PHA 4210 - Infectious Disease/Dermatology Module

Course Syllabus, Winter 2000

Course Coordinator: Michael J. Rybak, Pharm.D.

PHA 4210 Course Coordinator:

Michael J. Rybak, Pharm.D.
Professor of Pharmacy Practice
Tel: 313-745-4554
E-mail: mrybak@dmc.org
Office Hours: 30 minutes after each lecture provided, and by appointment.

Section Coordinators:

Diane M. Cappelletty, Pharm.D.
Assistant Professor of Pharmacy Practice
Tel: 313-745-8524
E-mail: dcappelletty@intmed.wayne.edu

Renu Singh, Pharm.D.
Assistant Professor of Pharmacy Practice
E-mail: rfsingh@med.pharm.wayne.edu

Medicinal Chemistry:

Robert Kerns, Ph.D.
Assistant Professor of Pharmaceutical Sciences
Tel: 313-577-0455
E-mail: rkerns@wizard.pharm.wayne.edu
Office Hours: M-F 10:10 - 11:10

Richard A. Gibbs, Ph.D.
Associate Professor of Pharmaceutical Sciences
E-mail: rag@wizard.pharm.wayne.edu
Office Hours: Tues & Thurs 10:10 - 11:05, Fri 09:05 - 10:00

Other Course Instructors:

George Allen, Pharm.D., Infectious Diseases Research Fellow, phone: 745-9130, E-mail: gallen@hotmail.com
Ronda Akins, Pharm.D., Infectious Diseases Research Fellow, phone: 745-9130, E-mail: rakins@dmc.org
Elizabeth Coyle, Pharm.D. Infectious Diseases Research Fellow, phone:745-9130, E-mail: ecoyl@dmc.org
Peggy McKinnon, Pharm.D., Clinical Assistant Professor of Pharmacy Practice, phone: 966-0464, E-mail: pmckinno@dmc.org
Polly Kintzel, Pharm.D. Clinical Assistant Professor of Pharmacy Practice, phone: 966-7883, E-mail: ???

Web-Based Instructional Materials:

PHA 4210 Homepage: http://wiz2.pharm.wayne.edu/medchem/module.html

Textbooks:

1. Pharmacotherapy: A Pathophysiologic Approach. DiPiro 4rd Edition. (Required).
2. Wilson and Gisvold's Textbook of Organic Medicinal and Pharmaceutical Chemistry. Delgrado and Remers 9th Edition. (Optional).
3. Human Pharmacology, Molecular to Clinical. Wingard, Brody, Larner, Schwartz. (Optional).

This is a six week six credit hour module designed to provide the student with a general understanding of the medicinal chemistry and pharmacology of anti-infectives and the pathophysiology and therapeutic management of commonly encountered infections and dematologic diseases.

Assigned Reading and Homework

Students are responsible for the material in Pharmacotherapy: A pathophysiologic approach in the corresponding chapters to the topics of each lecture title. Some questions on the exams will cover material assigned in the book that was not reviewed in lecture. Material may be presented in case or lecture format and may vary with instructors. It is the student's responsibility to read all assignments prior to class.

Class material and homework assignments will be placed on the web page for students to access and complete. Homework will be assigned for each module and is worth 10% of the final grade. Homework for each weekly module must be handed in (hard copy) to the instructor during the final lecture on Thursday of each week.

Discussion Sessions

The discussions sessions scheduled for Modules 2-6 every Monday from 11:15-1:15. This time period is to be used to present cases emphizing information presented in class. This time may also be used to ask faculty any questions students may have regarding material previously presented.

Therapeutics Course Objectives

After attending the therapeutic infectious diseases lectures the student should be able to:

1. Discuss the epidemiology and pathophysiology of the various disease states presented in class.
2. Identify laboratory and diagnostic tests which are used in the diagnosis and evaluation of the various infections and dermatologic problems discussed in class.
3. Utilize patient specific parameters to develop or change a therapeutic plan for management of infectious diseases and dermatologic diseases.
4. Choose the most appropriate anti-infective regimen including dosages and duration of therapy for empiric or definitive treatment for specific pathogens and their related infections.
5. Identify and interpret subjective and objective data for assessing the clinical effects of anti-infective therapy for the various infections discussed in class.
6. Choose the most appropriate dermatologic agent including dosages, route of administration, duration of therapy for each of the various dermatologic problems presented in class.
7. Identify changes in organ function which may alter drug disposition and recommend appropriate alterations to the drug therapy as a result of the change in organ function.
8. Identify the presence of adverse effects and drug interactions involving anti-infectives and dermatologic agents and make recommendations to minimize the impact of these reactions.
9. Select therapeutic endpoints for treatment based upon patient clinical response and literature based guidelines.

Medicinal Chemistry Course Objectives

1. The student will gain an appreciation of the structure-activity relationships of the various classes of anti-infectives and dermatological agents discussed in class.
2. The chemical features which govern the pharmacokinetic and stability of various dosage forms will be discussed.
3. The student will know the mechanism(s) of action and toxicities of the various classes of anti-infectives and dermatological agents.

Grading Policy

Your course grade will be based on your performance on six examinations, and homework problems. Each exam is based upon the material presented for the specific module. Homework problem sets will be placed on the web page. Homework assignments are worth 10% of the total grade.

If you have a compelling reason for missing an examination, please notify Dr. Rybak or Dr. Cappelletty or Dr. Singh before the examination so that arrangements for a makeup can be made. An un-excused absence from an examination will result in the assignment of a grade of zero for that examination. Final grades will be based on the distribution of cumulative point totals at the end of the semester; thus, a grading scale will not be established until the course has been completed and all examinations have been graded. Each student will then be assigned a letter grade of "A", "B", "C" or "E" (there will be no "D" grades assigned).

Academic Dishonesty

A practicing Pharmacist must be able to be trusted to regulate the dispensing of controlled substances and to enforce all laws pertaining to the ethical dispensing of medication. If you feel that cheating on examinations is the only way for you to pass courses and obtain a Pharmacy degree, you have aspired to the wrong profession. Any student caught cheating will be dealt with according to the University Due Process Statute, Section 10:

"In any instance of academic dishonesty occurring in this course as defined in Section 3.0 of the University Due Process Statute, the provisions of 10.0 of the Statute will be implemented as follows: The grade for the course will be reduced to an "E". In addition, charges MAY be filed, asprovided for in Section 10.2 of the Statute, which may lead to further sanctions up to and including expulsion from the College or the University."

Note: The policy outlined above will be strictly enforced! Anyone who is caught cheating in any fashion on an examination or quiz will be removed from the room immediately, and their paper will be confiscated. You worked hard to get in to Pharmacy school - don't risk exclusion from the program by trying to take the easy way out!

PHA 4210 Class Schedule

Infectious Diseases,Anti-Infectives Dermatology

Day/DateTimeTopicInstructor
Module Section I
Mon. 1/108:00 - 8:15General Announcements/SyllabusRybak
Mon. 1/108:20 - 10:00MicrobiologyCappelletty
Mon. 1/10MicrobiologyCappelletty
Tues. 1/118:00 - 10:00MicrobiologyCappelletty
Tues. 1/1111:15 - 13:15MicrobiologyCappelletty
Tues. 1/1113:25 - 15:25MicrobiologyCappelletty
Wed. 1/128:00 - 10:00MicrobiologyCappelletty
Wed. 1/1211:15 - 13:15MicrobiologyCappelletty
Thurs. 1/138:00 - 10:00MicrobiologyCappelletty
Thurs. 1/1311:15 - 13:15MicrobiologyCappelletty
Fri. 1/14---Study Day---
Mon. 1/17---Martin Luther King DayNo Class
Tues. 1/188:00 - 10:00Exam 1Cappelletty
Module Section II
Tues. 1/1811:15 - 13:15MicrobiologyCappelletty
Tues. 1/1813:25 - 15:25MicrobiologyCappelletty
Wed. 1/198:00 - 10:00General Principles of Infectious DiseaseRybak
Wed. 1/1911:15 - 13:15Antibiotic Discovery/Beta Lactams IKerns
Thurs. 1/208:00 - 10:00Beta Lactams II/Glycopeptides/AllergyKerns
Thurs. 1/2011:15 - 13:15Sulfas, Macrolides, Streptogranins, TetracyclinesGibbs
Fri. 1/21---Study Day---
Mon. 1/248:00 - 10:00Aminoglycosides, QuinolonesGibbs
Mon. 1/2411:15 - 13:15Discussion SessionFaculty
Tues. 1/258:00 - 10:00Exam 2Cappelletty
Module Section III
Tues. 1/2511:15 - 13:15Pharmacokinetics ICappelletty
Tues. 1/2513:25 - 15:25Pharmacokinetics IICappelletty
Wed. 1/268:00 - 10:00Antimicrobial Pharmacodynamics and SelectionRybak
Wed. 1/2611:15 - 13:15Urinary Tract InfectionsAllen
Thurs. 1/278:00 - 10:00PneumoniaRybak
Thurs. 1/2711:15 - 13:15Bacteremia and SepsisCoyle
Fri. 1/28---Study Day---
Mon. 1/318:00 - 10:00MeningitisRybak
Mon. 1/3111:15 - 13:15Discussion SessionFaculty
Tues. 2/18:00 - 10:00Exam 3Rybak
Module Section IV
Tues. 2/111:15 - 13:15EndocarditisRybak
Tues. 2/113:25 - 15:25Antiprotozoal and Antihelminthic AgentsKerns
Wed. 2/28:00 - 10:00Sexually Transmitted DiseasesCappelletty
Wed. 2/211:15 - 13:15Gastrointestinal InfectionsCappelletty
Thurs. 2/38:00 - 10:00Opthalmic & Topical AntibioticsGibbs
Thurs. 2/311:15 - 13:15Otitis Media & Opthalmic InfectionsRybak
Fri. 2/4---Study Day---
Mon. 2/78:00 - 10:00Skin/Soft Tissue/Bone & JointRybak
Mon. 2/711:15 - 13:15Discussion SessionFaculty
Tues. 2/88:00 - 10:00Exam 4Rybak
Module Section V
Tues. 2/811:15 - 13:15Antiuberculosis/Antiviral AgentsKerns/Gibbs
Tues. 2/813:25 - 15:25Tuberculosis/Viral InfectionsCappelletty
Wed. 2/98:00 - 10:00Antifungal AgentsGibbs
Wed. 2/911:15 - 13:15Fungal InfectionsAkins
Thurs. 2/108:00 - 10:00AIDS IMcKinnon
Thurs. 2/1011:15 - 13:15AIDS IIMcKinnon
Fri. 2/11---Study Day---
Mon. 2/148:00 - 10:00 Immunocompromised InfectionsKinyzel
Mon. 2/1411:15 - 13:15Discussion SessionFaculty
Tues. 2/158:00 - 10:00Exam 5Rybak
Module Section VI
Tues. 2/1511:15 - 13:15Dermatology Overview (Skin and Drug Delivery)Singh
Tues. 2/1513:25 - 14:30Drug Induced Skin DiseaseMiller
Tues. 2/1514:30 - 15:25Acne Vulgaris and Acne RosaceaMiller
Wed. 2/168:00 - 10:00 Dandruff, Seborrheic Dermatitis, PsoriasisGoldfadden
Wed. 2/1611:15 - 13:15External AnalgesicsSingh
Thurs. 2/178:00 - 10:00Suntan/Sunburn/Burn/Diaper Rash ProductsSuykerbuyk
Thurs. 2/1711:15 - 13:15First Aid ProductsSuykeybuyk
Fri. 2/18---Study Day---
Mon. 2/218:00 - 10:00Minor Wound Care, Poison Ivy, Oak and SumacLindblad
Mon. 2/2111:15 - 13:15Discussion SessionFaculty
Tues. 2/228:00 - 10:00Exam 6Singh

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