SUMMER 1st YEAR

COURSE COURSE TITLE and TOPIC UNITS
NRS 243A Leadership in Professional Practice: Examination of leadership through theoretical and philosophical perspectives. Focus on challenges in health care and leadership at various levels (e.g. unit, organizational and policy) and within organizational settings and environments. Explore concepts of leadership vision and modeling the way in leadership. 2
NRS 250 Foundations of Primary Health Care: Promote understanding and clinical application of human anatomy, physiology and pathophysiology. Exploration of concepts of cell biology, cell injury and molecular genetics mechanisms underlying biochemical, cellular and physiological changes occurring in the most common encountered human disease. General pathophysiological concepts include: cell injury, necrosis, inflammation, immunity, infection, tissue and healing processes, stress response and neoplasia. General concepts applied to an organ system approach to disease process in hematology, respiratory, cardiovascular, shock, gastrointestinal, endocrine, musculoskeletal, neurological and renal systems. 7
NRS 260 Foundations of Behavioral Health: Focus on the spectrum of normal psychological development over one’s lifespan. Theories of stress and coping mechanism presented as a framework for the assessment of individuals. Family systems theory as it relates to primary care is used to assess the family in areas of coping strategies, resources, values and goals. Exploration of values, stereotypes and health care beliefs to increase awareness of various California cultural groups. 1
NRS 270 Foundations of Pharmacology: Introduction of major concepts in pharmacology and relevant human physiology related to pharmacotherapeutics and toxicology. General principles of pharmacology include pharmacokinetics (absorption, distribution and elimination of drugs), pharmacodynamics (effects of the drug on the body), drug biotransformation and drug-drug interactions. Common terms, pharmacologic sources, the evaluation process for new drugs and the role of pharmaceutical companies in the practice of medicine are defined. The basic science review includes renal and hepatic physiology and the autonomic nervous system. 2
NRS 400 Basic Clinical Skills - Patient Interview - Physical Exam: Instruction and practice of the fundamental clinical skills necessary for patient care. Focus performance of a complete screening physical examination. Skills for effective communication in the clinician-patient relationship to establish trust, verbal and nonverbal communication and professional behavior. Cultural sensitivity across cultures emphasized, including appropriate use of translators training. 1
TOTAL 13

 

FALL 1st YEAR

COURSE COURSE TITLE and TOPIC UNITS
NRS 201 Health Status and Care Systems: Comparative health status data, major current health issues globally, nationally and regionally. Theoretical perspectives on social, political, economic determinants of health. Health care systems examined, linked to data and evaluated in regard to outcomes. Aging, rural, ethnic minority populations highlighted. 4
NRS 251A Primary Health Care: This course is an introduction to clinical medicine topics essential to deliver patient-centered care to diverse populations across the lifespan including parental, infant, children, adolescents, adults, and elderly. Module content focuses on organ systems including, but not limited to, cardiovascular, dermatologic, endocrine, ENT, gastrointestinal, genitourinary, hematologic, infectious disease, musculoskeletal, neurologic, oncologic, psychiatry, pulmonary system, renal and reproductive. 8
NRS 271A Pharmacology: Focus on classes of drugs used to treat disorders in the corresponding primary health care system. Content includes mechanisms of action, indications, contraindication, side effects and rationale for therapeutic choices in patient care. Major emphasis on antimicrobial drugs. Specialty areas: renal, genitourinary; cardiology; ear, nose and throat; pulmonary. 2
NRS 410A Advanced Clinical Skills: Instruction and application of patient history intake and physical examination skills with specialized content related to organ systems corresponding with primary-health care. Instruction and practice on patient education and counseling. Case-based learning seminars focusing on clinical, problem-solving skills related to organ systems covered in the Primary Health Care (NRS 251) course. Integration of clinical skills, professionalism and practice. Advance case-based learning seminars focus on advanced and complex clinical problems. Overview of skills for effective communication in the clinical-patient relationship, especially in challenging patient interactions. Introduction of professional roles, interprofessional teams and scope of practice. Core concepts in medical ethics introduced. 1
TOTAL 15

 

WINTER 1st YEAR

COURSE COURSE TITLE and TOPIC UNITS
NRS 210Y Applied Health Informatics: Integration of nursing science, information science, computer science and cognitive science to acquire process, generate and disseminate knowledge. Emphasis on informative application that affect health care and nursing. 4
NRS 251B Primary Health Care: This course is an introduction to clinical medicine topics essential to deliver patient-centered care to diverse populations across the lifespan including parental, infant, children, adolescents, adults, and elderly. Module content focuses on organ systems including, but not limited to, cardiovascular, dermatologic, endocrine, ENT, gastrointestinal, genitourinary, hematologic, infectious disease, musculoskeletal, neurologic, oncologic, psychiatry, pulmonary system, renal and reproductive. 8
NRS 271B Pharmacology: Focus on classes of drugs used to treat disorders in the corresponding primary health care system. Content includes mechanisms of action, indications, contraindication, side effects and rationale for therapeutic choices in patient care. Major emphasis on antimicrobial drugs. Specialty areas: gender-related health, endocrinology; gastroenterology; rheumatology; dermatology. 2
NRS 410B Advanced Clinical Skills: Instruction and application of patient history intake and physical examination skills with specialized content related to organ systems corresponding with primary-health care. Instruction and practice on patient education and counseling. Case-based learning seminars focusing on clinical, problem-solving skills related to organ systems covered in the Primary Health Care (NRS 251) course. Integration of clinical skills, professionalism and practice. Advance case-based learning seminars focus on advanced and complex clinical problems. Overview of skills for effective communication in the clinical-patient relationship, especially in challenging patient interactions. Introduction of professional roles, interprofessional teams and scope of practice. Core concepts in medical ethics introduced. 1
TOTAL 15

 

SPRING 1st YEAR

COURSE COURSE TITLE and TOPIC UNITS
NRS 251C Primary Health Care: This course is an introduction to clinical medicine topics essential to deliver patient-centered care to diverse populations across the life span including parental, infant, children, adolescents, adults, and elderly. Module content focuses on organ systems including, but not limited to, cardiovascular, dermatologic, endocrine, ENT, gastrointestinal, genitourinary, hematologic, infectious disease, musculoskeletal, neurologic, oncologic, psychiatry, pulmonary system, renal and reproductive. 8
NRS 271C Pharmacology: Focus on classes of drugs used to treat disorders in the corresponding primary health care system. Content includes mechanisms of action, indications, contraindication, side effects and rationale for therapeutic choices in patient care. Major emphasis on antimicrobial drugs. Specialty areas: musculoskeletal; ophthalmology, neurology; psychiatry; hematology and oncology. 2
NRS 410C Advanced Clinical Skills: Instruction and application of patient history intake and physical examination skills with specialized content related to organ systems corresponding with primary-health care. Instruction and practice on patient education and counseling. Case-based learning seminars focusing on clinical, problem-solving skills related to organ systems covered in the Primary Health Care (NRS 251) course. Integration of clinical skills, professionalism and practice. Advance case-based learning seminars focus on advanced and complex clinical problems. Overview of skills for effective communication in the clinical-patient relationship, especially in challenging patient interactions. Introduction of professional roles, interprofessional teams and scope of practice. Core concepts in medical ethics introduced. 1
NRS 440 Preparation for Clinical Practice: Integration of clinical skills knowledge, professionalism and practice. Participation in advanced case-based learning seminars focusing on advanced and complex clinical problems. Methods discussed for successful clinician-patient communication skills dealing with challenging patient interactions. Historical evaluation of the physician assistant profession, its current scope of practice and future direction. 1
TOTAL 12

 

SUMMER 2nd YEAR

COURSE COURSE TITLE and TOPIC UNITS
NRS 251D Primary Health Care: This course is an introduction to clinical medicine topics essential to deliver patient- centered care to diverse populations across the lifespan including parental, infant, children, adolescents, adults, and elderly. Module content focuses on organ systems including, but not limited to, cardiovascular, dermatologic, endocrine, ENT, gastrointestinal, genitourinary, hematologic, infectious disease, musculoskeletal, neurologic, oncologic, psychiatry, pulmonary system, renal and reproductive. 6
NRS 410D Advanced Clinical Skills: Instruction and application of patient history intake and physical examination skills with specialized content related to organ systems corresponding with primary-health care. Instruction and practice on patient education and counseling. Case-based learning seminars focusing on clinical, problem-solving skills related to organ systems covered in the Primary Health Care (NRS 251) course. Integration of clinical skills, professionalism and practice. Advance case-based learning seminars focus on advanced and complex clinical problems. Overview of skills for effective communication in the clinical-patient relationship, especially in challenging patient interactions. Introduction of professional roles, interprofessional teams and scope of practice. Core concepts in medical ethics introduced. 1
NRS 204 Research Skills for Nursing Science and Health-Care Leadership: Foundation for analyzing research, health and systems data to answer clinical, systems or policy questions. Use and examine multiple sources of data and information as a basis for planned change and transformation in health care. 4
NRS 242A Implementation Science for Clinicians: Builds upon content in Research Skills for Nursing Science and Health-Care Leadership (NRS 204). Focus on identification of relevant research questions specific to patient care and evaluation of pertinent research literature. Particular emphasis on health promotion, disease prevention, population health, quality improvement and patient education. 2
TOTAL 13

 

FALL 2nd YEAR

COURSE COURSE TITLE and TOPIC UNITS
NRS 242B Implementation Science for Clinicians: Builds upon content in Research Skills for Nursing Science and Health care Leadership (NRS 204). Focus on identification of relevant research questions specific to patient care and evaluation of pertinent research literature. Particular emphasis on health promotion, disease prevention, population health, quality improvement and patient education. 2
NRS 410E Advanced Clinical Skills: Instruction and application of patient history intake and physical examination skills with specialized content related to organ systems corresponding with primary-health care. Instruction and practice on patient education and counseling. Case-based learning seminars focusing on clinical, problem-solving skills related to organ systems covered in the Primary Health Care (NRS 251) course. Integration of clinical skills, professionalism and practice. Advance case-based learning seminars focus on advanced and complex clinical problems. Overview of skills for effective communication in the clinical-patient relationship, especially in challenging patient interactions. 1
NRS 450-459 Supervised Clinical Practice - Primary Health Care: Primary care rotations under the supervision of a community-based, primary care physician, physician assistant or nurse practitioner. Emphasis on continuity of care and unique aspects of providing health care in a community setting. The population focus is ambulatory care across the lifespan with the potential to assist in fulfilling inpatient responsibilities with the preceptor. At least one primary care rotation must be completed in an underserved community. 9
TOTAL 12

 

WINTER 2nd YEAR

COURSE COURSE TITLE and TOPIC UNITS
NRS 242C Implementation Science for Clinicians: Builds upon content in Research Skills for Nursing Science and Health care Leadership (NRS 204). Focus on identification of relevant research questions specific to patient care and evaluation of pertinent research literature. Particular emphasis on health promotion, disease prevention, population health, quality improvement and patient education. 2
NRS 298 Special Topics in Nursing Science and Health-Care Leadership 2
NRS 410F Advanced Clinical Skills: Instruction and application of patient history intake and physical examination skills with specialized content related to organ systems corresponding with primary-health care. Instruction and practice on patient education and counseling. Case-based learning seminars focusing on clinical, problem-solving skills related to organ systems covered in the Primary Health Care (NRS 251) course. Integration of clinical skills, professionalism and practice. Advance case-based learning seminars focus on advanced and complex clinical problems. Overview of skills for effective communication in the clinical-patient relationship, especially in challenging patient interactions. 1
NRS 450-459 Supervised Clinical Practice - Primary Health Care: Primary care rotations under the supervision of a community-based, primary care physician, physician assistant or nurse practitioner. Emphasis on continuity of care and unique aspects of providing health care in a community setting. The population focus is ambulatory care across the lifespan with the potential to assist in fulfilling inpatient responsibilities with the preceptor. At least one primary care rotation must be completed in an underserved community. 9
TOTAL 14

 

SPRING 2nd YEAR

COURSE COURSE TITLE and TOPIC UNITS
NRS 243B Leadership in Professional Practice: Examination of leadership through theoretical and philosophical perspectives. Focus on challenges in health care and leadership at various levels (e.g. unit, organizational and policy) and within organizational settings and environments. Explore concepts of leadership vision and modeling the way in leadership. 1
NRS 243C Leadership in Professional Practice: Examination of leadership through theoretical and philosophical perspectives. Focus on challenges in health care and leadership at various levels (e.g. unit, organizational and policy) and within organizational settings and environments. Explore concepts of leadership vision and modeling the way in leadership. 1
NRS 298 Special Topics in Nursing Science and Health-Care Leadership 3
NRS 410G Advanced Clinical Skills: Instruction and application of patient history intake and physical examination skills with specialized content related to organ systems corresponding with primary-health care. Instruction and practice on patient education and counseling. Case-based learning seminars focusing on clinical, problem-solving skills related to organ systems covered in the Primary Health Care (NRS 251) course. Integration of clinical skills, professionalism and practice. Advance case-based learning seminars focus on advanced and complex clinical problems. Overview of skills for effective communication in the clinical-patient relationship, especially in challenging patient interactions. 1
NRS 450-459 Supervised Clinical Practice - Primary Health Care: Primary care rotations under the supervision of a community-based, primary care physician, physician assistant or nurse practitioner. Emphasis on continuity of care and unique aspects of providing health care in a community setting. The population focus is ambulatory care across the lifespan with the potential to assist in fulfilling inpatient responsibilities with the preceptor. At least one primary care rotation must be completed in an underserved community. 6
TOTAL 12

 

OPTIONAL CLINICAL EXPERIENCES

Clinical experiences vary by quarter. Required clinical experiences include primary health care (must include exposure to geriatric and adult patients), pediatrics, women’s health, psychiatry, emergency medicine, surgery and inpatient medicine.

Students spend a minimum of 540 hours in supervised clinical rotations in primary care and an additional 180 hours in supervised clinical rotations in other areas such as Pediatrics, Women’s Health, Mental Health, Emergency Medicine, Inpatient and Surgery. In addition, students spend a minimum of 270 hours practicing clinical skills through workshops, standardized patient encounters and simulation experiences.

COURSE COURSE TITLE and TOPIC UNITS
NRS 451 Supervised Clinical Practice – Pediatrics: Clinical rotations under the supervision of a community-based, pediatric physician assistant or nurse practitioner. May take place in the primary care or specialty setting. Focus on ambulatory pediatrics with the possibility of inpatient experience. Assess and manage acute and chronic childhood illnesses under direct supervision of the preceptor. Evaluation of normal variations of growth and development, patient education and anticipatory guidance. Variable
NRS 452 Supervised Clinical Practice - Women's Health: Clinical rotations under the supervision of a community-based, women’s health and prenatal-care physician assistant or nurse practitioner. May take place in the primary care or specialty setting. Focus on outpatient setting with the possibility of inpatient experience. Assess and manage women seeking prenatal and gynecologic care. Evaluation based on knowledge, skills and abilities related to women’s health. Variable
NRS 453 Supervised Clinical Practice - Mental Health: Clinical rotations under the supervision of a psychiatrist, psychiatric or mental-health nurse practitioner or other licensed mental-health professional. Focus on adult and elderly patients in the inpatient and outpatient setting. Assess and manage psychiatric and behavioral health disorders. Evaluation based on knowledge, skills and abilities related to psychiatry. This course may be required if students do not have adequate mental health exposure in a primary care setting. Variable
NRS 454 Supervised Clinical Practice - Emergency Medicine: Clinical rotations under the supervision of a community-based, emergency-medicine physician, physician assistant or nurse practitioner. Must take place in a hospital-based emergency department. Focus on patients throughout the emergency department visit. Focus on evaluation and care of patients with urgent and emergent problems. Evaluation based on knowledge, skills and abilities related to emergency medicine. Variable
NRS 455 Supervised Clinical Practice - Inpatient Surgery: Clinical rotations under the supervision of a community-based surgical physician, physician assistant or nurse practitioner. Focus on inpatient setting with the possibility of inpatient experience. Includes preoperative, operative and postoperative experience. Evaluation based on knowledge, skills and abilities related to general surgery. Variable
NRS 456 Supervised Clinical Practice - Inpatient Medicine: Clinical rotations under the supervision of a community-based physician, physician assistant or nurse practitioner working with people in the inpatient setting. Focus on adult and elderly patients in a hospital setting. Assess and care for patients with chronic, urgent developing problems. Evaluation based on knowledge, skills and abilities related to inpatient medicine. Variable
NRS 459 Supervised Clinical Practice - Other Specialties: Clinical rotations under the supervision of a community-based physician, physician assistant or nurse practitioner. Available to accommodate student interest and improve clinical skills. Variable
NRS 471 Supervised Clinical Practice – Geriatric: Clinical rotations under the supervision of a community-based geriatric medicine physician, physician assistant or nurse practitioner. Patient population includes adults over 65. Focus on ambulatory geriatric patients with the possibility of inpatient experience. Exposure to various aspects of restorative and rehabilitative care and interdisciplinary approaches. Examination of the primary care nurse practitioner role and responsibilities in the long-term care system. Assess and manage patients with a variety of acute and chronic illnesses. Evaluation based on knowledge of normal variations of aging, experience with palliative care and patient education. Variable
NRS 475 Supervised Clinical Practice - Acute Care: Clinical rotations under the supervision of a community-based or hospitalist physician or nurse practitioner. Work directly with specific inpatient units providing acute care in inpatient setting. Variable
NRS 480 Supervised Clinical Practice - Rural Health: Clinical rotations under the supervision of a community-based physician, physician assistant or nurse practitioner in a rural community. Evaluate and provide care for patients in a rural population. Learn about challenges and rewards of rural practice and barriers to health care access in rural communities. Variable
NRS 490 Supervised Clinical Practice - Quality and Safety: Clinical rotations under the supervision of a community-based physician, physician assistant or nurse practitioner. Learn about patient safety and work with quality improvement committees. Variable