NEW MEXICO JUNIOR COLLEGE
|A.||Course Title:||Pathophysiology I|
|B.||Course Number:||NU 103 - 10001|
|D.||Days/Time:||W 8:30:00 AM - 11:30:00 AM|
|J.||Office Hours:|| Monday: 8:00:00 AM-5:00:00 PM (MST);
Tuesday: 8:00:00 AM-5:00:00 PM (MST);
Wednesday: 8:00:00 AM-5:00:00 PM (MST);
Thursday: 8:00:00 AM-5:00:00 PM (MST);
Friday: 8:00:00 AM-5:00:00 PM (MST);
Messages left on canvas will be responded to daily during the week. Messages over the weekend will be responded to on Monday morning.
|K.||Time Zone:||Mountain Time|
|L.||Prerequisite(s):||BI 214A Anatomy and Physiology I|
This course focuses on the basic understanding of pathophysiology associated with professional health care practice for nursing students. Diseases and conditions of greatest incidence, prevalence, and importance are studied across the lifespan. Course content is presented using a conceptual learning model. The relationships between body systems, organs, tissues, cells, and the underlying concepts associated with human pathophysiology are discussed. Normal structure and function of the cells, pathophysiological mechanisms, and iatrogenic injury to the cells of specific body systems are examined. Risk factors and clinical findings of specific diseases are discussed. Cultural, ethnic, and racial variations of anatomy, physiology, and pathophysiology of specific diseases are studied. This is a three credit hour course. Prerequisite: BI214A Anatomy and Physiology I
NU103 will transfer to most two and four year colleges for credit. Information concerning articulation agreements with regional colleges and universities can be obtained at the NMJC Counseling Office. It is important to check with the institution to which you are planning to transfer to determine transferability. Planning for course credit transfer is ultimately the student's responsibility. All students are encouraged to keep the course syllabus as it will help determine the transferability of this course credit to another institution.
Banasik, Jacquelyn, and Lee-Ellen Copstead. Pathophysiology. Fifth ed. St. Louis Mo: Elseviere, Saunders, 2014. Print. ISBN: 978-1-4557-2650-9
Banasik, Jacquelyn L., Lee-Ellen. Copstead, and Lee Ellen. Copstead. Study Guide: Pathophysiology, 5th Edition. St. Louis, MO: Elsevier, Saunders, 2014. Print. ISBN: 978-1-4557-3312-5
Elsevier Bundle ISBN: 9780323515221
NoneSilvestri & Silvestri, Saunders 2016-2017 Strategies for Test Success, 4th edition. (2015) Saunders/Elsevier. ISBN: 9780323296618
Silvestri, NCLEX RN Comprehensive Review, 6th edition. (2013) Saunders/Elsevier. ISBN: 9781455727551
You can buy your books online at the NMJC Bookstore.
Students attending New Mexico Junior College will be evaluated according to the following grading scale:
90 - 100% = A 80 - 89% = B 70 - 79% = C 60 - 69% = D 0 - 59% = F
Grades will be calculated by the following:
75% = Unit Exams (5 unit exams worth 15% each)
15% = Final Exam (100 questions)
5% = Pre-lecture Practice Questions Assignments (1 per unit, total of 5)
5% = Attendance
GRADES ARE NOT ROUNDED. STUDENT RECEIVES EXACTLY THE GRADE EARNED.
Unit Exams & Comprehensive Final Exam
Students are required to take the unit exams on Canvas during the specified times in the NMJC testing center at which they are given. Students are responsible for checking the testing center hours during the week of the exam and need to arrive at least 90 minutes before closing or they will not be allowed to take the exam. Students who fail to take an exam during that time will not be allowed to make that exam up unless proof of extenuating circumstances is given. You will need to contact the Testing Center in person to arrange an appointment to take your exam. Please make your appointments in advance, to ensure you have a time reserved. Students who miss an exam must take it prior to the next class meeting or will not be allowed to make it up and a zero will be given. Exams taken late will have 10 points deducted, and will be an alternate format.
A comprehensive final exam will be administered in the Testing Center during the date/time as stated in NMJCs spring course schedule. NO EARLY administering of the final exam is permitted except in an emergency AND permission from the Dean must be granted. To keep disruptions to a minimum during testing, students are requested to be on time and remain in the testing area until their test has been submitted (e. g. no bathroom breaks). NO electronic devices are allowed.
Pre-Lecture Practice Questions Assignments
Prior to the last class of each unit, you will need to take a pre-lecture practice question assignment on your own time on Canvas. The first practice question assignment is due prior to the second class of the semester. These assignments are designed to help you come to class prepared for lecture/discussion/classroom activities. Assignments will not be accepted late. A grade of zero will be given for any assignment not completed on time. No exceptions.
Dates and Times of Exams and Pre-lecture assignments are listed in the Agenda in Canvas.
Attendance for each class session is mandatory and role will be taken at the beginning and in the middle of each class in canvas. All absences, excused or unexcused, count as an absence in the attendance grade. Leaving any class before dismissed by the instructor will count as an absence and you will not receive credit for attendance that day. Missing more than 30 minutes of class time will count as an absence for that day, regardless of the reason.
New Mexico Junior College’s institutional student learning outcomes represent the knowledge and abilities developed by students attending New Mexico Junior College. Upon completion students should achieve the following learning outcomes along with specific curriculum outcomes for respective areas of study:
At the completion of this course it is anticipated the student will be able to:
1. Develop a basic understanding of pathophysiology associated with professional health care practice related to the nursing concepts of self and community awareness, communication, and critical thinking and problem solving.
2. Identify relationships between body systems, organs, tissues, cells, and the underlying concepts associated with human pathophysiology.
3. Identify diseases and conditions of greatest incidence, prevalence, and importance across the life span related to health and illness concepts.
4. Recognize risk factors and clinical findings of diseases of greatest prevalence and incidence across the life span related to health and illness concepts.
5. Identify the cultural, ethnic, and racial variations of human anatomy and physiology and the diseases of greatest prevalence and incidence in various systems and functions of the body.
Unit I (Cellular Function and Structure)
Chapter 1 Objectives
1. Define pathophysiology.
2. Explain how etiology and pathogenesis are used to predict clinical manifestations of disease and response to therapy.
3. Define normal and abnormal physiologic parameters.
4. Identify the general factors affecting the expression of disease in a particular person.
5. Describe the kinds of information about disease that can be gained through an understanding of the concepts of epidemiology.
Chapter 2 Objectives
1. Describe the relationship between homeostasis and allostasis.
2. Describe how the sympathetic nervous system and neuroendocrine system respond to stress.
3. Identify the key features of Selye’s General Adaptation Syndrome.
4. Identify factors affecting the stress response.
5. Describe how allostatic overload contributes to the development of disease.
Chapter 3 Objectives
1. Describe the major cellular structures and their functions.
2. Describe how cells acquire and use energy.
3. Explain how substances are transported across the cell membrane.
4. Explain why some cells can produce action potentials yet others cannot.
5. Describe how cells in a multicellular organism communicate with one another.
6. Identify the normal mechanisms of cellular growth control.
Chapter 4 Objectives
1. Describe the usual cellular responses to reversible injury.
2. Differentiate reversible and irreversible cellular injuries.
3. Distinguish necrosis and apoptosis.
4. Identify the kind of injuries to which cells are susceptible.
5. Describe the usual physiologic changes of aging and explain how these are differentiated from disease.
Chapter 5 Objectives
1. Describe how genetic information is stored in the cell and transmitted to progeny during replication.
2. Describe how the simple 4-base structure of DNA serves as a template for synthesis of proteins that may contain 20 varieties of amino acids.
3. Describe the role that genes play in determining cell structure and function.
4. Explain how gene expression is regulated.
5. Identify the mechanisms by which the cells of an organism, which all contain identical genes, become differentiated into divergent cell types.
6. Identify the general structures and functions of the four main tissue types: epithelial, connective, muscle, and nerve.
Chapter 6 Objectives
1. Explain how genes are transmitted from parent to offspring.
2. Describe how pedigree analysis used to determine if a trait is inherited as autosomal dominant, autosomal recessive, or X-linked.
3. Explain how abnormal meiosis leads to alterations in chromosome number or structure.
4. Describe inheritance patterns and general clinical features of some common genetic disorders.
5. Describe the role of the environment in the development of congenital disorders.
6. Identify the methods of genetic testing available.
Chapter 7 Objectives
1. Distinguish neoplastic cells from normal cells.
2. Distinguish benign and malignant tumors.
3. Explain how overexpression of proto-oncogenes might lead to abnormal cellular proliferation.
4. Explain how underexpression of tumor suppressor genes might lead to abnormal cellular proliferation.
5. Identify the properties gained during tumor progression that contributes to malignant behavior and metastasis.
6. Describe how tumor grading and staging are used to guide the selection of cancer therapies.
7. Describe how lifestyle and carcinogen exposure contribute to cancer risk.
8. Identify treatment options available for benign and malignant tumors.
Unit II (Musculoskeletal and Integumentary Function)
Chapter 50 Objectives
1. Describe the functions of osteoblasts and osteoclasts in bone remodeling.
2. Describe the relationship between joint structure and joint mobility.
3. Explain why articular cartilage is particularly susceptible to degenerative changes.
4. Identify the factors that determine tendon strength and compliance.
5. Explain how the striated structure of skeletal muscle relates to its contractile function.
6. Explain how an action potential in the α-motor neuron leads to a contraction in the muscle cells of the motor unit.
Chapter 51 Objectives
1. Explain how the mechanisms of injury are different between noncontractile and contractile soft-tissue injuries.
2. Identify the key factors in the mechanisms of soft-tissue injury and wound healing.
3. Describe the process and duration of normal bone healing after a fracture.
4. Identify the different complications that can occur following a fracture.
5. Describe the manifestations, dangers, and management of compartment syndrome.
6. Identify the clinical findings and management of bone infections.
7. Explain how osteoporosis and osteomalacia or rickets are similar, as well as how they differ.
8. Describe the terminology used to describe primary bone tumors.
9. Describe the cause and pathogenesis of muscular dystrophy and myasthenia gravis.
10. Describe the clinical features and treatment options in fibromyalgia syndrome.
Chapter 52 Objectives
1. Differentiate osteoarthritis and rheumatoid arthritis on the basis of cause, clinical findings, and treatment.
2. Describe the similarities and differences among rheumatoid arthritis, systemic lupus erythematosus, and scleroderma.
3. Identify the infective organisms associated with joint inflammation and Lyme disease.
4. Describe the pathogenesis of gouty arthritis.
5. Distinguish the three subtypes of juvenile rheumatoid arthritis.
Chapter 53 Objectives
1. Explain how the aging process affects the integumentary system.
2. Explain why it's important to differentiate primary from secondary skin lesions.
3. Identify the lesion characteristics assessed to aid in determination of the lesion's cause.
4. Describe how systemic disorders affect nail and hair growth.
5. Identify the skin disorders that are more likely to occur more commonly in certain age groups, including in infants, children, adolescents, and the elderly.
6. Explain how ultraviolet radiation affects the skin.
7. Describe how superficial and deep pressure ulcers differ in clinical and etiologic features.
8. Differentiate malignant melanoma from other skin lesions.
Chapter 54 Objectives
1. Identify the most common causes of burn injuries.
2. Explain how burn degree and severity are determined.
3. Describe the principles that guide the management of burn injuries.
4. Describe the potential complications associated with burn injuries.
5. Describe the outcomes following burn injuries.
Unit III (Neural Function)
Chapter 43 Objectives
1. Explain how the central nervous system (CNS), peripheral nervous system, and autonomic nervous system interrelate.
2. Explain how the CNS is protected and supported.
3. Identify the structures located in each of the four principal areas of the brain: cerebrum, diencephalon, cerebellum, and brainstem.
4. Identify the neurologic functions that have been mapped to particular locations in the brain.
5. Describe how the properties of neuronal action potentials and neuronal communication through synapses relate to the functions of the nervous system.
6. Explain how the somatotopic organization of sensory receptors and muscles are maintained in the CNS.
7. Describe how voluntary muscle activity is initiated and executed.
8. Explain how the properties of the mind, including thought, memory, learning, consciousness, and sleep, relate to the physiologic substance of the nervous system.
Chapter 44 Objectives
1. Describe the proposed mechanisms and potential consequences of secondary brain injury.
2. Identify the brain components that determine intracranial pressure, and describe under what conditions each might contribute to elevated intracranial pressure.
3. Explain how level of consciousness and cranial nerve reflexes are used to assess changes in neurologic status in the brain-injured patient.
4. Describe the common manifestations of types of traumatic brain injury (focal, polar, diffuse) and hemorrhage (epidural, subdural, subarachnoid).
5. Describe how the three most common causes of stroke (thrombi, emboli, and hemorrhage) differ with regard to risk factors, prevention strategies, and acute management.
6. Explain how the clinical manifestations of ischemic stroke vary depending on the location of cerebral artery obstruction.
7. Describe the common long-term sequelae of stroke, and how they are managed.
8. Explain the cause and usual presentation of cerebral aneurysm and arteriovenous malformation.
9. Describe how meningitis and encephalitis differ with regard to usual infective organisms, cerebrospinal fluid analysis findings, clinical manifestations, and treatment.
Chapter 45 Objectives
1. Explain how the various types of seizures are recognized, classified, and treated.
2. Explain how Alzheimer dementia is diagnosed and managed.
3. Identify the similarities between Alzheimer dementia and vascular dementia.
4. Describe the proposed neurotransmitter alterations in Parkinson disease, as well as how drugs are used to restore balance.
5. Describe the similarities and differences between multiple sclerosis and amyotrophic lateral sclerosis.
6. Describe how congenital disorders, such as cerebral palsy, hydrocephalus, and spina bifida, are manifested in the newborn.
7. Explain how the level of spinal cord injury relates to expected functional losses and clinical manifestations.
8. Identify the role of immune mechanisms in Guillain-Barré syndrome, amyotrophic lateral sclerosis, and multiple sclerosis.
9. Describe the causes of facial paralysis in Bell palsy, and explain how this condition is different from other chronic disorders of neurologic function.
Chapter 46 Objectives
1. Describe the general manifestations of hearing impairment.
2. Explain how conductive and sensorineural mechanisms of hearing loss differ in etiology and treatment.
3. Identify the predisposing factors, clinical manifestations, and management of otitis media.
4. Describe the general manifestations of visual impairment.
5. Identify the causes, clinical manifestations, and management of common visual disorders, including errors of refraction, strabismus, cataract, and retinopathies.
6. Distinguish open-angle and acute angle-closure glaucoma.
7. Distinguish the two forms of macular degeneration.
Chapter 47 Objectives
1. Explain how the processes of transduction, transmission, perception, and modulation relate to the phenomenon of nociception.
2. Describe how the neurotransmission of pain signals are modulated at the receptor, spinal cord, and brain.
3. Describe how acute pain and chronic pain differ with regard to cause and clinical manifestations.
4. Explain why some painful sensations are perceived at a distance from the site of injury (referred).
5. Describe why it is important to adequately manage pain.
Chapter 48 Objectives
1. Describe the “positive” and “negative” symptoms of schizophrenia.
2. Identify the genetic, gestational, and neurologic risk factors that are related to schizophrenia.
3. Explain how the dopamine D1 and D2 receptors are related to positive and negative symptoms of schizophrenia.
4. Describe how schizophrenia is managed.
5. Identify the hallmark symptoms of major depression.
6. Describe the neurobiology of major depression.
7. Identify the subtypes of bipolar disorder.
8. Explain how major depression and bipolar disorder are managed.
Chapter 49 Objectives
1. Describe the neurobiological alterations that have been associated with panic disorder, generalized anxiety disorder, obsessive-compulsive disorder, and posttraumatic stress disorder.
2. Identify the neurobiological alterations that have been associated with attention-deficit/hyperactivity disorder and autism spectrum disorder.
Unit IV (Body Defenses)
Chapter 8 Objectives
1. Describe the role of epidemiology in the identification, definition, and prevention of infectious diseases.
2. List the factors influencing the transmission of infectious agents.
3. Describe how infectious microorganisms, including bacteria, viruses, fungi, and parasites, differ in structure, life cycle, and infectious processes.
4. Describe the conditions that compromise host defenses against microorganisms.
5. Identify opportunistic infections and when they develop.
Chapter 9 Objectives
1. Identify the major organs and cellular components of the body’s defense against foreign antigens.
2. Describe how immune cells communicate through cell-to-cell interactions and through secreted cytokines.
3. Distinguish innate and adaptive immune mechanisms.
4. Describe how macrophages, granulocytes, and lymphocytes work together to locate, recognize, and eliminate pathogens.
5. Explain the role of MHC class I and II proteins in cell-mediated immunity.
6. Describe why an immune response is usually more effective on subsequent exposure to an antigen than after the first exposure.
7. Describe how noncellular immune system components, including antibodies, complement, and clotting factors, aid the immune response.
Chapter 10 Objectives
1. Describe the potential mechanisms whereby erroneous reaction of the immune system with “self” tissue leads to autoimmune diseases.
2. Explain how type I, II, III, and IV hypersensitivity reactions differ according to the immune cell types involved and the mechanism of tissue injury.
3. Identify the common features of autoimmune disorders and certain types of hypersensitivity disorders.
4. Explain how hypersensitivity disorders detected, prevented, and treated.
5. Describe the etiologic processes of primary and secondary immune deficiency disorders differ.
Chapter 11 Objectives
1. Describe how the various types of leukemia, lymphoma, and plasma cell myelomas differ based on the type of malignant transformation.
2. Describe how the clinical presentations, prognosis, and management of types of acute and chronic leukemia differ.
3. Explain why malignant disorders of white blood cells are commonly associated with bone marrow depression.
4. Describe how Hodgkin disease is clinically and histologically differentiated from other types of lymphoma.
5. Describe the purpose and process of staging procedures for lymphomas.
6. Identify the clinical and laboratory findings that would suggest a diagnosis of plasma cell myeloma.
Chapter 12 Objectives
1. Identify the common modes of HIV transmission and describe how infection can be prevented.
2. Describe the scope of the HIV/AIDS epidemic in the United States and the world.
3. Explain how infection with HIV leads to progressive immunodeficiency and AIDS.
4. Explain how knowledge of the HIV life cycle led to the development of multidrug treatment strategies.
5. Describe how CD4+ cell counts and various clinical findings are used to classify the stages of HIV disease and AIDS.
6. Describe the common systemic manifestations of AIDS and associated opportunistic infections.
7. Identify the current treatment recommendations for HIV disease and AIDS.
Unit V (Oxygen Transport, Blood Coagulation, Blood Flow, and Blood Pressure)
Chapter 13 Objectives
1. Describe the factors necessary for normal red blood cell production.
2. Explain how oxygen and carbon dioxide are transported in the circulation.
3. Identify the laboratory tests used to detect anemia and polycythemia.
4. Describe the general effects of anemia on body systems.
5. Explain how history, clinical manifestations, and laboratory studies used to differentiate the various forms of anemia.
6. Explain how history, clinical manifestations, and laboratory studies used to differentiate the various forms of polycythemia.
7. Describe the appropriate treatment measures for each of the common types of anemia and polycythemia.
Chapter 14 Objectives
1. Describe how platelets and factors of the clotting cascade contribute to hemostasis.
2. Explain what findings from the patient history, physical examination, or laboratory studies would indicate a potential bleeding disorder.
3. Explain how laboratory tests used to differentiate the various coagulation disorders.
4. Describe the vascular alterations resulting in abnormalities of hemostasis.
5. Identify the common causes of platelet deficiencies, excesses, and dysfunction.
6. Identify the common causes of inherited and acquired disorders of coagulation.
Chapter 15 Objectives
1. Describe how the structures of arteries, veins, capillaries, and lymphatics differ, and explain how these differences reflect the functions of each.
2. Explain the relationship among vessel resistance, blood pressure, and blood flow.
3. Explain how vascular resistance is regulated centrally by the autonomic nervous system and locally by tissues.
4. Describe the determinants of transcapillary exchange of fluids, electrolytes, and nutrients.
5. Explain how arterial and venous obstructions develop.
6. Identify the clinical consequences of acute and chronic arterial obstruction.
7. Identify the clinical consequences of superficial and deep venous obstructions.
Chapter 16 Objectives
1. Describe how changes in cardiac output and systemic vascular resistance affect blood pressure.
2. Explain how blood pressure is regulated on short- and long-term bases.
3. Identify the risk factors for the development of primary hypertension.
4. Describe how secondary hypertension is defined, and describe the common etiologies.
5. Explain how hypertension is detected, classified, and managed.
6. Describe the end-organ consequences of inadequately controlled hypertension.
7. Describe the differences between hypertensive emergency and hypertensive urgency and how are they managed.
8. Identify the risk factors for orthostatic hypotension, and explain how the condition is managed.
METHOD OF INSTRUCTION:
Flipped Classroom - instructional material/reading is posted on canvas and students are required to complete pre-lecture practice questions, do all reading assignments, view power point presentations, watch videos, etc., prior to class time. Students will participate in assignments, group work, and discussions related to content in class facilitated/guided by the instructor.
Lecture - traditional presentation supplemented by power point, case studies, concept building exercises and other audio-visual materials; question/answer interaction with the students; instructor facilitated group work in class; three (3) hours per week.
Attendance Policy: Attendance will be taken at the beginning of each class using canvas. Please be in your seat and ready to begin class on time. It is important for you to be present for each class. If you are absent, you are still responsible for material covered in class and it will be your responsibility to get with a peer in the class and find out what you missed.
Make-up policy: If the absence is college sponsored, BOTH the student and the college sponsor are required to notify the instructor prior to his/her absence. Prior arrangements are expected to be made and (when possible) the work completed before the absence.
Behavior Policy: Disruptive behavior may result in the student being requested to leave the lecture or laboratory session for that day. Disruptive behavior will be documented and, if it continues, will be reported to the appropriate administrative personnel with sanctions requested using the guidelines set by NMJC policies and procedures. Disruptive behavior includes but is not limited to the following: coming to class late, leaving class early, eating in class, using cell phones/pagers, wearing ear buds, and/or conversing while the professor is instructing.
Students will be held responsible for the information on these pages.
Each student is expected to maintain the highest standards of honesty and integrity in online academic and professional matters. The College reserves the right to take disciplinary action, up to and including dismissal, against any student who is found guilty of academic dishonesty or otherwise fails to meet these standards. Academic dishonesty includes, but is not limited to, dishonesty in quizzes, tests, or assignments; claiming credit for work not done or done by others; and nondisclosure or misrepresentation in filling out applications or other College records. Cheating or gaining illegal information for any type of graded work is considered dishonest and will be dealt with accordingly.
Americans with Disabilities Act (ADA) Information
Any student requiring special accommodations should contact the Special Needs Student Services Coordinator at (575) 492-2576 or by e-mail at firstname.lastname@example.org.
Attendance is required at every session of each course for which the student is enrolled. When unavoidable circumstances make attendance impossible, students must provide a satisfactory explanation of their absences to their professors. College-sponsored activities are considered excused absences and the appropriate sponsor of those students who will be absent from class will notify professors. Students having absences due to college-sponsored activities will need to make arrangements with the affected classes / professor to take care of required work; however, arrangements for make-ups should be made within a reasonable time frame, usually within one week of the absence. Regarding make-up work, absences due to late registration are considered the same as regular absences.
All cell phones and pagers must be turned off when the student is participating in any lecture, laboratory, or other learning activity.
The professor is responsible for maintaining a class environment best suited for effective learning. By registering for this class, the student is assumed to have entered into an agreement with New Mexico Junior College and the professor to attend the class regularly and to behave in an appropriate manner at all times. Disruptive behavior may result in the student being removed from the class.
Food and Drink Policy
Food items and soft drinks may not be consumed in NMJC classrooms. Students are also discouraged from bringing food and drink items into the classroom even though these items remain in sealed packaging. Bottled water is permissible.
No Children in the Classroom
In order to adhere to instructional procedures as well as maintain the safety of children, NMJC’s policy of no children in the classrooms (lecture, lab, etc.) will be followed.
Offering the work of another as one’s own, without proper acknowledgment, is plagiarism; therefore, any student who fails to give credit for quotations or essentially identical expression of material taken from books, encyclopedias, magazines and other reference works, or from the themes, reports, or other writings of a fellow student, is guilty of plagiarism. Plagiarism violates the academic honesty policy and is considered cheating.
Smoking/Use of Tobacco
New Mexico Junior College is cognizant of the health hazards associated with smoking / use of tobacco for the smoker, as well as the non-smoker. In an effort to provide a healthy environment for students, employees, and others who may frequent the campus, NMJC prohibits smoking / use of tobacco inside any campus building or facility.
Free tutoring services are available to all NMJC students through Brainfuse and the Academic Success Center located in Mansur Hall room 123 and 124.
Regular, punctual attendance is required for all classes at NMJC. Although the professor has the right to drop any student who has missed the equivalent of 2 weeks of instruction (based on a 16 week semester) whether it’s a face to face, online, or a hybrid course, it is not guaranteed that the professor will drop the student. If the student chooses to stop attending a class, he/she should withdraw from the class by accessing your student account in the T-Bird Web Portal at www.nmjc.edu, or submitting the required paperwork to the Registrar’s Office by 5:00 p.m. on Thursday, April 20, 2017. All students are encouraged to discuss their class status with the professor prior to withdrawing from the class.