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COMMUNITY

ENVIRONMENTAL and

OCCUPATIONAL MEDICINE

CEO 313

2013 - 2014

Basic Information

Program Title Bachelor of Medicine and Surgery; MB, BCh

Department Offering the

Course

Community Environmental and Occupational

Medicine

Academic Year / Level Fourth

Date of Specification Approval (15/9/2013)

Total Teaching Hours

Total: 216

Lecture: 110

Practical: 35

Self learning 41 moodle e learning: 14

Field visits: 16

Allocated Marks 300 Marks

Allocated Duration Round 8 weeks (as per student)

Course Director Prof. Mohammed El Awady

Head of Department

Teaching Staff in 2012-2013 17 Professors

9Assistant Professors

12 Lecturers

9 Assistant lecturers

7 Demonstrators

Professional Information





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1- Overall Aims of Course

Community Environmental and Occupational Medicine Course Provides

Students with:

Aim 1 Identification of common diseases of public health importance in local

communities.

Aim 2 Prevention and control of community, environmental and occupational

health problems using public health tools

Aim 3 Application of basic research tools to solve community health

problems and improve health care services.

Aim 4 Promotion of physical, mental and social health.

2- Intended Learning Outcomes of Course (ILOs)

A. Recall of Knowledge and Understanding:

By the end of the course, students will be able to:





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Course ILO Program

ILO

a1 Define the concept of community medicine, public health,

environmental health, occupational health and demography. A 9

a2 Define health, disease and spectrum of health and health

indicators. A 7

a3 Identify uses of epidemiology and risk factors of common health

problems. A7

a4 Define epidemiology and different epidemiological methods used

in research. A7

a5 List prioritization methods for common community health

problems. A10

a6 Define screening and surveillance of disease and determine its

application in public health. A10

a7 Enumerate steps in outbreak investigation. A10

a8 Identify types of epidemic curves in outbreaks. A10

a9 Explain different mortality measurements and death certificate

documentation. A10

a10 Explain community nutritional assessment tools and identify

nutritional problems and needs in vulnerable groups. A10

a11 Define various measures of prevention and control for common

communicable and non-communicable health problems. A10

a12 Determine measures and uses of Biostatistics A9

a13 Describe the normal human behaviour, models explaining and

predicting it, and methods of behavioural modification. A3

a14 Identify appropriate health education methods for promotion of

health and prevention of diseases. A10

a15 List the common hazardous environmental exposures facing

children, women, adults and its preventive activities. A 10

a16 Explain methods used for environmental monitoring. A10





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a17 Describe the individual changes throughout age spectrum in the

context of family and community and identifying vulnerable

groups.

A 10

a18 Describe basic procedures for patient safety and infection control

measures and principles of hospital waste management A12

a19 List different occupational disease and work related problems. A 7

a20 Identify different hazards and preventive measures in the

workplace. A 7

a21 Describe the current health system in Egypt and the ongoing

programs. A 9

a22 Differentiate between levels of health care and activities in each

level regarding child, woman, adult and Geriatric health care

services.

A9

a23 Identify principles, elements and activities of primary health care,

MCH and school health services and describe role of family

practice in primary health care.

A9

a24 Describe the principles of evaluation of health care services using

different rates A 9

a25 Define quality assessment and improvement in health care

services. A 9

a26 Identify principles of Health Management and leadership. A 9

a27 Recognize basic principles of clinical audit.

A 13

B. Intellectual Skills


Course ILO Program

ILO

b1 Prioritize community health problems. B8

b2 Design a research protocol (selection of study design, data

collection tool, sampling methods and steps of implementation). B10





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b3 Calculate different measures of risk. B8

b4 Criticize scientific medical papers B10

b5 Correlate between certain occupations and specific occupational

diseases. B4

b6 Relate the presence of risk factors with subsequent health

outcomes. B8

b7 Design a preventive plan for common diseases and for workers in

different occupations. B9

C. Professional and Practical Skills


Course ILO Program

ILO

c1 Design tools for data collection as questionnaires and checklists. C9

c2 Collect data needed for field research. C9

c3 Plot child’s anthropometric data on growth charts to evaluate the

pattern of child's growth. C4

c4 Assess nutritional status using anthropometric measures. C4

c5 Use pulmonary function tests to diagnose occupational lung

diseases. C4

c6 Design a health education message and convey it in an appropriate

channel for a target group. C8

c7

Communicate effectively with patients in the context of family

using doctor- patient relationships skills and evaluate

communication skills during encounters. C8

c8 Evaluate ongoing activities in different health care centers and

workplaces. C9

D. General and Transferable Skills






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Course ILO Program

ILO

d1 Value the interests and dignity of patients and families (during

field researches and visits). D1

d2 Respect superiors, colleagues and any other members of the health

profession. D3

d3 Gather and appraise information using technology where

applicable. D4

d4 Manage and analyse field data to reach a conclusion. D5

d5 Present medical information in written, oral or electronic forms. D6

d6 Communicate ideas and arguments effectively. D7

d7 Be prepared for the lifelong learning needs of the medical

profession. D8

d8 Work constructively and cooperatively within a team. D9

d9 Practice self and peer and attended activities evaluation. D10

d10 Manage time effectively. D11

d11 Apply principles of health education and Counseling for

individuals and community groups. D12

3- Course Contents

TOPICS

Teaching and Learning Methods

Total

(%) L

Moodle

e

learning P SL F

I- GENERAL EPIDEMIOLOGY 12.5 (5.8) 4.5

3.0 5.0 -

II- DEMOGRAPHY & HEALTH

MEASURES

10.5 (4.9) 4.5

2.0 4.0 -

III- RESEARCH

METHODOLOGY

AND RESEARCH ETHICS

42.0

(19.5) 19.0

12.0 10.0 2.0

IV- COMMUNICABLE DISEASES

28.5

(13.2) 11.5

14 1.0 2.0 -





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V- HEALTH SYSTEM AND

HEALTH SERVICES IN

EGYPT

27.5

(12.7) 10.5

6.0 4.0 7.0

VI- OCCUPATIONAL HEALTH 24.5

(11.3) 13.5

4.0 4.0 3.0

VII- NON-COMMUNICABLE

DISEASES 15.0 (6.9) 15.0

- 2 -

VIII- NUTRITION IN HEALTH

and DISEASE 17.0 (7.9) 9.0

3.0 5.0 -

IX- HEALTH EDUCATION and

COMMUNICATION

10.0 (

4.6) 3.0

2.0 5.0 -

X- BEHAVIORAL and SOCIAL

MEDICINE 4.5 (2.1) 4.5

- - -

XI- ENVIRONMENTAL HEALTH 4.0 (1.8) 3.0

- - 2.0

XII- MANAGEMENT and

ADMINSTRATION in HEALTH

CARE DELIVERY

1.5 (0.7) 1.5

- - -

XIII- HOSPITAL

ADMINISTRATION 15.5 (7.2) 7.5

3.0 - 2.0

XIV- QUALITY and QUALITY

IMPROVEMENT in HEALTH

CARE SERVICE DELIVERY

1.5 (0.7) 1.5

- - -

XV- INTERNATIONAL HEALTH

and TRAVELERS’ HEALTH 1.5 (0.7) 1.5

- - -

Total 216

(100.0) 110

14 35 41 16

L: lecture, T: Tutorial, P: Practical, SL: Self Learning, F: Field work and field visits

4- Teaching and Learning Methods

Teaching/

Learning

Methods

Recall of

Knowledge/

Understanding

Intellectual

skills

Professional/

Practical GTS

4.1-

Lectures a1-a27 d2

4.2-

Tutorials





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4.3-

Practical

classes/

Clinical

rounds

a6-a12

a18,a23,a24

b1-b7 c1-c8

d1 - d10

*4.4-

E-learning

classes

a11 b6, b7 d2, d3,

d5- d10

**4.5- Self

directed

learning

a11 b6, b7 c1,c6,c7,c8

d2,d7,

d8,d9,

d10

4.6- Field

visits ai - aviii bi - bv ci - cv di - div

GTS: general transferable skills

* ** Projects and home assignments

Facilities Required for Teaching and Learning

Rooms for practical sessions and small groups work

Computers and net connection in lecture hall and working rooms

Audiovisuals

5- Teaching and learning methods for students with learning

difficulties

1- Revision lectures and tutorial classes outside schedule

2- Assignments

6- Student Assessment Methods

6.1 Methods:

Type Assessment Method ILOs Measured

Formative

Assessment

Quizzes [MCQ] a1-a27

b1-b7

Online quizes [MCQs] a1-a27

b1-b7

Summative Continuous Home Assignments c6-c8





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Assessment Assessment Written Exam

[MCQ]

a1-a27

b1-b7

Final

WRITTEN EXAM a1-a27

b1-b7

ORAL EXAM

a1-a27

b1-b7

d2, d6

PRACTICAL EXAM

OSPE c1-c8

Research and Projects c6,c7,c8, c9

d5

Field visits

[logbook]

ai, - aviii

bi – bv

ci – cv

d

6.2 Time Schedule

Week Method

Formative Assessment:

Weekly Assessments in Tutorials Quizzes [MCQ]

All through the round Online quizes [MCQs]

Summative Assessment

Continuous Assessment

All through the round Home Assignments

8th. Week

[END-ROUND]

Written Exam

[MCQ]

Final Assessment

END of YEAR

Written Exam

Multiple Choice Questions

Short Essay

END of YEAR Oral Exam

Practical Exam

To be considered final practical exam

8th. Week

[END-ROUND] [OSPE]

By the end of the round Research and Projects

6th. week Field visits

[logbook]





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6.3 Weighing of Assessments

Method Weight %

Continuous

Assessment 20%

Quizzes Within the 10% of research

activity marks (5 Marks)

End-Round Written Exam

[MCQ] 20% (60 Mark)

Final 80%

Written Exam

[MCQ, Short Essay] 50% (150 Mark)

Oral Exam 10% (30 Mark)

Practical Exam

[OSPE] 6.6% (20 Mark)

Research Activity and field

visits 10% (40 Mark)

Total 100% 300 Mark

7- List of References

7.1 Course Notes

Community medicine Department books (course Part 1 and Part 2) 2013-

2014

Practical books (handout booklets and exercise booklet) 2013-2014

Multiple Choice Questions book (previous exams) 2013-2014

7.2 Essential Books (Text Books) (Available at the department and faculty

library)

Maxcy-Rosenau-Last Public Health and Preventive Medicine,15th

Edition,2008 Robert B. Wallace, MD, MSc, BSM

Park’s textbook of Prevention and Social Medicine, 21th Edition. K.Park,

2011

7.3 Recommended Books

Current Occupational & Environmental Medicine, Fourth Edition

Joseph LaDou, 2006

7.4 Periodicals, Web Sites, etc

www. who.int www.cdc.gov www. mohp.gov.eg

7.5 Others

www.pubmed.com

http://www.healthknowledge.org.uk/public-health-textbook

www.globalhealthlearning.org

http://www.cdc.gov/

http://www.pubmed.com/

http://www.healthknowledge.org.uk/public-health-textbook

http://www.globalhealthlearning.org/





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Course Coordinator

Prof Sahar Sabbour

Prof Samia Eldamaty

Assistant Professor Sahar Dewedar

Dr. Sahar Khalil

Head of Department

Prof. Mohammed El Awady





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Field Visits Specification

Ain Shams University Faculty of Medicine Department of Community, Environmental and Occupational Medicine Department offering the field visit: Public Health Department Academic year: 4th year undergraduate students 2013 - 2014 Field specification approval: Department council dated: 15/9/2013

General Aims Field visits will expose students to reality. They encounter different services provided through primary health care centers, correlate theoretical knowledge with real situations in the community, evaluate infection control procedures, identify occupational hazards among exposed workers, observe various fever hospital wards and gain skills of team work.

Intended Learning Outcomes (ILOs ( Through direct observation during the field visit, students should be able to : A. Recall of Knowledge and understanding:

a i Describe the basic services provided in the visited places as services delivered in Primary Health Care centers, procedures and equipments for infection control, etc. a ii Identify important items in the official death certificate and recognize the correct formulation of causes of death in the death certificate. a iii Recognize the basic methods of hospital waste management .

Field Visits Specification

Academic Year (2013– 2014)





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a iv Describe the process of water purification and mention the criteria of drinking water that fulfills the standards of safety. a v Describe the role of fever hospital in control of infectious diseases a vi Identify preventive measures (general and personal) followed to avoid different occupational hazards. a vii Describe tools for nutritional assessment and their uses. a viii Identify different infection control equipments and how to use them B. Intellectual skills : Analyze, evaluate, and conclude scientific basic knowledge through the visits b i Evaluate activities performed in primary health care centers as vaccination, growth monitoring, family planning counseling through use of checklists. b ii Relate specific occupational diseases with certain occupations.

b iii. Evaluate infection control procedures in visited places b iv Evaluate whether regulations in workplace are followed by workers or not. b v Evaluate and appraise each visit C. Professional and practical skills Adopt basic skills about : c i How obligatory vaccines of childhood (EPI ) are handled, stored and given. c ii Plotting anthropometric measurements of a child seen in the well baby clinic on growth charts and interpreting the growth curve. c iii Use anthropometric instruments including the balance, skin fold caliper and others to assess the nutritional status of students; determine the body mass index, measure skin fold thickness, waist/hip ratio… c iv Apply the geriatric health assessment tool in evaluating health status of an elderly attending geriatric clinic at Ain Shams University hospital. c v Collect data for field research: retrieve data from medical records, health office, family folders etc.. D. General and transferable skills: d i Communicate effectively with physicians, nurses, employers, workers





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d ii Respect superiors, colleagues and any other members of the health profession. d iii Work effectively and cooperatively as a member or a leader of a team . d iv Manage time effectively Site of the visits:

Visit # Site Field ILO

Day 0 Orientation Session in the department Regulations, schedule, objective of different

field visits, how to use checklists. Infection control session with demonstration

of some equipments

a viii

Day 1 Primary Health Care Center in Cairo city a i- a ii, b i- b iii ci- cii- cv, di-dv Day 2

Day 3 Infection control unit & Hospital waste disposal in El Demerdash University hospital

a iii- b iii di-dv

Day 4 Geriatric Outpatient clinics in ASU hospital c iv

Day 5 Water purification station a iv- di-dv

Day 6 Factory Visit (selected from a list of factories after agreement)

avi- b ii- b iv

Day 7 Community medicine dept. for: a. Occupational Jars, Instruments b. Anthropometric measurements

a vii c iii- c v

Day 8 - Fever Hospital at Abbassyia a v - di-dv

To be included after approval

- WHO Regional Office (Nasr City) - Chest Hospital at Abbassyia - Ain Shams Specialized Hospital - Others as: Environmental monitoring

center

Learning facilities: checklists, growth charts, instruments, occupational jars. Other facilities: transportation by faculty buses Field visit supervisors: Demonstrators, assist. Lecturers & lecturers 12 Lecturers 9 Assistant lecturers 7demonstrators Field visit coordinator: Prof. Sahar Sabbour – Prof. Samia Eldamaty Prof. Maha El-Gaafary Ass. Prof. Naglaa Arafa Ass Prof. Sahar Dewedar Head of Department: Prof. Mohammed El Awady

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