    ORME 708 Traditional Chinese MedicinePathology 2

    ORME 710 Acupuncture Techniques withLaboratory 3

    ORME 712 Chinese Botanical Medicine 2ORME 714 Fundamentals of Ayurvedic

    Medicine 3

    Physical Medicine Courses (12 crs.)

    PHMD 700 Principles of Hydrotherapy 1PHMD 702 Introduction to Physical Medicine

    and Orthopedics 2PHMD 704 Physiotherapy Modalities with

    Laboratory 2PHMD 706 Naturopathic Manipulative

    Therapy I 2PHMD 708 Naturopathic Manipulative

    Therapy II 2PHMD 710 Sports Medicine & Orthopedics 3

    Clinical Nutrition Courses (12 crs.)

    NUTR 700 Clinical Nutrition I 3NUTR 702 Clinical Nutrition II 3NUTR 704 Clinical Nutrition III 3NUTR 706 Clinical Nutrition IV 3

    Botanical Medicine Courses (11 crs.)

    BOTM 701 Botanical Medicine I 3BOTM 703 Botanical Medicine II 3BOTM 705 Botanical Medicine III 3BOTM 707 Botanical Medicine IV 2

    Homeopathic Education Courses (8 crs.)

    HOME 700 Homeopathy I 2HOME 702 Homeopathy II 2HOME 704 Homeopathy III 2HOME 706 Homeopathy IV 2

    Health Sciences Courses (7 crs.)

    HESC 700 Clinical Research Methods 2HESC 702 Health Promotion and Disease

    Prevention:Transcul tural Considerat ions 2

    HESC 704 Evidence-Based Practice Project 3

    Naturopathic Medicine Philosophy

    and Practice Courses (6 crs.)

    NPMP 701 History of Medicine 2NPMP 703 Naturopathic Medicine Principles

    and Philosophy 1NPMP 705 Business Practice 2NPMP 707 Medical Jurisprudence and

    Naturopathic Ethics 1

    Mind and Body Medicine Philosophy

    and Practice Courses (6 crs.)

    MBME 701 Fundamentals of Mind and BodyMedicine I 2

    MBME 703 Fundamentals of Mind and BodyMedicine II 2

    MBME 705 Fundamentals of Mind and BodyMedicine III 2

    Electives (3 crs.)

    COURSE DESCRIPTIONS

    BASIC SCIENCESBasic science courses within the naturopathic

    medicine program emphasize anatomy, physiology,and biochemistry as the foundation for further basicsciences and all clinical courses. Emphasis is alsogiven to histology, pathology, pharmacology,immunology, infectious diseases, embryology,neuroscience and research methods. Studentsadvance beyond the simple learning of scientific factsand integrate systematically the information frombasic science disciplines into a unified model ofhuman organization and function. This educationalstyle requires students to assume an active role inthe learning process and encourages them to adoptthis inquisitive behavior for a lifetime. Problem-solving,

    clinical cases and examples are an integral part ofthe basic science curriculum. The laboratory facilitiesat Universidad Central del Caribe in Bayamn willbe utilized for the Human Gross and Developmental

    Anatomy (BASC 700) course. This course will betaught by faculty from Universidad Central del Caribe.

    BASC 700Human Gross and Developmental AnatomyTen CreditsThis course includes the normal structure of thehuman body as the primary prerequisite for the

    disciplines of physiology, pathology and all otherclinical sciences. Embryology is an integral part ofmedical anatomy in that it provides a basis forunderstanding normal adult anatomical relationshipsas well as congenital malformations andgynecological problems. Designed to teach theprinciples of human morphology through classicalmethods and more recent techniques of visualization,emphasizing the importance of those principles toclinical practice. A study of the regional, functionaland developmental anatomy of the human body with

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    emphasis on the anatomical correlates of clinicalmedicine. The study and visualization of the differentcomponents of the human body is accomplishedthrough a complete dissection of the human body.The course includes a laboratory in addition tolectures. The laboratory is conducted usingprosection demonstration and dissections of thecadaver by the students supervised by faculty

    members.

    BASC 702, 708, 712Medical Physiology and Organ Systems

    Anatomy I, II, III(One and Two 6 credits each and Three 7credits)This is a three-term course sequence in whichstudents are exposed to major principles, agents,and processes governing human physiology. An in-depth exploration of the anatomy, physiology, anddevelopment of the internal organs; muscle and bone;

    blood and the immune system; cardiovascular,pulmonary, renal, gastrointestinal, endocrinephysiology, and autonomic nervous system.Emphasis is given in the first course to homeostasisas a framework for human physiology, cell structureand protein functions.The second course includesdiscussion and clinical application of cardiovascular,pulmonary, and renal physiology. The third coursefocuses on gastrointestinal and endocrinephysiology. Application of the content presented onprevious courses to specific body systems.

    BASC 706

    Medical HistologyFour CreditsMicroscopic anatomy of all major body tissues,including an introduction to histopathology. Thepurpose of this course is to lead the student tounderstand the microanatomy of cells, tissues andorgans and to correlate structure with function.Includes theory and laboratory experience.

    Prerrequisites: BASC 700, BASC 702, BASC 704

    BASC 704, 710, 714Biochemistry and Cellular Systems I, II, IIIThree Credits eachThis is a three-part course series coveringbiochemical structures and pathways of metabolismincluding the role of vitamins and minerals, the basicfunctions of the immune system with emphasis onits role in protecting against microbial infections andtumors; and immune deficiency states,autoimmunity, and psychoneuroimmunology. Patientcases are presented to the students as thebiochemistry is discussed. This strengthens the link

    between biochemistry and medicine and allows thestudent to learn about this interaction as thebiochemistry is presented. The first course beginswith an introduction and an overview of fuelmetabolism. Chemical and biological foundations ofbiochemistry are discussed. The rest of the courseis dedicated to gene expression and proteinsynthesis. The second course begins with a

    discussion of fuel oxidation and the generation ofATP. The rest of the course is dedicated tocarbohydrate metabolism. The third course coverslipid and nitrogen metabolism.

    BASC 711NeuroanatomyFour CreditsThis course is intended to supply the basic knowledgeof the structure and organization of the human centralnervous system together with some understandingof its functional and clinical significance. For this

    purpose, it presents both neuroanatomy andneurophysiology as a single integrated discipline.Clinical correlations throughout the course arepresented in a concise form to furnish some insightof the abnormal changes in function that go hand inhand with structural lesions of the nervous system.

    BASC 716Microbiology and Public HealthThree CreditsThis course presents the major concepts inmicrobiology and infection diseases in apathobiological framework and within the context of

    clinical cases. This framework allows for studentsto actively participate through problem-basedlearning. The basic concepts of microbiology,immunology and pharmacology are first introducedand how these disciplines relate to infections. Thecourse progresses to a description of majorinfections agents and the diseases they cause witha discussion on how the major systems of the bodyare affected by infection. Also includes the etiology,prevention, and control of communicable diseasesfrom a public health point of view. Emphasis is givenon the interaction between the health professional

    and public health agencies.Prerequisites: BASC 700, BASC 706, BASC 708,BASC 710

    CLINICAL SCIENCE EDUCATIONThe clinical science courses teach the knowledgeand skills necessary to understand and diagnosedisease. To prepare for the role of primary-carephysician, the student of Naturopathic Medicinemust become skilled in correlating and presenting

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    histories, subjective symptoms, physical signs andappropriate laboratory tests with a detailed evaluationof the bodys level of health and the patients mentalbalance and well being.

    CLSE 701, 709, 717, 723Human Pathology I, II, III, IV(3 credits each)

    A four-course series of Human Pathology offered forthe development of diagnostic and assessment skills.During this sequence the normal and abnormalchanges that occur in the human body whenconfronted with internal and external stressors thatcreate an imbalance in homeostatis and thedevelopment of disease are studied. They also learnthe foundations of general and systemic pathologyand gain a solid understanding of pathogenesis andits relevance to clinical practice. The textbook usedfor this course includes a CD supplement containingvirtual slides- digitalized pathology specimens that

    students can use using state-of-the-art viewersoftware on their computers. This sampling is takenfrom a larger and complete Virtual Pathology SlideSet, available for students purchase. The first courseincludes the study of medical terminology,definitions, concepts, and the basic mechanisms ofpathological change. The process ofimmunopathology, cell injury, inflammation, necrosis,cancer, and healing are considered in depth. Alsoincluded are the immune and genetic disorders. Thesecond course covers hemodynamic disorders;environmental and nutritional pathology; infectiousand parasitic diseases. Also a discussion of the blood

    vessels and heart; the pathology of the respiratory,hepatobiliary systems, pancreas and gastrointestinaltract. The third course includes the kidney; the lowerurinary tract and male reproductive system; thefemale reproductive system; the breast;hematopathology; the endocrine system; anddiabetes mellitus. The fourth course covers theamyloidoses, the skin, the head and neck, bonesand joints, skeletal muscle, nervous system, the eyeand cytopathology.

    Prerequisites: BASC 700, BASC 702, BASC 708,BASC 710

    CLSE 703, 711, 719Clinical and Physical Diagnosis I, II, IIISix Credits eachThis course is the first of a three part series. Thisclinical exposure is their first at the university and inmany ways will set the tone and pace for their futuregrowth. Students put into practice their basicphysical exam skills in the taking of vital signs (bloodpressure, pulse, temperature, and respiration). Theclinical portion of each course will consist of 24

    hours. This first part of the clinical rotation expandson the academic technical instruction received duringthe Clinical and Physical Diagnosis I class.Emphasis is given to communication skills andinteraction with patients on a one-to-one basis. Thissecond part of the clinical rotation expands on theacademic technical instruction received during theClinical and Physical Diagnosis II class. Emphasis

    is given to heart and bowel sound diagnosis.Discussion, performance and interpretation of thetheoretical knowledge and development ofpsychomotor skills for advanced health assessmentsand techniques with clients of all ages and culturalbackgrounds. Development of a client database anda differential diagnosis of common client complaintsencountered in primary health care practice settings.Emphasis is given to the development of skillsnecessary to obtain and record a comprehensiveadult, elderly, adolescent and well-client database.

    CLSE 705, 713, 721Laboratory Diagnosis I, II, IIITwo Credits eachThis three course sequence is coordinated withpathology and clinical and physical diagnosiscourses. Students are taught indications for specifictests and evaluation of test results. Includes theoryand laboratory experience. In the lab portion of class,students learn medical laboratory techniques usedin physicians offices. The first course provides anoverview of diagnostic testing, fundamentals ofdiagnostic tests and explains the theoreticalframework of diagnostic testing. Abstract concepts

    such as sensitivity, specificity and prevalence arediscussed and how theory influence a testsreliability. The rest of the course is dedicated to adetailed discussion of laboratory guidelines todiagnostic tests, from patient preparation andeducation to post-test care. The second courseprovides an in-depth look at more than 300 diagnostictests that reflect the current trends in clinicalpathology and laboratory medicine. Each discussionstarts with a general description of the test, itspurpose and relative cost, patient preparation, normalfindings and reference values, abnormal findings andtheir significance, and factors that can interfere with

    proper test administration and accuracy. The thirdcourse moves the student forward with test selectionand process. The student is guided through the useof patients primary sign or symptom as a startingpoint and advancing through various test findings untilreaching an accurate differential diagnosis.

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    CLSE 707, 715Pharmacology I, IIThree Credits eachThis course consists of two parts were the principlesof pharmacodynamics and pharmacokinetics(absorption, metabolism, distribution, excretion) ofdrug are discussed. Students are expected to classifyand describe the pharmacodynamics, side effects,and the therapeutic uses of drug prototypes fromthe contemporary drug classes. The first courseincludes the study of drugs acting at synaptic andneuroeffector junctional sites; central nervoussystem; drug therapy of inflammation; drugs affectingrenal, cardiovascular, and gastrointestinal functionThe second course includes the study ofchemotherapy of parasitic infections, microbialdisease, neoplastic disease, immunomodulation,drugs acting on the blood and the blood formingorgans, hormones, dermatology, opthalmology andtoxicology.

    CLSE 725Environmental Medicine and ToxicologyTwo CreditsConcepts of toxicology are discussed with the majorgroups of environmental toxins. Methods of humanmetabolism and excretion of toxins and theobstacles to excretion are included. Specific toxin-overload-related il lnesses are discussed.

    Assessment and treatment includes of specific casestudies.

    Prerequisites: BASC 714

    CLSE 727, 729, 731Diagnostic Imaging I, II, IIITwo Credits eachThis three part course sequence presents theradiographic anatomy and findings of commondisorders, with emphasis on differential diagnosisand clinical correlation. Students also learn aboutthe operation of x-ray equipment and how to orderimaging studies. Other basic methods covered areultrasonography, nuclear medicine, computerizedtomography, magnetic resonance imaging, and theirproper use in diagnosis. The first course focuses onthe basic principles of how major imaging modalitiesfunction. A discussion is presented on how radiologicimages are produced by the various imagingmodalities in order to help the student understandwhat their images portray. The second and thirdcourses systematically examine anatomic areas andmajor organ systems, including normal anatomy,normal anatomic variants, and commonlyencountered pathology. The second course focuseson diagnostic radiology of the following: chest,

    abdomen, pediatric imaging, musculoskeletalsystem, and spine and pelvis. The third coursefocuses on diagnostic radiology of the following:brain, head and neck, nuclear imaging,mammography, and interventional radiology.

    CLSE 735Medical GeneticsTwo CreditsThis course covers the basis, diagnosis, andtransmission of genetic disorders. Provides thestudent with an up-to-date, concise, and clinicallyrelevant content in genetics. This content ispresented by starting with a molecular discussionof inheritance, then focusing on the integration ofthe basic sciences with genetics. The discussionprogress to the integration of genetics with thepractice of clinical medicine.

    CLSE 733

    Minor SurgeryThree CreditsThis course teaches students to diagnose conditionsthat are safely treated by minor surgery in the office,and the principles and practical techniques involvedin the performance and follow-up of office surgicalprocedures. The basics of performing minor surgeryare discussed and practiced which include selectionof proper instruments, equipment and suppliesneeded for a procedure, sterile technique and sterilefield, proper selection and use of local anesthesia,lesion removal, suturing, wound care, report writingand insurance coding. Theory and practice are

    included.

    NATUROPATHIC CLINICAL SCIENCEThese courses present the naturopathic perspectiveon diagnosis, prevention and treatment of diseaseby system and region. They integrate multipletreatment forms with the principles of naturopathicphilosophy into case management and criteria forreferral. Guest lecturers discuss their specialty areasin each course. Classes focus on learning how togather clinically relevant information, the importanceof physical exams and laboratory findings, creating

    a differential diagnosis and choosing appropriatetherapeutics, both conventional and Naturopathic.Because of time element and large quantity ofmaterial, lecture is utilized as the main teachingmethodology combined with a study guide for eachcourse. The study guide points each student toinformation that is of particular importance forunderstanding the course and in preparation for thewritten exams. Specific areas of the course areillustrated with weekly case presentations.

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    NPCS 701GynecologyTwo CreditsThis course focuses on the diagnosis, management,and treatment of gynecological problems. Effectivenaturopathic treatment protocols are discussed.Criteria for referral to specialist and integration ofnaturopathic medicine with conventional medicineare also covered.

    NPCS 702ObstetricsTwo CreditsThis course prepares the student to provide basichealthcare appropriate for the pregnant woman. Thestudent is prepared to screen for risks and to offerpatients referrals and informed choices related tohospital or out-of-hospital birthing options.

    NPCS 703

    CardiologyThree CreditsThis course focuses on the pathophysiology,diagnosis and treatment of conditions affecting theheart, and circulatory system. Students are taughtto assess and treat common cardiac conditions withnaturopathic therapeutic modalities and to refereffectively when necessary.

    NPCS 705PediatricsTwo Credits

    This course presents a thorough review of physicalexamination, recognition of normal variations, anddiagnosis of the pediatric conditions encountered ina general family practice. Discussion of the treatmentmanagement of pediatric disorders. Appropriate useof naturopathic therapeutic modalities and referral isstressed. Guest lecturers discuss their specialtyareas.

    NPCS 707Eyes, Ear, Nose and ThroatTwo CreditsUpon completion of this course, students will havethe knowledge required for diagnosing, treating, andreferring most common ophthalmologic andotolaryngeal problems. Emphasis is placed onintegrating naturopathic and conventionaltherapeutics according to naturopathic philosophyand evidence-based practice.

    NPCS 709Rheumatology and PainTwo CreditsThe inflammatory conditions involving the connectivetissue structures of the body, including muscles and

    joints are discussed. Emphasis is placed onautoimmune disorders and their treatment, with bothconventional and naturopathic therapeutics.

    NPCS 711Emergency MedicineTwo CreditsIn this course, the students learn how to recognizeand respond to medical emergencies withconventional and naturopathic techniques, whilemaking appropriate decisions for referral. The courseprovides a brief history of emergency medicine, andbasic principles of resuscitation and shock. Clinicalcase studies are utilized as a tool to help studentsfind ways to relate the basic science content from

    other courses to its clinical application in theemergency medicine setting.

    NPCS 713OncologyTwo CreditsDiscussion of the diagnostic, etiologic, prognostic,preventive, and epidemiologic information for cancersof common sites. Conventional, naturopathic,integrative, and innovative treatment approaches areincluded.

    NPCS 715DermatologyTwo CreditsThis course includes the diagnosis of common skindisorders. The principles of nonsuppressive andcurative therapies are discussed. Conventionalmedical treatments and naturopathic therapies arepresented.

    NPCS 717EndocrinologyTwo CreditsThe course focuses on the complex interactions ofthe bodys hormonal systems. The causes andeffects of hormonal imbalance are also covered.Diagnosis and treatment of common endocrinedisorders are presented.

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    NPCS 719Geriatrics and AgingTwo CreditsThis course covers the process of aging and thepsychosocial and physical problems of olderpopulations. Diagnostic and therapeutic techniquesare discussed. Emphasis is placed on preventing,reversing, or retarding degenerative changes and onmaximizing health.

    NPCS 721Gastroenterology and ProctologyTwo CreditsThis course presents the disorders of the digestivetract and associated organs. Physical exam, lab andx-ray studies, management and treatment of GIdiseases; and optimization of digestive function areexplored through lecture and case discussions. Alsoincluded is the diagnosis, assessment, andtreatment with naturopathic modalities of conditions

    of the anus and rectum. The use of office surgicaltechniques is emphasized.

    NPCS 723UrologyTwo CreditsThis course covers conventional diagnosis and thenaturopathic treatment of diseases affecting theurinary tract and the male genital system. Thestudents are exposed to knowledge to diagnose,manage and treat urological disorders. Lecture isutilized as the main teaching methodology combined

    with a study guide for the course. The study guidepoints each student to information that is of particularimportance for understanding the course and inpreparation for the written exams. Specific areas ofthe course are illustrated with weekly casepresentations.

    NPCS 725PneumologyTwo CreditsThis course focuses on common respiratorydisorders including those conditions related tocardiovascular disease. Naturopathic and

    conventional medical therapies of acute and chronicrespiratory problems are covered.

    NPCS 727NeurologyTwo CreditsThis course covers the neurological assessment,diagnosis, management of neurological disorders.Naturopathic and conventional treatments of thenervous system diseases are discussed. Appropriatecollaboration with specialists is stressed.

    NPCS 729Mental Health and PsychiatryTwo CreditsThis course focuses on the diagnosis, management,and treatment of psychiatric disorders. Emphasison the principles of medical ethics in mental healthand psychiatry. Students are expected to familiarizewith the official nomenclature used by psychiatristsand other mental health professionals as containedin DSM-IV-TR. Discussion of different treatmentmodalities utilized in psychiatry. Focus is given tohistory taking and mental health status, treatmentwith naturopathic modalities, examination andmaking referrals when appropriate.

    NPCS 731Intravenous TherapiesTwo CreditsThis course presents the basic clinical rationale for

    intravenous (IV) therapy. Students gain the skills ofIV catheter insertion procedure through laboratorypractice. Treatment of complications andmanagement of common emergencies that canoccur during IV therapy are discussed.

    PHYSICAL MEDICINEThese courses focus orthopedic assessment andtherapeutic modalities such as touch and palpation,a variety of soft-tissue and osseous manipulationtechniques, hydrotherapy and sports medicine.

    PHMD 700Principles of HydrotherapyOne CreditIn this course, students are introduced to theprinciples and practices of historical and moderntherapeutic use of the application of water. Includedare alternating temperature, colon hydrotherapy,constitutional hydrotherapy, cleansing, steam andsweat.

    Prerequisites: NPMP 701, NPMP 703, BASC 700,BASC 702, BASC 704

    PHMD 702Introduction to Physical Medicine andOrthopedicsTwo CreditsThis course introduces the study of physicalmedicine as a diagnostic and therapeutic tool.Students have the opportunity to compare therapiessuch as soft-tissue techniques, muscle energytechnique, and cranial therapy. Regional and physicalassessment and etiology are also discussed. Thetheories of injury, inflammation and fibrosis of repair

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    are emphasized. Orthopedic biomechanisms andgoals of varying therapeutic treatments of acute andchronic joint dysfunctions are examined.

    PHMD 704Physiotherapy ModalitiesTwo CreditsStudents gain knowledge related to the applicationof physiotherapy modalities within naturopathicmedical perspective. Student will learn through theoryand laboratory experience, the treatment of diseaseswith physiotherapy modalities. Emphasized areexercise, soft-tissue therapies, physiotherapy,manipulative techniques and medicines.

    PHMD 706, 708Naturopathic Manipulative Therapy I, IITwo Credits EachThis two-course sequence covers the evaluation ofnormal and abnormal findings of the spine and

    extremities through assessment of positionaldeviations, assessment of joint mobility throughstatic and motion palpation, grading of orthopedicmuscular strength and joint range of motion,differential diagnosis of common and specialdisorders, and evaluation of disease and injury ofthe musculoskeletal system. Emphasis is onregional orthopedic physical assessment andosseous manipulation. Manipulative treatmentincludes the sacro-iliac, lumbo-sacral, lumbar,thoracic, ribs, cervical and occipital spinal areas,extremities and visceral manipulative techniques.During the second course student are expected to

    formulate a Naturopathy Manipulative TherapyTreatment Protocol.

    PHMD 710Sports Medicine and OrthopedicsThree CreditsPrinciples of using exercise as a preventive andtherapeutic tool are discussed. Diagnosis andtreatment of sports injuries likely to be seen by ageneral practice naturopathic physician are covered.Methods of fitness testing, exercise prescription andthe use of exercise as therapy are studied. Students

    evaluate sports and orthopedic injuries and analyzethe appropriate treatments.

    ORIENTAL MEDICINEThe focus of this curriculum is to train students topractice safely and competently while providing basiccompetency in oriental medicine for the diagnosisand treatment of common disorders using traditionalchinese medicine, acupuncture techniques, chinesebotanical medicine, and ayurvedic medicine.

    ORME 700Fundamentals and Theory of Chinese andOriental MedicineThree CreditsThis course introduces the fundamental concepts ofOriental Medicine, including Yin Yang, Five Elementstheory, Zang-Fu organ systems, Qi, blood and body

    fluid, Meridian systems, TCM etiology, treatmentPrinciples and Eight Phases Theory. The contentlays a foundation for other courses.

    Prerequisites: NPMP 701, NPMP 703

    ORME 702Traditional Chinese Medicine DiagnosisTwo CreditsThe basic concepts of Traditional Chinese Medicine(TCM), history and diagnosis are studied. TCM case-history taking, including the classic ten questionsand significance of elucidated symptoms are

    explored. TCM classic diagnostics techniques suchas tongue and pulse diagnosis and the syndromedifferentiation based on Eight Principles are alsodiscussed.

    ORME 704, 706Meridians and Points I, IIThree Credits EachThis series of two courses includes a comprehensivestudy of acupuncture meridians and points of thehuman body with reference to traditional Chineselocations. The traditional indications, precautions andphysiological responses according to modern

    research are emphasized. Labs, lectures andillustrations are coordinated to provide students withhand-on skills and a thorough understanding of pointsand meridians. During the first course palpation skillsare introduced, demonstrated and practiced by thestudents with faculty supervision. Palpation skillsare further developed during the second course.

    ORME 708Traditional Chinese Medicine PathologyTwo CreditsIn TCM, treatment plans are based on symptom

    patterns. In this course, students are exposed tothe theoretical concepts which will enable them toidentify key symptoms of the Zang-Fu organ patternsand the method of syndrome differential diagnosisof TCM according to Zang-Fu organ system theory.Therapeutic principles and acupuncture treatmentsfor individual patterns are also discussed.

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    ORME 710Acupuncture TechniquesTwo CreditsThis course covers basic needling techniques usedin acupuncture, such as needle insertion, tonification,reduction, moxibustion, auriculotherapy,laseracupuncture, electroacupuncture and scalpacupuncture. Practical experience in needlingtechnique occurs under the supervision of anexperienced acupuncturist. Aseptic measure andsafe needling techniques are emphasized.

    ORME 712Chinese Botanical MedicineTwo Credits

    An introduction to Chinese herbal medical history,botanical classification and taxonomy, medicinalproperties of herbs, major groups and formulationprinciples, and 55 commonly used herbs. Alsocommonly used commercially available herbal

    preparations which are often used as therapies inTraditional Chinese Medicine.

    ORME 714Fundamentals of Ayurvedic MedicineThree CreditsThis course presents the fundamental principles andpractices of ayurveda as an introduction to Ayurvedicmedicine. It considers concepts of recognizing

    Ayurvedic body-type and psychological personality,customizing the health plan to suit the uniqueconstitution, ayurvedic nutrition and diet therapy,

    Ayurvedic herbology and gentle detoxification throughAyurvedic Pancha-Karma therapy.

    BOTANICAL MEDICINEThe botanical courses provide training in the use ofplant medicines in naturopathic practice, includingtheir prescription, manufacture, and field recognition.

    BOTM 701, 703, 705, 707Botanical Medicine I, II, III, IV(One, Two and Three 3 credits each andFour 2 credits)

    This is the first of a four-course series on BotanicalMedicine. These courses are designed to preparestudents for the use of botanicals in a naturopathicpractice. Traditional, historical, and scientific usesof plants are explained. Students are encouraged todevelop an appreciation for plants. Each courseincludes outdoor field trips to enhance the plant study.The first course is an introduction and covers thebasics of botanical medicine. Other topics are thestudy of specific herbs use for first aid and those

    commonly used for gastrointestinal andmusculoskeletal conditions. The second coursecontinues the discussion on Materia Medica with afocus on organ systems including the liver, and thegallbladder; as well as the Urinary, and Endocrinesystems. Emphasis is given to clinical applicationsof the herbs studied. The third course continues thediscussion on Materia Medica with a focus on the

    reproductive and cardiovascular systems. Emphasisis given to clinical application of the herbs studied.The fourth course Materia Medica continues to bediscussed with a focus on respiratory and immunesystems. This last course includes laboratoryexperience with the purpose of applying andintegrating the content covered on the previous threecourses. Emphasis is given to clinical application ofthe herbs studied.

    NATUROPATHIC MEDICINE PHILOSOPHY

    AND PRACTICE

    NPMP 701History of MedicineTwo CreditsThe course presents a discussion of the historicalpaths processes and development of differentmedical practices including conventional, allopathic,Chinese, herbalist, ayurvedic, homeopathic andnaturopathic medicine. Also provides students withthe philosophical and theoretical foundation tocritically examine ethical issues in medical practice.

    NPMP 703Naturopathic Medicine Principles andPhilosophyOne CreditThis course introduces the philosophical basis ofnaturopathic medicine and the role of thenaturopathic physician in todays world. Studentswill examine the roots of naturopathic medicine andthe historical development of naturopathic philosophy.Emphasis is placed on the six guiding principles ofnaturopathic care: the healing power of nature, treatthe whole person, first do no harm, identify and treat

    the cause, prevention, doctor as teacher.

    NPMP 705Business PracticeThree CreditsThis course focuses on the development of abusiness plan. Emphasis on the knowledge and skillsnecessary to formulate one. Financial management,office organization, hiring of personnel, and otherrelevant topics are also discussed.

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    NPMP 707Medical Jurisprudence and NaturopathicEthicsOne CreditThis course presents medical health care law as itapplies to naturopathic physicians. This is aninteractive course that explores ethical principles

    universal in all branches of medicine, while examiningthe ethical principles unique to naturopathicmedicine. Material presented includes ethical issuesgenerated by students themselves, as well as casestudies and information provided by the Puerto RicoBoard of Naturopathic Examiners.

    CLINICAL NUTRITIONThe nutrition courses are designed to provide thestudent with a comprehensive knowledge of clinicalnutrition. Emphasis is given to the use of diet andnutritional supplements to treat and prevent a widevariety of diseases.

    NUTR 700, 702, 704, 706Clinical Nutrition I, II, III, IVThree Credits EachThis is the first of a four-course sequence on clinicalnutrition. Students learn to use diet and nutritionalsupplements to treat and prevent a variety ofdiseases. This course provides a discussion of thefoundation for a working knowledge of the actions,recommended intake, and therapeutic uses ofmacronutrients (carbohydrates, fats, proteins) andmicronutrients (vitamins, minerals, accessorynutrients). Dose, toxicity, and deficiency issues foreach vitamin and mineral are also discussed. Thiscourse explores diet and its relationship to healthand disease. Emphasis is on the health effects ofdifferent foods and special diets. Students developskills in diet assessment and counseling. This courseintegrates Nutrition 700 and 702 content andapplication in the clinical setting. Students learn tocritically evaluate various nutritional therapies for theprevention and treatment of specific diseases. Thecourse provides an evidence-based approach toclinical nutrition, with an emphasis on dietarymanipulation, vitamin and mineral supplementation,

    and the use of accessory nutritional factors. The thirdcourse focuses on cardiovascular, musculoskeletaland neuropsychiatric disorders. The fourth coursefocuses on disorders of the gastrointestinal,integumentary, ENT and genitourinary systems.

    Prerequisites: BASC 700, 712, 714

    MIND AND BODY MEDICINE EDUCATIONThese courses emphasize the patients ability tolearn how to listen to their body for signs of health orimbalance. The naturopathic physician needs tolisten closely for clues to the patients health foundin symptoms from the body, the mind, and the spirit.The patient collaborates in learning about self-careand how to experience a sense of well-being which

    comes from a state of health.

    MBME 701, 703Fundamentals of Mind and Body Medicine I, IITwo Credits EachThese two courses sequential comprises thefoundations necessary to understand the dynamics,medical science, psychobiology of mind and bodyhealing, psychoneuroimmunology and spiritualdimensions in healing. The basic concepts relatedto different techniques such as meditation, imagery,hypnosis, biofeedback, prayer, yoga therapy, music

    therapy, shamanism and relaxation. A discussion ofthe analysis of these therapeutic approaches ispresented. The role of behavioral diagnosis, healingand appropriate indications and referrals areaddressed. The first course focuses on thetheoretical explanations and research conducted.The second course focuses on the practice ofdifferent therapeutic approaches, indications andreferrals.

    HOMEOPATHYThe courses in homeopathic medicine prepare the

    student to be competent in case-taking, andmanagement of the patient through the prescriptionof homeopathic medicines for both acute and chronicconditions.Emphasis is on the recognition of thebodys process of healing. Students are exposed tothe historical, current and evolving use ofhomeopathic medicines in Naturopathic practice.

    HOME 700, 702, 704, 706Homeopathy I, II, III, IVTwo Credits EachThis is the first of a four-course sequence onhomeopathic education. Study of classicalhomeopathy as taught by Hahnemann and Kent. Thiscourse provides an introduction to the principles andphilosophy of classical homeopathy. Students learnabout vitalistic medicine, the history of vitalism, thevital force in health and disease, the nature ofmedicines, and ways to affect the vital force. Alsoincluded is the study of the essence, keynotes andcharacteristics of the polycrest remedies. Thesecond course presents a discussion ofconstitutional homeopathy. Emphasis on case

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    taking, case analysis, evaluation of remedy action,and the follow-up interview. Students will be able toassess and classify the remedy reaction, gain anunderstanding of Kents Repertory, and learn thearrangement, schema, and language of repertory.The study of polycrest remedies continues. Use ofKents Repertory, with emphasis on the mental andgeneral sections. Students further their knowledge

    of constitutional homeopathy, with emphasis on caseanalysis, the follow-up interview, evaluation of remedyaction, and the second prescription. Study of thepolycrest remedies continues. This is the fourth of afour-course sequence on homeopathic education.This course focuses on prescribing homeopathicremedies for acute ailments by using keynotesymptoms and repertory.

    HEALTH SCIENCESThe courses of the health sciences curriculumaddress the fundamentals of advanced scientificmethod in medicine; health promotion and thepractices and policies; and evidence-based research.Students learn scientific literature review andevaluation of reliability of published studies. Theyalso select an area of interest and conduct anevidence-based clinical research project.

    HESC 700Clinical Research MethodsTwo CreditsThis is the first research course required fromNaturopathic Medicine students. Specific attentionis given to the relationship between research

    outcomes and clinical practice. This course preparesstudents to critically analyze research literature inthe health sciences. Students also have theopportunity to apply the scientific method to clinicalresearch. Funding opportunities available to developresearch studies in health sciences are presentedand discussed.

    HESC 702Health Promotion and Disease Prevention:Transcultural ConsiderationsTwo Credits

    Discussion of health priorities according to HealthyPeople 2010. Analysis of human caring as anessential dimension of the clinical practice of healthprofessionals, especially dealing with life crises,health maintenance problems, and change in healthpractices. Discussion of demands made by changinglife-styles and disease patterns, new and complextechnologies, shifting demographics, globaleconomies, dramatic health system changes andsociobiological and environmental threats to healthand safety. Development of culturally competent

    holistic plans of care that address the healthpromotion and disease prevention needs of clientpopulations. Theoretical models are presented asthe means by which health care practitioners cangive structure and organization to disease preventionand health promotion programs.

    HESC 704

    Evidence-Based Practice ProjectThree CreditsThis course presents evidence-based practice (EBP)as an approach that enables the clinical leader toprovide excellent quality of care in meeting themultifaceted needs of their patients and families.Emphasis is given to the fact that when the healthcareprovider knows how to find, critically appraise, anduse the best evidence, and when patients areconfident that their healthcare provider is usingevidence-based care, optimal outcomes are achievedfor all.

    SPECIALTY COURSESNATUROPATHIC CLINICAL PRACTICE

    Students gain practical clinical skills by workingunder the supervision of licensed naturopathicphysicians both at UT primary teaching clinic and atother health care facilities. Students begin learningthrough observation and gradually gain moreresponsibility for patient care. All patient care is underdirect supervision of licensed physicians.

    NPCL 800, 802, 804, 806, 808, 810Clinical Secondary Shifts I to VI(2 credits each for a total of 12 credits)Clinical Secondary Shift (I to VI) are clinical coursesthat students take in their third year. Secondaryfunction as integral members of the treatment team,primarily observing, under the direction andsupervision of the physician and in cooperation withthe primary, who leads the student team. As theprimary takes the patients case, the secondarylistens and observes, asking questions andperforming physical exams when appropriate.Students practice the clinical laboratory skills theylearned in the second year laboratory diagnosis

    classes, including phlebotomy, microscopy, urineanalysis, and wet prep examination. The intent isfor students to become more familiar and comfortablewith all of the clinical laboratorys operations,requirements, and machinery. Students must passa phlebotomy practical examination in order to enterthe clinic as a primary. A minimum total hoursrequired is 288 (minimum of 50 hours per course).

    Also students must pass GPA-2 to enter as a primary.

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    NPCL 812, 814, 816, 818, 820, 822, 824,826, 828, 830, 832 & 834Clinical Primary Shift I to XII(2 credits each for a total of 24 credits)Clinical Primary Shift (I to XII) are a series of clinicalcourses that students take in their fourth year, whichprovide a realistic look at the development of a

    naturopathic practice, as well as expose studentsto the options in prescribing naturopathic medicines.These courses include working shifts in the differentclinics, with the goal of presenting students with therealities of stocking and maintaining an officemedicinary among other clinical skills. A minimumtotal hours required is 624 a minimum of 50 hoursper course except NPCL 834 100 hours.

    NPCL 775 & 785Clinical and Physical Rotation I & IITwo Credits EachStudents enter clinic during their second year of

    training. This clinical exposure is their first at theuniversity and in many ways will set the tone andpace for their future growth. This 72 hours Clinicalrotation expands on the Clinical and PhysicalDiagnosis I & II classes and laboratories. During thefirst rotation students put into practice their basicphysical exams skills in the taking of vital signs.They also continue developing heart and bowelsounds diagnosis. During the second rotationstudents practice their physical assessment skillsthrough history taking and physical exams amongeach other. Emphasis is placed on learning how tointeract with patients on a one-basis.

    NPCL 770, 780 & 790Clinical Field Observation Seminar I, II & IIITwo Credits EachThese are three independent study courses wherestudents complete up to a total of 180 ofpreceptorship clinical experience with licenseddoctorate-level clinical professionals (ND, MD, DO,DC, DPM). Of those hours 90 must be with alicensed naturopathic physician. Students apply forseminar hour credit through submission of a form tothe Registrars Office and receive credit according

    to the hours completed. The clinical field observationhours will not count until the Preceptor Agreementletter has been submitted and approved. Evidenceof observations signed by preceptors is submittedby students.

    NPCL 795Laboratory Results PracticumTwo CreditsTwelve hours of small group discussions of actuallaboratory results. Each student receives a packetof laboratory report forms and questions about thereports. Students review the material and discussthe reports and questions in detail. In addition,students can discuss other lab results about whichthey may have questions.

    NPCL 838Knowledge IntegrationTwo CreditsThis is a capstone course where students areprovided with the opportunity to integrate theoreticaland clinical practice knowledge and skills.Competencies are reviewed and a variety of practiceexam are provided in preparation for the NaturopathicPhysicians Licensing Examination (NPLEX) test.

    The course finalizes with a mock test.

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