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Faculty
ty of Medicine, Cairo
Cairo Univ
ni versi ty Annexes
Annexes of an
annual
nual faculty report 2004/2005
1
Cairo Universit
niversityy
Facullty of Me
Facu Medici
dicine
ne
Department ofo f Anatomy
Course
Course specifications
st
Course title: 1 year Anatomy
2004-2005
Allocated marks: 250 m ark
arks
s
Course du durat
ration
ion:: one academic year
Total
To tal te
teaching
aching ho
hours:
urs: 226 hrs. Lectures:100 hrs, practical small groups: 126 hrs.
Course director: Prof. Dr. Nabila Adieb
Head of Anatomy Department
Teaching staff: 32 professors, 5 assistant professors, 8 lecturers and
assistant lecturers
l ecturers / Dem
Demo onstrator
nstrators
s
o
To provide a core body of scientific knowledge concerning the normal structure of the human body
at the level of organ and organ system with the study of the normal growth and development relevant to
anatomica
anatomicall t op
opics.
ics.
o To p rovide ap
ap p ropriate
rop riate ethica
ethicall and professiona
p rofessionall educat
educat ion necessary
necessary for dealing
dealing with cadavers.
cadavers.
o To correlate
correlate anat
anat omical
omical facts
fa cts with their clinical
clinical app lic
lications.
ations.
II-B: SKILLS:
By the end of the course, students should be able to:
5- Ap p ly t he anatomical
anatomical facts while
w hile ex
examini
amining
ng t he living
living subject in order to reach a p rop er diagnosis.
diagnosis.
6. Identify the different surfac
s urfacee marking
markingss and determine the position
p osition or course of internal
structures.
7. Identify the different internal structures
struct ures in cadave
cadavers
rs and preserve
p reserved
d sp ecime
ecimens.
ns.
Facul
Faculty
ty of Medicine, Cairo
Cairo Univ
ni versi ty Annexes
Annexes of an
annual
nual faculty report 2004/2005
2
8. Int erpret the normal
normal anatomic
anatomical
al structures
st ructures on radiog
radiographs
raphs and ultrasonog
ultrasonography
raphy , C.T. scan
scan and nuclea
nuclearr
magnetic resonance images.
9. Interpret some clinical findings in relation to developmental basis.
II-C: Attitudes:
By the end of the course, students should be able to:
10. M aint
aint ain
ain honesty and integrity
integrity in all
all interac
interactions
tions with
w ith t eache
eachers,
rs, colleag
colleagues,
ues, patients
p atients
and others with whom physicians must interact in their professional lives.
11. Value the ethics and respect to all individuals inside and outside the dissecting room
and pay a good
good deal
deal of respec
resp ectt to t he cadave
cadavers.
rs.
12. Recog
Recognize
nize the
t he scope and limits
limits of thei
t heirr role as students
st udents as wel
w elll as the
t he nece
necessit
ssityy to
seek and apply collaboration with other workers.
13. Be responsible towards work.
IV-B: Teaching
Teaching plan:
- Lectures:
- Practical:
IV-C:
IV-C: METHODS FOR DISA
DISABLED
BLED STUDENTS:
STUDENTS:
Not pres ent
VI- STUDENT
VI- S TUDENT ASSESS
ASS ESSMENT
MENT
A - ATTENDANCE CRITERIA:
The minima
minimall accep
accep table attendanc
at tendancee is 75% ; students who fail to attend
at tend that
t hat p ercentag
ercentagee of activities
activities will not
be allowed to sit for final written examination.
B- ASSESSMENT TOOLS:
TOOL PURPOSE
Written examination (3 hour
hours)
s) Ass
ssess
essment
ment of knowledge and
understanding
Oral exam
examiinat
natiion (l0-15 minute) Ass
ssess
essment
ment of knowledge and
understanding.
Practical examinations (contain two Assessment of identification.
minutes
minutes for ea eacc h stati
station)
on)
Practi
Prac ticc al book Ass
ssess
essment
ment of prac
racti
ticc al activi
activities,
ties,
MCQ questions and drawings.
Exam inat
Exami natiion Marks all
alloc
ocated
ated
Mid Year Examination 50
written and practical
Final examination
-Written 125
-Oral 30
-Practical 45
Total 250
VI-E:
VI-E: PRACTICAL
PRACTICAL B
BOO
OOK:
K:
Practical book: must be completed during the practical classes of academic year.
Final exam:
A) Writ
Written
ten 3-hours ex
exam
am
B) Prac
Practic
tical
al ex
exam
am (60 mi
mins.
ns. Duration) ffresh
resh s pecimens , bones and X
X-ray
-ray and CT scans
C) Or
Oral
al ex
exam
am 10 -15 mins
2 comm ittees
ittees each 15 marks
Facul
Faculty
ty of Medicine, Cairo
Cairo Univ
ni versi ty Annexes
Annexes of an
annual
nual faculty report 2004/2005
5
2- Examination:
1- Course
Co urse note
notes
s : Book autho
authorriz
ized
ed b
byy dep
departm
artme
ent.
2- Ess ential Books: a) Cunningham ’s anatomy
b) Gray’s
Gray’s anatom y.
c) National
National books
Facul
Faculty
ty of Medicine, Cairo
Cairo Univ
ni versi ty Annexes
Annexes of an
annual
nual faculty report 2004/2005
6
Cairo Universit
niversityy
Facullty of Me
Facu Medici
dicine
ne
Medical Physiology Department
Course specifications
Course
Course title: Medical Physiology
st
1 ye ar of M .B.& B.Ch.
B.Ch. program
Allocated marks: 250 marks .
Course dudurat
ration
ion:: 26 w
week
eeks
s of teaching with a midyear a
and
nd a final end of year exa
exam.
m.
Total
To tal teac
teachin
hing
g hours: 208 hrs .
Course director: Prof. Dr. M
Moh
ohame
ameddH
Hass
assan
an Aly : H
Head
ead of the departm
department
ent .
II-4 : Ge
Ge neral SKILLS
SKILLS and attitudes :
By the end of t he course, students should be able tto:
o:
action potential .
Theoretical ECG : methods of recording ,nor ,normal
mal record and 3hrs
&practical
common abnormalities .
Theoretical Mecha
echanica
nicall propertie
propertiessooff c. m us cle .
&practical Cardiac cycle .(heart sounds) 3hrs
Card
Cardiac
iac output , and factors affecting .
Work of hea
heart rt , m echa
echannical eeffici
fficiency
ency , cardiac
IV.. TEA
IV T EACH
CHIING METHODS:
MET HODS:
IV-1:
IV-1: METHODS US
U SED:
1. Lectures : th the
e students are divdivided
ided in
into
to two gro
groups
ups (abo
(about
ut 700 sstud
tudents
ents eac
eachh ).
2. Tu
Tutorial
torial classes : two grou
groups ps (abo
(aboutut 60 stud
students
ents each ) .
3. Prac
Practical
tical trainin
trainingg : sma
small
ll g
groups
roups traini
training
ng ( abou
aboutt 25 s
studen
tudents
ts ea
each
ch ) .
4. A y yea
early
rly scie
scientific
ntific day for students , in the form of small g group
roup pres
presentat
entation
ions
s . The
titles of the subjects
subjects are determ
determined
ined dduring
uring severa
severall meetings with staff .
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Faculty
ty of Medicine, Cairo
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Annexes of an
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IV-2:
IV-2: METHODS FOR DISABLED
DISABLED STUDENTS:
TUDENTS:
No special arrangements are available .
IV-3:
IV-3: TEACHING PLAN:
PLAN:
Lectur
Lec tures
es :
In two big lecture halls (700 students each), a 1hr lecture daily ( 5days/week ) is scheduled &
integrated with the
the departm
departments
ents of anatom
anatomyy , histology & biochem
biochemis
is try .
Tutorials
uto rials :
In two sm all lecture hall
halls
s ( 60 s tudents e each
ach ) a 3hr / 2 w
weeks
eeks ( during 3 m onth each terterm)
m) . The
tutorial
tutorial cla
class s is s cheduled and previousl
previously y announ
announced
ced (2 weeks before) . T The
he s ubjects , whic
whichh are
convers
conv ersationall
ationallyy directed are lagg
lagging
ing by ffew
ew weeks to tthehe related bran
branches
ches and s ys tems givgiven
en at
that tim
tim e in the lectures . Special topics from the curriculum – of sp special
ecial in
interest
terest – are exc
exclus
lus ively
ively
discuss
dis cuss ed in tthe
he tut
tutorial
orial class es .
Practical training :
In two big labs
lab s a 3hr / 2 we
weeks
eks (alternating wi
with
th the tut
tutorial
orial cla
class s es
es)) s
smm all g
groups
roups ( 25 stu
students)
is s cheduled & the planned pracpractic
tical
al tests are announced ttwo wo weeks beforbefore.e.
Time plan:
Item Time schedul
sche dule
e Teac hing Total
hours hours
Lectures Da
Dail
il y ( for 5 days
da ys/w
/week
eek ) 1 hr 130 hrs
Tutorials Every two weeks 3 hrs
hr s 36 hrs
Practical Every two weeks 3 hrs
hr s 36 hrs
Scientific On
Once
ce / year in fe
feb
b / ma
march
rch p
prep
rep ared fo
forr 6-8weeks by 6 hrs 6 hrs
day stud ents an
andd by su
super
pervvised by staff mem
memberbers
s
TOTAL
TOTAL 208 hrs
V. STUDENT ASSESSMENT:
V-1: ATTENDANCE CRITERIA:
The minim
min im al acceptable attendance in the practical & tutorial
tutorial is 70% . St
Students
udents who fail to att
attend
end
this percentage ( ini n each half of the y
year
ear ) will not be allowed to take the mid
midy
year and end of tthe
he
year final theoretical ex
exam
am and the e end
nd of the year practical ex
exam
am ..
TOOL PURPOSE
Written exam Assessment of knowledge & understanding
Practical exam As s essment of s omomee practica
practicall and intellectual s kills
il ls
Oral exam Assessment of knowledge & understanding, intellectual
and genera
generall s kills.
Sharing in scientific day Recorded in log book /mandatory once for the first 2 years
Facul
Faculty
ty of Medicine, Cairo
Cairo Univ
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nual faculty report 2004/2005
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Midterm e
Midterm xam : inMarch for all students .
exam
Final
Final exam : in June ( at the end of the academ
academic
ic y
year
ear ) for all s tudent
tudents
s.
Exam
xaminatio
ination:
n: Description
Description Mark
Markss allo
allocate
catedd
Midyear MCQ (sing
(s ingle
le be
bes
st 40
opinion) + true & false &
graph commenting
Midterm 10 MCQ 10
Final exam : written : - short essay Short essay questions In 50
all systems taught All
questions
answered are to be.
- MCQ 50 MCQ(single best 75
opinion) + true & false &
commenting on a graph .
In front
front of two separate
sep arate 30
examiners (an internal
- Oral & an ex
external
ternal )
In the lab , at multip
mu ltiple
le 45
phases through the
- Practical practical course
TOTAL 250
Cairo University
Faculty of Medicine
Department of Medical Biochemistry
Courss e Spe
Cour Spe cif
cifications
ications
Course title: Medical Biochemistry and Molecular Biology -I
First academic year of M.B.& B.Ch. program
Allocated marks: 150 marks
Course duration: 24 weeks of teaching with a final end of year
examination
Total teaching hours: 168 hrs.
Course director: Prof. Dr. Emad Zaki Abbas
Head of Medical Biochemistry Department
Teaching staff: 32 professors, 11 assistant professors, 8 lecturers
and 12 assistant lecturers and/demonstrators.
I- Aim of the Course:
• To enable students to understand the essential topics of biochemistry including
micro- and macromolecules of carbohydrates, lipids, proteins, nucleotides and
nucleic acids.
• To enable the student to describe the biological membrane, the role of free
nucleotides in signal transduction control, and macromolecules involved in
transmission of information from gene expression to the formation of
functi
func tioni
oning
ng protei
pr oteins.
ns.
• To familiarize the students with basic principles of Molecular biology and
protein synthesis.
• To enable the student to be familiar with biotechnology methods and their
clinical implications.
• To make the student oriented with the physico-chemical basis of the biological
systems; and the related clinical problems.
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Faculty
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seminars.
2- Respects the role of staff and co-staff members regardless of
degree or occupation.
Proteins
Ha emoprotei
emoproteins
ns 4 1.5 5.5 4
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Faculty
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Immunochemistry
Immunochemistry 3 1.5 4.5 3
Biological 3 0 3 3
Membranes
Nucleotides and 6 3 9 8
Nucleic acids
Nucleic
Chemistry
DNA Replication and 6 1.5 7.5 6
Repair
Gene Expression and 6 1.5 7.5 6
Transcription
Protein Synthesis and 4 1.5 5.5 4
Modifications
Cell cycle; 4 1.5 5.5 4
Regulatory factors,
Apoptosis, Oncogens
and Carcinogenesis
Recombinant DNA 6 1.5 7.5 6
Technology,
Principals Gene
Therapy and Human
Genome projec
projec t
Total 90 36 126 100
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III-A) TOPICS:
1. Physical chemistry: water, acids and bases, buffers, acid-base balance disturbance and
solutions (types and properties).
2. Carbohydrates: classification (monosaccharides-disaccharides and polysaccharides),
Properties and biological importance.
3. Lipids: Fatty acids, eicosanoids, simple lipids, conjugated lipids (including
phospholipids and cerebrosides) and derived lipids (including steroids); their properties
and biological importance.
4. Proteins: classification and properties of amino acids. The protein conformation,
properties of proteins, isolation and purefication, classification into simple and
conjugated proteins.
5. Protein of the extracellular matrix: Sturcture and functions of collagen, elastin,
fibronectin,
fibronectin, bone and c arti
artillage proteins.
6. Hemoproteins: Chemistry of heme, myoglobin and hemoglobin, organization of the
globin gene families, abnormal hemoglobin (hemoglobinopathies); and other
hemoproteins.
III-
II I-B)
B) PR
PRACT
ACTICAL
ICAL CLASSE
CLASSES:
S:
i) Id
I dentification of:
1- Carbohydrates:
a. Mo
Monosacc
nosacchari
harides:
des: gl
glucos
ucose,
e, fructose.
fruc tose.
Practical classes
classes and tu
tutorials:
torials:
The students are divided into 6 groups. Each group has three hours-practical class
once per week. Students of each group are divided into 2 subgroups. Both subgroups will
rotate between tutorial classes (the related subjects of the theoretical lectures with AV aids)
Time plan:
Item Time sch
schedule
edule Teaching hours Total hours
Lecc tures
Le 4 times/w
times/week;
eek; one 4x24 w ks 96
hour each between
11.00 a.m and 2.00
p.m
Practi
Prac ticc al 3 hours every othe
otherr 3x12 36
week
Tutorial
Tut orial 3 hour
hourss every other 3x12 36
week
Total 168
need to attend at least 60% in order to attend for the final practical examination.
VI-B) Assessm
Asse ssment
ent TOOL
OOLS:
S:
Tool Purpose
Written examination Ass
ssess
essment
ment of knowledge and under
understan
standing
ding
Oral exam
examiinat
natiion Ass
ssess
essment
ment of knowledge and under
understan
standing
ding
Prac
Pr actical
tical examination Ass
ssess
essment
ment of prac
ractical
tical , intellectua l and general
skills. (check list)
Examination
xamin
Formative ation
examinations: Marks
ark s allocated
January 20
April 10
Final examination
Written 75
Oral 20
Practical 25
Total 150
• The mini
minimum
mum pas
passing
sing sc
score
ore is 90 marks provide
provided
d at least 30 marks are obtai
obtained
ned in
in the
final written examination.
• Passing grades are: EXCELLENT > 85%, VERY GOOD 75-<85%, GOOD 65-<75%
and FAIR 60-<65%.
Facul
Faculty
ty of Medicine, Cairo
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Annexes of an
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20
faculty.
• Overhead projections and computer presentations used during teaching in tutorial
classes.
• Notes on the laboratory practical work.
Cairo University
Faculty of M e dici
Faculty dicine
ne
Departm
Depar tmee nt Histology
Course
Course specifications
Course title
title :
HISTOLOGY First ye ar of M .B.& B.C
B.Ch.
h. program
Allo
llocate
cateddmmark
arks:
s: 150 marks
Cours
Co ursee duration: 30 weeks
Total teaching
tea ching ho
hours:
urs: 120 hours (48 hours theoret
theoretical
ical + 72 hours pract
practical)
ical)
Course director: Prof. Dr Nadia Mos
ostafa
tafa
Head of Histology Department
II-2
II -2:: PRACTICAL SKILLS:
By the end of the course, students should be able to:
5. Know various types
types of stains & m icrot
icrotechniques
echniques
6. Know diff
different
erent cell organelles in project
projector
or s lides
7. Know diff
different
erent blood cells in blood films seen in project
projector
or slides
sl ides
8. Know different types
types of epitheli
epithelium
um,, connectiv
connective e tiss ue cells , connectiv
connectivee tiss ue proper &
bone cells.
9. Diff
Different
erentiate
iate between diff
different
erent tiss ues and organs in his histological
tological slide
sl ide seen under the
microscope.
10. Know how to m ake a tot total
al red & white count us using
ing the hem ocy
ocytometer
tometer
11. Know how to m ake a differential leucocy
leucocytic
tic count us
using
ing the blood ffilm
ilm
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Faculty
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II -5 Ethical behavior
By the end of the course, students should be able to:
20. Ex
Expres
pres s thems elvelves
es freely and adequately by im prov
proving
ing their des criptiv
criptive
e capabil
capabilities
ities and
enhancing their
their c
com
ommuni
municat
cation
ion skills
21. Maintain profess ional image in m anner, dresdress
s s peech and interpers
interpersonal
onal relations hips that
is consis tent with tthe
he m edical professi
profession's
on's accept
accepted
ed contemporary standards in the comm unity
I ) Course Contents
1-Introduction , microtechnique & cytology
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Faculty
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• Histology is the science dealing with the study of the normal microscopical structure of tissues. It
helps the student to correlate between the structure & function of tissues and organs. It also, prepares the
student to study histopathology.
• General structure of the cell
• Cytoplasmic contents (organelles & inclusion)
• Classification of organelles into membranous & non- membranous organelles
• LM, EM , molecular biology & functions of cell membrane Cell coat & its functions
• Mitochondria
• Golgi complex
• Endoplasmic reticulum
• Lysosomes
• Peroxisomes
• All of t he above membranous
membranous org o rganell
anelles
es are described as regarding
regarding t heir EM&LM
EM &LM pictures
p ictures,,
molecular biology and function
• Non - membranous org o rganell
anelles:
es:
• Ribosomes, Centrioles
Cent rioles , Cilia, Flagella
Flagella,, M icrotubules
icrotubu les & microfilame
microfilament
nts.
s.
• Regarding
Reg arding t heir LM,
LM , EM,
EM , molecular
molecular biology
biology & function
• Cell inclusions
• Structure of the nucleus (LM& ~M) & its functions
• M olecul
olecular
ar biolog
biologyy of DNA
DN A
• Types of RNA & protein synthesis
2- Cytogenetics
• Cell division ( mitosis & meiosis)
• Cell cycle & interphase
• Chromosomal number & sex s ex chromosomes
• Karyoty
Kary oty p ing & classifica
classificatt ion of chromosomes
chromosomes
• Structure of chromosomes
chromosomes
• Sex chromatin
• Abnormalities of cell division
• Causes of chromosomal aberrations
• Aberrations
Aberrat ions in chromosomal number, e.g. e.g. M ongolism
ongolism
•
Aberrations in chromosomal
chromosomal st ructure
• Aberrations of sex chromosomes e.g. Turner & Kleinfelter syndromes
• Blood group
groupss
3- Blood
• What are the blood elements?
• Normal structure, size & number of erythrocytes
• Abnormalities
Abnormal ities in st ructure, size & number of RBCs
• Polycythaemia & anaemia ad their causes
• How the RBCs are adapted to perform their function
• Differences between RBCs & WBCs
• Ty p es of WBCs & normal % of each each
•
•
Tot al leucoc
leucocy
Differen
Differentt ia y t icocyt
count
count
iall leucocyt
leuc c&ount
its cli
ic count clinic
&nical
itsalimportanc
imp
imp ortance
import ancee
• Detailed structure & function of neutrophils
• Detailed
Detaile d structure
st ructure & function of eosinophils
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ty of Medicine, Cairo
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4- Epithelium
• General characteristics of epithelium & its types
• Types of simple epithelium (structure & sites)
• Transitiona
Transit ionall ep ithelium
ithelium
• Structure & sites
sit es of st
s t ratified squamous
squamous & strat s tratifie
ified
d columnar
columnar epithel
epit helium
ium
• Glandular
Glandul ar epithel
epit helium
ium with referenc
referencee to
t o sites
sit es
• Neuro- and myo-epithelium
myo-ep ithelium with reference
reference to sites
sit es
• Generall functions of ep ithelium
Genera ithelium
•
6- Cartilage
• Types of cartilage
• Histology
Histolog y of each
each ty p e
• Sites of each type
• Generall functions
Genera
7- Bone
• Types of bone with reference to sites
• Methods of preparation of bone sections
• Histology of compact bone
• Bone cells & their functions
• Histology of spongy bone
• Differences between
bet ween cartilage
cartilage & bone
• Ossification (intramembranous & intracartilagenous)
8- Mu
M us cular
cular tiss
tissuue
• General histological structure of muscle cells (fibers)
• Types & action of muscles
• Skeletal muscle
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Faculty
ty of Medicine, Cairo
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26
9- Ner
Ne rvous
vous tis
tis s ue
• Definition of the
t he neuron
• Ty p es (classifica
(classification)
tion) of neurons & exam
examp
p lesEM
lesEM )
• Dendrites & axons
• Types of nerve fibers with examples
• Histolog
Hist ology
y of peripheral
p eripheral nerve
nerve fibers
fibers
• Structure of nerve trunk
• Spinal & autonomic ganglia
• Synapse
• Causes of degeneration
•
Retr ograde
Retrog rade degeneration
degeneration
• Wallarian degeneration
• Traumatic & transneural degeneration
• Stains used for detection of degeneration
• Regeneration
• Definition of neuroglia
• Classifica
Classification
tion & sites
sit es
• Detailed
Detaile d st ructure of p roper
rop er neuroglia
neuroglia cel
cells
ls
• General functions of neuroglia
• Endings in muscular tissue
• Pacinia
Paciniann corpuscle
corp uscle with reference
reference tto
o sit
sites
es & function
• histology
histolog y of the
t he nerve cel
celll (LM &
• M uscle
uscle spindle (LM & EM EM )
• Motor end plate (LM & EM)
•
General
Large,
Larg structure
e, medium sizof
edblood
sized vessels
& small & its significance
arteries
art eries
• Small, medium sized & large veins
• Structure of special blood vessels e.g. basilar, coronary, umbilical & penile arteries
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12- Lym
Lymp
phatic s yste
ys tem
m
• Lymph vessels & distribution of Iymphoid tissue
• Lymph node & its immunological function
• Spleen
Spleen & its
it s function
funct ion
• Difference
Differencess between
bet ween lymph
lymp h node & sp leen
leen
• Blood supply of spleen & theories of circulation
• Tonsils
• Structure & functions of thymus
• Thy mic barrier
barrier
• Structure of chromosomes
chromosomes
• Chromosomal abnormalities (in structure & number)
• Sex chromosome abnormalities
• Blood group
groupss
Objectives:
By the end of this unit, he should know:
1. How to correlate the predominance of a cell organelle & the function of the cell
2. To understand the bases of cytogenetics , so he can understand genetic diseases studied in
pediatrics.
Uni t 3: BLOOD
Unit BLOOD
• Structure & functions of RBCs, WBCs & platelets.
• Structure & types of bone marrow
• Haemopoiesis
Objectives:
By the end of this unit he should be able to:
1. Read
Read a blood report
2. Do a blood film & stain it with Leishman stain
3. Do a differential leucocytic count
4. Know the relation between leucocyt
leucocyt es & diseases.
diseases.
1.
2. Correlate
Correlate between
Correlate the surface
between the site
sit e andmodification
structure
struct ure of each
eachthe
and ty pfunction
e and theoffunction of the
the organ t he organ.
organ.
3. Differentiate between the different types to help him to identify the given organ.
B. CONNECTIVE
CONNECTIVE TISSUE:
TISS UE:
1) Connective tissue proper:
• General characteristics
• Structure (LM & EM) & functions of cells
• Structure & ty p es of fibers
fibers
• Structure of ground substance
subs tance
• Ty p es of CT prop er & sites of eac
each
h
• General functions of CT proper
2) Cartilage:
• Ty p es, structure,
structure, sites & functions
functions
3) Bone:
• Ty p es, structure,
structure, sites & functions
functions
• Structure & functions of bone cells
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• Ossification
Objectives:
By the end of this unit the student should be able to:
1. differentiate
differentiate microscopical
microscopically
ly between the different
different ty p es of CT p roper,
rop er, ca
cartilag
rtilagee & bone.
bone.
2. correlate between structure, site & function of each type.
C. MUSCULAR TISSUE
•
General histologica
General histologicall structure
st ructure & ty p es
• Skele
Skeletal
tal muscle (LM & EM) EM )
• Smooth muscle (LM & EM)
• Cardiac muscle & conducting system of heart
Objectives::
Objectives
By the end of this unit, the student should be able to:
1. Differentiate microscopically between the different muscles (LS & TS).
2. Correlate between structure & the mode of action of each.
D. NERVOUS
NERVOUS TISS
TISSUE:
UE:
• Types of neurons
• Histology of the neuron (LM & EM)
• Types & structure of nerve fibres
• Structure of ganglia
• Structure & types of synapse
• Degeneration & regeneration of neurons
• Stainss used to
Stain t o detect degene
degeneration
ration in nervous t issue
• Neuroglia & their functions
• Types & structure of nerve endings (receptors & effectors)
Objectives::
Objectives
By the end of this unit, the student should be able to:
1. Correlate between the structure of neurons & ganglia.
2. Know when neurons could regenerate
3. Know the importance of neuroglia
4. know the different receptors & effectors and their functions
C. LYMPHATIC SYSTEM:
• Lymph vessels
• Distribution of lymphoi
lymp hoidd t issue
• Lymph node
• Spleen & its microcirculation
• Tonsils
• Thymus & thymic barrier
Objectives:
By the end of this unit, the student should be able to:
1. Differentiate
Differentiate microscopical
microscopicallyly between organs
organs containing lymp hoid tissue
t issue
2. Correlate
Correlate between the st ructure of these
t hese organs
organs & their functions
3. Know t he imp
imp ortance of these organs
organs in the immune
immune function
function of t he body
IV. TEAC
TEACHING
HING METHODS:
METHODS:
IV-2:
IV-2: METHODS FOR DISABLED
DISABLED STUDENTS:
STUDE NTS:
No special
s pecial arrangements are av
available
ailable
IV-3:
IV-3: TEACHING PLAN:
PLAN:
Lectures:
The students are divided into two groups in two large lecture halls in the Medical Education Center
building for two lectures weekly. The first lecture is on Sunday from 1 pm – 2 pm. & the second
one is on Wednesday
Wednes day frfrom
om 11 am – 12 am.
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Practical classes:
Students are divided into five (5) big groups on 5 days of the week (Saturday – Wednesday). Each
big group is s ubdivided iinto
nto four (4) s m aller groups dis tributed on the 4 availa
available
ble labs. (Each sma
smalll
group is about 80 – 95 studen
students ts)) ??? . Each
Each 3 students share on one
e microscope.
m icroscope.
Time plan:
Item Time schedule Teac hing hours To tal hours
Lectures Sunday 1 – 2 pm 2 hours weekly for 24 w eeks 48 hours
Wednesday
Wed nesday 11 – 12 am
Practical Daily on 5 days w eek ly from
from Saturday – 3 hours weekly for 24 w eeks 72 hours
classes Wednesday) from
8 am – 11 am
TO TAL 120
12 0 hours
TOOL PURPOSE
Written examination Ass ess ment of knowledge and understanding
Oral Examination Ass ess ment of knowledge and unders understanding
tanding & atattit
titude
ude
Practical examination As s ess
es s m ent of practical skil
skills
ls in di
diagnos
agnos is of differen
differentt tissu
issue
es
under the
the mi
microscope
croscope and project
projector or slides
Practical
Prac tical noteboo
notebook
k As s ess
es s m ent of attendance anand d evaluation
evaluation of und
underserstatan
nding &
drawing skills of histological sections
• MID-YEA
MID-YEAR
R EXAMINATIO
EXAMINATIONN : Writ
Written
ten ex
exam
am ination held twice a year in January and
•
March for
FINAL all s
students
tudents : A
EXAMINATION Att tthe
he end of the academ
academic
ic y
year
ear for all s tudents
Exam ina
Exam inati
tion
on Descri
Description
ption Marks
Mid-year Written The student
student is allow
allow ed 1 hours to answer
answer sho
s hort
rt 30 marks
marks
questions
Written he student is allow
allow ed 3 hours to answer
answ er long and 60
m short assay
as say type questions
questions in additio
addition
n to draw ing
a
x questions
e
l
a
in
Oral
Practical One oral examinati
Projectorex amination
s lide on s tation
examination
examination 30
10
F
Spotting
Spott ing s lide
lides
s 20
Total 150
VI-1 BASIC MATER
MATERIA
IALS
LS :
• Department books available for students to purchase from different bookshops at the
faculty
• His tology for undergradu
undergraduateate m
medical
edical s tudents: MM.. A
Abdel
bdel - Hafez & N. MMos
ostafa
tafa
• Atlas of his tology for undergradu
undergraduate
ate m
medical
edical s tudents: M M.. A
Abdel
bdel - Hafez & N. M
Mos
ostaf
tafa
a
• Histology
His tology for medical students: Zak
Zakaria
aria A
Abdel
bdel - Ham
Hamid id
• Overhead
Ov erhead project
projections
ions , slides and computer presentations us ed during teaching
VI-2 Suggested
Sugges ted Materials
Materials :
• CD-Rom containing topics in the curriculum provided with photomicrographs of these
topics
• Basic
Bas ic his tology Junqueira
Junqueira,, L.
L.C.
C.
• Atlas of his tology
tology:: Di Fiore
• Functional His tology ((Wheater’s)
Wheater’s) Tex
Textt & A
Atlas
tlas of His tology
• Gartner & Hiatt
Hia tt A
Atlas
tlas of His tology
• Corm ack concise Tex Textbook
tbook of His
Histology
tology
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Cairo Univ
Univee rsity
Facullty of Me
Facu Medici
dicine
ne
Department ofo f Anatomy
Course
Course specifications
nd
Course title: 2 year Anatomy
2004-2005
Allocated marks: 250 m ark
arks
s
Course du durat
ration
ion:: one academic year
Total
To tal te
teaching
aching ho
hours:
urs: 226 hrs. Lectures:100 hrs, practical small groups: 126 hrs.
Course director: Prof. Dr. Nabila Adieb
Head of Anatomy Department
Teaching staff: 32 professors, 5 assistant professors, 8 lecturers and
assistant lecturers
l ecturers / dem
demonons
s trator
trators
s
o To provide a core body of scientific knowledge concerning the normal structure of the human body
at t he level
level of organ
organ and organ
organ syst
sy stem
em with the
t he study of the
t he normal
normal growt
growthh and development
development relevant
relevant
to ana
anatt omica
omicall top ics.
o To p rovide ap
ap p ropriate
rop riate ethica
ethicall and professiona
p rofessionall educat
educat ion necessary
necessary for dealing
dealing with cadavers.
cadavers.
o To enable
enable students to correlate
correlate anatomical
anatomical facts
fact s with
wit h their clinical
clinical app lic
lications.
ations.
II-B: SKILLS:
By the end of the course, students should be able to:
5. Apply the anatomical facts while examining the living subject in order to reach a proper diagnosis.
6. Identify the different surfac
s urfacee marking
markingss and determine the position
p osition or course of internal
structures.
7. Identify the different internal structures
struct ures in cadave
cadavers
rs and preserve
p reserved
d sp ecime
ecimens.
ns.
8. Interpret
Int erpret t he normal
normal anatomic
anatomical
al structures on radiog
radiographs,
raphs , ultrasound, C.T.
C.T . scans and
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nuclear magnetic resonance images.
9. Intepre
Int eprett some clinical
clinical finding
findin gs in relation
rel ation to
t o develop
developme
mental
ntal basis.
II-C: Attitudes:
By the end of the course, students should be able to:
10. M aint
aint ain
ain honesty and integrity
integrity in all
all interac
interactions
tions with teachers,
teachers, colleagues,
colleagues, p atients
IV-B: Teaching
Teaching plan:
- Lectures:
- Practical:
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IV-C:
IV-C: METHODS FOR DISA
DISABLED
BLED STUDENTS:
STUDENTS:
Not present
1- Disse
Dissectin
cting
g roo
room
m in
inccluding ca
cadavers
davers,, bone
bones
s , plas
plastic
tic m odels and pla
plas
s tinated
tinated
specimens.
2- Mus eum s peci
pecim
m ens, x
x-ray
-ray & CT s cans.
3- Vis ual aids.
VI- STUDEN
STUDE NT ASSESSME
ASSESS MENT
NT
TOOL PURPOSE
Written examination (3 hour
hours)
s) Ass
ssess
essment
ment of knowledge and
understanding
Oral exam
examiinat
natiion (l0-15 minute) Ass
ssess
essment
ment of knowledge and
understanding
Prac tical examination Ass
ssess
essment
ment of identifi
dentificc ation
Practi
Prac ticc al book Ass
ssess
essment
ment of prac
racti
ticc al activi
activities,
ties,
MCQ questions and drawings.
VI-C-
VI-C- ASSESSMENT SCHEDULE:
SCHEDULE:
Exam inat
Exami natiion Marks all
alloc
ocated
ated
Mid Year Examination 50
written and practical
Final examination
-Written 125
-Oral 30
-Practical 45
Total 250
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Final exam:
D) Writ
Written
ten 3-hour ex
exam
am
E) Prac
Practic
tical
al ex
exam:
am: 60 m ins
ins.. durat
duration
ion fresh s pecimens , bones and X
X-ray
-ray and CT scans
F) Or
Oral
al ex
exam
am 10 -15 mi
mins
ns
2 comm itt
ittees
ees each 15 marks
1- Course
Co urse note
notes
s : Book autho
authorriz
ized
ed b
byy dep
departm
artme
ent.
2- Ess
Essent
ential
ial Bo
Book
oks
s: a) Cunn
Cun ningham’s anato
anatom
my
b) Gray’s
Gray’s ana
anato
tom
my
c) National books
books
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Cairo Universit
niversityy
Facullty of Me
Facu Medici
dicine
ne
Medical Physiology Department
Course specifications
Course
Course title: Medical Physiology
2nd ye ar of M .B.& B.C
B.Ch.
h. p
program
rogram
Allocated marks: 250 marks.
Course dudurat
ration
ion:: 26 w
week
eeks
s of teaching with a midyear a
and
nd a final end of year exa
exam.
m.
Total
To tal teac
teachin
hing
g hours: 196 hrs.
Course di
direc
rector:
tor: Prof.Dr. Mohamed H
Hass
assan
an A
Aly
ly : H
Head
ead of t he d
departm
epartment
ent .
6.
7. conti
continue
ex nuein
explore
plore upgradin
upgrading
details gthe
thefunctions
physiological basis
of the taken in h
endocrinal, his
is f irst
the y
year
ear..
reproductive the nervous, the
renal & the digestive systems as well as their integration to achieve homeostasis.
8. integ
integrat
rate
e phy
physiological
siological data & mechani
mechanismssms with the on ongoing
going basic sc sciences:
iences: anatomy ,
histology
histo logy & biochemistr
biochemistry y an
andd ttheir
heir clinical applica
application
tions
s.
9. foll
follow
ow the ra
rapid
pidly
ly changing anand d inflating details abou
aboutt molecular physiology & genetics
.
10. dev
develop
elop the basic skills an
andd ethi
ethical
cal behav
behavior
ior rrequi
equired
red for scscientific
ientific rrese
esearch,
arch, as w
well
ell as
effectiv
effec tive
e communi
communication
cation an
andd team w work
ork attitud
attitude
e.
systems.
2. sugg
suggest
est the basic p
physiological
hysiological meas
measurements
urements u
used
sed to test different body fu
functions.
nctions.
3. integ
integrat
rateep
phy
hysi
siol
ology
ogy with other sciences .
1. identify
identify tthe
he esse
essential
ntial ethical issues invo
involved
lved in scientific rrese
esearch.
arch.
2. work separately o orr in grou
groups
ps to resea
researchrch and prepare a scientific top topic.
ic.
3. use avavailable
ailable presentation aids (e. (e.gg Ov
Overhea
erhead d Projectors or Data S Sho
how)
w) to present
prese nt
clearly
clear ly and effectiv
effectivel
elyy a scientific top
t opic
ic in a ttuto
utorial,
rial, a s
staff
taff me
meeting
eting or the year
yearly
ly scient
scientific
ific
day.
IV.. TEA
IV T EACH
CHIING METHODS:
MET HODS:
IV-1:
IV-1: METHODS US
U SED:
5. Lectures : the stud
students
ents are divided to tw twoo groups .
6. Tu
Tutorial
torial class
classes
es : sma
small
ll grou
groupp teaching .
7. Prac
Practical
tical traini
training
ng : sma
small
ll group tra
training
ining .
8. Clinical
Clinical training : sma
small
ll group tra
train
inii ng .
9. Ayyear
early
ly scientific day f or stud
student
ent small grou
group
p prese
presentatio
ntations.
ns.
IV-2:
IV-2: METHODS FOR DISABLED
DISABLED STUDENTS:
TUDENTS:
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No special arrangements are available .
IV-3:
IV-3: TEACHING PLAN:
PLAN:
Lectur
Lec tures
es :
In two big lecture hall
halls
s , a 1h
1hrr lectur
lecture
e da
daiily ( 5day
5days
s /week ) is s ch
cheduled
eduled and integr
integrated
ated with
wi th the
other department
d epartments
s (ana
(anato
tom
m y , his tology & bio
biochemis
chemistry
try ) .
Tutoriials :
Tutor
In two small
s mall lecture ha
halls
lls a 3hr / 2 w
week
eeks
s ( during 3 mont
month h each ter
term
m ) , a tutorial class is
s ch
cheduled
eduled and pr prev
eviously
iously ann
announ
ounc ced (2 week
weeks s before
before)) . T
The
he s ubject
ubjectss taught and conver
convers s ationally
directed are lagging by few weeks to the related branches and systems given at that time in the
lectures.. So
lectures Somm e topi
topic
cs of s pecial interest are o
onnly ex
exclus
clus ively
ively dis cu
cuss
ssed
ed in the tutoria
tutoriall contex
context.
t.
Practic
Pract ical
al training :
In two big
bi g llabs
abs a 3hr / 2 weeks (al
(altern
ternating
ating with the tutorial class
classe
es ) small groups
groups (12-15 stud
student
ents
s)
is scheduled and the tests performed are announced two weeks before .
Clinicall traini
Clinica training
ng :
In two
two sm
small
all lecture h
halls
alls a 3hr ffor
or two week
weeks
s where stu student
dents
s get a chanc
chance e to see, interact and
perform prelimin
prelimi nary ex
exam
am ina
inatio
tion
n of s om e cl
clini
iniccal cases of patient
patients
s suffering
sufferi ng fro
from
meendocrinal
ndocrinal an
and
d
neurological conditions relevant to their course content.
Time plan:
Item Time sc
schedule
hedule Teaching
ea ching Total
hours hours
Lectures Dai ly ( for 5 da
days
ys/w
/week
eek ) 1 hr 130 hrs
Tutorials Every two weeks 3 hr s 33 hrs
Practical Every two weeks 3 hr s 21 hrs
Clinical For two
two weeks 3 hr s 6 hrs
Scientific day Once / year in feb / march prepared for 6-8weeks by students
and supervised by staff members
6 hrs 6 hrs
TOTAL
TOTAL 196 hrs
V. STUDENT ASSESSMENT:
V-1: ATTENDANCE CRITERIA:
The minimal acceptable attendance in the practical & tutorial is 70% . Students who fail to
attend
attend this percentage ( in each half of tthe
he year
year ) will no
nott be allowed to take tthe
he m idy
idyear
ear and end
of the year
year final theoretical ex
exam
am and the end of the year practical exexam
am..
TOOL PURPOSE
Written ex
exam
am As s essment of know
knowledg
ledge e & und
understa
erstanding
nding
Practical ex
exam
am As s essment of practica
practicall and intellectual s kill
kills
s
Oral ex
exam
am As s essment of know
knowledg
ledge e & und
understa
erstanding,
nding, intellectua
intellectuall
and gegeneral
neral s kills.
Sharin
Shari ng in s cientific day Recor
Record ded in log book /m/ma anda
ndatory
tory once for the firs
firstt 2
years
Examination: Marks
allocated
Midyear 50
Final exam : wri
written
tten (short e
ess
ssay
ay + MCQ ) 75 + 75
Oral 30
Practical 20
250
TOTAL
o The m inimal pas
pass
s ing s core is 150 marks , provided at
a t lea
leas
s t 30 mark
mar ks are obta
o btained
ined in the
final written exam .
o Passin
Passing g grade
grades
s ar
are:
e: EXCELLENT >85%, VERY GOOD 75- <85%, GOOD 65- <75% and
FAIR 60- <65%.
Exam
xaminatio
ination:
n: Description
Description Mark
Marks s
allocated
Midyear MCQ(s
CQ(sing ingle
le best opinion) true 50
& false
fals e & ggra
raph
ph comment
commenting ing
Final exam : written : - short essay Short essay ques tions
tions In al
alll 75
systems taught All questions
are to be answered
- M CQ MCQ(single best opinion) true
& false
fals e & com
comm m enting on a 75
graph
- Oral In front
front of two sep
separate
arate 30
ex
exam
aminer
iners
s (an iinter
nternal
nal & an
external )
- Practical In the lab by one ex examaminer
iner 20
TOTAL 250
*****
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Faculty of Medicine
Facul
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44
Courss e Spe
Cour Spe cif
cifications
ications
Course ti
title:
tle: Medical Biochemistry and Clinical Chemistry-II
Sec
Se con
ondd ye
ye ar of M
M.B.&
.B.& B.Ch.
B.Ch. progr
program
am
Allocated
lloc ated mar
marks:
ks: 150 marks
Course dur
duration:
ation: 24 weeks of teachi
te aching'
ng' with a final end of year ex
examination
amination
Total teaching hours: 168 hrs.
Course dir
dire
e ctor: Prof. Dr. Emad
Emad Zaki Abbas
Abbas
Head of Medical Biochemis
Biochemistry
try Dep
Department
artment
2. Illustrate the
th e steps
step s and regu
regulat
latory
ory mechanisms of these
these pa
patthw
hways.
ays.
3. Point out the related metabo
metabolic
lic disorder
disorderss and their clinical prints o
on
n bioche
biochemi
mical
cal
and molecular basis.
4. Describe micronutrients, their biochemical,
biochemical, clinical
clinical and labora
laborattory importance
and deficiency m
manifestatio
anifestations
ns of eac
each.
h.
5. Describe the
th e components
components of some body fluids; viz
viz.. blood
blood,, urine, mil
milk,
k, Sem
Semen,
en,
CSF and sweat.
sweat.
1- Th
T he stud
studeent is able
a ble to work
work e
effectively
ffectively in a group in lab
lab o
orr during
preparation of seminars.
2-The
2- The student resp
re spects
ects the role of staff and co-staff
co-staff members
regardless of degree or occupation.
Am ino acid Me
Metabo
taboli
lism
sm 10 6 16 11
Heme Metab
Metaboo lism 4 1 5 5
Purine & Pyrimidine 4 2 6 5
Metabolism
Metabo
Metaboli
licc Integrati
Integration
on 4 2 6 6
Large Intestine & 2 1 3 2
Detoxification
Vitam
Vitamiins 10 2 12 6
Min
Min erals 6 1 7 4
Body F luids 4 5 9 5
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Cell Organell
Organel ls 1 1 2 1
Total 96 36 132 100
III-A) TOPICS:
19. Enzymes: definition, chemical nature, mechanism of action, factors affecting
the rate of enzyme action, enzyme activators and inhibitors, and enzyme
classification.
20. Bioenerg
Bioenergetics
etics and tricarboxylic
tricarboxylic acid cycle:
cycle: steps, regulation, and importance
importance..
21. Metabolism of carbohydrates: Dietary carbohydrates, digestion
digestion and absorption,
pathways of glucose oxidation, glycogen metabolism, gluconeogenesis, special
metabolism of fructose, galactose and aminosugars, pathological aspects of
carbohydrate metabolism and their clinical implications with special emphasis
on diabetes mellitus and biochemistry of insulin and other disorders of
carbohydrate metabolism and their clinical importance.
22. Metabolism of lipids: Dietary lipids, digestion and absorption, metabolism of
triacylglycerol, fatty acid metabolism, metabolism of: eicosanoids, conjugated
lipids, cholesterol, ketone bodies, classification and disorders of plasma
lipoproteins. Pathological aspects of lipid metabolism and their clinical
implications.
23. Metabolism of proteins: Dietary proteins, digestion and absorption, general
aspect of p
protein
rotein metabolism
etabo lism,, metabolism of ammonia,
ammonia, metab
etabolism
olism of individual
amino acids with related errors of metabolism, pathological aspects of protein
and amino acid metabolism and their clinical implications.
implications.
24. Metabolism
etab olism of Heme: Synthesis
Synthe sis of porphyrins
porp hyrins and heme, catabolism ,
hyperbilirubinemia
hyperbilirubinemia and
a nd porphyrias.
25. Metabolism of purines and pyrimidines: Digestion and absorption of nucleic
acids, biosynthesis and catabolism of purines and pyrimidines with the related
errors of metabolism (including gout), and synthetic base analogues and their
clinical use.
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28. Vitam
Vitamins:
ins: Types,
Type s, structure,
structure , functions, deficiency manifestations
anifestat ions an
andd
recommende
recomm ended
d da
daily
ily allow
allowance.
ance.
29. Minerals: Maior elements (Ca-P-Mg-Na-K-Cl-S) and trace elements (Fe, Cu,
Zn, Mn, Co., Cr., I.)
30. Body fluids:
fluids: Blood, urine
urine,, milk, CSF, and sweat.
sweat.
31. Functions of the major intracellular organelles.
4.3 Biochemical
Biochemical labora
laboratory
tory report comm
comments.
ents.
No special arra
a rrangements
ngements are available.
4 lectures/w
lectur es/week;
eek; o
onne h
hour
our each betw
between
een 8 a
a.m.
.m. an
and
d 11 a.m. according to th
thee
current
curre nt time
time table
ta ble in general lecture halls.
Practical classes
classes and tu
tutorials:
torials:
The students are divided into 6 groups. Each group has a 3-hour practical class
once per week. Students of each group are divided into 2 subgroups. Both
subgroups rotate between tutorial class (the related subjects of the theoretical
lectures with AV aids) and practical class.
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Time
Time plan:
Item: Time schedule Teaching hours To
Total
tal hours
Lectures 4 lectures
lectures/week;
/week; 4x24
4x24 week
weeks
s 96
one hour each
between 8,00 am
am
and 11 a.m
a.m
Practical 3 hou
hourrs ev
every
ery 3x12 36
other week
Tutorial 3 hou
hourrs ev
every
ery 3x12 36
other week
Total 168
Facilities used
Facilities us ed for teaching this course include:
- Lecture
Lecture halls: provided by the F aculty.
- Small group classes:
class es: in the D epartme
epartment.
nt.
- Inf
Information
ormation technology / AV aids:
aids: availa
available
ble in compute
c omputer-
r- assisted
assis ted
classes
class es in th
the
e Department.
- Lab
Laborator
oratoryy : laborator
laborator y facilities to perform the
t he requi
requirr ed
exp
exp eriments
eriments are
ar e available in the depa
d epartme
rtment.
nt.
Practical
Practi cal examination Asses
As sessm
smentent of pra pract
ctical
ical and intellect
intellectual
ual an
and
d
gene
genera
rall s
skills
kills (che
(check
ck list)
Formative Written
Exam:
Jan A one--hour written paper 20
composed of s hort essay type
type
questions.
April Thirty-m
Thirty-minu
inute
te MCQ 10
FinalL
Final L Written A 3-ho
3-hour
ur written
wri tten pap
paper
er co
composed
mposed 75 marks
marks
of short essay type questions (45
m ark
arks
s ) and M
MCQ
CQ (30 m ark
arks
s)
Practical Detection
Detectio n of abnor
abnorm
m al constituents 25 marks
marks
in the provided sample of urine.
Colori
Col orim
m etric measurement of tthe
he
previously studied parameters and
a comment on a given laboratory
biochemical report.
Oral One oral ex
examinati
amination
on s tat
tation
ion 20 mark
marks
s
Total
Total 150 marks
Cairo Universit
niversityy
Facullty of Me
Facu Medici
dicine
ne
Department of Histology
Histology
Course
Course specifications
Course title: HISTOLOGY
Sec
Se con
ondd ye ar of M .B.& B.C
B.Ch.
h. p
program
rogram
Allocated marks: 150 m ark
arks
s
Course du durat
ration
ion:: 30 weeks
Total
To tal te
teaching
aching ho
hours:
urs: 120 hours (48 hours theoretical + 72 hours practical)
Course director: Prof. Dr Nadia Mos
ostafa
tafa
Head of Histology Department
II -5 Ethical behavior
By the end of the course, students should be able to:
18. Ex
Expres
pres s thems elvelves
es freely and adequately by im prov
proving
ing their des criptiv
criptive
e capabil
capabilities
ities and
enhancing their
their c
com
ommuni
municat
cation
ion skills
19. Maintain profess ional image in m anner, dresdress
s s peech and interpers
interpersonal
onal relations hips that
is consis tent with tthe
he m edical professi
profession's
on's accept
accepted
ed contemporary standards in the comm unity
I) Course
Course Content
Contentss
3. RE
RES
S PIRATORY
PIRATORY S YSTEM
4. DIGE
DIGESS TI
TIVE
VE SYSTEM
S YSTEM
5. ENDO
ND O CRINE
CRINE S YSTE
YS TEM
M
6. DIF
DIFFUS
FUS E NEURO-
NEURO-E ENDO CRINE
CRINE S YSTEM
7. URINARY S YS TEM TEM
8. MALE GENITAL
GEN ITAL S YSTE
YS TEM
M
9. FEMALE G ENITAL
NIT AL S YSTE
YS TEM
M
10. EYE & EAR
11. CE
CENTRA
NTRAL L NERVOUS S YS TETEM
M
III)) Co
III Course
urse Objec
Objectiv
tives
es
1) RE
R ES PIRATORY
PIRATORY SYS TEM TEM
• Nasal cavity
cavity & olfactory
olfactory epithelium
epithelium
• Nasopharynx & larynx
• Trachea & resp
resp iratory ep ithelium
ithelium
• Lung & blood-air barrier
• Alveolar phagocytes
• Fetal
Fet al lung
Objectives::
Objectives
By the
t he end of this
t his unit. The st udent
udent should be able:
able:
3. to differe
differentiate
ntiate microscop
microscopic ically
ally between trac
t rachea
hea adult
adult & foetal lung
lun gs
4. to corre
correlate
late between the str
s tructure
ucture of these organs
organs and their functions
5. to know the functions of tthe he blood-air
blood-air barrier
barrier and
and the
t he alveolar phag
p hagocyt
ocyt es
2) DIGESTIVE S YSTEM
ORAL CAV
CA VITY
• Lip
• Tongue & tast e buds
• Palate and Pharynx
ALIMENTARY TRACT
• Oesophagus
• Stomach & gastro - oesphageal junction
• Small intestine
intest ine & py
p y loro-duodenal
loro-duodenal junction
junction
• Large intestine & appendix Anal canal
DIGESTIVE GLANDS
• Salivary glands
• Pancreas
• Liver & gall bladder
Objectives::
Objectives
By the
t he end of this
t his unit: T he student
student should be able:
able:
6. to differe
differentiate,
ntiate, microscop
microscop ically
ically between the different organs
organs of the di gestive sy st em
7. to corre
correlate
late between the hist ology
ology & ph
p hy siology
siology of these
t hese organs
organs
8. to know some important diseasesdiseases as peptic
pept ic & gastric
gastric ulce
ul cers.
rs. Pile
P iless & d iabetes
iabetes melli
me llitus
tus
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3) ENDOCRI
ENDO CRINE NE SYSTEM
S YSTEM
• Distribution
Dist ribution of endocrine
endocrine glands
glands
• Pituitary gland
• Neurosecretory
Neurosec retory ce cells
lls of hypo
hyp othalamus
thalamus
• Suprarenal gland
• Parathyroid gland
• Pineall body
Pinea
Objectives::
Objectives
By the
t he end of this
t his unit, the st udent
udent should be able:
able:
4. to know the microscopically picture of each gland
5. to corre
correlalatt e between the Histolog
H istology
y & Phy
Phy siology
siology of these
t hese gla
glands
nds
6. to know t he mecha mechanism
nism of hormona
hor monall control of each
each gland
gland and what is meant by the feed-
back mechanism
4) DI
D IFFUSE
FFUS E NEURO-
NEURO-E ENDO CRINE
CRINE SY S YS TEM
TEM
Generall characteristics of its
Genera it s cells
cells Distribut
D istributionion & function
Objectives::
Objectives
By the end of this unit, the student should know
3. the sites
s ites of its cells
cells in different organs
organs
4. the functions of t hese cel cells
ls & thei
t heirr role in the org
or gans where they are found
5) URINARY SYSTEM
• Kidney & blood supp ly of urineferous
urineferous tubule
t ubule
• Blood renal barrier
• Juxta-glomerular complex
• Ureter, Urina
U rinary
ry bladder
bladder & Urethra
Objectives::
Objectives
By the
t he end of this
t his unit, the st udent
udent should be able:
able:
3. to diffe
differentiate
rentiate between the different organsorgans of the
t he urinary
urinary sy stem
4. to corre
correlalatt e between the histology
histology & Physiology
Physiology of the
t he kidney
kidney
5. to know some disea diseases
ses as renal failure, diabetes insipidus
insip idus and the relation between rena
renall
diseases
disea ses and hy hypp ert
ert ension & anemia.
anemia.
6) MALE GEN
GENis
Test ITAL SY
S YS TEM
TE Mbarrier
& blood-testis
blood-testis barrier
•
9) CE
C ENTRAL
NTRA L NERVOUS
NERVOUS S YS TEM
TEM
• Spinal cord
cord & trac
t ractolo
tolo gy
• M edulla
edulla oblongat
oblongat a
• Pons
• Mid-brain
• Cerebellum & cerebellar peduncles
• Cerebrum
• Pathwaay s, lemnisci
Pathw lemnisci & M LB
• Deep origin of cranial nerves
• Meninges
• Brain barriers
Objectives::
Objectives
By the
t he end of this
t his unit, the st udent
udent should be able:
able:
4. to ide
identify
ntify t he different
different levels
levels of sp inal
inal cord & brain stem,
s tem, cereb
cereb el
ellum
lum & c erebrum.
erebrum.
5. To draw thet he detailed
detailed structure
st ructure of the ment
ment ioned
ioned levels
6. To correlate
correlate between histology
histology , Anatomy & p hy siology
siology of central nervous
nervous syst em.
em.
Practical classes:
Students are divided into five (5) big groups on 5 days of the week (Saturday – Wednesday). Each
big group is s ubdiv
ubdivided
ided into four (4) sm aller groups di
distributed
stributed on tthe
he 4 av
available
ailable labs . (E
(Each
ach sm all
group is about 80 – 95 studen
studentsts)) ??? . Each
Each 3 students share one
one microscope.
m icroscope.
Time plan:
Item: Time schedule
schedule Teachin
Te aching
g hours
hours Total hours
hours
Lect
Le ctures
ures Satur
Satur day 8 – 9 am 2 hours weekly for 24 48 hours
Tuesday 9 – 10 am weeks
Practical classes Daily on 5 days weekly
week ly from
from 3 hours weekly for 72 72 hours
aturday – Wednesday) from weeks
11 am – 2 pm
TOTAL 120 hours
hou rs
TOOL PURPOSE
Written e xa
xam
m ination
ination Assessment of k nowledge and under nderss tanding
Oral Exam
Exam ination Assessment of k nowledge
nowledge and unders
nders tanding and at attitude
titude
Practical e xa
xam
m ination Assessment of practical skills in diagnosis
diagnosis of differ
differee nt organs
organs under
the microscope and labeling of drawings of CNS sections at various
levels
levels in th
the
e s pinal cord
cord & brain stem
stem
Practical noteboo
noteb ook
k Assessment of their attendance
attendance understanding an andd draw
rawing
ing skills
TOTAL 150
o The mini
minimm um pa
passi
ssinng s
sccore iis
s990
0 m ark
arks
spprrovided
ovided at least 18 m ark
arks
saarre obtained in tthe
he
final written exa
exam
m inat
ination
ion
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60
o Passing grade
grades
s are: EX
EXCELL
CELLENT
ENT >85%
>85%,, VER Y GOOD 75- <85%
<85%,, GOOD 65- <75%
and FAIR 60- <65%.
Exam
Exam ina
inati
tion
on Descri
Description
ption Marks
VI-1 BASIC
BASIC MATERIA
MATER IALS
LS :
• Departm
Departmentent books avavailab
ailable le for s tudents to purchas e from different books hops at the faculty
• His tology for undergrad
undergraduateuate m edical s tudents: M. Abdel - Hafez & N. Mostafos tafa
a
• Atlas of his tology for undergraduate
undergrad uate m edical s tudents: M. Abdel - Hafez & N. Mostafa os tafa
• His tology for m edical s tudents: Zakaria Abdel - Ham id
• Overhea
Overhead d projection
projectionss , s lides and co com
m puter pre
pres
s entation
entations
s us ed durin
during
g teaching
VI-2
VI-2 Suggested
Su ggested Materials
Materials :
• CD-Rom contcontaining
aining topic
topics
s in the curr
curriculum
iculum prov
provided
ided with photomicrographs of these topic
topics
s
• Basi
Basicc his tology Junqueira, L.C.
• Atlas of his tology
tology:: Di Fiore
• Funct
Functional
ional His tology (Wheater’s) TexTextt & Atlas of His tology
• Gart
Gartner
ner & Hiatt Atlas of His tology
• Corm ack concis
concise e Tex
Textbook
tbook of His tology
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Cairo University
Faculty of Medicine
MEDC
Course
Course specifications
Course title:
Computer
Alloca
cate
ted
dmmark s: no m arks; course
arks: course is man
manddatory
Cours
Coursee duration: 20 week
wee ks of teaching; with a final end of cour
cours
s e/y
e/year
ear
examination
Total tea
teaching
ching hou
hours
rs:: 12
1244 hrs (8 hours/student)
Practical /sm
Practical/ small
all group ses
sess
s ion
ions
s : 4 hrs Lectures: 4 hr
hrs
s
Course director: Dr. El-Sayed Abdallah
Course
o To ins
instill
till an awareness of the various ty
types
pes of inf
information
ormation sources av
available.
ailable.
o Prov
Provide
ide a ttechnical
echnical int
introduct
roduction
ion for computer science and medical infor
information
mation s
science
cience
II-A:
II- A: KNOW
KNOWLEDG
LEDGEEaand
nd UNDE
UNDERSTANDING
RSTANDING::
By the end of the course, students should be able to:
1. Define each part of com
computer
puter hardware and its ffunction.
unction.
2. The basics of how computers operate, with an emphas is on knowledge of pract practical
ical issue
issuess
(storage devices, RAM, types of printers etc.)
3. Define tthe
he use of each of
office
fice program
4. Hav
Havee a basi
basicc understanding of various com puter applications in m edicine - ffor
or instruct
instruction,
ion,
information managing,
man aging, computer based medi
medical
cal record, etc
etc..
II-D:
II- D: G
GENE
ENERAL
RAL S SKILLS
KILLS::
By the end of the course, students should be able to:
7. Be ffami
amiliar
liar wit
with
hccom
omputer
puter and it
its
s updates.
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62
III. COURSE CONTENTS:
% No.. of hrs
No
TOPIC total TOT AL Lectures Practical/
hrs small groups
1 Genera
enerall Princip
Principles
les 50% 4 4 0
2 Word
Wor d process
processing
ing 50% 4 0 4
TOTAL 100 8 4 4
Introd
Int roduction
uction to comp
computers
uters
• Historical background:
The studen
s tudentt will learn
learn briefly t he historical
historical development
development of computers
comput ers and the evolution of digital
digital
world.
• Why should I bother learning?
learning?
• Whatt can
Wha can a computer
comp uter do?
o In general
A comput er is a machi
machine,
ne, which knows
knows nothing.
nothing. Yet
Yet it is extremly
extremly fast in calculations,
calculations, it
has an enormously
enormously strong
st rong and cap
cap acious
acious memory and it doesn’t get bored repea
rep eating
ting things.
things.
o For me:
Student
• Textbooks in digital form
• Demonstrations: digit digit al videos, simu
s imulators
lators
• Internet search
search
Physician
• Keeping records
• References
Refe rences on CD'sCD 's
• Continous medical education
Researcher
• Searchin
Searching g the litera
lit erature
ture
• Statistica
Statist icall anal
analy
y sis
• Presentations
Lecturer
• Presentations
• Keeping up to date
• Whatt are the various computer
Wha comput er components and acce accessories?
ssories?
o CPU, BIOS, RAM
o Inpu
Inp ut device
devices:
s: Key board, M ou ouse,
se, Pen, sca
s canner
nner etc…
o Outpu
Outp ut device
devices:
s: Printer,
Print er, Sound,
Sound, M onitor, Datasho
D atashow w etc…
et c…
o Storage dedvices: Hard disk, FloppyFlop py,, CD, Flash etc…
• Role of Software
o System
Various operating systems
What is the system responsibility
o Applications
Word processing
Database
Statistics
Presentations
Interne
Int ernett and communi
communicat
cation
ion
Other
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Introduction to Word:
• Advantages of usin g comp
Advantages comp uters instead of typewriter
typewrit er
• Basic terminolo
terminolo gy
o Document, page, paragraph, line, SPACE
o Font
• Using the keyboard
key board
• Typing a document
• Editing and formatting a document
o Undo and redo
o Font si
size,
ze, type
typ e and color
color
o Emp
Em p hasizing p articular
articular words
w ords
o Alignment
o Copy, cut and p astast e
• Tables
• Simple drawings
• Inserting a picture
• Saving a document
o Computer Ass isted
is ted Ins
Instr
truct
uction
ion
IV. TEAC
TEACHING
HING & LEARN
LEARNING
ING METHODS:
VI-B:
VI- B: SUGG
SUGGESTED
ESTED MATERIALS:
• KasrAlainy e-Learning website
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65
Cai ro Univ
Cairo University
ersity
Faculty of Medici
Medicine
ne
Department of Psychological Medicine
Course Specifications
Course Titl
Title
e:
Psyc
Psyc hology an
a nd Be
B e ha vioral Scien
Sci ences
ces
nd
2 YYe
e ar of M
M.B.
.B. & B.Ch. Program 2005
200 5-20
-20006
Approved 2004-2005
Allocated marks: 50
Course Du
Durat
ratiion
on:: 1 ac
a cademic year (September-M
(September- May)
2. To study the psychological development life cycle from birth up to senility (its
biological basis & psychosocial aspects).
3. To provide students with
with an appropriate background
background of ethics needed througho
throughout
ut
their program
progra m & career.
Facul
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66
nd
ILOs of Course Of Psychology & Behavioural Sciences 2 year
I Knowle
Knowledge
dge understanding:
understanding:
1. Described the normal psychological & mental functions, their biolo biological
gical
representation & social contributions.
2. Explain
Explain the intercon
int erconnections
nections of mental functions
function s including intelligence, persona
personality
lity &
behavior.
3. Exlain
Exlain the hum
hu man life cycle from a psychological point of view.
view.
4. Describe causes, types, manifestatio
manifestation
n & management
5. Describe the principles of doctor patient relationship according to ethical & legal
principles of medical profession.
1. Test simple
simple m
mental
ental function
functionss including
including intelligence.
2. Delineate normal from abnormal
abno rmal psychological functioning.
3. Comment on personality traits.
III. Gene
General
ral ski
skills
lls & at
attitu
titudes:
des:
1.Be able to behave appropriately with colleagues, workers & patients according to
ethical standards.
2. Have a critical attitude towards media & its handing of medical issues including
1. Course Contents:
st
1 – Topics
T opics
No. of Hrs
% Total
Topic Practical/small
Hrs Tot
Total
al Lecture
Lectures
s
groups
1. Introductio
Introduction n & basi
basic c co
conns ideration
iderations
s 1 1 -
2. Psyc
Psychological
hological & m enta
entall funct
functions
ions 7.30 6 1.30
3. Intelli
Intelligence
gence & Per
Pers s onality 4 2.30 1.30
4. Life cy
cycle
cle 3.30 3.30 -
5. Medi
edical
cal Ps
Psyychol
cholo ogy 2 2 -
6. Social 2 2 -
7. Ethics 2 1 1
8. Doctor patient rel relation
ationship
ship 3 1.30 1.30
9. Stres
Stress s & its rel
relation
ations s to illin
illine
ess 2 1 1
10 Dy
Dynami
namic c Ps
Psyychology 2 1 1
11. Consciousness, biological
rhythms
rhy thms inclu
ncluding
ding sleep from a 1 1 -
ps ychobiological p per
erspective
spective
Total 30 hrs
hrs 22.30
hrs 7.30 hrs
hrs
Teaching Plan:
1. Lectures:
nd
The lecture hall at the building of MEDC, 2 floor. Two groups of students
attend lectures either on Saturday or Tuesday
T uesday from 14.00pm – 15..00 pm.
Time Plan:
Time
1. Le
Le ctures
One hour w
weekly
eekly for tw
two
o gr
groups
oups of students (Saturday & Tuesday)
Total 22.30 hrs.
3. Small group sessions
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Faculty
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68
After endin
en dingg the
th e theoretical course
course ooff each term
term,, ea
each
ch group will be
subdivided into
into subg
sub groups
roup s to attend the psychiatric outpatient clinic to apply
app ly ttestin
esting
g
of mental functions
fu nctions,, de
deline
lineating
ating abnormal
bnor mal m
mental
ental functi
functions
ons a
annd de
demmonstrating
models of doctor patient relationship.
Totall 7.
Tota 7.30
30 hrs
h rs..
Small group sessions: Each gr g roup of the main two is further subdividede into
three (6 sub
subgrou
groups
ps)) will
will attend
atten d out
ou tpatient & inp
inpatient
atient training every Thursday or
other days according to their schedu
schedulele..
focused.
STUDENT ASSESSMENT:
Attendance criteria: according to faculty regulations.
Assessment tools:
Tool Purpose
Written examination
examination Assessment
Assessment of know
knowledge
ledge and
understanding.
Log book Assessm
Assessment
ent of skills and attitudes
Asse ssm
ssmee nt schedule
schedule : final examination
examination at the end
en d of the academic year for all
students.
Gradiing syst
Grad syste
e m:
Examination Mar
Mark ks Alloc
llocated
ated
Final ex
examination
amination 40
Log book 10
Total 50
The minim
inimum
um passing scor
scoree is 30
30 m
marks
arks ou
outt of total 50.
Passing
Pass ing grade
radess are:
are :
Excelle
Excellen nt > 85%
85 %
Very good 75% - <85%
Good 65% - <75%
Fair 60% - <65%
Log book is mandatory to attend the final exam.
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Examination description
1. 1. Log book: each student must spend 7.30 hrs to get trained in doing
simple mental examination (general and focused), delineate abnormal
mental functioning & demonstrating models of doctor-patient relationship.
Besides applying ethics in practice.
2. Final examination: 1 hour examination at the end of the academic year,
sho
sho rt aan
ns we
werr qu
q ue stion
stio ns.
Total marks: 50
LEARN
LEARNING
ING AND REFERENCE
REFERENCE MATE
M ATERIALS:
RIALS:
1. Bas ic materials:
Basic materials:
- Department notes by staff members available at the department.
- Over head projector slides.
- Computer presentations.
- Possible video tapes.
2. Sugges
Suggested
ted materials:
- Psychometry lab.
- Sleep lab.
- Case studies to demonstrate ethical and legal aspects of their future
medical profession.
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Cairo Universit
niversityy
Faculty
Faculty of M e dici
dicine
ne
Departm
Depar tmee nt of M icrobiology & Im
Immunology
Course
Course specifications
Course title:
MICROBIOLOGY AND IMMUNOLOGY
Third year of M.B. & B.Ch. program
2004/2005
(approved Final draft)
• To educate students about the basic features of general bacteriology, virology and
mycology and to provide students with an understanding of the immune system, its
protective functions and its role in the patho-physiology of infectious and non-infectious
diseases
• To familiarize students with the common infections and diseases of medical importance,
their microbial causes, as well as laboratory diagnosis, treatment, prevention and control
of such diseases
• To enable the students to practice the principles of sterilization and infection control.
Practical
Practical Sk ills Te aching Asse
Assessment
ssment
Identify medica
medically
lly important
imp ortant bacteria
bacteria based on
9 2 3
microscopic
mic roscopic ex
e xamination of stain
st ained
ed preparations
pr eparations
Perform a Gram stai st ain
n and a Zieh
Ziehl-Nee
l-Neelsen
lsen stain
st ain and
and
10 ide
identify
ntify , according
according to morphology
morphology and charac
charactt eristics, 2 4
stained preparations
Identify culture media
media andand biochemical tests
t ests commonl
commonly y
11 used for bacterial
bacterial identificat
identification
ion and dist
disting
inguu ish positive
p ositive 2 3
and negat
negat ive results
12 Perform hand wash and control of stea st eamm steril
st erilization
ization 2 4
Ge neral
ne ral Intellectual
In tellectual Skills Te aching Asse
Assessment
ssment
Interp re
rett results of microbiologi
microbiological,
cal, serolog
serolo gical and
13 3,4 4,6
molecular tests
Interpret microbiological, immunological and molecular
14 3,4 4,6
reports
Formulatt e a sys
Formula sy stematic app roach
roach for laboratory diag
diagnosis
of common
common infecinf ectious
tious clinical
clinical conditions and selec
sel ectt the
15 2,3,4 6,7
most appropriate and cost-effective
cost-effective ttool
ool leadi
leadin
n g to the
identification
identification of the causative
causative or ganism
ganism
Evaluate according to evidence the causal
Evaluate c ausal relationship of
16 6 2,7,8
microbes and diseases
Categorize a microorganism as a bacterium, virus or
17 5 9
fungus
fungus accordi
ac cordin
n g to standard
s tandard tax
t axonomy
onomy
18 Report and appraise a concise scientific activity according 5,6 9
to standard scientific
scientific thinking and
and integr
integr ity
Appreciate the danger of handling and use of infectious
19 age
agents
nts on communi
community ty and environm
environment
ent as a p art of t heir
heir 1,3,5,6 8,9
ethical heritage
III. COURSE CONTENTS:
III-A: TOPICS:
No. of hrs
TOPIC TOT AL Lectures Practi cal/
small
sm all group
groups s
1 Genera
Generall Bacteriolog
Ba cteriology
y 5 8
morphology and structure,
class if
ification
ication of bacteria,
bacterial phy
physiolog
siologyy and growth,
bacterial genet
genetics,
ics, g ene cloning
general metho ds forfor i dentificat
dentification
ion o f bacteria
2 Sterilization and Disinfection and Antisepsis 1 2
3 Ant
Antimi
imicrobi
crobial
al Chem
Ch emotherapy
otherapy 1
4 Immunology 15 10
Compon ent s of th e imm
immun
un e sy stem
stem,,
in nate i mmun ity,
complement,
acqui red i mmun ity (hum
(humoral
oral and ce
cell
ll mediat ed),
prot ect
ectiv
iv e i mmun ity,
tu mou r immunology,
hypersensitivity,
autoimmunity,
trans plan
plantation
tation imm
immuno log
logy,
y,
impo
impo rtant antigen-an
ntigen-antibody
tibody reactions,
reactions,
immunodeficiency
5 Syst ematic
ematic Bacteriology
Bacteriology 14 20
Staphylococci,
streptococci,
neisseriae,
Corynebacterium, Lis teria, actinomycetes,
Ba cillus, Clo stridium,
Myco bacterium,
enterobacteriaceae,
Vibrio, Pseudomonas Yersinia, Francisella, Pasteurella,
Hemophilus, Bord etella , Bru cella, Ba cteroides ,
Bru cella,
legionellae, mycoplasmas,
spirochaetes,
rickettsiae
rickettsiae and chlamyd
chlamyd iae
6 General and Systematic Mycology 2 2
7 Genera
Generall viro logy 1
8 Syst ematic
ematic virology
virology 10
Picornaviruses,
arthropod-borne and rodent-borne viruses, reoviruses,
rotaviruses,
orthomyxoviruses, paramyxoviruses,
Rubella virus, Rabies virus,
retroviruses, adenoviruses,
herpesviruses,
poxviruses, parvoviruses,
hepatitis viruses, tumour viruses,
slow viruses and prion diseases
9 Infection
Infection Cont rol & Nosocomial
Nosocomial Infections 2 2
10 App lied
lied M icrobiolog
icrobiologyy 2 2
11 Host - parasite relationship
relationship,, causal effect,
effect, 1
virulence
virulence fact
fact ors and p athogene
athogenesis
sis
TOTAL
TOTAL 54 46
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III-C:
III-C: BUREAU
BUREAU HOURS:
1. Focus on host- parasite relationship, causal relationship, critical thinking and
scientific integrity
2. Applied microbiology and safe handling: ethical issues and responsibilities
3. Reporting and communicating: 2 ways channel
4. Categorizing according to taxonomy and self learning
IV-C:
IV-C: TEACHING PLAN:
PLAN:
1. Lecture (fully illustrated with drills): Students are divided into two large groups
(A and B) for lectures. The lecture halls are located on the second floor of the
Medical Education Building. One-hour-lectures are held twice weekly (Saturday:
9:00, repeated 10:00, and Sunday: 8:00, repeated 9:00). Lectures are given
throughout the academic year.
2. Practical class and small group discussions : Students are divided into 10
groups. Each group has one practical class per week throughout the academic year
(11:30-1:00 or 1:30-3:00). Students of each group are first divided into two sub-
groups for explanation of practical class and revision of relevant theoretical
material. Each sub-group is further subdivided into two (total of four small
groups)) for pra
groups pracc tic
tic al de
demonstr
monstrati
ation
on and disc
discuuss
ssiion.
• Quiz (formative)
3. Out of practical class hours :
Mi
Micc ro assignment
Bureau
Bureau hour (Tut orial)
orial)
V. TEACHING
Facilities AND LEARNING
used for teaching FACILITIES:
this course include:
Lecture halls
Data show
sh owss & computer assistanc
assistan ce
Laboratories (with sinks)
S mall
mall group areas
areas (rooms) equipp
equipped
ed with compute
computerr assistanc
assi stancee
Microscopes
Quiz
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Micro-report
Exam
xaminatio
ination:
n: Mark
Markss allo
allocate
catedd
9. Report Micro
cro-ass
-assiignement 5m
maarks
rks
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TOTAL 200
marks
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VI-B: SUGGESTED
SUGGESTED M
MAT
ATERIALS:
ERIALS:
• Jawetz, Melnick and Adelberg’s Medical Microbiology
• Janeway and Travers Immunobiology: The immune system in health and
disease
• Biology Web Site References:
o asmnews@asmusa.org
o
http://www.phage.org/black09.htm
o http://www.microbe.org/microbes/virus_or_bacterium.asp
o http://www.bact.wisc.edu/Bact330/330Lecturetopics
o http://whyfiles.org/012mad_cow/7.html
o http://www.microbelibrary.org/
o http://www.hepnet.com/hepb.htm
o http://w
http://www.tul
ww.tulane.edu/~dms
ane.edu/~dmsander/B
ander/Biig_
g_Vi
Viro
rollogy/
ogy/BVH
BVHomePag
omePage.html
e.html
o http://www.mic.ki.se/Diseases/c2.html
o http://www.med.sc.edu:85/book/welcome.htm
o http://www.biology.arizona.edu/immunology/microbiology_immunology.ht
ml
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Faculty of Medicine
Community Medicine& Public Health Department - Cairo University
Courss e Spe
Cour Spe cifications
cifications
Course Title
Title::
Community Medicine& Public Health
2004-2005
Cours
Coursee Director: Prof.Dr
Prof.Dr.. Salwa A
Abd
bdel
el Azei
Azeim
m
Professor & Chair of Community Medicine & Public Health Department
I: Course Aims
1- To intro
in trod
duce the student
student to the basics and principles
principles of pub
publi
li c health;
heal th; including:
i ncluding:
a. t he definitions of common t erminologies
erminologies and meaning
meaningss used in
in public health
health practice
p ractice ;
b. health indicators and statistical principles of survey studies;
c. t he princip
princip les of sanitary environment
environment and the ability
ability of identifica
identification
tion of environme
environmental
ntal
hazards.
2- To prepare
prepare a physi cian who woul
wouldd become an advo
advo cate for pre ven
enti
tiv
ve public he al th
programs and resources.
5- Describe the principles of waste management in the community and in health care settings .
6- Describe simple methods
methods for
f or data colle
collection
ction and p resentation.
2- Pro
Professional
fessional and Intell
Intell ectual
ectual S kil ls
ls..
By the end of the course, the student should be able to:
7- Appropriately use data and statistical methods for problem identification and resolution.
8- Calc
Calcula
ulate
te and interpret
int erpret vital rates.
9- Construct and interpret tables and graphs.
10- Identify environme
environmental
ntal risk factors.
3- Attitude:
By the end of the course, the student should be able to:
11- Appreciate the utilization of data in medical and social research.
IV- Teaching
Teachin g and Learni
Learning
ng Method
Meth odss
IV-A: Methods used:
used:
• Lectures
• Field visit
IV-B:
V-B: Method
Meth odss for disable d students
No sp ecial
ecial arrangeme
arrangement
ntss are available.
available.
IV-C: Teaching plan:
plan:
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Lectures: provided in two of the grand lecture halls at the faculty once weekly; on Mondays from
Lectures:
10-11am. Students are divided in two groups where the same lectures are given simultaneously.
Field Visit:
Visit: Students are divided into small groups (30 per group) and attend one field visit to one
of the selected sites. They are accompanied by Assistant Lecturers and are guided by a practical
book. Throughout, students are provided with practical notes that include: outline of the field visit,
checklist
and short of items
quest ionstorelated
questions beted
rela seen,
to questions
t o tthe the
he curriculum student
curriculum could
that stimul ate address
st imulate the togthe
t he leanin
leaning act local. staff in the field site
act ivity.
ivity
Time plan:
Field
Field visit One field
field visit 4 hrs
Total 32 hours
Tool Purpose
VI D: Grad
Gradii ng system:
Examination Marks Allocated
Field visit:
(a) attendance 2
(b) p ractical
ractical book and field
field visit report
rep ort 3
Midyear examination 10
End of year examination 35
Total 50 marks
The minimum
minimum passing score
scor e is 30 marks
marks p rovided
rovided at least 10.5 marks are obtained
obtain ed in the final
writt en exam
examinat
ination.
ion.
VI-E Examination
xamin ation description:
1- Practical book: must be completed during the term and every student should have attended
one field visit , answered the case studies and the problems and written a visit report .
2- Examinations:
Mid term exam: One hour including 3-5 questions including short questions and written
p roblem
roblem solvin
s olving
g questions.
End of year written exam: One hour including 3-5 questions including short questions and
written
writ ten p roblem
roblem solving questions.
Cairo University
Faculty of Medicine
Department of Parasitology
COURSE SPECIFICATIONS
Course
Cou rse Ti
Titl
tlee MEDICAL
MEDICAL PA
PARA
RAS
S ITOLOGY
THIRD YEAR of M.B. & B.Ch. PROGRAM
Teaching
Teaching st
staff
aff : 20 p rofessors, 8 assistant p rofessors 3 lecturers
lecturers and 6 assistant
lecturers
• To provide students with adequate knowledge about endemic parasites and national
parasitic problems.
II. INTENDED LEARNING OUTCOMES:
II-1: Knowledge and understanding :
By the end of the course, students should be able to:
1- Describe the world distribution of important parasitic infections and explain the
factors determining such distribution and their socioeconomic impact on the
community.
2- Describe the morphology and life cycle of parasites of medical importance.
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3- Describe pathogenesis, clinical signs and symptoms and complications of parasitic
infections.
4- Outline the treatment for various parasitic infections and mention the methods of
prevention and control of infection on individual and community levels.
5- Discuss the methods of recovery of parasites from environmental samples and their
culture met
met hods.
6- Describe common arthropods of medical interest and explain their medical
importanc
import ancee and methods
methods of combat.
combat.
7- Outline fundamental immunology and molecular biology applicable in parasitology
to achieve better and accurate diagnosis.
8- Enumerate complications associated with manipulation of infectious materials,
relevant to parasitology, especially in hospitals.
II-3:
II -3: INTE
INTELLEC
LLECTUAL
TUAL SKILLS
By the end of the course, student should be able to
14- Interpret the most important signs and symptoms of important parasitic infections of
endemic character (using case study).
15- Choose the best-suited laboratory investigations for each parasite and interpret the
clinical and laboratory findings to reach a proper diagnosis.
III-1:TOPICS
No of hours
Topics
Topics % Total hrs.
Total Lecture Practical
Practical
1-Introduction to p arasit
arasit ology
ology 1 1 1
2-Helminthology, Trematodes and 19 23 11 12
Cestodes
3-Introduction to Nematodes, intestinal
27 32 14 18
and tissue
tiss ue nematodes
nematodes
4-Protozology, Intestinal, Urogenital
27.5 33 18 15
blood and Tissue protozoa
5-Immunology and molecular
4 5 5 -
parasitology
6-Entomology
6-Entomolog y 21.5 26 11 15
100% 120 60 60
50% 50%
I : Introd
Introduction
uction to parasi
parasitology
tology :
VI : Entomology
-Introduction
-Int roduction to
t o medical
medical Entomology
Entomology
-Mosquitoes –Phlebotomus papatasii –Simulidae, ceratopogonidae & Tabanidae
-M uscidae
uscidae –Calliphoridae
–Calliphoridae –Oestridae
–Oest ridae–M
–M y iasis
iasis –Fleas
–Fleas –Lice
–Lice –Bugs
–Bugs –Ticks
-Mites –Scorpion –Cyclops –Control of arthropods & Insecticides.
Practical
Pra ctical Cla
Classse s:
-Helminthology :
* Microscopic slides:
• Mounts for adult parasite & its body parts (hooks, scolices or segments).
• Mounts for parasitic stages (eggs, larvae or cysts).
• Pathologica
Pathologicall sp ecime
ecimens
ns (infected body p arts)
-Protozoology
* Microscopic slides:
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• St ag
ages
es of the
t he parasite st ained
ained with different st ains.
• Biop
Biop sy and tissue sections
sections
-Entomology
* Microscopic slides:
• M ounts for the whole
whole arthrop
arthropod
od and
and its
its body p arts.
* Boxes (gross picture)
IV. TEAC
ACHHI NG METHODS
METHODS
IV-1:METHODS USED
-Lectures
-Practical classes (laboratory training)
-Small tutorial groups (in practical classes once per month)
IV-3:TEACHING PLAN:
-Lectures :
* Two
T wo lectures (one hour each)
each) weekly
weekly for 30 weeks (total
(t otal 60 hours)
-Practical classes :
* One p ractical
ractical class
class (two
(t wo hours each)
each) weekly
weekly for 30 weeks (total
(t otal 60 hours)
*Writing project on some endemic parasitic diseases using staff book, other text
books and parasitological websites)
Time plan :
Item: Time schedu
schedule Teaching
Teaching hours Total hours
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Lecture Twic
Tw icee weekly
weekly One hour 60
Practical &
Once weekly
weekly Two
Tw o hours 60
Tutorial
Total 120
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Teaching
Teaching and learning
learning facil
facil itie s:
1-Lecture halls
2-Equip
2-Equip ed labs
labs with
wit h microscop
microscopes,
es, slide projectors
projectors,, overhead
overhead projectors and data show.
show .
3-Departmental
3-Dep artmental museum
5-Facultt y library
5-Facul library can
can be used for projec
p rojects
ts and text
text books
V. STUDENT ASSESSMENT
V-2:ASSESSMENT TOOLS:
TOOL PURPOSE
Written Assessment of knowledge and understanding. Also
intellec
intellectt ual skil
skills
ls (case report)
report ) ILOs II-1(1-8) & II-3(14-15)
examination
Pract
Practical
ical examination
examinati on Assessment of knowledge and understanding and
p rofessional
rofessional skills
skills II 1(1-8) & II 2(9-13).
Oral e xamination
xamination Assessment of knowledge and understanding & professional
skills & attitude II 1(1-8) & II 2(9-13 ) & II 4 (16-19)
V-3:TIME SCHEDULE:
-Mid year examination : once in January.
-Final examination : once at the end of academic year (May).
-Quiz before Mid year and final exam.
V-4:GRADING SYSTEM:
EXAMIN
EXAMIN ATIO
ATIO N MARKS
MARKS ALLO
ALLO CATE
CAT ED
Project 5
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Total 150
• The minimum passing score is 90 marks provided at least 18 marks are obtained in
the final written examination.
• Passing grades are : Excellent > 85% , very good 75-<85%, Good 65-<75% and fair
60-<65%.
V-5:EXAMINATION DESCRIPTION:
EXAMIN
EXAMIN ATIO
ATIO N DESCRI
DES CRIPTI
PTIO
ON MARKS
Quiz Identification of 5 projector slides in 10 5
minutes
Mid Year
Year examination
e xamination One-hour written paper composed of short 25
essay type questions –MCQs and case
descrip
descrip t ion and discussion
discussion
Project presentation 5
Writing project on some endemic parasitic
diseases provided with illustrations
Quiz 5
Identification of 5 projector slides in 10
minutes
Final Two hours written paperp aper comp
comp osed of short
short
Written essay type questions –MCQs and case 60
examination
descrip
descri p t ion and discussion
discussion
Practical Spot t ing of 20 slides, boxes
boxes and jars 30
Two sessions :
Oral One for helmenthology & snails for 10 min. 20
One for Arthropodes & protozoology for
10min.
Total 150
VI-2:SUGGESTED MATERIALS:
• Parasitological & Tropical Journals
• Text books
Annex I
National
Nation al Web
W eb si
si te
Internation
International
al Web
W eb site
site
http://www.asp.unl.edu
Officiall website of the America
Officia American
n Socie
Society
ty of Parasitologists
Parasitologists.. Offer information
information about t he society
society and
its ac
activit
tivitie
iess as well as links t o relevant
relevant p arasitolog
arasitologica
icall sit
sites.
es.
http://www.parasitology.org.uk
Official website of the British Society for Parasitology. Offer information about the society and its
activities as well as links to relevant parasitological sites.
http://www.dpd.cdc.gov/dpdx
Useful site for the identification and diagnosis of parasites of public health concern. It provides
information about life cycle, geographical distribution, clinical features, diagnosis and treatment for
each of the parasites listed. It also includes a parasite image gallery.
http://www.cvm.okstate.edu/~users/jcfox/htdocs/clinpara/index.htm
Website of Veterinary Clinical Parasitology Images created by Professor J.Carl Fox of Oklahoma
Stat
tatee University.
University . An exce
excelle
llent
nt site with
w ith images,
images, keys and other interesting
interest ing features
features about p arasites.
arasites.
http://www.parasite.biology.Qiowa.edu
This website contain 2320 imag
images
es and informat
informat ion about p arasites
arasites t aken
aken from Dr. Herman
Herman Zai
Z aima
man’s
n’s
publication “A Pictorial Presentation of Parasites”. Although the site is password protect, everyone
can
can access
access it by using the user name “guest
“guest and the password
p assword visitor”.
visit or”.
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Clinical Pharmacology
Third year
ye ar
M .B.BC
.B.BCH.
H. Program
2004/2005
-Al located
locate d Marks
Marks : 300 M arksarks
-Al located
locate d duration
duration:: 24 weeks
-Allocated hours : 180 hours
120 hours Lectures.
Lectures.
60 hours Practical
Pract ical,, Clinical
Clinical and T ut
utorial
orial classes.
-Course director : Prof. Dr. Hedayat Tolba
Chairman of Clinical
Clinical Pharmacology
Pharmacology Dep art artment.
ment.
-Teaching stuff : 32 Professors, 3 Assistant
Ass istant Prof., 6 Lecturers.
Lecturers.
9 Assistant
Ass istant lect
lect urer & 8 Demonstrators.
Demonstrators .
groups
roup s of
2-Discuss thedrugs affecting
affeand
adverse ctingtoxic
bodyeffects,
sy stem
st ems.
s. their management of commonly used groups.
and
3-Give an account on limitations to the use of drugs such as contraindications and drug interactions.
4-Define clinically relevant age, sex and genetic related variations that affect response to drugs
(P.ILO.2).
5-Discuss the pathophysiology of diseases and explain the rational basis for the use of drugs
(P.ILO.4).
6-Discuss the impact of preventive pharmacology in promoting health and prevent illness
(P.ILO.5).
7-Define the principles, the indications, the relative advantages and disadvantages of various
p harmac
harmacotherap
otherapyy modalities
modalities (P.ILO.10).
8- Discuss the use of life saving drugs.
9-Discuss the role, prevalence and limitations of alternative and complementary therapies
commonl
com monly y in use (P.ILO.11).
10-Discuss the principles and applications of gene therapy (P.ILO.12).
11-Recognize the rational and general guidelines of the use of drugs in the proper dose in special
population such as pediatrics, geriatrics, pregnancy and lactation and in cases of liver and kidney
impairment.
Faculty
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93
12-Define the basis of pharmaco-economics.
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94
B- Professional Skills (Clinical, Practical and Intellectual):
B-1- Intellectual Skills:
13- Calculate accurately drug’s dosage, bioavailability, plasma half life and volume of distribution
in differen
differentt p atient
atient p opulations.
opulations.
B-2-Data Acq
Acquisiti
ui siti on:
14-Obtai
14-Obt ain
n and record
record a comp
comp rehensive
rehensive drug history of the
t he patient.
p atient.
15-Document drug adverse reactions.
B-3- Data analysis and problem solving:
16-Observe, record and analyze the effect of drugs on biological tissues
B-4- Practical Skills:
17-Perform with p recision
recision different
different t echnique
echniquess of drug administration.
administration.
B-5- Skills related to treatment strategies:
18-Design rational therapeutic strategies for both acute and chronic conditions that take into
account the various variables that influence these strategies (P.ILO. 30). Choose the proper
drug/s
drug/s for t he prop
p roper
er clinic
clinical
al situation in p roper
rop er dosage.
dosage.
19-Monitor the effectiveness and toxicity of therapy (P.ILO.33).
20- Write a prescription for selected important diseases.
21-Audit p rescrip
rescrip tions cit
cit ing multiple drugs.
drugs.
III-A) Topics:
Teaching hours Total
Topics Lect ures Pract iiccal & C lliini cal T ot al %
1- General pharmacology 11 6 17
2- Autonomi
Aut onomicc Nervous System 16 10 26
3- Ocular Pharmacology 2 4 6
4- Skelet
Skeletal
al muscl
muscl e relax
rela xants 2 4 6
5- Aut ac
acoids
oids 4 - 4
6- Respiration 5 2 7
7- Renal pharmacology 4 - 4
8- Cardio-vascular pharmacology 16 12 28
9- Blood and blood forming organs 6 - 6
10- Psycho-neuro-pharmacology 16 - 16
11- Hormones and their antagon
antagonists
ists 11 4 15
12- Gastro-Intestinal tract 6 2 8
13- Chemot
Chemot herap
herap y + Local
Local Antiseptics 16 - 16
14-
15- Drug
Drug abuse
interactions 2
2 -- 2
2
16- Chelating agents 3 - 3
17- Vitamins
Vitamins and food supp
sup p lemen
lements
ts 2 - 2
18- Immuno-pharmacology 2 - 2
19- Pharmaco-economics 2 2 4
20- Pharmacogenetics 2 - 2
21- Prescription writing - 4 4
Total 130 50 180 100
IV-B)
V-B) Method
Meth odss for disable d students: Not available
VI Student Assessment:
VI- A) Attendance:
Examin ation
Examin M arks / Value
Value
1- Presentation of Log book of practical and Prerequisite
Prerequisite for sitt ing for the
t he exam.
exam.
exp
exp erimental classes.
class es.
2- Practical module exam. 35 marks
3- Mid-year exam. 40 marks
4- Prescription writing 15 marks
5- Final Exam. 110 marks
6- Clinical case modules 50
7- Oral examination in 2 sessions 50 marks (25 marks each)
T ot al 300 marks
VI-- E) Gra
VI Gra di ng S ystem:
ystem: According to faculty bylaws.
5- Log
6- Oral
Lo E xam
g Bo
Book
ok x x x x x x x x x X x x x x x x x x x
Facul
Faculty
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nnexes of an
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2004/2005
Cairo University
Faculty of Medicine
Medicine
Department of Pat
Patho
hollogy
og y
Course
Course specifications
Cou
ourse
rse director: Prof. D
Dr.
r. Naema Marie
Head of Pathology Depart
Departme
ment
nt
Teaching staff: 25 profe ss ors , 12 assis tant profe ss ors , 6 lectu
lecture
rers
rs
1- Define and discuss the main disease categories that may affect the body (
general pathology)
pathology) as well as the basic m echanism s underly
underlying
ing these dis
disord
orde
ers (
etiology , pat
pathogene
hogeness is & natural his
history
tory))
2- Describe the morphologi
morpho logicc (gross & micros copic) changes occurring as a res
result
ultof
such diseas e proc
process
ess es in vvariou
ariouss organ sysystems
stems
3- Determine the fate & complications of each particular disease and outline the
general management procedures
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II-
II-2:
2: CLINICAL & LA
LABORATORY SKILLS:
By the end of the course, students should be able to be prepared for their
upcoming clinical training by:
II-
II-3:
3: IINTELL
NTELLECTUA
ECTUAL
L SKILLS
SKI LLS
By the end of the course, students should be able to:
1. Predict the signs and symptoms of a diseas
disease e based on the underly
underlying
ing gr
gross
oss &
microscopic
mi croscopic
changes tisspatient,
in the ue changes respons
thereby ible
enabl ing for
enabling tthe symptomatology
he s tudent recognize and phy
physical
patients sical
with
life/organ threatening conditions
2. Interpreting in a profess ional m anner a pathology report
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2004/2005
%
Topic total Numbee r of hours
Numb
hours
Tot al
Total Lect
L ect ures P ractical/small
ractical/small groups
General Pa tho
holl ogy 123 57 hrs 14 & 52 (66hrs)
hrs
1. P AT HOLOGY
HOLOGY & it s related disciplin
disciplines
es 1 1
2. TECHNICAL POINTERS ON SAMPLE 12 2 1 4
HANDLING
HANDLI NG,, SENDING, PROCESSIN
PROCESSIN G &
REPOR
REP ORTT ING & quality control of surgical
biopsy material
3. INFLAMMA
INFLAMMATION TION & REPAI
REPAIR R 14 8 1&2
4. CELL INJURY,
ACCUMULATIONS
ACCUMULATION S DEP OSITI
OSITIONS
ONS & 14 8 1 &2
diseases
diseases of AGEING
AGEING
5.
5.GGROWT H DIST
DIST URBANCES
URBANCES & 27 9 1 &8
NEOPLASIA
6. FLUID & HEMODYNAMIC 18 8 1& 4
DISTURBANCES
DIST URBANCES
7. IMMUNE RESPONSE & NON 5 5
SP ECIFIC & VIRAL I NFECT
NFECT ION
8.
8.SSP ECIFIC INFEC
I NFECTIONS-
TIONS- 20 6 1 &6
GRANUL
GR ANULOMA,
OMA, & MYCOTIC
MYCOT IC DISEAS
DISEASE
ES
9.
NUTGENETIC,
RI
RITION
TIONALENVIROMENTAL,
AL DISORDERS
DISORDERS & 6 6
IONIZING
IONI ZING RADIATION EFFECT
EFFECT S
10
10.. CYTOLOGY
CYTOLOGY 2 2
11
11.. IMMUNOH
IMMUN OHIS IST
T OCHEMIS
OCHEMISTT RY 1 1
12. HOW TO RESEARC
RESEARCH H A T OPIC
PI C 3 1 1
Special Pathology 129 71 14 & 44 (58hrs)
(58hrs)
1.CARDIOVASCULAR(heart & blood 16 10 1 &2
vessels
2. RESP
RESP IRAT
IRAT ORY 14 8 1&2
3.GAST
3.GAS T ROINTEST
ROINTEST INAL
INAL 14 8 1&2
4.HEPAT
4.HEPA T OBILIARY
OBILIARY & PANCREAT
PANCREAT C 12 6 1&2
5.URINARY T RACT
RACT & KIDNEY
KIDNEY 16 10 1&2
6.MALE GENITAL 7 3 2
7.FEMALE GENITENIT AL & BREAS
BREASTT 15 9 1& 2
8.ENDOCRINE 9 5 2
9.BLOOD&LYM
9.BLOOD& LYMPHORE
PHORETT ICULAR 7 3 2
10
10.S
.SKELET
KELET AL SYST
YST EM ,SOFT
,SOFT TISSUE,
TISSUE, 12 6 1 & 2
JOINT S & SKIN
11.PERIPHERAL & CENTRAL NERVOUS 7 3 2
SY ST EMS
252 128 28 + 96=124
96=124
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2004/2005
III-B:
III-B: PROBLEM
PR OBLEM BASED CASES:
CASES:
Are based on t he topics discussed in the abo abov
ve me
mentio
ntioned
ned list
1. Acute & chroni
chronic c Inflammat
Inflammatioion
n & repair
2. Degenerat
egenerativive
e changes
3. Necr
ecrosis
osis & cell injury
4. Granulomas
5. Non
onspecific
specific infection
infectionss & immunity disturbances
6. Circulatory distu
disturbances
rbances
7. Neoplasms
8. Cardiovascular cas case es
9. Respiratory cas
case e
10. GI
GIT
Tccase
ase
11.. K
12
12. Hidney
Hepatobiliary
epatobiliary
Kidne y c
case
ase
13. Female gen
genital
ital tract & breast
14. Skeletal ssy
ystem case
General Systemic
I -Fibrin
-Fibrinous
ous infla
inflamm
mmation(peritonitis),
ation(peritonitis), liliv
ver 62 Atheros clero
cleros
s is, sm
small
all artery
2-Acute
2-Acute s uppurative app
appeendi
ndiccitis 63- Allergi
lle rgic
c nasal poly
polyp
p
7- My
Myocard
ocardical
ical s car 67- Bronchogen’c carcino
carcinom
ma
10- Am yloi
loidosis
dosis,, Kidney 68- Pleomorphic adenoma salivary gland
12- Hepatic s te
teato
atos
s is 73-L
73-Liver
iver cirrhosi
cirrhosis
s
14- Chronic veno
enouus conge
conges
s tion, lun
lungg 75- Hepatocellular carcino
carcinom
m a..
15- Chronic veno
enouus conge
conges
s tion liver 77- Se
Sem
m ino
inom
ma
78- Chronic diffuse glomerulonephritis
17- Recent thrombus 79- Renal cell carcino
carcinom
ma
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nnexes of an
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2004/2005
28- Schistosomia
Schistosomias
s is, large intestine 89- Mamm ary cycys
s tic hy
hyperp
perplasi
lasia
a
29- Schistosomal poly
polyp p intes ti
tine.
ne. 90- Intraductal carc
carcinoma,
inoma, breas
breastt
91- Lymphocytic lymphoma.
51- Nodular
N odular melano
melanom
ma
52- Squamous cell carcinoma
53- Basal cell carcinoma
54- lnv
l nvasive
asive duct carcin
carcinoom a(Sc
a(Scirrh
irrhoous )bre
)breast
ast
56- Aden
denocarcinoma,
ocarcinoma, cocolon
lon
57- Mucoid carcinoma, large intestine
58- Metastatic carcinoma, lymph node
Facul
Faculty
ty of Medicine, Cairo
Cairo Universi
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nnexes of an
annual
nual faculty report 2004/2005
2004/2005
•
Cardiov
Cardiovascular
ascular system: 29 Jars
• Res piratory s ys tem : 18
• GIT: 24
• Hepatobiliary sy system
stems s & pancreat
pancreatic
ic dis
diseases
eases : 17
• Urinary tract
tract,, m ale genital s ys tem and renal pathology :22
• Female genital system & breast dis disorders
orders 20
• Endocrine pathology 3
• Blood diseas es ( peripheral blood and bone marrow disorders) &
Lym
Lym phoret
phoreticular
icular disorders ( ly lym
m ph nodes & spleni
splenicc diseas es) 6
• CNS & PNS 6
• Skeletal s ys tem & joinjointt pathology 15
• Sof
Softt tiss ue 8
III-
III-E:
E: COURSE
C OURSE CONTENTS:
CONTENTS :
A) GENERAL PATHOLOGY
1. INTRODU
INTRODUCTION
CTION TO PAPATHOLOGY
THOLOGY
Pat
Pathology
• hology & its related dis
disciplines
ciplines
2. TECHNICAL POINTERS ON SAMPLE HANDLING, SENDING, PROCESSING &
REPORTING
REPORT ING & quality control of surgsurgical
ical bi
biops
ops y m aterial
How to research a topic How t o w rit rit e a rreview
eview art
art icle on a curr
current
ent t opic, sear
searchin
ching
g&
collec
collectt ion o
off mate
materi
rial
al,, refe
reference
rencess & rresearch
esearch e ett hi
hics
cs
3. INFL
INFLAAMMMMAATION & RE REPAIR
PAIR
a. Acute inflam m ation
b. Chronic inflamm ation
c. Repai
Repairr : Regen
Regeneration-Organiz
eration-Organizationation & heali
healing
ng in s pecial ccondition
onditionss
4. CELL INJURY, ACCUMULATIONS & DEPOSITIONS
• Cell response to injury
injury:: degenerat
degenerativ ive
ec changes
hanges,, necrosis & apoptosis
• Accumulations & storage dis diseases
eases
• Deposi
Depositions,
tions, abnormal calcif
calcificat
ications
ions & abnormal pigmpigmentat
entations
ions
• Diseases of ageing
5. IMMUNE RESPONSE & NON SPECIFIC INFECTIONS
• Imm unity & hy hypers
pers ens itiv
itivity
ity
• Immunodeficiency
• Autoimmunity
• Non s pecific bacterial infections: bactremi
bactremia,a, pyem
pyem ia, s epticem
epticemiaia & tox
toxem
em ia
• Viral infections
6. SPECIFIC
SPEC IFIC INFECTIONS- GR GRA ANU
NULOMA
LOMA
• Bacterial: TB- s yphil
philis
is - lepros y
• Fungal
• Parasitic: Bilharz
Bilharzias
iasis
is
7. FLUID
FLU ID & HHEM
EMODYNA
ODYNAM MIC DDISTURBANCES
ISTURBANCES
• Hy
Hyperemia
peremia – cong
congestion-
estion- edema-t
edema-thrombosis
hrombosis – embolism
• Ischemia – infarc
infarction-
tion- gangrene- hemorrhage-s
hemorrhage-shockhock
8. GROWTH DISTURBANCES & NEOPLASIA
• Hy
Hyperplas
perplas ia- m etaplas ia- dy dyss plas ia- hypertrophy
hypertrophy-atrophy
-atrophy-ham
-ham artoma- tumo
tumor-
r-
like lesions
lesions
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nnexes of an
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2004/2005
•
Benign tumors
• Malignant tumors
9. GENETIC, ENVIROM
ENVIROM ENTAL, NUTRITIONAL
NUT RITIONAL DISORDERS
DISORDERS & IONIZING
RADIATION DISORDERS
•Basis of genetic dis
disease-
ease- her
hereditary
editary dis
disorders
orders & congenit
congenitalal mal
malfor
formations
mations
•Env
Environmental
ironmental disorders
•Nutr
Nutritional
itional dis orders: protein calorie mal
malnutr
nutrition
ition – vvitamin
itamin disorders – ttrace
race
element disturbances
•Dis
Disorders
orders of ioniz
ionizing
ing radiation
10. CYTOLOGY
Ty
Types
pes of sam ples & proper handli
handling,
ng, fixation
fixation of m aterial& necess ary
clinical data
General ffeatures
eatures of reactiv
reactive,
e, benig
benignn & m alig
alignant
nant cells
Pitf
Pitfalls
alls in
i n diagnos is & how to interpret a cy
cytology
tology report
11. IMMUNOHISTOCHEMISTRY
12. HOW TO RESEARCH
RESEARCH A TOPIC:
T OPIC: How t o write a review
review article,
article, how to colle
collect
ct data ,
reference writing , using the available resources (library & internet), writing structure
etc……..
B- SYSTEMIC/ SPECIAL PATHOLOGY
Al
Alll diseases
disease s in eaeach
ch organ systems are studi
studied
ed covering :
b) Definitio
Definition,
n, incidence of disea
disease
se ands its epidemiology
c) Etiolog
tiology,
y, pathogenesis & molec
molecular
ular ggenetic
eneticss
d) Morph
Morpholo
ologic
gic aspects: gross & microscopic chang changes
es
e) Fate & compli
complications
cations
f) Oth
Others
ers(( clini
clinical
cal prese
presentation
ntation,, prog
progno
nosis,
sis, manageme
management
nt etc…)
Facul
Faculty
ty of Medicine, Cairo
Cairo Universi
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nnexes of an
annual
nual faculty report 2004/2005
2004/2005
System
Systemss studied include the following :
• Cardiov
Cardiovascular
ascular system : Heart and blood ves essels
sels
• Res piratory s ys tem : upper and lowelowerr res
respiratory
piratory tract & lungs
• Gastr
Gastrointestinal
ointestinal trtract
act:: stom
stomach,
ach, sm all and large intestine
• hepatobiliary systems & pancreat
pancreatic ic dis
diseases
eases
• Urinary tract and renal pathology
• Male genital s ys tem
• Female genital system & breast dis disorders
orders
• Endocrine pathology
• Blood diseas es ( peripheral blood and bone marrow disorders) &
Lym
Lym phoret
phoreticular
icular disorders ( lylym
m ph nodes & spleni
splenicc diseas es)
• Skeletal s ys tem, s oft tiss ue, join
jointt pathology & pathology of the s kin
• Peripheral and central nerv nervous
ous sy
sys s tem pathology
IV.. TEACHING
IV TEACHING METHODS:
IV-A
IV-A: METHODS USED:
USE D:
1- Genera
enerall lectures
2- Tutorials, seminars, small group discussions, role playing and
case stud
studies
ies
3- Practical session
sessionss
a- Histopathology
Histopathology slide llab
ab
b- Museum of patholog
pathologyy
c- Post Mortem & ffresh
resh surg
surgical
ical samples
IV-C:
IV-C: TEACHING PLAN:
PLAN:
LECTURES
Lecture hall
hallss num bers 11 & 12. Each hall prov
provides
ides s eating for 700
s tudents and the s am
ame e lecture is giv
given
en in ea
each
ch hall o
onn the sa
samm e day by 2 diff
diffe
erent
professors( times 8-9 am /9-10 /10-11 am). Total number of hours 128 hrs per
academic year ( 57 first term and 71 hrs second term). Lectures should be
Illustrated, animated contain video clips or film strips or contain explanatory
diagrams
diagrams and algor
algorit
ithms
hms
TUTORIA
TUT ORIALS
LS / small group activi
a ctiviti
ties
es
28 hours of tut
tutorials
orials (14 hours first ter
term
m and 14 hours se second
cond ter
term).
m). T
To
o be held
after lectures in the PM autops
autopsyy theater adjacent to PatPatholog
hology
y Dept& in mus eum .
Smallll gro
Sma groups
ups m ax
axim
im um 50 s tudents wwill
ill be in
included.
cluded. This would include imp
mpo
ortant
topic
topic discuss
discussion
ionss in sma
small
ll grou
groups,
ps, se
seminars,
minars, cascase
e studi
studies
es & probl
problem
em solv
solving
ing
nd
Di
Disc
scussion
ussion of end of year project and role playing con conducted
ducted in 2 term.
PRACTICAL
Facul
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nnexes of an
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nual faculty report 2004/2005
2004/2005
A) Histopathology
Students are div di vided into
i nto groups of 150-200 an andd giv
given
en a brie
brieff half hour data sh
shoow
on the topics of tthe he wee
week k in the s smm all lecture room of Pathology Dept. on the
s econd floor. They then go down to the s tudents lab for their training in m icr icro
osco
scopy
.
Every
Ev ery 3-4 s students
tudents s hare a box of 66 s lide
share lides sa
and
nd 1 mmicros
icroscope
cope and s pend 2 hours
/ses
/se s s ion
ion.. T
There
here a are
re 2 dai
dailyly s es s ion
ionss1
11-1
1-1 pm and 1 -3 p pm
m. TTotal
otal nu
numm ber of hou
hourrs
st nd
48hours (26 hours 1 term 22hrs 2 term term).
). This would include photos,&
diagrammatic representations of both normal & diseased tissues at the
m icros
icroscopical
copical level and how that dise diseas
asee would b bee at tthe
he lev
level
el of the whole orga
organn
B) Museum
3 Staff
Staff mem bers are respons
responsible ible for demons tration
tration of the jars. St
Students
udents are
divided
divided in
into
to groups o
off 50/ s taff .
th
Museum is located on the 4 floor of the main m ain ttheatr
heatre
e building and student
studentss
spend 2 hours /ses/sessi
sion.
on. T
There
here are 2 daily ses sions
si ons 11-1 pm and 1-3 pm
pm.. Tot
Total
al
st nd
number
num ber of hours 48 hour
hours s (hours 26 1 ter term
m 22 hrs 2 term) total num ber of jar
jars
s
168
C) Postmortem & fresh surgical specimens
Will be display
disp layed
ed before ttutor
utorial
ial s es
ession
sion
Time plan:
Item: Time sc
schedule
hedule Teaching
ea ching hours To tal
hours
Lectures Daily : 8-9 am same lecture 1 hr/day
hr/ day 26 weeks 128
rep eated at 10-11 am
Facul
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nnexes of an
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2004/2005
TOOL PURPOSE
Written
Wr itten exam: Assessment of knowledge & understanding
Oral exam Assessment of knowledge understanding & attitudes
Practical exam As s essment of descri
descriptive
ptive & diagno
diagnos
s tic abilitie
abilities
s and theory
application
Log book Assessment of attendance- discussion participation-
quizzes/drills evaluation
4Quizzes & 4drills in
4Quizzes Assessment of knowledge & understanding
practical class
2 Assignments
Assignments & 1 end of Assessment of knowledge & understanding
year project in tutorial Assessment of life long learning skills & presentation skills
VI-C: TIME SCHEDULE:
Exam
xaminatio
ination:
n: Mark s allo
Marks allocate
catedd
Term ex
exam
am I January 40
Term ex
exam
am II M
March
arch 20
Final ex
exam
am Ma y
Written 100
Oral 40
Practical 100
4 Quizzes
Quizzes , 4 drills, end of year project 1 formative
TOTAL 300
o The m inimum p pa
assi
ssinng score is ( 60% ) prov
provided
ided at least 30 mark
marks
s are obtained
in the final
fina l writt
written
en exam
o Passing grades are: EXCELLENT >85%, VERY GOOD 75- <85%, GOOD 65-
<75% and FAIR 60- <65%.
Facul
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nnexes of an
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nual faculty report 2004/2005
2004/2005
Exam
xamin
ination:
ation: DESCRIPT
DESCRIPTION ION Mark
Markss allocated
Term exam I (2hrs
(2hrs ) Written
Writ ten 2 hhour
our exam cov
covering
ering 40
topics in
i n general pathology
1essay- 6 short questions- 20 true
or false
fal se & MCQ
Term ex
e xam II (1.
(1.30hrs)
30hrs) Written 1.30 Hr ex
Written exam
am topic
topicss
special Pathology 6 short 20
questio
questi ons- 20 true or ffalse
alse & M
MCQ
CQ
Final exam
exam 240
- Written Written 3 h
Written hour
our exam cov
covering
ering 100
(3hrs) topics in general & special
pathology 1essay 9 s hort
questio
questi ons- 20 true or fals
false
e&M MCQCQ
+ short
sho rt ca
cas
se
Oral covering topics in general & 40
10-15min s pecial patholog
pathologyy. 2 ex
exam
am ine
inerrs
Practical 4 unknown slides
slides + M
MCQ
CQ on s lide 100
(50min) 4 jars
jars + MCQ on Jar
1 fresh
fres h autop
autops
s y s peci
pecim
m en+ MCQ
on speci
spe cimen
men
1 pathology report or technical
question
TOTAL 300
Facul
Faculty
ty of Medicine, Cairo
Cairo Universi
Universi ty Annexes
nnexes of an
annual
nual faculty report 2004/2005
2004/2005
Facul
Faculty
ty of Medicine, Cairo
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transmission of common
common ENT infection.
infection.
2. Describe the clinical sy mptoms and signs
signs of t he most
most important ENT disorders.
3. Determine the appropriate diagnostic tools and therapeutic lines for the most important
ENT disorders including
including app licabl
licablee rece
re cent
nt modalit
modalities.
ies.
4. Out
Outline
line the manage
management
ment p riorities for different ENT emerg
emergencies.
encies.
5. Recognize different rehabilitation methods for the common permanent handicapping
problems in ENT.
6. Explain the relationship between some general symptoms or illness and ENT disease and
the intera
int eraction
ction between ENT and other specia
specialties.
lties.
II-2: Cl
Clini
ini cal
cal S kills:
By the
t he end
end of the
t he course,
course, student
st udentss sshould
hould be able
able to:
7. Take pro
p rop
p er history from p atients
atients with
w ith ENT
ENT and related
related head & neck proble
p roblems.
ms.
8. Perform adequate clinical examination for ENT and head & neck patients and identify
diversions
diversions from normal and use equipme
equip ments
nts availa
available
ble t o a prima
p rimary
ry care
care prac
p ractt itioner.
9. Present patients
p atients da
data
ta in an organized
organized and infor mat
mat ive manner.
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10. Suspect complications of major diseases beyond the capacities of general practitioner and
determine
determine when to refer them
t hem to sp ecial
ecialist.
ist.
II-3: Intelle
nte llectua
ctuall Sk
S kills:
By the
t he end
end of the
t he course,
course, student
st udentss sshould
hould be able
able to:
11. Interpret the most important symptoms and signs of disease in ENT and head & neck
patients.
12. Formulate appropriate management plans for individual patients presenting with the most
common ENT and related head & neck disorders.
II-5: Attitude:
By the
t he end
end of the
t he course,
course, the
t he studen
st udentt s should be able to:
14. React kindly and respectively to the patients during history taking and clinical
examination.
III. COURSE CONTENTS:
III-1: Top
To pi cs:
No. of hrs.
Topic % Total Practical/
hrs. Total Lectures
S mall
mall groups
1 Ear 32.8 39 ½ 16 ½ 23
2- Nose 27 33 12 21
3- Pharynx 17.6 21 ½ 7½ 14
4-Oesophagus 2.9 3½ 1½ -
5-Larynx 15.8 19 9 10
6- Neck 2.9 3½ 1½ 2
48 hrs 72 hrs .
Total 120
40% 60 %
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IV-2:
V-2: Methods for Disab
Dis abled
led St
S tudents:
No sp ecial
ecial arr
arrange
angement
mentss are avai
avai lable
lable
Time Plan:
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Li
Live
ve an
andd 1/week 9.00-11.00
9.00-11.0 0 2 hrs x 6 weeks 12 hrs.
videotaped surg
su rgery
ery
TOTAL 120 hrs.
V. T EACHING FACILITIES :
• Lecture halls:
rd
- One in the 3 floor connected
connected to the op eration
eration theat
theat re with audio visual connec
connections
tions
(Capacity 250 students).
- Two
Tw o in the
t he outpat
outpatien
ientt clinic
clinic “air cconditioned
onditioned supp lie
liedd with
wit h data show”.
With capacit
capacit y of 80 students “the first one” & 60 studnest udnets
ts “the
“ the second one”.
one”.
•
• A computer
comput er is availa
available
ble in the
t he outpa
outp at ient
ient cli
clinic
nic to be connect
connected
ed with the
t he dat
dat a show.
• Clinical facilities; “in the outpatient clinic:
- 6 smal
s malll examina
examinatt ion rooms.
rooms .
- 2 big examination rooms prepared with 2 well equipped units available for 4
p atients
atients simatone
simatoneousl
ously
y.
- Endoscopy unit with camera and monitor to allow the students to visualized
endoscpic examination of ear, nose, pharynx & Larynx.
- About 30 otoscopes that could be used by students to examine patient’s ear.
VI. STUDENT ASSESSMENT:
The minimum acceptable attendance is 75%; students who fail to attend that percentage of
activities will not be allowed to take the end of term examination. They may be allowed to take it
during a subsequent term if they satisfy the required attendance, otherwise the marks allocated for
the end of term examination would be recorded as a proportion from the final written examination
score. Student
Studentss need to attend
at tend at least
least 60% in order to sit
s it ffor
or the
t he final
final exam
examination.
ination.
VI-2:
I-2: Assessm
Assess men
entt Tools
Tools::
TOOL PURPOSE
Writt en ex
examinat
amination
ion Assess
As sessment
ment of knowledg
knowledgee and underst anding
andin g. (Out comes
comes
# 1-6)
Oral examination
examination Assessme
Ass essment
nt of Knowledge
Knowledge and und
understanding
erstanding.. (Outcom
(Out comes
es
# 1-6)
Clinical
Clinical case Assessme
Ass essment
nt of clinic
clinical
al skills as well as intellectual skills
ski lls &
att
attitude
itude (Outcomes
(Outcomes 7-15)
VI-3: Time Schedule:
Term examination:
examination: held
held 5 times
t imes / y ear
ear at t he end
end of each
each rotation.
rot ation.
Final examination at the end of academic year for all students.
VI.4
I.4 Granding
Granding S ystem:
ystem:
Examination:
Examination: M arks al
alloc
located
ated
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Term examination
examination Written
Writt en exam
exam 40
Final examination
examination Written
Writt en 80
Clinical 40
Oral 40
TOTAL 200
• The minimum passing score is 120 marks provided at least 24 marks are obtained in the
finall written
fina writ ten examin
examin ation.
• Passing grades are: EXCELLENT > 85%, VERY GOOD 75-<85%, GOOD 65-<75% and
FAIR 60-<65%.
Practical
(80 Mark
M arks)
s)
Oral One oral examination
examination st
stations.
ations. 40
200
VII. LEARNING
LEARNING AND REF ERE
RENC
NC E MAT
MAT ERIAL
RIA LS :
VII-1 Basic Materials:
• Standard departme
depart ment
nt books: Available
Available for st udents t o p urchase
urchase from different
different bookshops at
the faculty.
• Overhead projections, slides and computer presentations including data show used during
clinical and theoretical teaching.
• C.T. sca
s cans,
ns, MRI films
films and endoscopes.
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Cairo University
Faculty of Medicine
Department of Ophthalmology
Course specifications
OPHTHALMOLOGY
Fourth year of M.B. & B. Ch. program
• To enable students to give basic health care and preventive measures to limit
endemicc diseases
endemi diseases
• To enable students
student s to re
recc ognize co
common
mmon ccauses
auses of visual llos
osss and th
thei
eirr
management
• To enable students to recognize emergency cases and guidelines for referral
to the spec
speciiali
alist
st .
2-1-- IIN
2-1 NTENDE
TENDED
D LEARNI
LEARNING
NG O UT
UTCO
COME
MES
S:
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11-3: INTE
INTELL
LLEEC TUAL SKILLS
By the end of the cours
course,
e, students should be able to
14- Interpret the most important symptoms and signs of diseases in
ophthalm
ophthalm ic pati
patients
ents
15- Interpret basic investigations related to important ocular diseases
COURSE CONTENTS:
111-1: TOPICS
1. PRE
PREVV ENT
ENTIVIV E O PHTH
PHTHALMOLOALMOLOG GY
a. Integrated management
management of ophthal
ophthalmi
micc di
diseases
seases
b. Prevention
Pr evention of iinfec
nfectious
tious and endemic di
diseas
seases
es of the eye
2. OPHTHALMIC EMER EMER GENCI ES
a. Recognition
Recognition of emergenc
emergenciies affecting the eye
b. Recognition of trauma affecting the eye and the first-aid management
C. Recogniti
Recognition
on of c ases needi
needing
ng rreferral
eferral to speciali
specialized
zed ccenters.
enters.
IV-3:
IV- 3: TEACHING P
PLA
LAN
N
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Time plan:
a) Lectures: 36 hours
b) Clinical rounds: 2 hours/day, 6 days a week, for 6 weeks
c) Skills: Basic clinical evaluation during clinical and outpatient attendance
V-STUDENT ASSESSMENT:
V1:ATTENDANC
V1:ATTENDANCEE CRI
CRITE
TERIA:
RIA:
The minimal acceptable attendance is 75%, students who fail to attend that
percentage of activities are not allowed to take the end of term examination.
They may be allowed to fulfill the required attendance and attend
examination in a subsequent term. Students need to attend at least 60% in
order to sit for the final exam.
V-2: ASSESS
ASSESSMENTMENT TOOOOLS:
LS:
1. Written examination:
2. Oral examination
3. Clinical examination (spotting of5 clinical cases)
4. Spotting of5 projected clinical cases
V-3: TI ME SC
SCHE
HEDD ULE:
1. Term exams, held 5 times per year
2. Final exam at the end of the aacc ademic year for all st
students.
udents.
The minimal passing score is 30% in the written exam and 60% of the total
including clinical and oral.
V-5: EX A MINATIO
INATIONN D ESCRI
SCRIPTIO
PTION
N:
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VI: LEARNI
LEARNINNG A ND R EFE
EFER
R ENC
ENCEE MA TERIAL
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Coursee spec
Cours speciif icati
ca tions
ons
Courrs e Title:
Cou Title : Fore
Fore nsic Me
M e dicine
icine and Clin
Clinical Toxicolog
Toxicologyy
Fourth year of MB & BCh program
2004-2005
Allocatee d M
Allocat Mar
arks
ks: 200
Course Duration: 6 weeks with final end year exam.
Total Teaching Hours: 144 Hours (80 hr lectures, 64 hr practical and small group work)
Course Director: Professor Dr. Ali Gamal El-Din
Teaching Staffs:
Professor Dr. Ali Gamal El-Din
Professor Dr. Nadia Kotb
Professor Dr.Saeid Abou El Nasr
Professor Dr.Dina Ali shoukry
Professor Dr.Ashraf Mohamed Saleh
Ass.Professor Dr.Alaa Abdel hameed McDad
Ass.Professor Dr.Abla Abdel Meguid Attia
Ass.Professor Dr.Manal Mohei Eldin
Ass.Professor Dr.
Dr.Hala
Hala Saeid
Saeid Z ag
aghlool
hlool
Ass.Professor Dr.Safaa Gamal Eldin
Ass.Professor
Ass .Professor Dr.Hoda
D r.Hoda Abdel Hameed
Hameed ElGhamry
ElGhamry
Lecturer Dr.Randa Mohei Eldin EL Shinawy
Lecturer
Lecturer Dr.Heba Kotb
Kot b
Lecturer Dr.Shereen Ghaleb
Lecturer Dr.Abla Abdel Rahman
Lecturer
Lecturer Dr.Abee
Dr.A beerr Ahme
A hmedd Zayed
Z ayed
Lecturer Dr.Amny Salah
Lecturer Dr. Mohmed Adely
Ass. Lecturer Alaa Shehab
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INTEND
INTEND ED LE
LEAR
ARNNI NG OUTCO
OUTCOME
MES
S
toxic substances.
Practical Skills:
9. Identify living
living and dead individ
ind ividuals
uals
10. Diag
Diagnose
nose dea
d eath
th by different
different cli
clinical
nical and investigatory methods.
11. Determine time of death through assessment
assessment of p ost mort
mort em change
changess
12. Identify different
different causes
causes of death
death and ma
manner
nner of death
de ath as well.
well.
13. Examine different wounds and injuries and write a proper primary wound report
14. M ake p reli
relime
menary
nary t ests for blood grouping and
and tox
t oxicolo
icologgi ca
call scree
scr een
n
Intellectual Skills:
15. Rec
Reco
o gnize common ethical dilemmas and suggest a p rop rop er solution.
16. Analyz
Analyzee case scenario
scenario of clinical forensic med
med ic
icine
ine and recog
reco gnize thei
t heirr medico legal
aspects.
17.
18. Analyz
Analyze
Analyzeee different
Analyz differe
case nt proble
prio
roblems
case scenario
scena ofms of malpr
matlprac
intoxicat
intoxica ed act
t ices
icient
patien
pat est and formulate
formulate trea
t reatment
tment p la
lan.
n.
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COURSE
COURSE CONT ENTS
FO RENS IC MEDIC
I. FO MEDICINE
INE
TOPIC No. OF HOURS
TOTAL
TO TAL LECTU
LECTURES
RES PRACTICAL
1.Identification (Of 9 4 5 (M useum &
Living
Livi ng And Decea
Deceased
sed ) Morgue)
2. Death ( Manner Of 11 6 5 (M useum &
Death,
Dea th, Ml Aspec
Aspects
ts Of Morgue)
Brain Death , Death
Under Anesthesia,
Estimation Of
Postmortem
Post mortem Interval)
3. Ml Aspects Of Sudden 2 1 1 (M orgue)
orgue)
Death
4. ML Aspects Of 16 8 8 (M useum &
Wounds (Fire Arm Causality
Injuries, Head Injuries,
Department)
Thermal Injuries,
Injuries Of Other Parts
Of The Body,
T ransportation
ransportation Injuries)
5. Paternity 5 2 3 (Lab.)
Investigations
6. Ml Aspects Of Child 7 3 4 (M useum &
Abuse And Domestic Morgue)
Violence (Ml Conflict)
7.DNAEvidence 3 1 2 (Lab.)
8. Sexual Offences 4 2 2 (M useum)
9. ML Aspects Of 4 2 2 (M useum)
Abortion
10. ML ASPECTS OF 3 1 2 (M useum)
Pregnancy And
DELIVERY
11-Violent Asphyxia 4 2 2 (M useum)
12-ML Aspects Of 4 2 2 (M useum &
Suspected Death In Morgue)
Childhood
13. Medical Ethics 6 3 3 (Case Studies)
14. Malpractice 6 3 3 (Case Studies)
TOTAL 84 40 43
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TOXICOLOGY
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METHODS USED:
1. Lectures
2. Small group discussions using role play,
play , models,
models, demonstration
demonstrat ion (slides
(slides and p hotograp
hotograp hs-
M useum spec
sp ecime
imens
ns and Vi
Vid
d eo films), case study
3. Clin
Clinical
ical visit to faculty
faculty morgue
morgue
4. Clinical visit to Casuality department
DISABLED STUDENTS
1. Video films
2. Radio tapes
3. We
Webb sites
sit es
Teaching Plan
Item Time S ched
he dule Teaching Hours Total Hours
Lectures 80
Theoretical
Th eoretical Lect
Lect ure Halls of t he Daily
Daily (12-2 p m) 72
Faculty
Group Discussions Lecture
Lecture Halls of the 2 Hours /4 Weeks
Weeks 8
Department
Practi
Practical
cal 2-4 pm 64
M useum M useum of the 4 Hours
Hours// 5 Weeks
Weeks 20
Department
M orgue
orgue Kasr El-Aini M orgue
orgue 2 Hours / 3 Weeks
Weeks 6
Causality Kasr El-Aini Causality 2 Hours / 3 Weeks
Weeks 6
Department Dep.
Lab
Lab Department
Dep artment Lab.
Lab. 4 Hours / 4 Weeks
Weeks 16
Case Studies Lect
Lect ure Halls of t he 4 Hours / 4 Weeks
Weeks 16
Department
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STUDENT ASSESSMENT
TOOLS PURPOSE
1. Written exams ( essay- short questions- To evaluate 1-8&15-18 of ILOS
M CQ- T rue and false
false questions& Problem
solving)
2 Log Book To assess 9-13
3. Practical
Practical exams To assess 9-14
4. Oral exams
exams To evaluat
evaluat e 1-8&15-18
Grading System:
Examination
Examination M arks all
alloca
ocated
ted
Term exam written 30
practical 20
Final exam written
writ ten 100
practical 20
oral 30
Total 200
Examination
xamin ation Description
Description
Examination
Examination Descript ion M arks
writt en Short
Short essays,(3
essays ,(3Q)
Q) 15
Term exam MCQ,(10) 5
True or False
F alse(5)
(5) 5
Matching(2*5) 5
p ractical Spott
Spotting
ing (5 10
specimens)
Short
Short wound report 5
From casuality
department
Prelimenary test 5
Final e xam oral Forensic
Forens ic M edicine
edicine 15
Toxicology 15
written Essays
Long (2) 30
Short,(10Q) 50
Problem solving(2) 20
p ractical Spott
Spotting
ing (5 5
specimens)
Long wound 10
report(Museum 5
specimens)
Prelimenary test
200Marks
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LEARNIN
LEARNI NG A ND R
REFREN
EFRENC
C E MATE
MATERI
RIALS
ALS
BASIC:
1. Department books
2. Museum Atlas
3. Practical Book
S UGGE
UGGESS TED
TED MAT
MAT ERIALS
ERIALS :
Suggested text books
1. Forensic Medicine Encyclopedia
2. Forensic Pathology of Mayo
3. Princi
Princip
p les
les of Clinical Toxicolo
Toxicolo gy
4. Em
Emerge
ergenn cy Toxicol
Toxicoloo gy
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Courss e Spe
Cour Spe cifications
cifications
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The public health course is divided into three sections which are taught on three successive
educational years: third, fourth and fifth years. Course specifications for each year are stated
successively including:
including:
Course aims
Course contents
T eaching
eaching and learning methods
Teaching and learning facilities
Student Assessment
Courss e Spe
Cour Spe cifications
cifications
Course Title
Title::
Community Medicine& Public Health
th
4 Year of MBBcH Program
2004- 2005
Allocated marks: 100 marks
Course duration: about 7 wee
w eeks
ks
Total teaching hours:
h ours: 45 hours:
Lectt ures:
Lec 40 hrs
Practical: 2 hrs
Field t raining:
raining: 3 hrs
Course Di
Directo
rector:
r: Professor Dr. Salwa
Salwa Abdel Azee
Az eem
m
Professor and Chairperson of Community M edici
edicine
ne &
Public Health Department
I- Course Aims
1- Prepare a community- oriented physician capable of implementing preventive and
control measures for common communicable diseases on the individual, family and
community levels and within the primary health care (PHC) setting following MOHP
policies and protocols.
2- Develop a graduate who is aware about the potential emerging/ threatening diseases and
who can act as the first line of defense and management.
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1- Know
Knowle
le dg
dgee and Und
Understan
erstanddin
ingg
By the end of the program, the student should be able to:
1. Explain the basic terms and methods used in infectious disease epidemiology , , disease
5-
4. Ant
Antic
icipat
ipatee and p articipate in invest
investig
igation
ation of an epidemic
epidemic //outbreak
outbreak as part of a health
health tea
t eam
m
and design an epidemiologic study to address a question of interest;
5. Apply epidemiologic skills in a public health setting, specifically in the formulation or
app lication
lication of p ublic health
health p rogram
rogramss or p olicies;
olicies;
6. Identify trends in health and disease including epidemiological causes of high prevalence
of certain infections , causes of eradication , emerging or reemerging previous infections
worldwide and
and in Egy
Egy p t : and
7. Identify the infectious cycle for selected diseases and apply appropriate health promotion,
disease prevention and control measures to identified priority communicable diseases and
under spec
sp ecific
ific situations;
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8. Explain how different health related behaviors can have an impact on health and disease;
and
9. Participat
Participatee actively
actively as member
member of a mult
mult idisciplinary
idisciplinary group
group in disease
disease prevention, national
national
health care programs and in conducting public health surveillance to address specific public
health
health p roblems
roblems and issues;
10. Advocate for preventive public health programs and resources;
% Number of hours
Topic total Field
total lectures *practical
hours training
1 General
General epidemiology of communicable
communicable 16.5 .5 7.5 - -
diseases
2 Epidemi
Ep idemiolo
ologgy of selected communicable
communic able 80 36 2 3
diseases
3 Hospital
Hospit al infection
infection and steril
st erilization
ization 3.5 1.5 1.5 - -
Total 100.0 45 40 2 3
* Practical
Practical includes
includes p re visit
visit orientation seminars
seminars
The detailed contents of the course topics:
General e pidemiology
idemiol ogy of communicab
communicable
le dis
isease
eases:
s:
o Patterns of occurrence of disease in communities (sporadic, endemic, outbreak,
epidemic, pandemic)
o The infectious cycle (causative agent; reservoir: human and animal/zoonosis; mode
of transmission; incubation period; period of communicability; susceptibility and
resistance)
o
Preventive measures: general and specific
o Control measures: the case, the immediate contacts, the community especially
during epidemics, outbreaks and pandemics
o Disinfection,
Disinfection, steril
st erilization,
ization, nosocomia
nosocomial/hospit
l/hospital
al infect
infect ion
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Epidemiology
idemiol ogy of sel ected communicab
communicable
le dis
isease
easess
o diseases , emerging diseases,
The selected diseases will include, common endemic diseases, diseases,
international diseases
diseases and p otentia
otent ially
lly threatening diseases
diseases
o The infectious cycle for each of the selected diseases
o Disinfection,
Disinfection, steril
st erilization,
ization, nosocomia
nosocomial/hospit
l/hospital
al infect
infect ion
Log
Logistics
istics of the Fiel
F ield
d visit
Students in each round are divided into approximately 6 groups. Each week, one group conducts a
single site visit to the fever hospital that lasts around 3 hours.
Faciliti
Faciliti es utili
uti lized
zed in teaching the course
course i nclude:
nclude:
- Lecture hall in one of the grand lecture halls (outside the department) for the lectures and
seminars;
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VI-S tudent
tudent Assessment
sses sment
VI-A-
I-A- Attenda
tten dance
nce cri
cri teria
teri a:
The minimum
minimum accep
acceptable
table attenda
att endance
nce is
is 75%. Students who
w ho fail to att
at t end the required
st
stated
ated p ercentage
ercentage will not be allowed
allowed to
t o take
t ake the end of t erm ex
exam.
am. They
Th ey may be allowed t o t ake
it during a subsequent term if they satisfy the required
required att
attenda
endance
nce,, otherwise, the m
marks
arks alloc
allocated
ated
for t he end of t erm ex
exam.
am. would be recorded as a p rop ortion
ort ion from t he final writ t en ex
examina
aminatt ion
score. Student
Studentss need t o attend
att end at
at least
least 60.0% to
t o sit for t he final
final exam
exam..
For the
t he site visit students
students should show
show active partic
part icipa
ipatt ion & good
good behavior during the visit
visit and
related
related sem
s eminar
inar and should complete
co mplete t he prac
p ractical
tical book .
Method Purpose
Written Exam: Assessment of knowledge
End of term: short questions, and understanding
matching, true& false and
M CQ
End of year: short and long
questions
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Final year exam: held at the end of the academic year for all students who should
fulfill the attendance criteria to stand the exam.
VI- D Grading System
Examination Marks
allocated
Practical and site 5
vi si
sitt : attendance
attendance
and completing
practical book
End of term exam 20
End of year written 50
exam
End of year oral 25
exam
Total 100
Thee minimum
Th minimum p assing score is 60 (60%) marks p rovided at least
least 15 (30%) marks are obtained
obt ained
in the final written examination.
Passing grades are: excellent ≥ 85.0%; 85.0%> very good ≥ 75 %,
75 %> good ≥ 65% and fair 65 > fair to 60%
Examination Descr
Des cription
iption
Summative assessments are the only used assessment methods at the end of the round and at the
end of the year (no formative assessment). They are matched with the ILOs and faculty by laws;
The greatest weight of the assessment is for the understanding and the knowledge gained;
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VIII-Suggestions
- Using
Us ing format
format ive tools for assessment;
- Examining skills and knowledge by case studies;
- CD ROM containing the recommended references for each topic, and
the used presentations;
- Providing suitable facilities to allow for the required practical component and skills to be
adequately reached and
and assessed
assess ed eg
eg arranging
arranging sit
sitee visits
visit s tto
o select
select ed
sites to
t o develop
develop skills in
in infection
infection control
control and hospital
hospit al waste
wast e disposal
disp osal ;
- Question
Quest ion Bank
Bank for t he staff members;
members;
- Free accessible Web site containing examples of the different kinds of the
questions, to be available to the students;
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Courss e Spe
Cour Spe cifications
cifications
Course Title
Title::
Community Medicine& Public Health
th
5 Ye ar of MBBc
BBcHH Program
2004- 2005
Allocated marks: 150 marks
Course duration: 6 weeks
Total teaching hours: 90 hours:
Lectures: 45 hours
Seminars 15 hours
Course Director
D irector:: Professor Dr. Salwa Abdel Azeem
Professor and Chairperson of Community
Community M edicin
edicinee &
Public Health Department
Teaching
Teaching S taff: 16 Professors, 9 Assistant
Assistant Professors,
Professors, 7 Lect
Lect urers,
12 Assistant Lecturers, 12 Demonstrators
I- Course Aims
1- Prepare a community- oriented physician capable of anticipating and responding to
community health needs within the primary health care (PHC) setting according to the policies
, regu
regu la
latt ions and guidelines
guidelines of the
t he Ministry
M inistry of Hea
H ealth
lth and Population (M
(M OHP);
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3- Develop a graduate who will apply the knowledge and skills learned, and is able to take
leadership
leadership in motivatin g the commun
community
ity served;
1- Define, assess,
assess, and underst
understand
and the healt
healt h statu
st atuss of populations, determinants
determinants of
health
health and illness,
illness, factors
factors contributing to healt
healt h p romotion and disease
disease p reve
revention
ntion of priority
non communicable and communicable diseases within the different health settings and for
specific age groups, and factors influencing the use of health services;
2- Define different MOHP policies, systems, programs, approved standards of practice and
describe the specific health programs including MCH, family planning, school health,
occup
occupational
ational health
health and others;
3- Describe the role of PHC physician in addressing local health problems, the prevention and
control of vulnerable
vulnerable groups’
roup s’ health
health p roblems
roblems including
including the
t he non-communicable
non-communicable diseases;
4- Define the screening tests pertinent to selected morbidity conditions and the at-risk
approach in the applic
app lication
ation of scre
s creeni
enin
n g tests;
tests ;
5- Describe the different health education /communication strategies for use with clients,
health
health care team, and the
t he community
community ;
6– Describe the quality
quality cycles and it
it s utili
ut ilizat
zation
ion in different
different p ublic
ublic health
health sett
s etting
ings;
s;
7- Define basics of demography and vital statistics related to fertility, morbidity and mortality;
2- Professional and Intellectual skills
(2-1) Data acq
acquisiti
uis iti on:
By the end of the program, the students should be able to:
8 - Conduct, document and analyze a comprehensive situation analysis recognizing non
biological factors such as: the cultural, socioeconomic, religious, environmental, legal and
working factors that may influence disease causation/ management, client's perception of
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health/ disease, access to care and adequately respond to these factors in the benefit of the
client , patient& community ;
(2-2) Data analysis and problem solving:
By the end of the program, the students should be able to:
9- Determine appropriate use of data and statistical methods for problem identification,
prioritization and resolution, and for program planning, implementation, and evaluation;
10- Evaluate
Evaluate the
t he integrity
integrity and comp
comp arabili
arability
ty of data and identify gaps in data sources;
11- Exp
Exp lai
lain
n the
t he ecolog
ecologic
ical
al factors
factors of morbidity and mortality
mortality within the
concept of epidemiologic and demographic transitions;
12- Partic
Part icipat
ipatee in health
health p romotion, disease
disease p revention
revention and national hea
health
lth
care programs applying MOHP standards and protocols for different
sett ings
ings , different
different age
age group
groupss p articularly
articularly of t he vulnerabl
vulnerablee group
groups;
s;
13- Identify management functions: planning, implementation and
evaluation of health care services, and utilize them in dealing appropriately
with
wit h a sp ec
ecific
ific comm
community
unity health
health p roblem;
roblem;
14-Identify the dimensions
dimensions of quality in health
health care, and
and how t o utili
ut ilize
ze
appropriately quality concepts and processes for performance improvement;
15- Apply appropriate health education and communication strategies in
different sett
set t ings
ings using behavioral
behavioral change
change models;
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Number of hours
Topic
total Lect. Se
Semmin *p
*prac
racti
tical
cal **Site
visits
1 M easureme
easurementsnts of health
health : demog
demogrr aphy , 4 3 1
vital statistics, and disease burden
2 Epidemi
Ep idemiolo
ologgy of selected non 16.5 7.5 3 3 3
communicable diseases
3 Communication
Communicat ion and health
healt h behavior 4 3 1
4 M ental
ental health
health 1 1
5 Nutrition
Nut rition in health
health and disease
disease 9.5 7.5 2
6 Health care m anagement and 3.5 1.5 2
administration
7 Health
Health syst ems
ems and health
health services
services in 1 1
Egypt
8 Primary
Primary health
health care,
care, basic health 13.5 1.5 6 6
services
9 Rural health and school health 10.5 4.5 3 3
10 Reproduct
Rep roductive
ive health, including 17.5 7.5 4 3 3
maternal and child health and family
planning
12 Health
Health of the elderly
elderly 1.5 1.5
14 Occupational health
health 7.5 7.5
Total 90 45 15 15 15
*Practical includes
*Practical includes : exerc
exercises,
ises, st udent p resentation and group discussions.
**Each visit lasts approximately 3 hours ie 3 hrs per visit
1. Measurements of he
health
alth : demograp
demography,
hy, vital
vital statistics,
statisti cs, and dise
dise ase burden:
urden:
Definitions, census, population estimates and projections, Egypt’s population trend, theory of
demographic transition, population pyramids, sources of data, vital indices and concepts of
quality
quality of life
2. Epidemiology
idemiol ogy of selected
sel ected non communi
communicab
cable
le dise ases
General concepts, risk factors, primary and secondary prevention, periodic examination,
screening tests, epidemiology of injuries and selected non-communicable diseases (ischemic
heart disease, hypertension, rheumatic heart disease, diabetes, cancer, blood disorders,
bronchial asthma)
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4. Mental he alth:
alth:
Definitt ion , Risk factors , impact of mental ill
Defini illness,
ness, prima
p rimary
ry and seconda
secondary
ry p revention
revention , mental
mental
health program
5. Nutr
Nutrition
ition in health and disease:
disease:
Definitions and concepts, nutrients (sources, functions, requirements), adequate diet,
nutritional public health problems, assessment of the nutritional status, diet and chronic
diseases,
6. Health ca
care
re management and ad
admini stration:
stration:
Definition and principles of management, assessment of community needs and resources,
problem identification and priority setting, organization-based management , leadership and
t eam building,
building, quality
qu ality manageme
management
nt,, health
healt h economic
9. Rural Health:
Heal th:
Health-related problems in rural areas , the rural health program, organization of rural health
services ,staffing of the rural health team
10. Reprod
eproductiv
uctivee heal
h ealth,
th, including
i ncluding maternal and chi
child
ld health
heal th and famil
famil y planni
planni ng:
ng:
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1V-A:
1V-A: Methods use d: The contents will be presented to
t o the
t he le
learne
arners
rs t hrough:
hrough:
Lectures, seminars, small group seminars, practical field visits and exercises.
IV-B: Teaching plan:
Lectures
nd
Provided in one of the grand lecture halls (on the 2 floor of MEDC building)
From 8- 9:30 am 5 day
day s p er week
Weekly teaching hours: 7.5 hours
Total teaching hours: 45 hours
Seminars i
nd
Provided in one of the grand lecture halls (on the 2 floor of MEDC building)
From 10- 11p.m.
11p .m. twic
tw icee per
p er week (Saturday
(Saturday and Wednesda
Wednesday
y)
Weekly teaching hours: 2 hours.
Tot al t ea
eachi
ching
ng hours: 15 hours
Sma
mall
ll group
group p rac
ractt ic
ical
al semina
seminars:
rs: Pre orientation and post
p ost assessment field
field visits semi
seminars
nars
Provided in smaller
smaller group
groupss in the
t he departme
depart ment's
nt's cl
classrooms;
assrooms;
From 10:30 am - to 12 pm. (except on Sat. and Wed., from 11am -12:30pm)
Weekly teaching hours: 3
Total teaching hours: 15
Logistics
Logistics of t he prac
pr actt ic
ical
al part
Students of each round are divided into 10 subgroups. Each two consecutive subgroups are put
under the supervision of an equivalent number of the staff members. So, we have finally 5 groups
of the students, accounting to 5 groups of staff members. Five practical field visits are conducted
each lasts approximately 3 hours. Each is preceded by and followed by pre orientation and post
assessment seminars
seminars resp ectively.
ectively.
These visits are conducted once per week in the following sites:
- Lecture halls in one of the grand lectures halls (outside the department) for the lectures and
seminars;
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- Small 5 classrooms
classrooms'' halls availa
available
ble within the
t he depart
departme
ment;
nt;
- Writing boards are available
available in all room; overhea
overhead
d aids and slide p rojectors and comput
compu t er lab.
, data show, videos are available when needed;
- Field training sites
sites:: CSPM; Kasr EL Aini outpatient clinics; 2 General Urban Centers, 2
MCH centers, 2 rural villages including each rural health center. Free transportation is
available to faraway rural sites;
VI- S tudent
tudent Assessment
Assess ment
p ractical
ractical proble
p roblems
ms p resent in the p ract
ract ical
ical book to
t o be assessed during
during the oral exam
exam at the
end of the round
VI-B- Assessment Tools and Schedule
Su
Summ
mmative
ative assessments are used at the end of the round
round and
and aatt tthe
he end of the year (no
formative assessment). They are matched with the ILOs and faculty by laws;
The greatest deal (weight) of the assessment is for the understanding and knowledge gained ;
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Examination
xamin ation Marks
Marks all ocated
Practical
Practical and si
site
te visit
is it attenda
atten dance,
nce, 15
completing practical book and oral
exam
End of term exam written exam 30
End of year writ
written
ten exam 75
End of year oral e xam 30
Total 150
Thee minimum
Th minimum p assing score is 90 marks (60%) p rovided at least 22.5 marks (30%) are
obtained in the final written examination;
Passing grades are: excellent ≥ 85.0%; 85.0%> very good ≥ 75 %,
60% ;
75 %> good ≥ 65% and fair 65 > fair to 60%;
VIII- Suggestions:
-Using formative
formative tools for
f or assessment
- CD ROM containing
containing t he recomm
recommende
ended
d reference
referencess for each
each top ic, and
and tthe
he used presentations.
p resentations.
- Providing more facilities for adequate skills training e.g.: Demonstration lab. to present the
practical exercises and role play. Also, Skill lab. to prepare health education materials and
develop students' computer skills
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Cairo University
Faculty of Medicine
Department of Obstetrics and Gynecology
2005-2006
Course specifications
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10. Expl
Explai
ain
n the phys
physiiology, mec
mechanism,
hanism, management of no normal
rmal llabor
abor anand
d
different abnormal presentations and positions
11. List the causes of complications of third stage of labor and outline their
management
12. Describe the physiological changes during puerpurium and the recommended
program of postnatal visits with abnormalities occurring in puerpurium and
their management
13. Outli
Outline
ne the indices
ndices,, c auses and pr
prevention
evention of m
maternal
aternal and peri
per inatal
morbidity and mortality
14. Recite the types, causes and treatment of dysmenorrhea and premenstrual
syndrome (PMS)
15. Di
Disc
scuss
uss types, c auses, proper investiga
nvestigati
tion
on and management of life
threatening severe bleeding conditions
16. Expl
Explai
ain
n the normal human sexual respons
responsee and c ommon sexual probl
problems
ems and
their management
17. Discuss the magnitude of the infertility problem and its different etiologies,
basic diagnostic tools, and treatment of infertility
18. Describe causes, types, and methods of diagnosis and management of STDs
(sexually transmitted diseases) with emphasis on methods of prevention and
serious complication of STDs.
19. Outli
Outline
ne the pathology of c ervical, uter
uteriine, ovarian, vaginal aand
nd vu
vullval
cancers, with emphasis on screening methods and early recognition and broad
lines of management of these condition
20. Reci
Recite
te different
different c ontrac
ontracepti
eptive
ve methods: thei
theirr us
uses,
es, types, advantages,
disadvantages,
disadvantages, and ccompl
ompliic ati
ations
ons
21. Assess the gestational age of a pregnant lady through history taking, focused
clinical examination, beta-HCG level, and ultrasound assessment
22. Cl
Cliinic
nic all
ally differentiate betw
between
een norm
normalal pr
pregnanc
egnanciies and high rriisk
pregnancies.
23. Distinguish between different causes of bleeding in early pregnancies with
jjudgment
udgment of life threateni
threatening
ng c ondi
onditi
tions
ons e.g.: hypovol
hypovolemi
emicc shoc
shockk of inevitabl
nevitablee
abortion,
abortion, distur
disturbed
bed ec
ectopi
topicc pregnancy, through vi
vital
tal si
signs,
gns, general
general,, abdomi
abdominal
nal
and pelvic examinations.
24. Point out the warning signs of late pregnancy and early referral to specialized
centers
25.Evaluate the risk of bleeding in late pregnancy and how to start management
with emphasis on NOT doing vaginal examination
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26. Appraise different methods of assessment of fetal well being with proper use
of Pinard, Sonicaide, US to evaluate fetal well being, and distressed fetuses
which need immediate intervention
27. Manage no normal
rmal labor approp
appropriatel
riately
y and iidentify
dentify ccases
ases requiring referr
referral
al
(EBM).
28. Examine the female during labor and early recognition of obstructed labor
through clinical symptoms and signs and call for help or refer to a special
center
29. Ass
ssess
ess c ompl
ompliic ati
ation
on of the third sstage
tage of labor and apply first aid aid
management of each till a senior obstetrician is involved
30. Di
Differentiate
fferentiate nor
normalmal ffrom
rom abnormal neona
neonate
te thro
through
ugh Apga
Apgarr score
sc ore and
participate in the initial management of those in need of resuscitation.
31. Counsel problems occurring in menopause with emphasis on postmenopausal
bleeding, (any case of postmenopausal bleeding should be considered
malignant until proved otherwise)
32. Counsel regarding methods of contraception suitable for each patient and
how to use or apply it
that
mustthebe patient is ainperson
respected withtobeliefs,
addition values,
respecting the goals, and dignity,
patient’s concerns, which
privacy,
information confidentiality and autonomy.
34. Counsel the patient before doing any intervention and in different situations
with respect to her wish whenever this is possible
35. Mai
Maintain
ntain the atmos
atmosphere
phere of c ooper
ooperati
ation,
on, peer rrel
elationships,
ationships, and mut
mutual
ual
respect in the university society
36. Advance the knowledge base of medicine by developing and encouraging
scientific researches
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III-A: TOPICS:
TOPIC No of hrs
%Total Small groups
hrs Total Le
Lecc tures
OBSTERICS Practica lectures
l
Basic obstetrics and normal 9 3 2 4
Pregnancy
1. Fertilization, 1
implantation and early
development.*
2. The placenta
placenta and the fetal 1
membranes. *
3. Maternal changes during 1
pregnancy.
pregna ncy. *
4. Di
Diagnosis
agnosis of pregnancy* 1
5. Antenatal care and risk 2
assessment. *
6. Prenatal diagnosis of 1
congenital anomalies.
Abnormal Pregnancy 8 3 3 2
Bleeding in early 2
pregnancy *
7. Abortion.
8. Ectopic pregnancy 2
9. Hydatidi
ydatidifor
formm mole 1
Antepartum hemorr
hem orrhage
hage * 5 2 2 1
10. Pla
Placc enta previa 1.5
11.Placental abrupti
abruption
on 1.5
Maternal problems 14 6 3 5
complicating pregnancy
12.Vomiting in pregnancy* 1
13. Hypertensive disorders 2
in pregnancy*
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24. Occipito-posterior 1
positions
25. Face and brow 1
presentations
26. Breech presentation 2
27. shoulder, cord and 1
c ompl
omplex
ex pres
presentati
entations
ons
28. Mul
Multifetal
tifetal pregn
pregnanc
ancy.
y. 1
29. Abnor
bnormal
mal uterine ac
action
tion 2
30. Abnormal labor 1
Patterns
31. Contracred pelvis and 2
cephalopelvic disproportion
32. Obstruc ted labor 1
Obstetric injuries 4 1 1 2
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Complications of third 8 3 2 3
stage of labor
disorders
46. Fetal and neonatal 1
asphyxia
47. Fetal birth injuri
njuries
es 1
The puerperium 4 1 1 2
48. Puerperium 1
49. Puerperal pyrexia and 2
sepsis
Operative obstetrics 7 3 2 2
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mortality 1
Total hours 100
GYNECOLOGY
Basic Gynecology 11 6 3 2
30. Puberty*
P uberty*
31. Menopause* 1
32. Amenorrhea* 1
33. Ovulation disorders 2
34. Hirsutism 1
35. Infertility 1
2
General Gynecology – 13 5 4 4
Injuries
37.
38. Genital prolapse*of the
Retroversion 2
uterus 1
39. Perineal injuries and
lacerations 1
40. Urinary incontinence in
females 1
41. Genito-urinary fistulas 1
42. Rectovaginal fistula 1
Infections In Gynecology 12 3 5 4
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- General considerations 3
- Non hormonal
contraception
- Hormonal contr
contraception
aception
- Surgical sterilization
techniques
88
th
* 4 year topics.
1. Normal Pr
Pree gnancy:
st nd rd
• History taking from pregnant ladies in 1 , 2 , and 3 trimesters
rd
• Abdominal examination of a female in the 3 trimester
• Pinard and Sonicaide use to detect FHS in 3 rd trimester
2. Abnormal Pregnancy:
• History taking from pregnant females complaining of vomiting,
hypertension, DM, cardiac disease, urinary tract infection, bleeding,
threatened preterm labor or history of recurrent abortion.
• Vital si
signs
gns taki
taking
ng ((sphygmomanometer,
sphygmomanometer, stetos
stetoscc ope…_
• Laboratory results interpretation
• Ultrasound interpretation
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3. Normal Labor:
• Observe normal labor in section 10,
• Assist in delivery of the baby and the placenta
4. Abnormal Labor:
• Observe management of breech, shoulder presentation, cord prolapse
and multiple pregnancies in section 10
6. Ultrasound in Obste
Obstetrics:
trics:
• Observation and interpretation of different ultrasounds done in the outpatient clinic
9. Disp
Displaceme
laceme nts
nts,, Traumatic Les
Lesions,
ions, and Urogy
Urogyne
necology
cology::
• History taking and examination of different cases of genital prolapse
and cases with SUI (Stress Urinary incontinence)
• History taking and examination of genital fistula.
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NB: different jars and instruments are available in the Maternity Hospital
to he
help
lp eeliciting
liciting d
diffe
iffe rent ob
obste
ste trics and Gynecological cocond
nditions
itions in ad
add
dition
to the use of d differe
ifferent
nt inst
instruments
ruments in ObObste
ste tric
tricss and Gynecology
ynecology.
List of available specimen jars
Obstetrics:
1- Abortion.
2- Ectopic pregnancy.
3- Hydatidiform mole.
4- Antepartum hemorrhage
• Placenta previa.
•Ac c idental hemorrhage.
5- Maternal and fetal birth injuries.
• Rupture uterus
• Cervical injuries
• Fetal head birth injury.
6- Anatomy and anatomi
anatomicc al di
disor
sorders
ders of the placenta.
7- Anatomy and anatomical disorders of the umbilical cord.
8- Puerperal sepsis.
Gynecology
1- Fibroids.
2- Adenomyosis of the uterus.
3- Endometriosis.
4- Carcinoma of the cervix.
5- Endometrial carcinoma.
6- Choriocarcinoma.
7- Cysts of the ovary.
8- Paraovarian cyst
9- Complications of ovarian cysts.
10- Benign ovarian neoplasms.
11- Malignant ovarian neoplasms.
12- Pelvic inflammatory disease.
13- Bilharsiasis of the female genital tract.
14.Fothergill’s operation.
Gynecology
1- Uterine curettes (types).
2- Uterine sound.
3- Cervical dilators (types).
4- Cervical biopsy punch forceps
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5- Ayre’s spatula
spatula..
6- Novak’s endometrial biopsy curette.
7- Sharman’s endometrial biopsy curette.
8- Cannula for HSG (types).
9- Volsel
olselllum forc
forceps
eps (types)
10- Vaginal specula (types).
11- Vaginal retractors (types).
12- Trocar and cannula for laparoscopy.
13- Uterine holding forceps.
14- Hysterectomy clamps.
15- Uterine artery clamp.
16- Wertheim’ s hysterectomy clamp (2 types).
17- Bonney’s myomectomy clamp.
18- Doyen’s myoma screw.
19- Self retaining abdominal retractors (types).
20 Female metal catheter.
21- IUCDs.
Obstetrics
1- Obstetric forceps (types).
2- Vacuum extractor.
3- Ovum forceps.
4- Ring forceps.
5- Sponge forceps.
6- Bozemann’s double way catheter.
7- Rhei
Rheistadtle
stadtler’sr’s flushing
flushing ccurette.
urette.
8- Bozemann’s dressing forceps.
9- Suctio
Suction n c urette
urette..
10-Amniotomy hook.
11-Drew Smythe’s induction catheter.
12-Green Armytage’ s hemostasis forceps.
13-Willlet sscc alp
13-Wi alp fforc
orceps.
eps.
14-Meltal mucus catheter.
15-Pinard’s fetal stethoscope.
16- Doyen’s retractor.
IV..
IV TEACHING and LEARNING METHODS:
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IV-B.
IV-B. M ET
ETHO
HODS
DS FOR
FOR DISABLED S
STU
TUDENTS
DENTS:
No special arrangements are available.
Lectures::
Lectures
th th
The lec
ecture
ture hall No 7 aand
nd 8 in Fac
Faculty
ulty of Medi
Medicc ine for 4 and 5 year respectively,
daily from 11.30am till 12:30pm (general topics)
• Each term, students are divided into six equal groups; each group being
assigned to one of the OBGYN units that constitute the department. Within
each unit, students will have a clinical round in the morning from 9:00am –
10:00am discussing a clinical case from inpatients then they are subdivided to
small groups to examine the patients. This occurs 3 times a week.
th
• The 4 day will be in the obstetric outpatient clinic, where they will take the
history from an outpatient, then they will be subdivided to observe the
residents while managing the obstetric clinic. Then watch the staff while
doing the ultrasound and managing high-risk pregnant cases.
• The 5th day will be in the gynecology outpatient clinic, where they take
history
with thefrom an outpatient
residents lady
to observe thenwhile
them are further subdivided
managing into small
the outpatient groups
clinic, also
they can watch ultrasound being done by the staff members, and interpret
different gynecological diseases.
• During the whole 5 days, there is also a lecture given to the students from
10:00am till 11:00am discussing one of the obstetrics or gynecological
subjects according to the plan of teaching.
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Time Plan
• One teaching room between unit 32 and unit 33 with data show available
when needed
2 LI
L IBR
BRAR
ARIIES:
st nd
the 1 in the second floor and the 2 in the third floor with availability of
computers.
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CLINICAL FACILITIES:
• Obstetric outpatient clinic serving about 100 patients a day
• Gynecological outpatient clinic serving about 100 patient a day
• 6 general OB/GYN inpatients units in the hospital
• Emergency room serving about 60 patients a day
• Operating
Operating theater in the emergency room w ith 3 del
deliivery rrooms
ooms and 3 theaters
nd
• Operating theater in the 2 floor with 4 operating beds
PATHIOLOGY MUSE
PATHIOLOGY MUSEUM:
UM:
rd
In the 3 floor with:
• Specimens demonstrating different obstetrics and gynecological diseases
• Models used in demonstration
• Different instruments used in obstetric and gynecological practice
2 LABO
L ABORARATORI
TORIES:
ES:
st nd
One in the 1 floor for the general chemical and clinical tests, and the 2 in the third
floor for the hormonal profiles
V. STUDENT ASSESSMENT:
VI-A: ATTE
ATTEND
NDANCE
ANCE CRITERIA:
The minimum acceptable attendance is 75%. Students who fail to attend that
percentage of activities will not be allowed to take the end of term examination.
They may be allowed to take it during a subsequent term if they satisfy the required
attendance, otherwise the marks allocated for the end of term examination would be
reduced as a proportion from the final examination score. Students need to attend at
least 60% in order to sit for the final examination. A log book for clinical cases and
attendance in emergency
emergenc y department and theatre m must
ust be fulfi
fulfillled.
TOO
TO OL PURP
PURPO
OS E
Written e xamination Assessment of knowledge and
understanding (outcomes No 1-20)
Oral examination Assessment of knowledge and
understanding (outcomes 1-20) and
outcomes 21-32
Clinical examination Assessment of clinical skills (
outcomes 21-32), and ethical and
social skills ( outcomes 33-36)
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• The mi
mini
nimum
mum passing sc score
ore is marks provi
provided
ded at least marks are
obtained in the final written examination
• Passing grades: EXCELLENT >85%, VERY GOOD 75-85%, GOOD 65-
75%, and FAIR 60-65%.
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Examin
xamination
ation Des
Descrip
cription
tion Marks
ark s
Term exam Written (1.5 hours exam)
5 short essay questions in obstetrics 40 (+ 10 marks
(one is a clinical knowledge), to for atte
attendance)
ndance)
answer 4 of them.
5 short essay questions in
gynecology (one is a clinical 40 (+ 10 marks
knowledge), to answer 4 of them. for atte
attendance)
ndance)
Museum Identification of 50
specimens and jars
jars (10 jars, 4
instrument marks each) and
examination instruments (5
instruments, 2
marks each).
Total 500 marks
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2004/2005
Cairo Univ
Cairo Univee rsity
Faculty
Faculty of M e dici
dicine
ne
Department of Pediatrics
Course
Course specifications
Course title
title :
PEDIATRICS
Fifth year of M.B.& B.Ch. program
rd
(3 draft 2004/2005)
Allo
Allocate
cated d ma
marks
rks:: 500 marks
Course duration:
Course 6 weeks of tteaching;
eaching; with a final e
end
nd of y
year
ear ex
exam
amination
ination
Total teac hing hours: 153 hrs
te aching
Lectures:
Lectur es: 62.5 hrs Clinical/sma
linical/smallll group sessions:
ses sions: 90.5 hrs
Course director: Prof. Dr. Fadia
Fadia Mahm oud
Head of the Pediatrics Department
Teaching staff: 68 profess
pro fess ors
ors,, 33 as s is tant profess ors
ors,, 36 le
lecturers
cturers and 35 assi
ssist
sta
ant
lecturers
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15. Describe appropriate measures for health promotion as well as prevention of disease and injury
in infants, children and adolescents.
16. Cite the management priorities for different neonatal and Pediatric emergencies.
17. Describe the causes, pathogenesis, clinical symptoms, signs, investigations, treatment and
prognosis of the most important neonatal and Pediatric problems.*
II-
II-B:
B: CLINICAL SKILLS:
By the end of the course, students should be able to:
18. Check vital signs in neonates, infants, children and adolescents.
19. Assess physical and mental development in neonates, infants, children and adolescents
according to standard milestones and recognize abnormalities.
20. Perform appropriate clinical and anthropometric assessments for the nutritional status of infants
and children.
21. Recognize and institute appropriate initial management for different neonatal and Pediatric
emergencies.
22. Assess, classify and describe appropriate treatment for sick children below the age of five years
accordi
according
ng t o tthe
he princ
p rinciples
iples of the Int egrated
egrated M anag
anagement
ement of Childhood
Childhood Illness
Illness (IM CI).
23. Construct a proper history for a patient in the Pediatric age group.
24. Perform an adequate clinical examination for a patient in the Pediatric age group and identify
deviations from normal.
II-
II-D:
D: GENERAL SKILLS:
By the end of the course, students should be able to:
29. Present patient’s data in an organized and informative manner.
30. Communicate effectively with children, adolescents and their families using appropriate
communication skills.
31. Demonstrate appropriate professional attitudes and behaviors in different practice situations.
*___
______
______
Refer ______
to ______
the ______
topic ______
list ______
______
______
______
__________________
______
______
______
______
______
______
_____
__
** Conditi ons are li sted in the Diagnostic Tools li st..
Tools list
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III-
III-A:
A: TOPICS:
T OPICS:
2. Grow
Growth
th and Develop
Developme
ment
nt
Normal
ormal grow th and grow th charts,
chart s, abnormalities
abnormalities in
in grow th and development
development
3. Nu
Nutr
trition
ition
Nutritional requirements, breast-feeding, formula-feeding, nutritional disorders
4. Perinatology/ Neonatology
Normal
ormal new born, neonatal
neonatal resuscitati
resus citation,
on, grow th of the new born, neona
neonatal
tal convulsions, respiratory
respiratory
disorders, jaundice, metabolic disorders, hematological disorders, infections, birth injuries and
surgical emergencies.
5. Genet
enetics
ics and Dy
Dysm
smorpholo
orphology
gy
Chromosomal disorders, single gene disorders, multifactorial inheritance, dysmorphism.
6. Nephrology
Nephrotic syndrome, glomerulonephritis, urinary tract infection, renal failure, enuresis
7. Cardiology
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Congenital heart disease, rheumatic heart disease, heart failure, infective endocarditis, hypertension,
arrhythmias
8. Respiratory system
system
Upper and low er respiratory
r espiratory s ystem
ys tem disorders, bronchial
bronchial asthma
asthma
9. Hematology/ Oncology
Anemias, bleeding disorders, common childhood malignancies
11. Endocrinology
Thyroid gland, diabetes
12.. Neurology
12
Mental retardation, epilepsy, CNS infections, cerebral palsy, hydrocephalus, microcephaly,
neuromusc
neuromuscul
ular
ar disorders
disorders
13.. G
13 Gas
astroe
troenter
nterolog
ology
y and Hepatolog
Hepatology
y
a) Gastroenteritis
Gastroenter itis and dehydr
dehydration,
ation, vomitin
vomiting,
g, oral lesions,
lesions, abdominal
abdominal pain and
and mass
masses
es
b) Viral hepatitis, chronic hepatitis, liver cirrhosis and portal hypertension, cholestasis ,
hepatosplenomegaly
15. Behavi
ehavioral
Pediatric oral Pediatrics
behavioral and social problems, ethics and professional attitudes relevant to Pediatrics
7.Neurology: Mental retardation, large head (hydrocephalus), cerebral palsy, floppy infant
(Werdnig-Hoffmann), acute paralysis (Guillain-Barre), myopathy as Ducchene dystrophy
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III-
III-C:
C: DIAGNOSTIC
DIAGNOSTIC TOOLS:
X-rays CT scan of the he
head
ad
Normal CT scan at different levels
Cardiac radiol
ra diology
ogy Plain CT and contrast-enhanced CT
Normal
ormal heart X-ray
X- ray IIntracranial
ntrac
ntracranial
ranial hemorr
hemo rrhage
hage
calcification
Cardiomegaly
Special cardiac configuration Cerebral infarction
Pericardial effusion Brain abscess
Brain tumours
tumours
Ches
Chestt radiol
ra diology
ogy Brain edema
Normal chest X-ray Brain atrophy
Lobar pneumonia Hydrocephalus (obstructive and
Bronchopneumonia communicating)
Pleural effusion Cranial
ranial lesions
lesions (sku
(s kullll fractures)
fr actures)
Lung collapse
Lung abscess
Pneumothorax Blood picture
Hydropneumothorax Anemia (different types)
Milia
iliary
ry shadow Thrombocytopenia
Hyaline membrane disease Leukocytosis and leukopenia
Congenital lobar emphysema Pancytopenia
Diaphragmatic hernia Picture of bacterial infection
Leukocytosis
GIT radiology Bandemia
Multiple fluid levels Toxic granulations
Pneumoperitoneum Leukemia
Pyloric stenosis
Tracheo-esophageal fistula
Blood gas analysis
Skull radiology Normal blood gases
Normal skull X-ray Arterial and venous samples
Skul
Sk ulll fractures
f ractures Assessment of oxygenation
Intracranial calcification Assess
As sess ment of ventilati
ventilation
on
Increased intracranial
intracranial pressure
press ure Assessment of cacid-base
Metabolic
etaboli acidosis status
Long bones Metabolic alkalosis
Rickets Respiratory acidosis
Achondroplasia Respiratory alkalosis
Osteogenesis imperfecta
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2. Clinical
Clinical and small
small group sessions:
se ssions:
2-1: Clinical training
(clinical demonstrations, pract
practice
ice of skills , and discus sions)
si ons)
(a) General
General Pedi
Pediatric
atric inpatient ward teaching
(b) Outpatient
Outpatient clinic and Em ergency departm
department
ent teaching
(c) Neonatal unit teaching
2-2: Tut
Tutorial
orial class es (sm all group teaching)
IV-B:
IV-B: METHODS FOR DISABLED
DISABLED STUDENTS:
STUDE NTS:
No s pecial arrangements are available.
available.
IV-C:
IV-C: TEACHING PLAN:
PLAN:
Lectures:
rd
The lecture hall on the 3 floor of the Center for Soc
Social
ial an
andd Prev
Preventiv
entive
eMMedicine
edicine;;
daily from 8.30 – 10 am (general topics) and thrice-weekly from 12.00–1 pm (Social,
preventiv
preventive
e an
andd pri
primm ary care topics )
• Out-patient tea
Out-patient teachin
chingg se ssions: following a core sess ion at the c
sessions: center
enter of social and
preventive medicine (for both groups separately), students will be alternately
distributed between the emergency room & gastroenterology out-patient unit.
Practical
Pract ical training o
onn the IIM
MCI protoc
protocol
ol wil
willl take place during the out-patient ses s ions .
• Neonatology teaching sessions: teaching at the NICU of Monira Pediatric Hospital
and Kasr El Aini Obstetrics and Gynecology Hospital (three weeks each; alternating
between both groups).
Time plan:
Item: Time schedule
sc hedule Teaching
ea ching hours Total
hours
Lectures Daily: 8.30 – 10.00 am 31 lectures x 1.5 hrs
Preventive & social: 16 lectures x 1 hr 62.5 hrs
3 days weekly: 12 – 1 pm
Diagnostic tools: 2 lectures 8.30 – 11.30 2 lectures x 3 hrs 6 hrs
Clinical 10.00 – 12.00 noo n 22 sessions (4x 5 wks 44 hrs
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th
rounds 4 days weekly at each unit and twice in 6 week)
(each of the two groups separately) x 2 hrs
Tutorial 12.00 – 1.30 pm 5 wks x 1.5 hr 7.5 hrs
once weekly for each group
Out-patient Once weekly for 6 weeks: 6 wks x 2 hrs
OPC session: 10.00 – 12.00 noon
& Once weekly for 3 weeks: 3 wks x 1 hr
15 hrs
emergency ER/ GE clinic: 12.00 – 1.00 pm
Neonatology Once weekly for 6 weeks: 6 wks x 3 hrs 18 hrs
10.00am – 1.00pm
TOTAL
TOTAL 153
15 3 hrs
Facilities
Facilities used for teaching this course include:
LECTURE HALL: at the Center for Social and Preventive Medicine. Writing board, overhead and
slide projectors are
ar e available.
available. Data
Data show is available
available w ith prior arrangements.
arrangements.
SMALL GROUP CLASSES:
• 12 rooms
rooms at the
t he clinical
clinical w ards (units) of Monira
Monira Pediatric Hospital and Cairo University
nivers ity
Specialized Pediatric Hospital. Writing boards are available in all rooms; overhead and slide
projectors
projectors are availabl
available
e for
f or use w hen needed
needed..
• A teaching room at the neonatal
neonatal unit of
of each of Monira Pediatric
Pediatric Hospital
Hospital and Kasr El El Aini
Obstetrics and Gynecology Hospital.
• Tw o rooms
rooms at the Center
Center forf or Social and Prev
Preventive
entive Medicine
Medicine (used
(us ed f or outpatient teaching)
and a room at the outpatient clinic of Monira Pediatric Hospital.
LIBRARY:
6th floor of Cairo University Specialized Pediatric Hospital.
CLINICAL FACILITIES:
• General and special
spec ialized
ized outpatient clinics serving
serv ing over 1000 patients daily.
daily.
• 6 general Pediatrics inpatient
inpatient units in tw o hospitals.
• Specialized
Specialized Pediatric units including:
including:
-2 Neona tol ogy uni ts at ea ch o f M oni ra Pedi
Pe di atric Hos
Hospi
pi tal and Kasr
Kasr El Aini
Ai ni Obstetr
Obstetric
ics
san
and
d Gyne
nec
colo
logy
gy
Hospital.
-Gastroenterology
-Gastroenterology un it (outpa tien t, inp atie nt and eme rgency services
services).
).
• Emergency
ergenc y service
serv ice available
available through the emergency
emergency units of
of both hospitals.
V I. STUDENT ASSESSMENT
ASSESSMENT::
VI-A: ATTENDANCE CRITERIA:
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Th
Thee minim
minimum
um acceptable attendance
att endance is 75%; students w ho fail to attend that percpercentage
entage
of activ
activities
ities w ill
ill not be allow
allow ed to take
take the end of term examination.
examination. They
They may
may be allow
allow ed to take
take it
during
during a subsequent term if they satisf y the required attendan
attendance,
ce, otherw ise the marks
marks allocated
allocated for
f or
the end of term examinati
examination
on w ould be recorded
recor ded as a proportion
pr oportion from
f rom the f inal w ritten exami
examination
nation
score. Students need to attend at least 60% in order to sit for the final examination.
TOOL PURPOSE
Written examination Ass ess ment of kknowledge
nowledge and understanding.
(outcom
(outcomeses #
#1-9)
1-9)
Oral examination
ex amination Ass ess ment of kknowledge
nowledge and understanding.
(outcom
(outcomeses #1-9) and outc
outcom
omes
es #17 &23
Diagnostic tools Assessment of the ability to interpret X ray and CT
examination films, blood picture and blood gas reports (outcome
#20).
Clinical Long
Long case Assessment of clinical skills (especially outcomes
examination #15& 16) , intellect
intellectual
ual (out
(outcomes
comes #17,18 and 19) and
general skills (out
(outcomes
comes #21,22 & 23)
Short
Short c
case
ase Ass ess ment of clinical skills (out (outcomes
comes #10-16) , an andd
outcomes
outc omes #17,21 and 22
Log book As s es
esss m ent of cli
clinical
nical s kills (es
(especiall
pecially
y ou
outtcome
mes
s##1
13-
16)
Examination: Marks
allocated
Ter m exam
Term examination
ination 100
Final Written 200
Examination Oral 60
Practic
Practical
al (clinical and diagnos tic ttools
ools)) 140
TOTAL 500
o The minimum
inimum passing
pas sing s co re is 300
core 300 mark s provided at least 60 mark s are obtained in the final
w ritten exam
examinati
ination.
on.
o Pas
assing
sing grades
grad es are: EXCE
XCELLEN
LLENT >85%, V ERY GOODGOOD 75- <85%, GOOD GOOD 65- <75% and
FAIR 60- <65%.
1. Logboo
Logbook:
k: m us
ustt be comple
completed
ted during the term and every s tudent shoul
shouldd hav
have:
e:
• Attended at least
least tw o emergency
emergency room sess io ions.
ns.
• Seen
Seen at least
least five
f ive emergency
emergency cases (listed in the list of clinical c ases
(listed in ases ).
• Participated
articipated satisf actorily in the assessm
asses smentent and classif ication
ication of patients
patients accordin
acc ording
g to the
IMCI protocol
protoc ol on tw o dif
dif f erent outpatient sessions.
ses sions.
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• A ctively
ctiv ely partic
participated
ipated in case
cas e taking
taking and discuss
disc ussion
ion at least
least tw ice during
during inpatient
inpatient clinical
teaching
teachin g sessions.
ses sions.
2. Examination
Examinations:
s:
Exa
xamination
mination Descr
Description
iption Marks
Mar ks
Clinical CASE : The student will be allowed 20 minutes with the patient
ONE LONG CASE: Long case:
during which he/she is expect ed to take a history and perf orm phy
during phy sical 25marks
examination. Subsequen
Subsequentlytly , the student w would
ould present the case to the
examiner; who willwill also ask the st udent to demonst rate specif ic parts of tth
he
Short
examination on the patient and may ask about interpretation of f inding indings,s,
case: 2x
dif f erential diagnosis, management plan as w well
ell as
as related bbackground
ackground
knowledge. 12.5marks
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Cairo University
Kasr El Aini Medical School
Department of Internal Medicine
Internal Medicine
Course Specification
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Course title:
Internal Medicine
4th year, 5th year, and 6th year course of M.B.B.ch Program
Al located
locate d marks: 900 marks
th
Course duration:
duration: 4 weeks of teaching in th
thee 4 year
th
6 weeks of teaching in the 5 year
th
16 weeks of teaching in the 6 year
Course
Cou rse director:
director: Prof. Mohamed
Mohame d Reda Awadin
Head of Internal Medicine department
Teaching staff: 86 Professors,
Professors, 55 assistant pr
profes
ofessors,
sors, 60 le cturers,
cturers, assistant
le ctur
cturers,
ers, and
and demonstrators
=============================================================
I. Aim of the Course
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(i) Know
Knowle
le dge and Understanding
Understanding :
1. Discuss the common medical problems presenting to doctors - in primary health care
sett ing,
ing, hosp ital and comm
community
unity - thei
t heirr diagnosis,
diagnosis, p revention
revention and trea
t reatment.
tment.
2. Identify disease
disease in terms of mental, functional
functional and phy sical
sical p
proce
rocesses
sses
3. State the clinical manifestations and differential diagnosis of common medical disorders
with an emphasis on the incidence of the different manifestations and their relative
importance in establishing diagnosis, and the early manifestations of serious diseases (e.g.
malignancy, emergencies …etc)
4. Recognize the normal aging process in terms of physiologic and clinical manifestations
and identify age related diseases and variable causes of disability in old age.
5. Name the role, prevalence and limitations of alternative and complementary medicine.
(ii) Skills::
Skills
Profes
Professsional
ion al Skil
S kil l s:
9. Safe
10. Use ly
appe rform routine
propriate
propriate ste riledia gn os tic and
technique
technique , Cothe
mprape utic
ly wit
with proce
h and useduuniversal
res , includ
includiiprecautions.
ngecautions.
pr life su
supp
ppor
ortt.
Intell ec
ectual
tual skil l s:
11. Analyze symptoms & signs and construct a differential diagnosis for common
presenting complaints.
12. Design an appropriate diagnostic plan for evaluation of common presenting
com pla ints which
which is ap prop riate in te rms of the diff e ren tial d iag no sis, the sever
severiity of
the clinic
clinical
al situation an d the risks, b ene fitsfits an d costs to the p atient.
13. Acc
Accurately interpr
interpret
et the res ults of com mo nly used diagn ostic procedures.
procedures.
14. Id en tify risk
risk factors fo r dise as e process es an d in jury, and institute the app apprrop
oprriate
ate
diagn ostic,
ostic, preventive, an d therapeu ti tic
c interventi
interventions.
ons.
15. Id e ntify
ntif y the ind icatio ns a nd lo gistics
gi stics o f re fe rring
rring pa tie nt
nts
s to hi
high
gher
er level
evels
s of exper
experiience
ence
or spe cialization as a p rinciple
inciple fo r tthe
he fam ily do ctor (G
(GP).
P).
16. C on struct tre
tre atm e nt pla n, incorpo rating his k no wled ge , b e st av
avai
aillab
ablle ev
evidenc
dence, an
and
d
patient’s preferences in a cost effective manner.
Facul
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ty of Medicine, Cairo
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2004/2005
Communi
Communi cation and general
general skil l s:
(iii) Attitudes:
24. Adopt respect for patients and colleagues that encompasses, without prejudice, diversity of
background, opportunity, language, culture and way of life.
25. Advocate respect of patients’ rights, particularly in regard to confidentiality and informed
consent.
26. Justify incorporation into their practice of appropriate attitudes, clinical ethics and legal
responsibilities.
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nnexes of an
annual
nual faculty report 2004/2005
2004/2005
III. 1: Topics:
Top ic % total
tot al No of hrs
hrs Tot al Lectures
Lectures Practical/
Practical/
small groups
Cardio Vascular
Vascular t opics
op ics 15% 60 10 50
Resp
Respira
iratory
tory top ics
ics 15% 60 10 50
GIT & hepatology
hepatology top ics 15% 60 10 50
Neurology top ics
Neurology ics 15% 60 10 50
Hematolog
Hema tology
y top ics 5% 20 5 15
Nephrolog
Nep hrology
y top ics 5% 20 10 10
Rheumatology
Rheumatolog y top ics
ics 5% 20 5 15
Endocrinolo
Endoc rinolog gy top ics
ics 5% 20 10 10
Infections
Infections t opopics
ics 5% 10 8 2
Geriatric
Geria tric top icicss 2.5% 5 3 2
Genetics top ic icss 2.5% 5 5 0
Ethics & lalaww t op
opics
ics 5% 10 5 5
EBM
EB M top ic icss 5% 10 5 5
Total 100% 360 96 264
26.7% 73.3%
Lectures:
=======
4th Year Lectures
Symptomatology
Dy sp nea Abdominal
Abdominal p ai ain
n
Chest
Che st p ain
ain Dysp
Dy spepsia
epsia
Oedema Gast rointest
roint estinal
inal Hemorrhage
Hemorrhage
Cough and ex exp
p ectoration
ectorat ion Disorders
Diso rders of defecat
defecat ion
Hemoptysis Jaundice
Palpitation Fatigue
M usculoskeletal p ains Headache and migraine
migraine
Disorders of app etite Vertigo
Vertigo
Dy sp hagia
hagia Abnormalities
Abnormalities of urine
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2004/2005
Geriatr
eriatric
ic medicine Lectures
Effect of ag
aging
ing on body sy stems
st ems Cognit
Cognitive
ive disorders in t he elderly
Falls Delirium in t he elderly
Urinary incontinence Prescribing for t he elderly
Genetics Lectures
Nucleic acids
acids Regulation
Regulation of Gene Exp
Exp ression
Recombinant
Recombina nt DNA
DN A t echnology
echnology Immunogenetics
Immunogenetics
Chromosomal abnormalities
Cardiology
Cardiology L
Lec
ecture
tures
s
Rheumatic fever Heart failure
Infective endocarditis Pericarditis
Ischemic heart disease Large
Large vessel disease
Hy p ertension Cardiovascu
Cardiovascular
lar drugs
drugs
Corpulmonale Cardiomyopathy
Pulmonary embolism
embolism Congenital
Congenital heart disease
Arrhythmias
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2004/2005
Peptic
Pep tic ulcer
ulcer M edica
edicall t reatment
reatment Cirrhosis, Portal
Port al hy
hypp ertension, Up p er
GIT bleeding, Ascites, and
Hepatocellular failure
Diarrheas and dysenteries & Functional colonic disorders
M alab
alabsorpt
sorpt ion sy ndrome
ndrome Inflammatory bowel disease
Neurology
Neurology Lecture
Lecturess
Neurological localizat
Neurological localization
ion M etabolic encephalopathies
encephalop athies
Cerebral
Cerebral atherosclerosis
atherosclerosis Epilepsy
Epileps y and convul
convulsive
sive disorders
CV stroke
st roke Speech abnormalit
abnormalit ies
Hemiplegia Paraplegia
Diseases of muscles and
Neurogenic
Neurogenic bladder disorders neuromuscular junction
At ax
axia
ia Space occupy ing lesions
Extr
Extrapy
apy ramida
ramidall sy ndromes
ndromes Dementia
Dementia
Peripheral neuropathy and
radiculopathies Coma
M ening
eningitis
itis /ence
/encep
p halitis
halitis MS
Hematolog
Hemat ology/
y/ On
Oncology
cology L
Lec
ecture
tures
s
Hematop oiesis Bone marrow failure
Rheumatology Lectures
Classification and DD of
arthrop athies Drugs
Drugs used in rheumatic
rheumatic diseases
diseases
Corticosteroids and other
Rheumatoid
Rheumatoid arthritis
arthrit is immunosup
imm unosupp p ressive agents
agents
Basic immunology and immune
Systemic lupus erythematosus diseases
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2004/2005
Seroneg
Seronegative
ative arthrop
arth rop aties Ot her autoimmune joint diseases
Gout Infective
Infective arthritis
arthrit is
Ost eoart
eoarthritis
hritis Reactive
Reactive arthritis
Osteoporosis Vasculitis
Non-articular rheumatic disorders
Infections
Infections Lecture
Lecturess
Enteric fevers HIV
Brucellosis PUO
M ening
eningitis
itis Diag
Diagnosis
nosis of p arasitic
arasitic diseases
diseases
Schisttosomiasis Antibiotics
Tuberculosis Antihelmenths
Amebiasis Cholera and t etanus
Fascioliasis and oesinophilic
Malaria syndrome
Leishmaniasis Rabies
Filariasis Phy sical ag
agents
ents
Psychiatry
Psychiatry lectures
*See the attached appendix 2
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2004/2005
Seminars:
=======
CARDIOVASCULAR
1. Dysrhythmias
2. IHD
3.
4. Congestive heart
Hypertension failure
– evaluation
5. Valvular heart disease - clinical features, diagnostic methods, interpretation of data
6. Evaluation
Evaluation of chest p ain
ain
7. Cardiom
Cardiomyy opathy .
8. Large vessel disease
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ty of Medicine, Cairo
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2004/2005
RESPIRATORY
1. Asthma
2. Obst
O bstructive
ructive lung disease
disease - chronic
chronic bronchitis,
bronchitis, emp
emp hy
hysema
sema
3. Pleural effusion
4. Suppurative syndrome
5. Pulmonary emboli
emboli
6. Respiratory
Resp iratory Failure
Failure - acute and chronic
chronic
7. Carcinoma of the lung
8. T.B
9. Mediastinal syndrome
10. Interstitial lung disease
GASTROINTESTINAL
1. Abdominal pain
2. Cirrhosis
3. Ascitis
4. Diarrhea - diagnosis
diagnosis and manageme
management
nt of acute
acut e and chronic diarrhea
5. G.I. bleeding
6. Hepatitis
7. Jaundice - differential diagnosis
8. Malabsorption
9. Nausea and vomiting
vo miting
10. Peptic ulcer disease
1. Cerebrovascula
Cerebrovascularr disease - st roke sy ndromes
ndromes
2. Coma
3. Headache
4. Paraparesis
5. Seizures
6. Peripheral neuropathy.
7. M yopathy
8. Ataxias
9. Extrap
Extrap y ramidal
ramidal syndrome
sy ndromess
10. Dementia
RHEUMATOLOGY
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2004/2005
ENDOCRINOLOGY
HEMATOLOGY/ONCOLOGY
1. Anemia
A nemia
2. Clinical evaluation of bleeding – clotting disorders
3. Hodgkin's
Hodgkin's disease,
disease, lymphoma
ly mphoma - st ages,
ages, p rinciples
rinciples of treatment
4. Leukemia
a. acute lymphocytic, myeloid
b. chronic
chronic lymphocyt
lymp hocytic
ic,, myelo
my eloid
id
5. Multiple myeloma
6. Thrombocytopenia
7. Lymphadenopathy
Lymphadenopathy
INFEC
INFECTIOUS
TIOUS DISEASE
1. Endocarditis
2. FUO
3. Pneumonia
4. Tuberc
T uberculosis
ulosis
5. Hepatitis
NEPHROLOGY
1. Evaluation of hematuria
2. Kidney in systemic diseases
3. Glom
G lomerulo
erulonephrit
nephritis
is
4. Nephrotic syndrome
5. Obstructive uropathy
6. Principles of diagnosis and management of acute and chronic renal failure
SKIN
*See attached appendix1
III. 3: Medical skills A
1. Aseptic technique.
2. Procedures involving veins:
vene
venep
p uncture for blood sampling ( includin
includin g safe
safe use of blood
containers)
Insert and remove cannula into peripheral vein.
Se
Sett up intravenous fluid
fluid infusion.
Give intravenous injections.
M ix and inject
inject drug
dr ugss into
int o intravenous
int ravenous bag.
bag.
Use an infusion pump
p ump t o give
give drug t reatment.
reatment.
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ty of Medicine, Cairo
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nnexes of an
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2004/2005
The course content includes an introduction to, indications for, and interpretation of Clinical
Laboratory tests, plain and contrast Radiography, Ultrasound, Computed Tomography, Magnetic
Resonance Imag
Imaging
ing,, and Electr
Electrocardiog
ocardiograp
raphy
hy.. The
Th e emphasis
emphas is of t his course
course is
is on diagnost
diagnost ic
studies necessary for the proper evaluation of common disease entities seen in a primary care
settt ing.
set ing. Specific method
methodolog
ologies
ies will not be covered, rat
rather,
her, t he definition of t ests,
est s, their indicat
indicat ions
and proper interpretation are taught.
Facul
Faculty
ty of Medicine, Cairo
Cairo Universi
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nnexes of an
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nual faculty report 2004/2005
2004/2005
iii. Cl
Clin
inii cal Rounds: (ILOs
(ILOs:: 1,2,3,4,6,7,8,17,18,19,16,2
1,2,3,4,6,7,8,17,18,19,16,21,
1, 24,25,26)
Tutors demonstrate the core practical clinical skills that are an essential prelude to
undertaking a confident and competent clinical history and examination of patients and
student practice these skills on patients under supervision for 3 hours daily, 4 days weekly.
iv. Prob
Probll em-based learnin
le arning
g (PBL):{IL
(PBL):{ILOs Os:: 1,2,3,4,11,12,13,14,15,16
1,2,3,4,11,12,13,14,15,16,23}
,23}
Students work in small groups to study written descriptions of clinical situations. By
using a specific
specific set of study
st udy skill
s kills,
s, they
t hey use those
thos e scenarios
scenarios t o guide t hem towards
tow ards
relevant theoretical and practical learning.
Checkin
Checkin g the resul
resul ts sel f stud
tudyy
v. Tutorials:(ILOs: 13)
For giving introduction, indications, and interpretation of clinical laboratory tests,
radiography, and electrocardiography. Students in small groups then work on ECGs, lab
reports, and X- rays to identify abnormalities, interpret findings, and put diagnosis.
Facul
Faculty
ty of Medicine, Cairo
Cairo Universi
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nnexes of an
annual
nual faculty report 2004/2005
2004/2005
viii. Assignment::
Assignment (ILOs: 23)
each student completes a critical review on a selected topic. The review must be fully
referenced and submitted in word-processed form 1200 word at least and delivered in a
known dead time.
IV. 2: Methods for Disabled Students:
No sp ecial
ecial arrangements
arrangements are available
available
Facul
Faculty
ty of Medicin
Medici ne, Cairo
Cairo Uni
nivve rsi
rsity
ty Anne
Anne xes of an
annual
nual faculty
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2004/2005
05
193
8:00 AM Medical
Skills “A”
Ethics &
Communication
Self Time Medical Seminars
n 9:00 AM EBM Learning Management Skills “B” & PBL
o
i
Skills
Skills skills ICU
s
s
І
e 9:00 AM 4th Year
Y ear 5th Year
Y ear 6th Year Internal
S
M
Medicine
edicine
Induction
Inducti on Cl
Clini
inica
call Junior Clinical Co
C ourse Senior Clinical
11:30 AM Course Course
Break
Break Break
Break Break
Break
n
12:00 PM
o
i
s
s П Lectures Lectures Small Groups M
Medical
edical Specialties
e 1:00 PM
S
n 1:00 PM
o
i
s
I
I
Lectures
s I
e
S
2:00 PM
Faculty
Facul ty of Medicine, Cairo
Cairo Universi
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Annexes of an
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194
V
V.. Teachi
Teaching
ng and
and learnin
learning
g facilities
facilities
Facilities
Facilities used for teaching
teachin g this course includ
include:
e:
VI: Assessmen
Asses smentt
VI
VI-1
-1 Attendance criteria:
criteria:
Clin
Clinical
ical and
seminars, andSkills
Skclinical
ills Lo grounds.
books and assig
assi gnment, satisfactory attendance
attendance in lectures,
Students
tudent s are exp
exp ect
ect ed to att
at t end most
most of the lessons of the clinical
clinical terms and lectures
during the internal
int ernal medicine course (minimum requiremrequir ements
ents 75% of each of the
clinical
clinical course, semin
semin ars and lectures). The
T he students
students are ex
exp ect
ect ed to p resent
resent at least
1seminar, 3 cases in the junior clinical term and 4 cases in the senior clinical term.
This will be documented by the tutor in the student's log book.
VI
VI-2
-2 Assessmen
Assess mentt Tools:
Tool Purpose
Written Exam
Assess ILOs: 1,2,3,4,5,11,12,13,14,15,16
MCQs Assess ILOs:1,2,3,4,5,11,12,13,14,15,16
OSCE & Short cases Assess ILOs: 7,8,9,11,12
exam
Long case exam Assess ILOs:6,7,8,11,12,13,14,15,16,17,18,19,20,21,23,24
Data interpretation Assess ILOs:13
Oral exam Assess ILOs: 1,2,3,4,5
Log Book Assess ILOs: 9,10, 20, 22, 24,25,26
Assignment Assess ILOs: 23
VI
VI-3
-3 Assessment
Asses sment Schedule
Schedule
Summative assessment
These tes
t ests
ts are usually
usually held at t he end of eac
each
h term
t erm.. Partici
Part icip
p ation in these assessments
is comp
comp ulsory.
ulsory . The marks do contribut
contributee towards
towards the
t he overal
overalll assessment.
assessment.
a. Basic term examination (4th Year):
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195
c. Senior term:
• M id-t
id-t erm clinica
clinicall examination,
examination, 4 short
s hort st
staations (OSCE
( OSCE).
).
• End of the term clinical
clinical e xamination 1 long case and
and 4 short st
stations
ations
(OSCE).
Final Examination
The prerequisite to sit for the final examination is satisfactory completion of the
Clinical and Skills Logbooks, satisfactory attendance in lectures, seminars, and
clinical
clinical rounds.
rounds .
There are five components to the final examination:
1. Component
2. Component
Com ponent
Com ponent 2
1 -- Wri
Wr
Wrii ttten
Wri paper
pape rr II
ten paper
pape I
3. Component 3 – Objective
Objective Structured clinical
clinical e xam
xaminat
ination
ion (OSCE),
(OSCE), and
Objective
Objec tive Structured
Struct ured Long Examination
Examinat ion Reco
Record
rd (OSLER)
(O SLER)
4. Component 4 - Oral examination
examination (Viva)
Tool Component 5 – DataData interpre
int erpretat
tation
ion testDescription
Written Paper 1 & 2 include problem solving questions, short
examination essays,, and 1 long question in each
essays each paper.
p aper. Pap er 1 & 2 will
include
include MCQ
M CQ in t he form of false and true questions, sing single
le
best option MCQs, multiple true and false MCQs, short
case
case wit
withh M CQ and extext ended
ended matched
m atched quest
questions.
ions.
• 6 short cases
cases (objective structured
st ructured clinic
clinical
al
examination
examination "OS"O SCE") each station
st ation is supplied
supplied with
wit h
writt en inst
inst ructions. There is a set time limit
limit for
each
each st
station.
ation. Each
Each exam
e xaminer
iner has a structured
st ructured mark
sheet for the case.
Data M ult
ult i sta
st ations (OSCE
( OSCE))
interpretations
Oral Ex
E xam 2 st ations, with 2 different
different examiners
examiners
VI
VI-4
-4 Grading
Grading system:
s ystem:
Marks Total
Examination
allocated
th
4 year 33
th
Term 5 year 33
th 180
Examination 6 year 65
Specialties 49
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Annexes of an
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196
Written:
st
1 paper 180 360
nd
2 paper 180
Final oral 40
Examination Data interpretation,
180
skin, venereal, and 140
clinicall pathology
clinica
Clinical
Clini cal 180 180
Total 900
Recommended
Recommended Readings and BOOKS
BOO KS for Students:
Cairo Universit
Universityy
Faculty of Medicine
Departm
Depart me nt of G
General
eneral Sur
Surgery
gery
A ll
llocated
ocated marks:
marks: to ta l = 900
th
•4 y yea
ea r= 20
th
•5 y yea
ea r= 30
th
•6 y yea
ea r= 130
•Final exam=720
Clin
Clin ical course duration:
duration:
th
•4 y yea
ea r: 6 weeks.
th
•5 y yea
ea r: 6 weeks.
th
•
6 y
Teaching hours yea
ea r: 16 weeks.
th
•4 y yea
ea r rounds: 6 weeks = 25 days = 50 h ho
o urs (C
(C linica
linica l a nd theoretic
theoreti ca l).
th
•5 y yea
ea r rounds: 6weeks = 25 25 day
da ys = 50
50 hours (Clin
(C linical
ical and
and theoretic
heoreti ca l).
th
•6 y yea
ea r rounds: 4 mont
mon ths = 100
100 days = 25 25 0 hou rs (Cli
(Cl ini
nicca l a nd theoretic
theoreti ca l).
•Lectures in general surgery not including specials = 56 hours.
•Special surgery rounds, each = 3 weeks = 17 days = 17 hours per special x 7
specials = 119 hours (Clinical and theoretical).
Course director:
director: PrP rof. Dr. Samir Abdel-Hamid Galal.
Teaching staff: 87 Pr P ro fessors,
fessors, 35 Assistant
ssistan t P ro fes
fessors
sors , 29 Lecturer
Lecture rs and 34 Assistant
Lecturers.
I- AIMS
AIMS O
OFF THE CO
COURSE:
URSE:
• To provide the student with the knowledge, and skills which enable
him/her to identify, analyze, manage and/or refer clinical surgical
problems in o rder to provide
provide efficient, cost effectiv
effectivee a nd humane
humane patient
care.
• To provide the student with an appropriate background covering the
common and/ or importmpo rtant
ant surg ic
ica
a l eme rgencies.
ge ncies.
• To enable the student
studen t to det
de te ct cance
cance r a t an early
ea rly stage.
• To enable the development and application of appropriate professional
a ttitudes,
ttitudes, ethical
et hical pri
principle
ncipless and commu
commu nicatio
nicatio n sk
sk ills.
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198
II- INTENDED
INTENDED LEARNING OUTCO
OUTCOMES:
MES:
On successful
successfu l comp
comp le tion
tion of the course, the s tudent shou
shoulld be able to:
2- Professional
Professiona l sk
skills
ills (Clinica
(Clinica l and inte
ntellle ctual).
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3.1 Communication
Com munication skills:
24- Conduct sincere and effective patient interviews, properly explain their
cond ition
ition and plan of management, obt
ob ta in consen ts and convey bad ne ws
in a professional
professional way.
25- Write patient records and properly present them.
26- Communicate, consult and respect the role of other health-care
providers.
27- Work effectively and cooperatively in a team.
appropriate
base
bas information
e d medicine
medicine. and appraise them using the priciples of evidence
29- Treat the patient as a person, respecting his confidentiality and deliver
care in an honest, considerate
considerate and compassiona te manne r.
30- Advocate the patient’s interests over his own.
31- Mai
Maint
nta
a in a pr
p ro fess
fess ional image, and p ra ctic
ctice
e a res
esponsi
ponsib
b le a ttitude.
32- Outline the ethical principles related to organ donation.
33- Dis cuss professio
professio nal err
e rro
o rs in an honest way.
III- Co ur
urse
se con
onttents, m
me
e thods o f teaching,
teaching, a
and
nd facili
facilities.
ties.
Sixth year
yea r co
co urs
urse
e content and numbe r o f hours ded
dedic
ica
a te d to eac
ea ch top
opic
ic..
Topic Approx. Approximate # of hours
% of
of Total Lectures Practical/small group.
t t t
total Total 4 5 6
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200
hou rs yr yr yr
1- Gene
ene ra
rall Surgery 14 20 15 17
2- P lastic surgery 6 12
3- Vascular
ascular surge
surge ry 5 10 17
4- Head
Head and neck neck 4 9
5- En
Endocrine
docrine surgery
surgery 2 10 5 23
6- Br
Brea
east
st 2 10 5 21
7- GIT & abdominal 23 10 15 71
surgery
8- Andro
Andro logy 10 7
9- Radiolo
Radiologygy 10 7
10- Cardio
Cardio thoracic
hora cic 10 7
11- Ur
Urology
ology 10 7
12- O rtho
rthopedics
pedics 10 7
13- Anesthesi
nesthesia a 10 7
14-Neuro
14-Neur o surgery
surgery 10 7
Total
Total 126 219
th
4
yea
yearr co
co urs
urse
e conten ts and methods
Topics co ve red C linic
in ica
a l and theore tical (L
(Liis t 1)
Durra tion
Du tion of tea ching
hi ng 6 weeks = 25 day da ys = 50 hours
Method of tea ching Tuto ririal
al cl
classes
asses and cli
clini
nicca l round
round s
P la ce Surgical wa rds
Perc
Pe rcee nt o f to ta l # o f students
students 20% d ivided on 6 units
Time of the day 9 - 11 am
th
5 year course contents and methods of teaching.
Topics co ve red C linic
in ica
a l and theore tical (L
(Liis t 1)
Durra tion
Du tion of tea ching
hi ng 6 weeks = 25 day da ys = 50 hours
Method of tea ching Tuto ririal
al cl
classes
asses and cli
clini
nicca l round
round s
P la ce Surgical wa rds
Perc
Pe rce
e nt o f to ta l # o f students
students 20% d ivided on 6 units
Time of the day 9 - 11 am
th
6 yea
yearr co
co urs
ursee conten ts and methods of teachi
teach ing.
Topics
Topi cs co ve red C linic
in ica
a l, ja rs, X-r
-ra
a ys Specia
Specia l su rgery. Theoretical
(reflecting theoretical (List 3) lectures.
topics)
topic s) , ana
ana tom y and
operative procedures.
(Lists 1, 2a, b and c.)
Dura ti
Dura tion
on of 4 months = 100 days = 250 hours
teaching
Method of Tuto ri
rial
al and Special Surgery Lectures
teaching Surgical Rounds (*), Rounds
plus attendance in the (in cl
cluding
uding cli
clini
nicca l
ER, OR, and skill labs. & theoretical).
P la ce Surgical wa rds,
rds, OPD
OP D Special Surgery Le ctur
cture
e halls
E.R (**), O.R (***), wards
and skill labs.
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*T
Teaching
eaching in surgical wards includes:
includes:
•Clinical demonstration.
•Bedside teaching.
•Staff rounds with active participation of students for clinical, ethical and
communicational skills.
•Obse
Obs e rv
rva
a tio
tio n of
o f bedside
bedside p rocedu
rocedu res (List
(List 4).
4 ).
•Problem-solving sessions.
•Seminars.
** One week
week rotat ion durin
during
g each surgical
surgical round. Each student must
must
f ulfill att endance of 15 cases and hav e them documented in a log book.
Sch
Sche
e dul
dule
e and p la ce of le ct
ctur
ure
e s and small
sma ll group
group ses
sessions:
sions:
two
two teachi
teach
slides and ing rooms
rooms wcan
data-show ith stand
sta
be ndaa rd equipment.
equipwith
performed ment. O ve
prior rh
rhead
ead p roje
roje cti
arrangements. ction
on
• Two outpatient clinics equipped like the surgical wards. Each clinic
has one teaching room.
• Seven special surgery departments equipped as above and each
with a single teaching room.
th
• ER rotations for 6 year students during the surgical round.
th
• Ro ta to ry OR visits fo
fo r 6 year student
studen ts.
1. General surgery includes: Introduction to surgery; Wounds, wound
healing and wound management; Surgical infections; Management of the
severely injured and critically ill patient including metabolic response to
trauma; Preoperative assessment and postoperative complications of the
surgical patient; Hemorrhage, hemorrhagic disorders and blood
transfusion; Fluids, electrolytes and acid-base balance; Shock; Burns;
Nutrition in surgery; Tumor biology and management; Organ
transplantation; Medical problems in the surgical patient including
me tabolic d isorders.
2. Plastic surgery: Introduction; Face, lips and palate; Surgery of nerves;
Diso rders
de rs o f muscl
mu scle
e s, tendo
tendo ns a nd fascia
fascia ; Hand
Hand inf
nfe
e cti
ctio
o n; Ha
Ha nd inju
injuri
ries
es..
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Li
List
st 1: Cli
C lin
n ical cases:
th
For 4 year:
• History taking and clinical examination.
•
Swellings.
• Thyroid.
• Breast.
• Hernia.
th
For 5 year:
• All the above.
• Ulcers.
• Venous diseases.
• Ly
Lymp
mph h nodes.
nodes.
• Abdomiinal cases.
Abdom cases.
• Scrotum.
th
For 6 year:
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14- Hematemesis.
15- Jaundice of su rg ic ica
a l iimpo
mportrtaa nce.
16- Hepatomegaly, splenomegaly.
17- History taking in anal and rectal diseases.
18- C lin
inic
ica
a l d iagnosis
ag nosis o f her
he rnia cases: Inguinal, femo ra l and umbilical.
umb ilical.
19- Scrotal and inguinos cr cro
o ta l swelli
swellings.
ngs.
20- History tak ing and examina tio n o f a u rolo rolo gical c
case.
ase.
21- C lin
inic
ica
a l examina tion of a painful limb.
22- Peripheral ischemia.
23- Gangrene.
24- Varicose veins.
25- Peripheral nerve injuries.
26- Edema of the limbs.
27- A swelling in the ends and shaft of long bones.
28- A swelling in the popliteal fossa.
29- Joint diseases.
30- Diseases of the spi sp ine.
31- Wounds.
32- Post
Posto o pera
pera tivive
e patients.
patients.
Li
List
st 2a: L ist of jars:
1 Intestines
Inte stines
• Ileo-ileal intussusception.
• Viable ileo-ileal intussusception with a polypoid lesion.
• Meckel's diverticulum.
• Colon polyps.
polyps.
• Perforated peptic ulcer of the stomach.
• Carcinoma of the lower rectum.
• Acute appendicitis.
2 Hepatobiliary
• Chron ic calcular
calcular cholecystitis.
•
•
Acute
Mu lti caliv
tiple
ple lc
lcula
ular
livee r rmeta
c
chole
holecy
met cys
ses.
titis with gangrene.
a stases.
stas
• Normal gall
ga ll b ladder with a mese ntery
nte ry (anatomi
(anatomic ca l va
va ri
ria
a tion).
tion).
• Chron ic calcular
calcular cholecystitis with with a solita
solita ry cholesterol
cholesterol s tone.
• Acute ca lclcula
ularr cchole
holecy
cys
s titis with an impact
impa cteded s tone a t its
its ne ck .
3 Urology
• Hyd ronephr
one phrosisosis due to pelvi-ur
pelvi -ure e te ric juncti
junction
on (PUJ) obs truction.
truction.
• Bilha rz ia l cystitis
cystitis and ur
u re te ritis with stricture
stricture of lo we r end
end of lef t ure
ure te r
and h ydrour
ydroure e te r.
• Hydroureter and hydronephrosis.
• Renal cell carcinoma (hypernephroma).
• Renal tuberculosis.
• Polycystic kidney.
• Carcinoma of the urinary bladder.
• Seminoma of the testis.
• Neglected to rsion o f the testis that led to gangr
gang re ne.
• Adenoma of benign prostatic hyperplasia.
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4 Spleen
• In jured e nla
nla rg
rged
ed spleen.
spleen.
• Multiple tears of the spleen.
5 Chest
Chest & Breast
•
Carcinoma of the tongue.
• Mu ltinodular
tinodular goiter.
• Carcinomatous epulis with lymph node spread.
7 Orthopedics
8 Vascular
• Aorto-iliac atherosclerosis.
•
•
Aneurysm
Sacc
Sa ccul
ula withry
a r aneu asm.
laminated thrombus.
rysm.
9 Miscel
Miscel laneous
Li
List
st 2b: List of Surgical Anatom
A natom y Topics:
Topics:
• Th
The
e sca
sca lp.
• Th
The
e middle meningeal
meningeal a rte
rte ry.
• The thyroid.
• Th
The
e parotid
parotid gland.
• Th
The
e brea
brea st.
• Axilla ry and b ra chial
Axilla chial a rte
rte ri
ries.
es.
• Radial, median and ulnar nerves.
• Abdomiinal wa
Abdom wa ll.
• The inguinal canal.
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• Th
The
e stoma
stoma ch.
• The rectum and anal canal .
• The liver.
• Th
The
e spleen.
spleen.
• Th
The
e k idn
dne
e ys.
• The ureters.
• Femo ra l and poplit
po pliteal
eal a rte
rte ri
rie
e s.
• Long and short saphenous veins.
• Scia tic, med
mediial and lat
la te ra l poplit
popl itea
ea l nerves.
nerves.
• Muscles: sternomastoid, deltoid, pectoralis major, latissimus dorsi,
rectus abdominis, quadriceps, psoas major.
Li
List
st 2c: List of operative
opera tive procedures:
• P rincipl
rinciples
es o f c
co
o ve rage
rage o f a sk in defe
defe ct.
• Managementt o f compound dep ressed fra
Managemen fra ct
cture
ure o f the
the skul
skulll.
• I ndicatio
ndicatio ns and prip rinciples
nciples of surgic
surg icaa l iinte
nterf
rfe
e ren
ence
ce in head injuri
inju ries.
es.
• Thyroide ct ctom
om y.
• Principles of management of hyperthyroidism.
• P rin
rin ciples
ciples o f management of ca rcinoma
rcinoma of o f the
the thy
hyrro id g land.
•
Management of cold abscess of the neck.
• Hand infinfe
e cti
ctions.
ons.
• C.P.R.
• Complications of a C.V.P. line.
• Management of fracture clavicle.
• Managementt o f a suc
Managemen su cking wound of the chest.
chest.
• Management
Manag ement of o f hemothor
hemothorax.ax.
• Management of pneumothorax.
• Acute la ctctaa tio nal mastitis and breas t a bscess.
bscess.
• P rin
rin ciples
ciples o f management of ca rcinoma rcinoma ofo f the
the b rea
east.
st.
• Hernia oper
o pera a tions.
tions.
• Managementt o f inguina
Managemen inguina l herni
herniaa ( te chni
chnique).
que).
• Managementt o f str
Managemen st rangu lated
lated ingui
ingu inal he rnia.
• Surgical management
management of Hyd Hyd roce
roce le.
• Varic
Va rico
o ce le ct
ctom
om y.
•
•
Appendecto
Appe ndectom
Managemen
Management mt oyf. a stab
stab wo und in the the ririg
g ht h yp o chond ri
rium.
um.
• Management of rupture spleen.
• P rin
rin ciples
ciples o f management of adhesive intestinal o bstructio bstructio n.
• Management of bleeding esophageal varices.
• Management of bleeding peptic ulcer.
• Management of perforated duodenal ulcer.
• Managementt o f infantile ileoc
Managemen ileo ce ca l int
in tussuscep
ussusceptio tion.
n.
• Principles of management of hemorrhoids.
• Managementt o f a cute ana l fissure.
Managemen fissure.
• Management of a stone in the left kidney.
• Exposure
Exposur e of the u re te r.
• Management
Manag ement of stonestone ur
uree te r.
• Acute urinary retention: causes and treatment.
• Male circumcision.
• Managementt o f fra
Managemen fra cture
cture sha
shaft ft femur.
• Management of fracture neck femur.
• Principles of management of arterial injuries.
• Above the k nee amputati
amputation.
on.
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Li
List
st 3: Special surgery courses:
• Orthopedics.
• Urology.
• Neurosurgery.
• Cardiothoracic surgery.
• Anesthesiology.
• Andrology.
• Radiology.
Li
List
st 4: Bedside
Be dside skills:
A) Grading system:
Gradiing s ys tem
Grad
Subtotal Total (marks)
(marks)
th
4 yea r 20
th
5 yea r 30
6 th year end of first 40.5
round examination. 81
th
6 year end of second 40.5
round examination.
Speci
Spe cia
a l s urge
urge ry ro
ro unds
unds 7 rounds, each 49
with 7 marks
Fina l Exam ina tion
W ritten pape r 1 1 80
W ritten pape r 2 1 80
L ong case 90
2 sho rt ca ses 90 720
J a rs 45
Ope ra tive 45
Ana tom y 45
X- ra ys 45
Total 900
• Th
Thee m inimum passing
passing sco
sco re is 54
540,
0, p rovided
rovided a t lleas
eas t 108
108 a re obtained
obtained
in the written examination.
•
Passing grades are:
Exce
Exc e ll
llent
ent if 85% o r more
more .
Very good if from 75 to < 85%.
Good if from 65 to < 75%.
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C) Assessment tools:
Tool Pur
urp pose, as se
sessment
ment To serve
serve ILO #
of:-
W ritten
ritten exami
exam ination Knowledge and 1-8, 12 – 18, 23
understanding.
Clinical examination C linic
in ica
a l and intellect
nte llectual
ual 9, 12 - 1 4, 16,
16, 17
(long case). skills and general skills
and a ttitud
ttitudes.
es.
Clinical examination Da ta a cqu is itio n 9 , 11 , 16
(OSCE)
O ra
ra l Examina ti
tio n Kno wl
wled ge
ge an d 1-8
understanding
X-
X-rray,
ay, an
anato
atomy Knowle
owledg
dgeeaand
nd data
ata 1, 15
analysis
L og book:
1- ER attendance
attendance Da ta acquisit
acquisi tion and 10, 18,
1 8, 19
skills
sk ills re
re la ted to
treatment strategies
2- Clinical Skills related to 19, 24, 25, 29, 30
presentation treatment strategies,
3- Staff rounds gene ral sk ilills
ls and 18, 19, 22, 23, 24,
attitude 26, 30
4 - Sem ina rs 2 7, 2 8, 32 , 33
5- OR a ttend
ttendance
ance 20,
D) Examination description:
• Written exam: 2-day written examination, each for 3 hours and consists
of:
o Short essay questions representing 60% of the mark.
o P ro bl
blem
em -so
-so lving
lving questions representing 20% of the
the ma
m a rk.
o MCQ representing 20% of the mark.
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• Clinical exam (long case): The student is allowed 20 minutes with the
patient during which he is expected to take a history and perform a
gene
ge nerral and lo ca l exam ination. Then the student studen t will p resent the case to
the examiner who may ask the student to demonstrate specific parts of
the examination, interpretation of findings, differential diagnoses,
management pla p lan
n as well as any re lated
lated surgical
su rgical knowledge.
• Clinical examination (Objectively Structured Clinical Examination [OSCE]):
This would include 6 stations, 4 with patients and 2 with investigations
related
relate d to the case, and the student is all a llo
o wed 7 minutes
minutes with the patient
to perform
perform a lo cal examina
examina tion and e va luated
uated meanw
m eanwhilehile b y the examine
examine r.
Another
Anot her st
s ta tio n will
will be an inves tigati
ga tio
o n (X-r
(X-ra a y, ultr
ul trasound
asound,, lla
a b re
re sult ..e
..etc
tc))
that can be related
relate d to the case, with an MCQ on this investigation.
• O ra l exa
examm:
o The student is allowed to pick one or more topic for the operative
ta lk and then he is asked b y the exam ine nerr to present
present hih is kno wledge
in this topic.
o The student is given a pathology specimen jar(s) and is asked to
identify the specimen and asked about the theoretical knowledge
related to it.
• X-ra y a nd anatomy: 12 s ta tions (8: X-rays, 4: anatomy). anatomy ). Ea Ea ch station has
5 true
true o r ffa
a lse questions.
questions.
• Log b ook (seminar,
(seminar, clinical
clinical cases, eme rgen cy ca
ca ses,
ses, staff round
round s, and OR
attendance).
SUGGESTED
SUGGESTED REFE
REFERENCE
RENCES:
S:
***
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NO MARKS ON ATTENDANCE
AT TENDANCE
List 8: Cli
Cl inic
ni ca l/small g roup:
T o pic A pp roxi mat e # o f % o f total hour
hours
s
hours
H&P 4 2 .4
S wel li n gs 3 1 .8
U lc e rs 3 1 .8
T rau ma 6 2 .4
F ac e 2 1 .2
Li ps 2 1 .2
P al at e 2 1 .2
Ne rv es 4 2 .4
Ha nd 2 1 .2
A rte ri es 5 3
V ei ns 5 3
Ly mph at ic s 5 3
Mo ut h 3 1 .8
S ali va ry 5 3
Nec k 2 1 .2
T h yroi d 20 12
A d re na l 2 1 .2
P a ra thyroi d 1 0 .6
B re as t 20 12
He rni a 20 12
HSM /portportalal 20 12
hyper
hy perten tenss ion
B il ia ry /jau ndic e 10 6
A pp en d ix 5 3
T es t es /s c ro tu m 10 6
Ing ui nos c o rta l s we ll ings 5 3
16
1 66 1 00