{"id":6018,"date":"2018-08-20T12:49:47","date_gmt":"2018-08-20T17:49:47","guid":{"rendered":"https:\/\/www.kabt.org\/?p=6018"},"modified":"2018-08-22T21:28:36","modified_gmt":"2018-08-23T02:28:36","slug":"a-thematic-approach-to-anatomy-and-physiology","status":"publish","type":"post","link":"https:\/\/www.kabt.org\/?p=6018","title":{"rendered":"A Thematic Approach to Anatomy and Physiology"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p>I recently had an exchange with some area teachers about how we approach the curriculum of a high school anatomy and physiology course. My course (and entire practice) is always undergoing change and revision. That said, I&#8217;ve created an outline for my course that might be helpful for others who are considering an attempt to escape the vocabulary grind of a legacy A&amp;P classroom.<\/p>\n<p>The students and I work the entire semester at developing their competency at telling the \u2018story\u2019 of a single anatomical theme instead of grinding through a linear sequence of discrete curricular units and a series of independent point-driven tasks.\u00a0 While not strictly PBL as it is commonly described, students are accountable for developing and presenting a cohesive, thematic schema for what they know as a result of our work together.<\/p>\n<p>So here is an outline of what we&#8217;ll be attempting this year. If you&#8217;re walking a similar path in your classroom, be sure to share out your questions, suggestions, and comments.<\/p>\n<p>_______________________________________________<\/p>\n<p><strong>Fall Semester &#8211;\u00a0<\/strong><strong>Thematic Development of Curricular Standards<\/strong><\/p>\n<p><strong>Theme: Environmental Interactions &#8211; Your Brain is a Survival Organ<\/strong><\/p>\n<p>Your heart pumps blood.\u00a0 Your lungs breathe air.\u00a0 Your skeleton provides structure, support and protection.\u00a0 Your muscles produce movement.\u00a0 But what about your brain?<\/p>\n<p>Your brain is a survival organ that regulates your internal physiology within relatively narrow limits\u00a0and guides your environmental interactions to maximize homeostasis (health). \u00a0Biologically, humans are habit-driven, emotional beings who have the capacity for cognition (thinking, self-awareness).\u00a0 Our brain\u2019s function is to continually respond to the dynamic environment in which we live enabling us to avoid threats, seek opportunities, and utilize cognition so that we may assert greater levels of control within that environment.\u00a0 We are a bundle of habits, emotions and thoughts, and we can act in response to all three.<\/p>\n<p><strong><img decoding=\"async\" class=\"aligncenter size-full wp-image-6014\" src=\"https:\/\/www.kabt.org\/wp-content\/uploads\/2018\/08\/AP1.jpg\" alt=\"\" width=\"638\" height=\"626\" srcset=\"https:\/\/www.kabt.org\/wp-content\/uploads\/2018\/08\/AP1.jpg 638w, https:\/\/www.kabt.org\/wp-content\/uploads\/2018\/08\/AP1-300x294.jpg 300w, https:\/\/www.kabt.org\/wp-content\/uploads\/2018\/08\/AP1-306x300.jpg 306w\" sizes=\"(max-width: 638px) 100vw, 638px\" \/><\/strong><\/p>\n<p><strong>Thematic Development: Lower Order and Higher Order Interrelationships <\/strong><\/p>\n<p>The lower order and higher order parts of the brain do not operate independently of one another.\u00a0 The brain stem, diencephalon, basal nuclei, limbic system, and cerebral cortex have established numerous neural and hormonal interconnections through which they influence one another in such a way that they are able to warn of potential threats in the environment and reward successful interactions with the environment. The amygdala (warning) and the septal region (reward) play a significant role in learning and knowing, the amygdala at the beginning of the process (learning) and the septal nuclei and nucleus accumbens at the back end (knowing).<\/p>\n<p><strong>Thematic Development: Learning and Knowing are NOT the Same Thing<\/strong><\/p>\n<p>The functional interrelationships between higher order regions of the brain are such that learning and knowing take place as related, but distinctly different, processes.\u00a0 An individual\u2019s cognitive belief system and self-concept impact every aspect of the learning and knowing processes.\u00a0 Mindset, in particular, functions as a \u2018system override\u2019 that acts to habitually accept or reject new learning in ways that can either enhance the receptivity to new information, or dramatically close off access to the learning and knowing pathways within the brain.<\/p>\n<p><strong>Thematic Development: Motivation<\/strong><\/p>\n<p>Humans don\u2019t have to be motivated to learn, learning <em>is<\/em> the motivation.\u00a0 Cognition is a powerful survival adaptation for interacting with one\u2019s environment.\u00a0 Our brains contain an internal frame of reference, so that success in thought leads to heightened levels of control which we ultimately experience as competency and gratification.\u00a0 The brain has evolved to learn, and so it should be no surprise that cognition leading to greater control is \u2018hardwired\u2019 into the brain\u2019s internal reward system. \u00a0All motivation can be explained in terms of environmental interactions that lead to the feeling of well-being and competency.<\/p>\n<p><strong>Thematic Development: Joints and Movement &#8211; Bones, Muscles and Nerves<\/strong><\/p>\n<p>Moveable joints have fundamental structural and functional characteristics in common with each other along with skeletal and soft tissue adaptations to provide for the unique stability and range of motion possible at each joint.\u00a0 Bones, bone markings, bone tissues, articular surfaces, cartilages, ligaments, tendons and skeletal muscles work in combination to provide humans with the ability to respond in rich and varied ways to their environment.<\/p>\n<p>The biochemical and mechanical pathways through which sensory input enters the central nervous system is integrated into the brain&#8217;s existing schema for responding in a manner that maximizes homeostasis.\u00a0 A motor impulse originating in the brain results in the contraction of a motor unit that is part of a muscle that acts with other muscles in groups at a specific joint.<\/p>\n<p>By focusing on the names, origins, insertions and actions of the muscles that act on the knee to move the leg and that act on the shoulder to move the arm it is possible to develop a schema for knowing how any number of muscles (3, 30 or 300) act at joints without having to depend on the serious limitations that come with attempts to rote memorize new information, especially when that information is conceptually challenging and there is a lot of it.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Spring Semester &#8211;\u00a0<\/strong><strong>Thematic Development of Curricular Standards<\/strong><\/p>\n<p><strong>Theme: Regulation and Maintenance &#8211; Organ Systems at Work<\/strong><\/p>\n<p>The cells throughout your body are not capable of carrying out all the functions necessary for survival by themselves. \u00a0They cannot obtain nutrients, rid themselves of wastes, exchange essential gases, protect themselves from toxicity and temperature variations, or other necessary tasks.\u00a0 Blood and interstitial fluid serve as the exchange medium between systemic cells and the various organ systems of your body through which those cells maintain homeostasis.\u00a0 The human body functions physiologically through the operation of pressure, temperature and concentration gradients, and those gradients result in blood flow, respiration, digestion and absorption, liver function, and renal processing.<\/p>\n<p><strong><img decoding=\"async\" class=\"aligncenter size-full wp-image-6015\" src=\"https:\/\/www.kabt.org\/wp-content\/uploads\/2018\/08\/AP2.jpg\" alt=\"\" width=\"663\" height=\"663\" srcset=\"https:\/\/www.kabt.org\/wp-content\/uploads\/2018\/08\/AP2.jpg 663w, https:\/\/www.kabt.org\/wp-content\/uploads\/2018\/08\/AP2-150x150.jpg 150w, https:\/\/www.kabt.org\/wp-content\/uploads\/2018\/08\/AP2-300x300.jpg 300w\" sizes=\"(max-width: 663px) 100vw, 663px\" \/><\/strong><\/p>\n<p><strong>Thematic Development: Cardiac Cycle<\/strong><\/p>\n<p>The cardiac cycle is the sequence of electrical events, mechanical events, pressure changes and volume changes that occur during one heartbeat.\u00a0 Muscle contractions, pressure gradients and valve operation initiate and maintain productive blood flow through the heart and throughout the pulmonary and systemic circulation.<\/p>\n<p><strong>Thematic Development: Pulmonary and Systemic Circulation<\/strong><\/p>\n<p>Oxygenated air entering your respiratory system and deoxygenated blood returning to your heart must reach each other at the respiratory membrane where concentration gradients facilitate the exchange of O2 and CO2.\u00a0 Blood that is oxygenated at the respiratory membrane must reach the systemic microcirculation and interstitial fluid throughout your body where concentration gradients facilitate the exchange of O2 and CO2.<\/p>\n<p><strong>Thematic Development: Cardiovascular and Digestive Systems<\/strong><\/p>\n<p>Ingested food that enters the GI tract and oxygenated blood that enters the abdominal viscera must reach each other at the GI mucosa where the products of digestion enter the systemic microcirculation through the operation of concentration gradients and active transport.\u00a0 Deoxygenated, nutrient-rich, xenobiotic-rich blood must pass through the hepatic portal system so that it can be processed in the microcirculation of the liver and then returned to the systemic circulation.<\/p>\n<p><strong>Thematic Development: Blood as a Transport Medium<\/strong><\/p>\n<p>Blood is composed of various formed elements and plasma, through which blood gases and solutes are transported throughout the body.<\/p>\n<p><strong>Thematic Development: Systemic Circulation and the Lymphatic System<\/strong><\/p>\n<p>The lymphatic system is closely associated with the cardiovascular system, since it returns fluids that have leaked from the vascular capillary beds back into the blood. \u00a0It consists of three parts: the lymphatic vessels that parallel the blood vessels; the fluid in those vessels, called lymph; and lymph nodes that cleanse the lymph as it passes through the lymphatic vessels prior to re-entering the vascular system as plasma.<\/p>\n<p><strong>Thematic Development: Cardiovascular and Urinary Systems<\/strong><\/p>\n<p>A nephron is comprised of both vascular and tubular structures that are involved in the renal processing of whole blood through the operation of filtration, concentration gradients and active transport.\u00a0 The various components of blood (formed elements, plasma, desirable plasma solutes, and undesirable plasma solutes) enter the kidney, undergo processing by the nephrons, and are either returned to the systemic circulation or are removed from the body as urine.<\/p>\n<p><strong>\u00a0_______________________________________________<\/strong><\/p>\n<p><strong>Thematic Development of Curricular Standards &#8211;\u00a0<\/strong><strong>Semester Grade Determination<\/strong><\/p>\n<p>Academic success is commonly framed as something that results from ongoing task completion, the purpose of which is to accumulate points toward reaching an arbitrary percentage benchmark that represents a particular grade.\u00a0 Learning is thought to arise intuitively in direct proportion to the number of points acquired, and so it is often a secondary consideration at best.\u00a0 <em>Our approach to Anatomy and Physiology will be structured so that students are empowered to concentrate exclusively on learning\u00a0and knowing, instead of chasing points, and each student\u2019s grade will represent the level of competency he or she has developed through that effort<\/em>.<\/p>\n<p>Students establish a grade in Anatomy based on how they are progressing in their response to one question, the one question that drives EVERY class period, &#8220;What do you know?&#8221;\u00a0 There are NO assignments, NO homework grades,\u00a0NO quizzes, NO high-stakes projects or tests, NO points, and NO percentages.\u00a0 <em>Students are NEVER penalized for mistakes they make as they struggle deliberately at \u2018coming to know\u2019, and we DON\u2019T have to resort to curving test scores, awarding extra credit points for routine tasks, or rounding percentages to make up for any perceived \u2018hits\u2019 against a student\u2019s grade.<\/em><\/p>\n<p>There is nothing permanent about a grade in Anatomy.\u00a0 Since the sole focus of our time in class is \u2018students making progress in what they know\u2019 relative to a single semester-long theme, as opposed to accumulating points by completing an ongoing series of discrete tasks, we have no need for multiple gradebook entries and arbitrary mathematical averages to determine a grade.\u00a0 <em>There will never be more than one item in the gradebook.\u00a0 That item will be titled as the theme for the semester, and it will be subject to revision at any time throughout the semester<\/em><em>.\u00a0 <\/em><\/p>\n<p>Each student\u2019s Anatomy grade is simply a notification of how far that student has progressed, or regressed, in knowing at the time the grade is updated.\u00a0 Students NEVER have to carry the weight of a bad grade as part of their quarter or semester average (since we do not calculate averages), nor do they have to struggle unproductively through a punitive makeup or retake process to amend an undesirable grade.\u00a0 <em>We are always working forward to better develop our curricular theme and each student\u2019s understanding of that theme by starting wherever the student is \u2018at\u2019 at any given time and helping that student grow his or her understanding to the highest level possible.<\/em><\/p>\n<p>The ONLY grade that counts toward GPA, and is reported on transcripts, is the semester grade. \u00a0And for Anatomy, that semester grade represents the progress a student has made in developing competency at accessing anatomy and physiology content in meaningful ways so that it can be understood and known as a durable network of long-term memories.\u00a0 <em>That semester grade represents what the student demonstrates that he or she knows about our thematic focus due to his or her purposeful, ongoing effort at \u2018practicing knowing\u2019.\u00a0 In class.\u00a0 Every day.\u00a0 Throughout the semester.<\/em><\/p>\n<p>Grading practices that serve to enforce compliance with teacher directives by awarding points for various forms of task completion are not compatible with an instructional approach that is geared solely toward engaging students in a persistent effort to develop what they know about a broad curricular theme.\u00a0 Students who have been conditioned to care more about points and percentages than about learning will only commit to the struggle of knowing if they are confident that their progress in knowing will result in the grade they expect.\u00a0 <em>Therefore, t<\/em><em>he points-driven, percentage-based grading scale that is common in many classes has been replaced in our Anatomy class with the growth-oriented competency rubric that can be found below.\u00a0 The rubric has been intentionally developed to ensure that when students invest in deliberately knowing more each day, the grade will take care of itself.<\/em><\/p>\n<p><strong>Accomplished<\/strong><\/p>\n<p><em>Demonstrates a thorough command of the curricular theme.\u00a0 Has developed a factually-accurate, meaningful thematic schema\u2026can tell a rich, fully-developed \u2018story\u2019 that ties relevant details to big ideas to convey depth of understanding.<\/em><\/p>\n<p>Symbol = ACM\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ParentVue\/StudentVue Numerical Equivalent = 5\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Grade = A<\/p>\n<p><strong>Established<\/strong><\/p>\n<p><em>Conveys a coherent understanding of the curricular theme.\u00a0 Has developed a thematic schema that is reasonably accurate and makes sense\u2026<\/em><em>but a truly comprehensive understanding that demonstrates mastery of the details and how they<\/em><em> contribute to the big ideas is not yet obvious.<\/em><\/p>\n<p>Symbol = EST\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ParentVue\/StudentVue Numerical Equivalent = 4\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Grade = B<\/p>\n<p><strong>Fundamental<\/strong><\/p>\n<p><em>Presents the essential features of the curricular theme.\u00a0 Beginning to combine thematic concepts into a working schema\u2026knows some, but not all, of the parts of the \u2018story\u2019, and is still working to describe how all those parts fit together in a meaningful way.<\/em><\/p>\n<p>Symbol = FND\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ParentVue\/StudentVue Numerical Equivalent = 3\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Grade = C<\/p>\n<p><strong>Progressing<\/strong><\/p>\n<p><em>Recognizes the basic elements of the curricular theme.\u00a0 Can articulate a few of the concepts that are necessary to a growing schema&#8230;<\/em><em>but there are significant gaps in what is <\/em><em>known<\/em><em> relative to what has been developed in class.<\/em><\/p>\n<p>Symbol = PRG\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ParentVue\/StudentVue Numerical Equivalent = 2\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Grade = D<\/p>\n<p><strong>Beginning<\/strong><\/p>\n<p><em>Unfamiliar with the basic elements of an anatomical schema related to the curricular theme that has been developed in class.<\/em><\/p>\n<p>Symbol = BEG\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ParentVue\/StudentVue Numerical Equivalent = 1\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Grade = F<\/p>\n<p><strong>Incomplete<\/strong><\/p>\n<p><em>Has not provided recent evidence of competency.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/em><\/p>\n<p>Symbol = INC\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ParentVue\/StudentVue Numerical Equivalent = 0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Grade = F<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; I recently had an exchange with some area teachers about how we approach the curriculum of a high school anatomy and physiology course. My course (and entire practice) is always undergoing change and revision. That said, I&#8217;ve created an outline for my course that might be helpful for others who are considering an attempt<br \/><a class=\"moretag\" href=\"https:\/\/www.kabt.org\/?p=6018\">+ Read More<\/a><\/p>\n","protected":false},"author":5695,"featured_media":6014,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_s2mail":"yes","_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[8],"tags":[726,255,165,729,727,728,730],"class_list":["post-6018","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-teaching-resources","tag-anatomy","tag-brain","tag-human-evolution","tag-keystone","tag-physiology","tag-thematic","tag-topics"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.kabt.org\/index.php?rest_route=\/wp\/v2\/posts\/6018","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.kabt.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.kabt.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.kabt.org\/index.php?rest_route=\/wp\/v2\/users\/5695"}],"replies":[{"embeddable":true,"href":"https:\/\/www.kabt.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=6018"}],"version-history":[{"count":7,"href":"https:\/\/www.kabt.org\/index.php?rest_route=\/wp\/v2\/posts\/6018\/revisions"}],"predecessor-version":[{"id":6039,"href":"https:\/\/www.kabt.org\/index.php?rest_route=\/wp\/v2\/posts\/6018\/revisions\/6039"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.kabt.org\/index.php?rest_route=\/wp\/v2\/media\/6014"}],"wp:attachment":[{"href":"https:\/\/www.kabt.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=6018"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.kabt.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=6018"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.kabt.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=6018"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}