This independent training module by the Health Workforce Initiative teaches written communication for producing professional quality healthcare documents. After explaining the importance of written communication in healthcare, the module provides two main activities. I would recommend just the first activity as that aligns with the standard, and the second one does not. For the first activity, students will receive a “Discharge Instructions” document, and the students will rewrite this document using professional words that a patient without a healthcare background would understand. The goals of this activity are for students to practice professional writing for healthcare documents, identify terminology they should use to communicate with patients in healthcare documents, and practice some English Language Arts skills.

In discussions of the Schrodinger equation thus far, the systems described were either one-dimensional or involved a single electron. After discussing how increased nuclear charge affects the energies of one-electron atoms and then discussing hybridization, this lecture finally addresses the simple fact that multi-electron systems cannot be properly described in terms of one-electron orbitals.

The lecture opens with tricks ("Z-effective"and "Self Consistent Field") that allow one to correct approximately for the error in using orbitals that is due to electron repulsion. This error is hidden by naming it "correlation energy." Professor McBride introduces molecules by modifying J.J. Thomson's Plum-Pudding model of the atom to rationalize the form of molecular orbitals. There is a close analogy in form between the molecular orbitals of CH4 and NH3 and the atomic orbitals of neon, which has the same number of protons and neutrons. The underlying form due to kinetic energy is distorted by pulling protons out of the Ne nucleus to play the role of H atoms.

This lecture begins by applying the united-atom "plum-pudding" view of molecular orbitals, introduced in the previous lecture, to more complex molecules. It then introduces the more utilitarian concept of localized pairwise bonding between atoms. Formulating an atom-pair molecular orbital as the sum of atomic orbitals creates an electron difference density through the cross product that enters upon squaring a sum. This "overlap" term is the key to bonding. The hydrogen molecule is used to illustrate how close a simple sum of atomic orbitals comes to matching reality, especially when the atomic orbitals are allowed to hybridize.

Professor McBride uses this lecture to show that covalent bonding depends primarily on two factors: orbital overlap and energy-match. First he discusses how overlap depends on hybridization; then how bond strength depends on the number of shared electrons. In this way quantum mechanics shows that Coulomb's law answers Newton's query about what "makes the Particles of Bodies stick together by very strong Attractions." Energy mismatch between the constituent orbitals is shown to weaken the influence of their overlap. The predictions of this theory are confirmed experimentally by measuring the bond strengths of H-H and H-F during heterolysis and homolysis.

This lecture brings experiment to bear on the previous theoretical discussion of bonding by focusing on hybridization of the central atom in three XH3 molecules. Because independent electron pairs must not overlap, hybridization can be related to molecular structure by a simple equation. The "Umbrella Vibration" and the associated rehybridization of the central atom is used to illustrate how a competition between strong bonds and stable atoms works to create differences in molecular structure that discriminate between bonding models. Infrared and electron spin resonance experiments confirm our understanding of the determinants of molecular structure.

Professor McBride begins by using previous examples of "pathological" bonding and the BH3 molecule to illustrate how a chemist's use of localized bonds, vacant atomic orbitals, and unshared pairs to understand molecules compares with views based on the molecule's own total electron density or on computational molecular orbitals. This lecture then focuses on understanding reactivity in terms of the overlap of singly-occupied molecular orbitals (SOMOs) and, more commonly, of an unusually high-energy highest occupied molecular orbital (HOMO) with an unusually low-energy lowest unoccupied molecular orbital (LUMO). This is shown to be a generalization of the traditional concepts of acid and base. Criteria for assessing reactivity are outlined and illustrated.

This lecture continues the discussion of the HOMO/LUMO view of chemical reactivity by focusing on ways of recognizing whether a particular HOMO should be unusually high in energy (basic), or a particular LUMO should be unusually low (acidic). The approach is illustrated with BH3, which is both acidic and basic and thus dimerizes by forming unusual "Y" bonds. The low LUMOs that make both HF and CH3F acidic are analyzed and compared underlining the distinction between MO nodes that derive from atomic orbitals nodes (AON) and those that are antibonding (ABN). Reaction of HF as an acid with OH- is shown to involve simultaneous bond-making and bond-breaking.

Continuing the examination of molecular orbital theory as a predictor of chemical reactivity, this lecture focuses on the close analogy among seemingly disparate organic chemistry reactions: acid-base, SN2 substitution, and E2 elimination. All these reactions involve breaking existing bonds where LUMOs have antibonding nodes while new bonds are being formed. The three-stage oxidation of ammonia by elemental chlorine is analyzed in the same terms. The analysis is extended to the reactivity of the carbonyl group and predicts the trajectory for attack by a high HOMO. This predicted trajectory was validated experimentally by Burgi and Dunitz, who compared numerous crystal structures determined by X-ray diffraction.

This lecture completes the first half of the semester by analyzing three functional groups in terms of the interaction of localized atomic or pairwise orbitals. Many key properties of biological polypeptides derive from the mixing of such localized orbitals that we associate with "resonance" of the amide group. The acidity of carboxylic acids and the aggregation of methyl lithium into solvated tetramers can be understood in analogous terms. More amazing than the panoply of modern experimental and theoretical tools is that their results would not have surprised traditional organic chemists who already had developed an understanding of organic structure with much cruder tools. The next quarter of the semester is aimed at understanding how our scientific predecessors developed the structural model and nomenclature of organic chemistry that we still use.

This lecture begins a series describing the development of organic chemistry in chronological order, beginning with the father of modern chemistry, Lavoisier. The focus is to understand the logic of the development of modern theory, technique and nomenclature so as to use them more effectively. Chemistry begins before Lavoisier's "Chemical Revolution," with the practice of ancient technology and alchemy, and with discoveries like those of Scheele, the Swedish apothecary who discovered oxygen and prepared the first pure samples of organic acids.

This lecture traces the development of elemental analysis as a technique for the determination of the composition of organic compounds beginning with Lavoisier's early combustion and fermentation experiments, which showed a new, if naive, attitude toward handling experimental data. Dalton's atomic theory was consistent with the empirical laws of definite, equivalent, and multiple proportions. The basis of our current notation and of precise analysis was established by Berzelius, but confusion about atomic weight multiples, which could have been clarified early by the law of Avogadro and Gay-Lussac, would persist for more than half a century.

The most prominent chemist in the generation following Lavoisier was Berzelius in Sweden. Together with Gay-Lussac in Paris and Davy in London, he discovered new elements, and improved atomic weights and combustion analysis for organic compounds. Invention of electrolysis led not only to new elements but also to the theory of dualism, with elements being held together by electrostatic attraction. Wohler's report on the synthesis of urea revealed isomerism but also persistent naivete about treating quantitative data. In their collaborative investigation of oil of bitter almonds Wohler and Liebig extended dualism to organic chemistry via the radical theory.

Work by Wohler and Liebig on benzaldehyde inspired a general theory of organic chemistry focusing on so-called radicals, collections of atoms which appeared to behave as elements and persist unchanged through organic reactions. Liebig's French rival, Dumas, temporarily advocated radicals, but converted to the competing theory of types which could accommodate substitution reactions. These decades teach more about the psychology, sociology, and short-sightedness of leading chemists than about fundamental chemistry, but both theories survive in competing schemes of modern organic nomenclature. The HOMO-LUMO mechanism of addition to alkenes and the SOMO mechanism of free-radical chain reactions are introduced.

Youthful chemists Couper and Kekule replaced radical and type theories with a new approach involving atomic valence and molecular structure, and based on the tetravalence and self-linking of carbon. Valence structures offered the first explanation for isomerism, and led to the invention of nomenclature, notation, and molecular models closely related to those in use today

Half a century before direct experimental observation became possible, most structures of organic molecules were assigned by inspired guessing based on plausibility. But Wilhelm Korner developed a strictly logical system for proving the structure of benzene and its derivatives based on isomer counting and chemical transformation. His proof that the six hydrogen positions in benzene are equivalent is the outstanding example of this chemical logic but was widely ignored because, in Palermo, he was far from the seats of chemical authority.

Despite cautions from their conservative elders, young chemists like Paterno and van't Hoff began interpreting molecular graphs in terms of the arrangement of a molecule's atoms in 3-dimensional space. Benzene was one such case, but still more significant was the prediction, based on puzzling isomerism involving "optical activity," that molecules could be "chiral," that is, right- or left-handed. Louis Pasteur effected the first artificial separation of racemic acid into tartaric acid and its mirror-image.

With his tetrahedral carbon models van't Hoff explained the mysteries of known optical isomers possessing stereogenic centers and predicted the existence of chiral allenes, a class of molecules that would not be observed for another sixty-one years. Symmetry operations that involve inverting an odd number of coordinate axes interconvert mirror-images. Like printed words, only a small fraction of molecules are achiral. Verbal and pictorial notation for stereochemistry are discussed.

It is important that chemists agree on notation and nomenclature in order to communicate molecular constitution and configuration. It is best when a diagram is as faithful as possible to the 3-dimensional shape of a molecule, but the conventional Fischer projection, which has been indispensable in understanding sugar configurations for over a century, involves highly distorted bonds. Ambiguity in diagrams or words has led to multibillion-dollar patent disputes involving popular drugs. International agreements provide descriptive, unambiguous, unique, systematic "IUPAC" names that are reasonably convenient for most organic molecules of modest molecular weight.

Determination of the actual atomic arrangement in tartaric acid in 1949 motivated a change in stereochemical nomenclature from Fischer's 1891 genealogical convention (D, L) to the CIP scheme (R, S) based on conventional group priorities. Configurational isomers can be interconverted by racemization and epimerization. Pure enantiomers can be separated from racemic mixtures by resolution schemes based on selective crystallization of conglomerates or temporary formation of diastereomers.