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PPoossttggrraadduuaattee SSttuuddiieess

Diploma in Chest diseases

في األمراض الصدرية دبلومدرجة ال

PPrrooggrraamm CCooddee:: CCHH990000

Program Guide and Logbook

3

C a n d i d a t e C u r r i c u l u m v i t a e

[Name]

Please attach your recent photo photo here.

[telephone no]

[mobile no]

[mailing address]

[email address]

[postcode]

Experience

[organization]

[your present job title]

[start date]

[location]

[responsibilities]

[organization]

[previous job title]

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[responsibilities]

4

[organization]

[previous job title]


[location]

[responsibilities]

Education

[certificates]


[school or college]

5

Training

[any other training that will be useful in your job]

Date of Registration

First semester _______________________

Second semester _______________________

Third semester _______________________

Fourth semester _______________________

6

Table of contents I – Welcome Statement

II - Mission Statement

III – Senior supervisor and affiliated departments and Hospitals

IV – Program specifications

1 - Basic Information

2 - Professional Information

3 – Academic standards

4- Curriculum structure and contents

5- Program courses:

6. Program admission requirements

7. Regulation for progression and program completion

8. Appendix: course specifications

Physiology course specifications

Clinical biochemistry and Molecular biology course specifications

Pathology course specifications

Pharmacology course specifications

Clinical micobiology course specifications

Histology course specifications

Anatomy course specifications

Environmental and occupational course specifications

Internal Medicine course specifications

Chest course specifications

- Chest course modules

Advanced pulmonary function course specifications

Advanced intensive care course specifications

Medical statistics course specifications

V - General information

VI – Your log book

1 - Introduction

2 - Supervisors

3 - Tables for training records

4 – Log book preview

VII - Head of department approval for the exam entry

Detachable forms:

VIII - Evaluation forms

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I – Welcome Statement: The Department of Chest Diseases welcomes you to the

Diplomain Chest Diseases. As a department we are committed to

medical student education and continuously strive to improve your

educational experience.

This handbook presents information guide and logbook activity of

the Diplomain Chest Diseases administered by the Chest

department, Faculty of Medicine, Ain Shams University.

II - Mission Statement:

The mission of the Faculty of Medicine, Ain Shams University is “The preparation of a competent graduate, who is able to compete on both

national and regional levels, capable of lifelong learning, training and tutoring,

while adhering to the codes of practice of medical health services and ethics. The

college as well, seeks continuous development of programs and courses. It also

enhances expansion of applied scientific research and health programs for

community services and environmental development. Moreover, through

providing distinguished academic and research cadres of teaching staff,

supporting the administrative system and sustainability of own resources, the

college is able to achieve goals and objectives”.

The mission of this degree is “Preparation of a pulmonologist who

combines a strong academic background and professional skills with

emerging scientific information and new technologies and harness

them towards more effective, more compassionate patient care”

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III – Senior Supervisor and Affilated Departments and

Hospitals

Senior Supervisor

Prof.

E-mail

Affilated Departments and Hospitals None IV – Program Specifications

A- Basic Information

1. Program title:

Diplomain Chest Diseases

3. Faculty

Faculty of Medicine, Ain Shams University

4. Department

Chest Department 5. Assistant co-ordinator Jehan El- Assal Ass.Professor of Chest Diseases, Ain Shams University

6. Co-ordinator Magdy Mohammad Khalil

Professor of Chest Diseases, Ain Shams University 7. Last date of program approval:.

……………………………………………………………

9

B- Professional Information:

1. Program aims:

The successful completion of the training course should lead to a

pulmonologist who is competent to pursue a safe medical practice in

the field of Respiratory Medicine conforming to the standards of

medical care and respecting ethical, cultural and legal regulations.

Furthermore the course gives trainees an opportunity to produce a

detailed dissertation on a special topic of interest and provides an

opportunity and encouragement for appropriate candidates to apply

for a MD Degree in Chest Diseases.

2- Intended Learning Outcomes (ILOs): a- Knowledge and understanding

By the end of the course the candidate will be able to:

a1- Discuss the common respiratory problems presenting to pulmonologist in

outpatient care setting, hospital and community - their diagnosis, prevention and

treatment.

a2- Identify disease in terms of mental, functional and physical processes

a3- State the clinical manifestations and differential diagnosis of common

respiratory 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)

b- Intellectual skills


b1- Analyze symptoms & signs and construct a differential diagnosis for common

presenting complaints.

b2- Design an appropriate diagnostic plan for evaluation of common presenting

complaints which is appropriate in terms of the differential diagnosis, the severity

of the clinical situation and the risks, benefits and costs to the patient.

b3- Accurately interpret the results of commonly used diagnostic procedures.

b4- Identify risk factors for disease processes and injury, and institute the

appropriate diagnostic, preventive, and therapeutic interventions.

b5- Identify the indications and logistics of referring patients to higher levels of

experience or specialization

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b6- Construct treatment plan, incorporating his knowledge, best available evidence,

and patient’s preferences in a cost effective manner

c- Professional skills


c1- Take a thorough history of appropriate depth and detail, relative to the clinical

context.

c2- Demonstrate a complete and/or problem-focused physical examination.

c3- Recognize urgent life-threatening conditions, and institute appropriate initial

management.

c4- Safely perform routine diagnostic and therapeutic procedures, including life

support.

c5- Use appropriate sterile technique, Comply with and use universal precautions.

c5- Recognize and carry out the treatment of the emergency situations

d- General and transferable skills


d1- Have the ability to explore both disease and illness with patients, and meet

their communication needs and those of their relatives

d2- Be able to work within the organisational, interpersonal and inter-professional

dynamics of the clinical team;

d3- Be able to make judgements about their strengths and weaknesses and take

responsibility for continuing learning, personal support and professional

development

3. Academic standards: (Benchmarks)

The prgramm aims at achieving a national standard of education that

parallels the international recommendations for training in adult respiratory

medicine as emphasized by the European Respiratory Society and

American College of Chest Physicians with consideration of the local

regulations and cultural influences

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4. Curriculum structure and contents 4a- Program duration: Two years (4 semesters)

4b- Program structure:

المناهج

الساعاث المعتمذة الكىد المقرراث الذراسيت

دورة أساسياث البحث العلمي متطلباث الكليت

الجسء األول

CH9001 1 هستىلىجي الجهاز التنفسي ,تشريح

CH9002 1 حيىيتكيمياء فسيىلىجي و

CH9003 1 ميكروبيىلىجي

CH9004 1 فارما كىلىجي

CH9005 1 باثىلىجي

CH9006 1 والصناعاث المجتمع طب

6 الرسالت

CH9007 4 امراض باطنت الجسء الثاني

CH9008 13 أمراض صذريت

تختياريتاال المقرراث

يختار الطالب مادة واحذة من :

وظائف التنفسدورة متقذمت في -

الرعايت المركسة دورة متقذمت في -

االحصاء الطبي -

E9099

E9100b

E9009

1

6 كراست األنشطت

36 المجمىع

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5. Program courses:

a. Compulsory

Code Course title No. of hours

L C F SDL

CH9002 Physiology 8

CH9005 Pathology 51

CH9004 Pharmacology 15

CH9002 Biochemistry 8

CH9003 Microbiology 15

CH9006 Environmental&occupational medicine 15

CH9001 Anatomy 8

CH9001 Histology 8

CH9007 Internal Medicine 15 90

CH9008 Chest Medicine 60.5 269

L: Lecture, C: Clinical, F: field and SDL: Self directed learning

b. Elective

Code Course title No. of hours

L C F SDL

E9099 Pulmonary function (advanced course) 7 16

E9100b Intensive care medicine (advanced course) 7 16

E9009 Medical statistics 15

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6- Program admission requirements: -( : يشترط لقيد الطالب لمحصول عمى درجة الماجستير:6) المادة

عمى درجة البكالوريوس في الطب والجراحة مف إحدى جامعات جميورية مصر العربية أو - 5 عمى أف يكوف حاصالتسديد الرسـو ومصاريؼ -00موافقة جية العمؿ -00أف يكوف قد أمضى سنة التدريب )االمتياز( -2 0درجة معادلة

التفرغ لمدراسة لمدة فصميف دراسييف قبؿ -01( 5التدريب واستيالؾ األجيزة واستيفاء المستندات المطموبة في الممحؽ ) 0دخوؿ امتحاف الجزء الثاني

-الماجستير األوراؽ التالية :ة طالب اإللتحاؽ لدرج يقدـ ( :1ممحق )

- 1 0شيادة الميالد أو مستخرج رسمي -0 0شيادة اإلمتياز -0 0شيادة البكالوريوس - 2 0طمب إلتحاؽ -5 4 0صور فوتوغرافية جديدة 2عدد - 3 0موافقة جية العمؿ عمى التسجيؿ والتفرغ المطموب - 2 0الموقؼ مف التجنيد

0النسبة لموافديف يقدـ الطالب موافقة السفارة ويحدد جية تحمؿ النفقات كما يقدـ شيادة صحية ب -

7. Regulation for progression and program completion يتـ التسجيؿ لمماجستير مرة واحدة في السنة تبدأ مف أوؿ يوليو حتى أخر أغسطس عمى أف تبدأ الدراسة في (: 8مادة )

ويجوز قبوؿ تسجيؿ النواب والمعيديف والوافديف في الفترة مف أوؿ نوفمبرحتى أخر ديسمبر 0وبر مف كؿ عاـشير أكت .عمى أال يسمح ليـ بدخوؿ إمتحاف الجزء األوؿ إال بعد إنقضاء فترة الدراسة المطموبة

ر اسبوعا . يبدا االوؿ فى توزع الدراسة فى كؿ عاـ جامعى عمى فصميف دراسييف مدة كؿ منيما خمسة عش(: 9مادة )أوؿ أكتوبر ويبدا الثانى فى منصؼ فبراير. مع تنظيـ فصؿ دراسى صيفى مكثؼ لمدة ستة اسابيع . و يتـ التسجيؿ لمفصؿ الدراسى قبؿ اسبوعيف مف بدايتو عمى االقؿ بعد إستيفاء الشروط حسب المقررات المسجمة. والينبغى أف يزيد

ساعات معتمدة. ويجوز لمطالب تعديؿ المقررات خالؿ اسبوعيف مف بداية 2لواحد عف العبء الدراسى فى الفصؿ االفصؿ الدراسى )بالحذؼ او االضافة(. كما يجوز لو االنسحاب خالؿ ستو اسابيع مف احد المقرارت دوف احتسابو راسبا

فيو.

أربعة وعشروف شيرا )أربعة فصوؿ دراسية ( : مدة الدراسة لمحصوؿ عمى درجة الدبمـو أو الماجستير ىى ( 11المادة )عمى جزئيف يجتاز فييا الطالب برنامجا تدريبيا متكامال طبقا لمساعات المعتمدة الموضحة بالباب الرابع ويستوفى خالليا

كؿ جزء وال يسمح لو بدخوؿ اإلمتحاف قبؿ إستيفاء ثالثة أرباع المطموب منة في األنشطة المطموب منة فى كتيب متابعة 0مف البرنامج

يجتاز بعدىا الطالب إمتحانا وال واحد مدة الدراسة في الدبمـو والماجستير الجزء األوؿ فصؿ دراسي ( :12المادة )لمدة فصميف لمتدريبيشترط النجاح فيو بالكامؿ لإلنتقاؿ لمدراسة في الجزء الثاني. والجزء الثاني يتطمب تفرغ الطالب

.مستشفيات أو المراكز المعتمدة مف الكميةبأحد ال دراسييفيقـو الدارس لدرجة الماجستير بتسجيؿ موضوع الرسالة عمى شكؿ بحث نظري أو عممي بعد إستيفاء ( : 13مادة )

عمى األقؿ عمى أف يكوف قد نجح مف التسجيؿ فصؿ دراسي واحد عمى األقؿ ويجوز أف يناقش رسالتة بعد ستة شيور 0ت وؿ بالكامؿ وقبؿ دخوؿ إمتحاف الجزء الثاني وال يخصص ليا درجافى مقررات الجزء األ

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يقـو دارس الماجستير بإستيفاء متطمبات الجامعة قبؿ تسجيؿ الرسالة ومتطمبات الكمية قبؿ دخوؿ إمتحاف ( : 14مادة )درجة عمى 450وع )متطمبات الجامعة ىي الحصوؿ عمى شيادة التويفؿ في المغة اإلنجميزية بمجمو .الجزء الثاني

مناىج البحث العممىاألقؿ( ومتطمبات الكمية ىي حضور دورات معتمدة مف لجنة الدراسات العميا بالكمية في مجاؿ واإلحصاء الطبى أو بإجتياز إختبارات خاصة تحددىا المجنة.

لماجستير خالؿ أربع سنوات يجوز لمحاصميف عمى درجة الدبمـو إستكماؿ درجة الماجستير بتسجيؿ رسالة ا(: 15مادة ) مف الحصوؿ عمى درجة الدبمـو ويحصؿ عمى الدرجة بعد إستيفاء متطمبات الجامعة والكمية ومناقشة الرسالة بنجاح.

الساعات المعتمدة لدراسة الدبمـو والماجستير ثالثوف ساعة معتمدة عمى األقؿ يخصص منيا ست ساعات (: 16مادة )ويضاؼ ؿ ست ساعات عمى األقؿ لمجزء األوؿ وثماني عشرة ساعة عمى األقؿ لمجزء الثانيوتشممتابعة األنشطة لكتيب

إلييا ست ساعات لمرسالة فى الماجستير. .مدة القيد لدرجة الدبمـو العالى أربع سنوات ودبمـو الزمالة سبع سنوات ولمماجستير أربع سنوات(: 22مادة )

درجة لمجزء األوؿ. 300درجة منيا 1200ائى لمدبمـو العالى والماجستير مجموع درجات االمتحاف الني(: 24مادة ) درجة لمدبمـو العالى والماجستير. 300مى التراكمى بما يوازى صويضاؼ الييا المعدؿ الف

يعقد إمتحاف الدور األوؿ في أكتوبر ونوفمبر مف كؿ عاـ ويعقد إمتحاف الدور الثاني فى أبريؿ ومايو مف (: 25مادة ) ؿ عاـ. ك

% مف الدرجة الكمية لكؿ 60يكوف النجاح فى كؿ مادة مف الدبمـو العالى والماجستير بعد الحصوؿ عمى (: 26مادة ) %50عمى اال يقل التحريرى .لجاف المادة مجتمعة

(: فى حالة إستنفاذ مدة القيد يمكف لطالب الدراسات العميا إعادة التسجيؿ مرة أخرى وال يعتد بالنجاح فى الجزء 29مادة )سالة ويجب إعادتيمااألوؿ أو الر

15

7. Regulation for progression and program completion

Assessment Schedule and Weighing of Assessments

Item Mark

Po

ints

GP

A

sco

re

بطال

اللة

حا

Stu

den

t

sta

te

During

semester

End of

semester Total

First semester (If present) 100 300 400

Second semester 100 100

Third semester 100 100

Fourth

semester

Final exam

Written

900 900

Oral

Practical

/Clinical

Total 300 1200 1500

لى:عمى الوجو التاممحوظة: تعادؿ درجات الطالب طبقا لمنقاط

% فأكثر 90 -1نقاط 4 : A

% 90% حتى أقل من 85من -2نقاط 3667 : A

-

%85% حتى أقل من 80من - 3نقاط 3633 : B

+

%80% حتى أقل من 75من - 4نقاط 3633 : B

%75% حتى أقل من 70من - 5قاطن 7667 : B

-

%70% حتى أقل من 65من - 6نقاط 7633 : C

+

%65% حتى أقل من 62من -7نقاط 7633 : C

%62% حتى أقل من 60من - 8نقاط 1667 : C

-

%60أقل من - 9 F صفر :

منيا درجة 1200مجموع درجات االمتحاف النيائى لمدبمـو العالى والماجستير درجة منيا 1500درجة لمجزء األوؿ ومجموع درجات االمتحاف النيائى لمدكتوراه 300

16

مى التراكمى بما يوازى صدرجة لمجزء األوؿ إف وجد. ويضاؼ إلييا المعدؿ الف 300 .درجة لمدكتوراه 400درجة لمدبمـو العالى والماجستير و 300

وع حاصػؿ ضػرب نقػاط كػؿ عمػى أسػاس مجمػ (GPA)ويتـ حساب المعدؿ الفصمى مقػػرر مضػػروبا فػػى عػػدد سػػاعاتو المعتمػػدة مقسػػوما عمػػى السػػاعات المعتمػػدة لممقػػررات التػػى

(CGPA)المعػدؿ التراكمػى لمطالػػب درسػيا الطالػب فػى الفصػؿ الدراسػى. كمػػا يػتـ حسػابعمػػػى أسػػػاس مجمػػػوع حاصػػػؿ ضػػػرب النقػػػاط التػػػى حصػػػؿ عمييػػػا الطالػػػب فػػػى كػػػؿ مقػػػرر

عاتو المعتمدة مقسوما عمى مجموع الساعات المعتمدة الكمية.مضروبا فى عدد سا

أو والماجسػػتير فػػى الػػدبمـو أمقػػررات الفػػى حالػػة الرسػػوب فػػى مػػادة أو مجموعػػة مػػف ويتـ حسػاب التقػدير الفعمػى الػذى يحصػؿ يتـ اإلعادة فى المادة أو المجموعة فقط. الدكتوراه

% فقػػط 60حسػػب لػػو عنػػد النجػػاح تقػػدير عميػػو فػػى أوؿ إعػػادة فقػػط أمػػا إذا تكػػرر رسػػوبة في-نقاط اى 1667)اى

C).

17

8-Appendix: course specifications

Physiology and Biochemistry course specifications

A-Physiology Course Specification University: Ain Shams University Faculty: of Medicine

Course specifications

Program on which the course is given: Diplomain Chest Diseases Major or

minor element of programs: Major

Department offering the program: Chest Diseases.

Department offering the course: Physiology department.

Academic Level: Master – 1st semester

Date of specification approval: …………………………..


Title: Physiology course Code: CH9002

Credit Hours: 0.5 hour Lecture: 1.0h/2 weeks Total: 8 hours

Coordinator

Physiology department

B - Professional Information

1- Course Aims:

The aims of this course are to enable students to:

1- Acquire an appropriate functional background of cells, tissues, organs &

systems.

2- Integrate physiological data & mechanisms with the ongoing basic sciences:

anatomy, histology & biochemistry and clinical applications.

3- Follow the rapidly changing and inflating details about molecular biology &

genetics.

4- Explore in detail the functions of the autonomic, the respiratory and the

cardiovascular systems as well as their integration to achieve homeostasis.

5- Develop the basic scientific research skills as well as effective communication

and team work attitudes.

6-Understand the mechanisms of diseases or altered functions.

2 – Intended Learning Outcomes of Course (ILOs):

a- Knowledge and Understanding.

By the end of the course the candidate will be able to: a 1- Describe the cellular functions at the organelle and molecular level.

18

a2 - Describe & explain the functions of the autonomic nervous system, different

components of blood, the respiratory and cardiovascular systems both grossly and

at the molecular level.

a 3- Describe some biophysical laws and their relation to physiology.

a 4- Recognize and understand the function of different body systems and

understand mechanisms involved in its regulation.

a 5- Identify how these functions are altered in different diseases.

b- Intellectual Skills

By the end of the course the candidate will be able to: b1 - Interpret the most important physiological laboratory results (blood,

respiratory) to distinguish a physiological from a pathological condition. b2 - Comment, on some clinical parameters such as: ABP, ECG, & pulmonary

functions for a normal individual.

b3 - Integrate physiology with other basic and clinical sciences.

b4 - Analyze the given information. and expect the outcome of disturbed function.


By the end of the course the candidate will be able to: c1 – Interpret the most important respiratory function tests. c2 - Record and read an electrocardiogram c3 - Present physiological scientific data in a graphical form. d- General and Transferable Skills

By the end of the course the candidate will be able to: d1 - Maintain honesty and integrity in all interactions with teachers, colleagues and

others with whom physicians must interact in their professional lives. d2 - Recognize the scope and limits of their role as students as well as the necessity

to seek and apply collaboration with other workers.

d3 - Be responsible towards work.

d4 - Acquire the habit of life long learning II. INTENDED LEARNING

OUTCOMES:

3- Course content:

Topics

L Detailed pulmonary functions ( ventilation,

diffusion , perfusion &Ventilation-perfusion

relationship) and pulmonary functions tests

1.0

19

Respiratory failure, Hypoxia, Cyanosis & O2

Therapy

1.0

Pulmonary circulation (+Hypertesion,

+Oedema, +Embolism). 1.0

E.C.G & Arrhythmias. 1.0 Coronary circulation-- Venous Circulation,

Insufficiency, Syncope 1.0

Cardiac performance (pump function and

heart failure) 1.0

Haemostasis, coagulation and fibrinolysis. 1.0 Sensations ( e.g. pain ) and sensory

abnormalities 1.0

L: Lectures

. 4 - Student Assessment Methods

4.1 Written exam.: to assess knowledge. And intellectual skills

4.2 Oral exam: to assess how the candidate uses the acquired knowledge in

thinking , analysis and problem solving with good presentation and self

confidence.

Weighing of assessment

4.1 Written exam 15 Oral/Practical: 10 .

Total 25 ..

5 -- List of References

5.1- Course Notes specific for each lecturer( papers and or electronic).

5.2- Essential Books (Text Books):

o Review of medical physiology By: William F. Ganong

o Text Book of medical physiology By : Guyton.

5.3- Recommended Books:

o Human physiology from cell to system By : Lauralee Sherwood.

5.4- Periodicals, Web Sites, … etc

o www . Pubmed. com

o Am. J. of physiology.

B-Medical Biochemistry and Molecular Biology Course

Specification

20

University: Ain Shams University Faculty: of Medicine


Program on which the course is given: Diplomain Chest Diseases. Major or

minor element of programs: Major.


Department offering the course: Medical biochemistry and Molecular biology

department.




Title: Medical biochemistry and Molecular biology course Code: CH9002

Credit Hours: 0.5 hour Lecture: 1.0h /2 weeks Total: 8

Coordinator

Medical biochemistry and Molecular biology department


1- Course Aims:

1- To enable students to understand the essential topics of biochemistry including

micro- and macromolecules of carbohydrates, lipids, proteins, nucleotides and

nucleic acids.

2- 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 functioning

proteins.

3- To familiarize the students with basic principles of Molecular biology and

protein synthesis.

4- To enable the student to be familiar with biotechnology methods and their

clinical implications.

5- To make the student oriented with the physico-chemical basis of the biological

systems; and the related clinical problems

2- Intended Learning Outcomes (ILOs) from the Course:

a- Knowledge and understanding


a1- Describe the structure and properties of caribodydrates, lipids and proteins of

biological importance.

a2- Describe the structure of cell membrane and point out its importance.

a3- Describe the structure of heme and proteins of the extra-cellular matrix.

21

a4- Demonstrate the structure and importance of immunoglobulins.

a5- Describe the chemistry of nucleotides and nucleic acids.

a6- Point out the processes of replication, transcription and translation.

a7- Describe recombinant DNA biotechniques.

a8- Point out the significance of human genome project and the principles of gene

therapy.



b1- Interpret the observations of chemical tests to identify unknown sugar or

protein solutions.

b2- Identify electrophoresis bands and comment on them.

b3- Interpret the photographs of electrophoresis runs of Polymerase chain reaction

(PCR) products.



c1- Select the proper investigation.

c2- Read and evaluate scientific literatures.



d1- Work effectively in a group during preparation of seminars.

d2- Respects the role of staff and co-staff members regardless of degree or

occupation.

3- Course content:

Topics No. of hours

L

1) Carbohydrate metabolism 2

2) Lipid metabolism 2

3) Metabolism of protein 1

4) Hormone biosignaling 0.5

7) Vitamins and diseases 0.5

9) Diagnostic enzymology 0.5

10) Tumour markers 0.5

12) Molecular biology 1 L: Lecture

4 - Student Assessment Methods

22

4.1written exam to assess knowledge and understanding


4.1 Written exam 15 Oral/Practical 10

Total 25


5.1- Course Notes (paper and / or electronic)

Electronic lectures

5.2- Essential Books (Text Books)

Lecture notes on molecular medicine

5.3- Recommended Books

Harper's Biochemistry.

* Lippincott's Illustrated Biochemistry.

5.4- Periodicals, Web Sites, etc

23

Pathology Course Specifications University: Ain Shams University Faculty: of Medicine


Program on which the course is given: Diplomain Chest Diseases

Major or minor element of programs: Major

Department offering the program: Chest Diseases

Department offering the course: Pathology department.


Date of specification approval: 1/9/2008


Title: Pathology course Code: CH9005

Credit Hours: 1.O hour Lecture: 1.0h/week Total: 15 hours

Coordinator

Pathology department

B- Professional Information

1. Overall Aims of Course

Pathology is the bridge between the basic science and clinical medicine. The main

aim of Pathology course is to provide the candidate with adequate, recognizable

and applicable knowledge and skills for common diseases and life threatening

illnesses affecting body organs and system. It helps the candidate to understand the

causes (aetiology) of disease, the mechanisms of its development (pathogenesis)

and the associated alterations of structure (morphologic changes) and function

(clinical manifestations and complications) to be able to determine the most likely

diagnosis of the disease and management of the patient when provided with the

clinical history, the anatomical lesions, and the laboratory data.

2. Intended Learning Outcomes of Course (ILOs)

a-Knowledge and Understanding:


2a. I-Recognize and Define the basic pathologic processes that

disturb the structure and function of the body including cell injury,

tissue response to injury (inflammation ,heal ing and

repair) ,heamodynamic d isturbances , neoplas ia, and infect ions .

2a .2 -L i s t t he caus es o f commo n d i s e a s e s a f f ec t ing o r gans

and s y s t ems .

2a.3-Explain the pathogenesis of common diseases affecting organs

24

and systems.

2a.4-Recognize and describe the basic pathologic features (morphologic

changes)including gross and microscopic pictures of common

diseases affecting organs and systems.

2a.5-Identify the functional consequences and clinical

manifestations of common diseases affecting organs and systems.

2a.6-Explain and interpret the relation between the pathologic

changes and the signs and symptoms of the diseases

2a.7-List and recognize the complications common diseases

affecting organs and systems.

2a.8-Describe the effect of environmental factors on causation

and geographical variation of the diseases.

2a.9-Recognize the terminology used in classification, investigation

and description of the disease ,enabl ing effect ive communicat ion

with profess ional col lea gues and patients.

b-Intellectual Skills:

By the end of the course the candidate will be

able to:

2b.1-Correlate the pathologic features of th

disease with its presentation, laboratory

investigations and complications.

2b.2-Interpret and integrate the pathologic

changes of the diseases.

2b.3-Diagnose different common diseases based upon the pathologic

changes, clinical history, laboratory data and clinical manifestations.

c-Professional and Practical Skills:


2c.1- Recognize and interpret the pathologic lesions in the

pathology report that can prov ide re l i ab le bas is for r at ional

c l in ica l care and therapy .

2c.2-Select the appropriate preservative material for different kinds of

specimens.

2c.3-Handle and select appropriate tissue from fresh specimens for frozen

25

section examination.

d-General and Transferable Skills:


2d-I-Collect material needed for research using database.

2d2-Gather and organize material from various sources(Including library,

electronic and online resources)

2d 3-Write scientific papers and present the results of researches.

2d 4-Identify the accuracy of the request form and specimen identification

and resolve any errors or discordance.

2d 5- Communicate with the pathologists promptly and accurately.

2d 6-Attend and share in clinicopathologic meetings and conferences for

continuing professional development.

2d 7-Identify the importance of ethical approval and patient

consent for clinical research.

2d.8-Work with the team and apply the rules of the working group.

3- Course content:

Topics Noof

hours L General

Pathology

Course:

Acute and Chronic Inflammation

Cell Injury Adaptation and Death

Pathological Calcification and Pigmentation Intracellular accumulations

Amyloidosis

Tissue Repair and Healing Granulomas

Bacterial Infections

Haemodynamic Disturbances Disorders of Cellular Growth, Differentiation and Maturation

Neoplasia

8

Systemic

Pathology

Course

Pulmonary infections:

Trachiobronchitis

Pneumonias

Pulmonary truberculosis

-Lung abscess

Obstructive airway diseases:

Bronchial asthma

7

26

Emphysema -Broniectasis

Circulatory disturbances:

Acute respiratory distress

- P u l m o n a r y

v e n o u s c o n g e s t i o n

a n d e d e m a

Diffuse interstitial

infiltrative pulmonary

diseases:

Pneumoconiosis

Idiopathic interstitial hemosiderosis

Idiopathic interstitial fibrosis

P u l m o n a r y

a l v e o l a r p r o t e i n o s i s

Pulmonary

involvement in systemic diseases

Tumours Of the lung and pleura

C y t o p a t h o l o y i n c h e s t d i s e a s e s


4.1 Written Exam; whether short questions, essay questions, multiple

choice questions and problem solving cases to assess the

knowledge,understanding and intellectual skills.

4.2 Oral exam;to assess knowledge, understanding, intellectual and communication skills.


4.1 Written 30 Oral / Practical 20

Total :50


5.1-Course notes: General and Systemic Pathology Notes written by staff members of Pathology department

5.2-Text Books:

Kumar ,V(Ed),Cotran,R.S.,Robbins,S.L-..(2007 ).Basic Pathology(8

th .

ed.), Philadelphia,P.A.:W.B.Saunders.

5.3-Periodicals and websites etc.

27

Pharmacology Course Specification University: Ain Shams University Faculty: of Medicine


Program on which the course is given: Diplomain Chest Diseases.


Department offering the program: Chest Diseases

Department offering the course: Pharmacology department.




Title: pharmacology course Code: CH9004

Credit Hours: 1 hour Lecture: 1/week Total: 15

Coordinator

Pharmacology department


1- Course Aims:

The aim of this course is to provide students with an understanding of the

principles of pharmacology. For each medication, understand the dosing,

pharmacokinetics, metabolism, mechanisms of action, side effects, drug

interactions, compliance issues, costs, and use in specific patient populations, such

as renal insufficiency and including fertile, lactating, pregnant women, pediatric

and geriatric population.




a1- Discuss the pharmacokinetic, pharmacodynamic and pharmacotherapeutic

properties of different groups of drugs.

a2- Discuss the adverse and toxic effects, and their management of commonly used

groups.

a3- Give an account on limitations to the use of drugs such as contraindications and

drug interactions.

a4- Define clinically relevant age, sex and genetic related variations that affect

response to drugs.

a5- Define the principles, the indications, the relative advantages and

disadvantages of various pharmacotherapy modalities.

28

a6- Discuss the role, prevalence and limitations of alternative and complementary

therapies commonly in use.

a7- 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.



b1- Calculate accurately drug’s dosage, bioavailability, plasma half life and

volume of distribution in different patient populations.

b2- Obtain and record a comprehensive drug history of the patient.

b3- Document drug adverse reactions.

b4- Observe, record and analyze the effect of drugs on biological tissues

b5- Write prescriptions for musculoskeletal diseases.

b6- Audit prescriptions citing multiple drugs.



c1- integrate, analyse and summarise information relating to practical aspects or

current advances, issues and controversies within the pharmacological sciences

from a wide range of sources and evaluate this information to draw reasoned

conclusions or sustainable judgements;

c2- think independently, evaluate and reflect, set tasks and select appropriate and

reasoned approaches to solve problems;

c3- use knowledge and understanding of the pharmacological sciences to formulate

and apply the principles of scientific inquiry to address pharmacology-related

problems;

c4- apply the knowledge and understanding of the pharmacological sciences to

plan and undertake hypothesis-driven pharmacological research.

c5- demonstrate confidence and competency in understanding, analysing and

interpreting pharmacological data



d1- Demonstrate respect to all patients irrespective of their socioeconomic levels,

culture or religious beliefs and use language appropriate to the patient’s culture .

d2- Provide appropriate basic drug education to the patient and his family.

d3- Communicate effectively with other health care professionals to maximize

patient benefits and minimize the risk of errors.

29

d4- Understand the importance of life-long self-learning and show a strong

commitment to it.

d5- Use current IT for appropriate drug database to reach information about a

specific medication.

d6- Respect patient’s beliefs, values and privacy.

d7- Respect ethics related to drug prescription and use specially to drugs liable to

produce abuse.

d8- Recognize and effectively deal with unethical behavior of other members of

healthcare team.

3- Course content:

Topics No of hours

L

Introductioin for

pharmacokinetics

1

Drug therapy of heart failure.

Diuretics Drug therapy of

shock

1

Drug therapy of dysrrythmias 1

Drug therapy of hypertension 1

Drugs and hemostasis 1

Drug therapy of acid related

disorders

1

Drug therapy of DM 1

Calcium metabolism 1

Special chemotherapy:

Antiviral, antifungal,

antiprotozoal &

antituberculous

1.5

Inhalation therapy& oxygen

therapy

1

Drug therapy of bronchial

asthma. Corticosteriods

1.5

Cancer chemotherapy 1

Antihistaminic 1

Analgesics Anti-bacterials 1

30

L: Lectures and SDL: Self directed learning


4.1 written exam to assess knowledge, skills


4.1 Written exam 30 Oral/practical: 20

Total 50



None



Principles of Clinical Pharmacology


http://www.centerwatch.com/drug-information/fda-approvals/drug-

areas.aspx?AreaID=8

http://www.medilexicon.com/drugsearch.php?a=19

http://www.chilanti.com/olbooks/medbooks/Cochrane_Musculoskeletal_Group.ht

m

Clinical Microbiology course specification University: Ain Shams University Faculty: of Medicine





Department offering the course: Microbiology and Immunology department.




Title: Clinical microbiology course Code: CH9003

Credit Hours: 1 hour Lecture: 1/week Total: 15

Coordinator

Microbiology and Immunology department.


31

1- Course Aims:

To give candidates a good grounding in the applied aspects of medical

microbiology

To provide candidates with an understanding of the immune system, its

protective functions and the updates in the immunopathogenesis of infectious and

non-infectious diseases.

To familiarize candidates with the common infections and diseases of medical

importance, their causative pathogens, as well as laboratory diagnosis, treatment,

prevention and control of such diseases.

To provide knowledge, skills and attitude for candidates to deal with the

emerging infectious diseases in the community.

To encourage candidates to be positive participants in controlling infection in

their environment.

To guide candidates to apply basic practices of infection prevention and

control in different health care settings.

Intended Learning Outcomes:

I- Knowledge and understanding

At the end of the course the candidate will be able to:

1. Understand the basic biology and classification of medically important

microorganisms including bacteria, viruses and fungi

2. Describe virulence factors and pathogenesis of medically important

microorganisms and how they evade host defense mechanisms.

3. Mention mechanism of action, proper use of antimicrobial, antiviral and

antifungal agents.

4. Describe different mechanisms for controlling microbial growth.

5. Identify the basic principles of infection control in health care facilities.

6. Explain the beneficial role of the immune system in protection against

microbial infections and development of tumors.

7. Discuss means and types of immunization against medically important

microorganisms.

8. Explain the detrimental role of the immune system in hypersensitivity

reactions, transplant rejection and development of autoimmune diseases.

II- Intellectual skills


1. Evaluate according to evidence the causal relationship of microbes and

diseases.

2. Formulate a systematic approach for laboratory diagnosis, treatment and

prevention of common infectious clinical conditions

3. Demonstrate different techniques for controlling microbial growth

32

4. Evaluate the risk of infection of different clinical procedures for patient,

healthcare providers and external environment.

5. Apply the basic infection prevention and control practices in different

healthcare settings.

III- Professional and Practical skills


1. Collect a proper sample needed to diagnose a suspected causative

pathogen.

2. Perform different aseptic techniques during healthcare provision.

3- Course content:

Topics No. of hours

L Basic bacteriology (structure, physiology, genetics) and

classification of medically important bacteria

2

Antimicrobial agents: mechanism of action and resistance 1

Basic virology, major viral groups and antiviral drugs 1

Basic mycology and classification of medically important fungi

and antifungal drugs

1

Microbial mechanisms to combat host defenses 1

Control of microbial growth (Sterilization and Disinfection) 1

Tissues and cells of immune response, types of immune response,

Humoral immune response , Cell-mediated immunity, Cytokines,

Hypersensitivity

Autoimmunity and Tumor Immunology

Transplantation immunity

Immunodeficiency.

4

Collection of pathological specimens for microbiological

diagnosis

Lab. diagnostic techniques: conventional, immunological and

molecular Typing methods

Antimicrobial susceptibility testing

2

Aetiology,pathogenesis, laboratory diagnosis, treatment and

prevention of upper respiratory tract infections

1

Aetiology,pathogenesis, laboratory diagnosis, treatment and

prevention of Lower respiratory tract infections

1

33

L: Lecture


4.1Written exam to assess knowledge, understanding and intellectual skills

4.2 Oral exam to assess the ability to identify and apply microbiological

knowledge and intellectual skills in a comprehensive oral way.


4.1 Written exam: 30 Oral/practical: 20

Total: 50


5.1 Course notes: Medial microbiology and Immunology Department books

5.2 Essential books:

Lecture Notes: Medical Microbiology and Infection (Tom Elliott, Tony

Worthington, Husam Osman& Martin Gill)

Lecture Notes: Immunology (Todd and Spickett)

5.3 Recommended Books

Medical Microbiology (Jawetz, Melnick, & Adelberg’s)

Medical Immunology (Parslow, Stites, Terr & Imoboden)

Practical Medical Microbiolology (Collee, Fraser, Marmion & Simmons)

Immunobiology (Janeway, Travers, Walport, Shlomchik)

Medical Microbiology & immunology (Levinson & Jawetz)

Basic Virology (Wagner)

Histology and anatomy Course Specifications

A-Histology Course Specifications University: Ain Shams University Faculty: of Medicine





Department offering the course: Histology department.




Title: Histology course Code: CH9001

Credit Hours: 1/2 hour Lecture: 1.0/2weeks Total: 8

Coordinator

34

Histology department.

1- Overall aims of the course:

The focus of this course is the basic understanding of the microscopic structure of

cells, for the respiratory and lymphatic system and the direct relationship between

the morphology (microscopic structure) of such an organ and its function.

- Intended Learning Outcomes (ILOs) from the Course:

a) Knowledge and understanding: By the end of the course the student

should be able to

a1. Identify the microscopic structure of different cells, tissues and organs of

the respiratory and lymphatic system

a2. Recognize the ultrastructure of different cells, tissues and organs of the

respiratory and lymphatic system

b) Intellectual skills: By the end of the course the student should be

able to

b1. Integrate basic histological, anatomical, biochemical and physiological

knowledge with clinical data

b2. Interpret the structural changes in cells to understand the underlying cause

for different diseases

c) Professional and practical skills: The students should be able to

c1. Adjust and deal properly with the light microscope

c2. Determine the proper magnification for examining the different cells,

tissues and organs.

.

d) General and transferable skills: The student should

d1. Respect his colleagues and work properly in a team

d2. Comply with different believes in the community they serve

35

Course content

Topic Hours

(L)

(1)The Cell:

. The cell membrane: L.M, E.M. and molecular structure

. The cytoplasm: cell organelles, cytoskeleton, cell inclusions

. The nucleus

one

(2)Epithelial Tissue:

. Types of epithelium and classification:

Covering epithelium

Glandular epithelium

Neuroepithelium

Myoepithelium

one

(3)Connective Tissue:

. Types of connective tissue cells (L.M,E.M &functions)

. Types of connective tissue fibers

. Matrix and intercellular substances

. Types of connective tissue proper and function

one

4)Cartilage:

. Cartilage cells

. Types of cartilage

one

(5)Muscular Tissue: (with emphasis on muscles related to

respiration)

. Types of muscles: skeletal, cardiac & smooth muscles

. General characteristics of muscles (L.M&E.M)

. Difference between the three types of muscles

one

(6)Vascular System: (with emphasis on pulmonary circulation)

. General microscopic structure of blood vessels

. Arteries: Medium sized arteries & large elastic arteries

. Veins: medium sized veins and large veins

. Blood capillaries: types & structure

one

(7)Lymphatic System

. Solitary lymph nodules

. Lymph nodes: structure and functions

. Spleen: structure and functions

. Thymus: structure and functions

. Macrophage system: structure and functions

. Mucosal immune system

one

(8)Respiratory System

. Structure, components and arrangement

. Nasal cavity

. Nasopharynx

. Larynx

. Trachea, tracheo-bronchial epithelium

one

36

. Bronchial tree

. The lung

. The pleura


4.1Written exam

4.2 Oral exam


4.1 Written exam: 15 Oral/Practical: 10

Total: 25


5.1 Course notes:



B- Anatomy Course Specifications






Department offering the course: Anatomy department.




Title: Anatomy course Code: CH9001

Credit Hours: 1/2 hour Lecture: 1.0 h/weeks Total: 7

Course coordinator

Anatomy department.

Head of Department:

Professor: Kariman Mohamed Abdel Fattah El-Gohary

37

B- Professional Information

1. Course aims:

The course is designed to introduce the student to human anatomy related to

respiratory medicine

2. Intended Learning Outcomes Of Course (ILOS):

a) Knowledge

By the end of the course the student should be able to

a.1. Describe the anatomy of any of the following:

Regions and spaces (mediastinum: definitions, boundaries and

contents; intercostals space: muscles, blood supply, nerve supply

& lymphatic drainage).

Skeleton (sternum, ribs and thoracic vertebrae): Names of the

various bony features, muscles attached or structure(s) related.

Joints and ligaments (intervertebral, vertebrocostal, sternocostal

and intersternal: Type, articulations, ligaments).

Muscles (origin, insertion, main action(s), innervations)

Vessels (origin, course, surface landmarks, termination and

branches/tributaries).

Nerves (origin, course, distribution and effect of lesion).

Lymph nodes (site, source of afferents and termination of

efferents).

Serous membrane (pleura): layers, extent, lines of reflection

recesses (or sinuses), neurovascular supply and applied anatomy.

Viscera (lungs): location, surface projections, external features,

lobes, relations, special features if any, serous covering, vascular

supply, innervations, lymphatic drainage and applied anatomy.

a.2. List structures present in a certain region e.g., contents of posterior

mediastinum, sites of constriction of esophagus … etc.

a.3. Identify/ select, among many choices, the structure present in a given

surface landmark, the artery supplying a given structure, the group

of lymph nodes to which cancer in a given region may spread, the

nerve or vessel present in a certain location … etc.

a.4. Pair/ associate, for instance;

any given vessel with its source of origin or its branch;

a given structure with its surface landmark;

38

a given structure with its corresponding intercostals

space.

a.5. Compare/ differentiate between the right and left lungs, the

right and left structures in the mediastinum.

b) Intellectual Skills:


b1 Recognize the major clinical anatomical problems.

b2 Understand the causes of the clinical problems and the suggested way

of managements.

b3 Analyze in case-based discussions the information from clinical

problems framed in a clinical presentation format to emphasize the gross

anatomy and embryology of the human body.

c) Professional & Practical Skills:


c1 Communicate relevant information in concise, unambiguous

writing, with sketched illustration.

c2 Identify the anatomical specimens (muscles, vessels, nerves,

organs, glands and brain) in a precise and accurate manner.

c3 Interpret common diagnostic images (CTs, MRI and x-ray).

d) General & Transferable Skills:


d1 work with a group of his colleagues to collect information (using

books and the internet) and prepare a written research about an

anatomical topic.

d2 Recognize and use anatomic principles during the course and

throughout their careers.

d3 Deal with and treat the anatomical specimens (dead bodies,

anatomical parts and bones) with respect.

d4 Apply effective verbal communication with colleagues and teaching

stuff.

39

3- Course content

Topic Lecture hours

Bones: sternum, ribs & thoracic vertebrae 1

Thoracic wall (intercostals space)

Muscles & respiratory movements

Arteries & veins

Intercostals nerves

1

Pleura 1

Lungs

External features & surface projections

Mediatinal impressions & roots

Bronchopulmonary segments

2

Mediastinum

Subdivisions & contents

Arteries

Veins

Nerves

Trachea

Esophagus

Thoracic duct & thymus

1

Lymphatic drainage of the thorax 1


4.1 Essay Qs and problems: to assess the ability of the students to identify and

apply anatomical knowledge in a comprehensive written way (assess ILOs a 1-4, b

1-3).

4.2 Multiple choice questions to assess knowledge and understanding (assess

ILOs a 1-4, b 1-3).

4.3 Oral to assess the ability of the students to identify and apply anatomical

knowledge in a comprehensive oral way (assess ILOs a 1-4, c 2, d 2-4).



Total: 25

5-- List of References

40

5.1 Course Notes:

1. Introduction to Anatomy (your first step to study Anatomy). Authors:

(Kariman Elgohary, Mostafa Kamel, Osama Husein, Hany Shawky).

2. Lectures on Embryology. Authors: (Kariman Elgohary, Mostafa

Kamel, Osama Husein, Hany Shawky).

5.2 Essential Books (Text Books)

Gray's Anatomy, 39th

edition, 2005


1. Moore, K.L. and A.F. Dalley, Clinically Oriented Anatomy, 5th

edition, Lippincott, Williams & Wilkins, 2005.

2. T.W.Sadler , Langman's Medical Embryology, 8th

edition,

Lippincott, Williams & Wilkins, 2000.

3. Tank, P.W., Grant's Dissector, 13th edition, Lippincott, Williams

and Wilkins, 2005

4. Agur, A.M.R. and Dalley, A.F. Grant's Atlas of Anatomy, 11th

edition, Lippincott, Williams & Wilkins, 2005

5.4 Periodicals, Web Sites: medicaleducation online.org

Public health Course Specifications






Department offering the course: environmental and occupational department.



41


Title: public health course Code: CH9006

Credit Hours: one hour Lecture: 1/week Total: 15

Coordinator

Environmental and occupational department.

Course content

Topic Lecture

(hours)

Medical statistics (core) 4

Environmental disorders

Indoor and outdoor pollutants

Noxious gases

1

Smoking&Health

Hazards of smoking

Smoking cessation programs

Passive smoking

Smoking banning

2

Respiratory viral infections (including bird flu, H1N1 flu) 1

Occupational pulmonary diseases

General principles and approach to

diagnosis and management

Prevention

Assessment of disability and compensation

Occupational Asthma

Disorders related to inorganic dust

Disorders related to organic dust

Pleural diseases including mesothelioma

3

Chronic obstructive pulmonary diseases

Epidemiology

Risk factors

Economic and social burden

Prevention

Assessment of disability

1

42

Tuberculosis

Epidemiology

Prevention (including BCG vaccination)

Screening for tuberculosis (including tuberculin

test)

Management (including multidrug- resistant

tuberculosis, and directly observed therapy)

2

Lung Cancer

Epidemiology

Risk factors

Prevention

Screening

Economic and social burden

1


4.1Written exam

4.2 Oral exam



Total: 50


5.1 Course notes:



N.B. End of 1st Semester assessment: 100 marks

(Activity will determined by Chest Department)

Internal Medicine Course Specification University: Ain Shams University Faculty: of Medicine


Program on which the course is given: Diplomain Chest Diseases.


43


Department offering the course: General Internal Medicine department

Academic Level: Master –4th

semester.



Title: Internal Medicine course Code: CH9007

Credit Hours: 4 hour Lecture: 1/w Total:15

Clinical: 6/w Total: 90

Coordinator

General Internal Medicine department


1- Course Aims:

a) Understand the scientific principles underlying health and disease.

b) Provide an appropriate background covering the common and important

emergencies and diseases.

c) Prepare candidate for independent and life-long learning by encouraging self-

directed study.

e) Enable the development and application of appropriate professional attitudes,

communication and problem solving skills.




a1- Discuss the common medical problems presenting to doctors - in primary

health care setting, hospital and community - their diagnosis, prevention and

treatment.

b2- Identify disease in terms of mental, functional and physical processes

b3- 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)

a4- 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.

a5- Name the role, prevalence and limitations of alternative and complementary

medicine.



44

b1- Analyze symptoms & signs and construct a differential diagnosis for common

presenting complaints.

b2- Design an appropriate diagnostic plan for evaluation of common presenting

complaints which is appropriate in terms of the differential diagnosis, the severity

of the clinical situation and the risks, benefits and costs to the patient.

b3- Accurately interpret the results of commonly used diagnostic procedures.

b4- Identify risk factors for disease processes and injury, and institute the

appropriate diagnostic, preventive, and therapeutic interventions.

b5- Identify the indications and logistics of referring patients to higher levels of

experience or specialization

b6- Construct treatment plan, incorporating his knowledge, best available evidence,

and patient’s preferences in a cost effective manner



c1- Take a thorough history of appropriate depth and detail, relative to the clinical

context.

c2- Demonstrate a complete and/or problem-focused physical examination.

c3- Recognize urgent life-threatening conditions, and institute appropriate initial

management.

c4- Safely perform routine diagnostic and therapeutic procedures, including life

support.

c5- Use appropriate sterile technique, Comply with and use universal precautions.

c5- Recognize and carry out the treatment of the emergency situations



d1- have the ability to explore both disease and illness with patients, and meet their

communication needs and those of their relatives through the acquisition of

effective Comprehensive Clinical Method;

d2- be able to work within the organisational, interpersonal and inter-professional

dynamics of the clinical team;

d3- be able to make judgements about their strengths and weaknesses and take

responsibility for continuing learning, personal support and professional

development

3- Course content:

Title: Module 1 Code: CH9007

Credit Hours: 4 Lecture: 1/w Total: 15

Clinical: 6/w Total: 90

45

Topics No of

hours

L C/P

Disease of cardiovascular system 2 18

Disease of the liver , pancreas, peritoneum, and gastrointestinal tract 1 12

Nephrology 1 6

Distrurbance in the water, electrolyte and acid base balance 1 2

Endocrinology and metabolism 2 12

Neurology& psychiatry 2 12

Hematology and oncology 1 6

Rheumatology 1 12

Principle of geriatric medicine, 1 2

Diseases due to infection& immunodeffiency 2 6

Nutritional factors in disease 1 2

L: Lecture, T: Tutorial, C/P: Clinical


4.1 written exam to assess knowledge, skills

4.2 Clinical exam to assess practical and professional skills

4.3 oral exam to assess General and transferable skills


4.1 written exam 90

4.2 Clinical exam 70

4.3 Oral exam 30

Total 190



Clinical learning guide (electronic)

Handout of lectures.

National books approved by the Internal Medicine Council.


Davidson’s textbook of medicine

Current textbook of medicine

Kumar textbook of medicine

HUTCHISON’S Clinical Methods.


Cecil textbook of medicine

Harrison textbook of medicine

46


http://emedicine.medscape.com/

http://www.e-meducation.org/links/internal-medicine/

http://meded.ucsd.edu/clinicalmed/extremities.htm

http://www.cmelist.com/internal_medicine.htm

Chest Medicine Course Specifications



Program on which the course is given: Diplomain Chest diseases.


Department offering the program: Chest department.

Department offering the course: Chest department

Academic Level: Master – 2nd

, 3rd

and 4th

semester.



Title: Chest Medicine Course Code: CH9008

Credit Hours: 13 hour Lecture and tutorials: 60.5

Clinical: 299

Coordinator

Chest department


1- Course Aims:

a) Understand the scientific principles underlying health and disease.

b) Provide an appropriate background covering the common and

important emergencies and diseases.

c) Prepare candidate for independent and life-long learning by

encouraging self-directed study.

e) Enable the development and application of appropriate

professional attitudes, communication and problem solving skills.

2. Intended learning outcomes (ILOs):

47

a. Knowledge and understanding: By the end of the program the candidate will be able to:

a1- Recognize physiological, pathological, cellular and molecular,

microbiological, histological, anatomical pharmacological and

environmental basic knoledge relevant to Chest diseases.

a2-Recall the definitions , describe the physiologic background and

recognize the clinical features of the pulmonary disorders listed in

the syllabus

a3 - Understand the principles and role of invasive and non invasive

investigations necessary to reach the diagnosis of these disorders

a4-Understand the action and role of pharmacological and non

pharmacological approaches in the management of these disorders

a5- Outline the role of patient education.

a6- Recognize the socioeconomic and legal aspects diseases

a7– Understand and be either:

conversant with medical statistics,

proficient in respiratory intensive care related to primary and

secondary pulmonary disorders, or

proficient in pulmonary function performance, supervion and

assessment (elective courses)

b. Intellectual capabilities: By the end of the program the candidate will be able to:

b1- Complete a comprehensive pulmonary consultation including

identification, chief complaint, history of present illness, past history,

review of systems, personal and social history and complete physical

examination with particular focus on the pulmonary examination.

b2- Undertake timely & appropriate investigations (radiological,

physiological, laboratory, sleep- related, endoscopic and other

relevant invasive diagnostics)

b3 – Interpret results of chest X-rays and CTs, pulmonary function

tests (spirometry, lung volumes, diffusion capacity), arterial blood

48

gases, sleep studies and results of pleural, bronchoscopic, and

transthoracic specimens

b4- Laiase with radiologist and other subspecialities for

interpretations of other more complex diagnostic studies

b5- Integrate clinical findings with available investigations to form a

differential diagnosis

b6- Formulate an effective and safe plan of management for

obstructive, restrictive occupational, congenital, sleep- related and

vascular pulmonary disease outlined in the syllabus

b7- Understand and use established disease- management protocols

for the care of acute and chronic pulmonary conditions.

B8- Maintain accurate & legible records / documentation and ensure

continuity of care through effective hand-over of clinical information

c. Professional and practical skills :. By the end of the program the candidate will be able to:

c1-Provide acute respiratory and hemodynamic care ( oxygen

therapy, emergency airway management, initiation/management/

weaning from invasive and non-invasive ventilatory support, fluids

and vasoactive / inotropic support, and safe administeration of blood

and blood products) and monitor and respond to trends in

physiological variables

c2- Prescribe and manage long- term oxygen therapy and home

ventilation

c3- Assist in pre- and post bronchoscoy care

c4-Perform and manage various chest drains, and perform closed

pleural biopsy

c5- Perform transthoracic needle aspiration and biopsy

c6- Supervise pulmonary function tests (spirometry, diffusion

capacity, lung volumes)

c7- Supervise sleep studies

d. General and transferable skills: By the end of the program the candidate will be able to:

49

d1- Do thorough and timely consultations that include prompt

communication with other care team members,communication with

primary service teams as a consultant, working with technicians as a

team member / team leader.

d2- Involve patients (and/or their families/surrogates) as appropriate

in decisions about care and treatment

d3- Formulate clinical decisions with respect for cultural and

religious beliefs and ethical and legal principles

d4- Comply with local infection control measures and promote safety

for patients & staff

d5- Organise a case conference, search the medical literature,

critically appraise articles, and participate in multidisciplinary

research, audit and teaching under supervision

d6- Demonstrate an understanding of the managerial &

administrative responsibilities of the specialist

3- Course content:

3a- Program structure:

Topics L&T C/P SDL

3.a.1 Asthma 2 24 N&Int

Guidelines

3.a.2 COPD

2 30 N&Int

guidelines

3.a.3 Bronchiectasis and other airway diseases 1 6

3.a.4 Thoracic tumors (including mediastinal)

3 14

3.a.4 Respiratory infections (including mediastinitis) 5 24 N&Int

guidelines

3.a.5 Pulmonary vascular diseases 2 6 N&INT

guidelines

3.a.6 Occupational and Environmental Diseases 2 4

3.a.7 Diffuse parenchymal (interstitial) lung diseases and

orphan lung diseases

3 14 N&Int guidelines

3.a.8 Respiratory failure

2 14

3.a.9 Pleural diseases 3 14

3.a.10 Diseases of the chest wall, respiratory muscles and

diaphragm

1 4

3.a.11 Pleuro-pulmonary manifestationsof 1 8

50

systemic/extrapulmonary disorders

3.a.12 Genetic and developmental disorders 2

3.a.13 Esinophilic pulmonary diseases excluding asthma 1

3.a.14 Sleep-related breathing disorders

4 6

3.a.15 Respiratory manifestations of immunodeficiency

disorders

0.5 6 N&Int

guidelines

3.a.16 Lung transplantation

1 N&Int

guidelines

3.a.17 Smoking cessation/respiratory disease prevention 3 8

(field)

N&Int

efforts

3.a.18 Respiratory intensive care (core)

6 24 N&Int

guidelines

3.a.19 Pulmonary exercise physiology and pulmonary

rehabilitation

1

3.a.20 Imaging 2 12

3.a.21 Pulmonary function testing (core) 2 9 N&Int

protocols

3.a.22 Bronchoscopy (core) 2 12 Network activities

3.a.23 Pleural procedures & skin testing (tuberculin and

allergy tests)

1 28

3.a.24 Symptoms and Signs 2

3.a.25 Psychological factors and quality of life in

respiratory diseases

1

3.a.26 Miscellaneous

3.a.26.I Acute injury

-Inhalation lung injury

-Traumatic thoracic injury

3.a.26.II Preoperative and post operative respiratory care

3.a.26.III Pregnancy&respiratory disorders

3.a.26.IV Iatrogenic respiratory disorders

-Drug- induced

-Radiation - related -Invasive procedure related

4 6

3.a.27 Public health and health costs 1


4.1 Written exam to assess knowledge, skills

4.2 Clinical exam to assess practical and professional skills

4.3 Oral exam to assess General and transferable skills

51


4.1 written exam 4th

semester (compulsory subjects) 400

(optional subject) 50

4.2 Clinical exam (4th

semester) 200

4.3 Oral exam (4th

semester) 60

Total 710

4.4 End of 1st semester exam: 100 (Activity will be determined by Chest Department)

4.5 End of 2nd

semester exam: 100

4.6 End of 3rd

semester exam: 100



Electronic lectures

5.2- Essential Books (Text Books) Crofton and Douglas's Respiratory Diseases HUTCHISON’S Clinical Methods.


………


www.ersnet.org

www.chestnet.org

www.lungusa.org

www.thoracic.org

Intensive Care Medicine Course Specifications (Advanced)



Program on which the course is given: Diplomain Chest diseases.


Department offering the program: Chest department.

Department offering the course: Chest department

Academic Level: Master –4th

semester.



Title: Advanced course in respiratory intensive care Code: E6100b

52

Credit Hours: 1 hour Lecture/ tutorials: 1/2w Total: 7

Clinical: 1/w Total:16

Course coordinator

Chest department


1- Course Aims:

a) Provide the required core knowledge and skills that enable the pulmonologist to

manage independently and appropriatly respiratory intensive care patients

b) Promote flexible attitudes and analytical skills that a pulmonologist require to

become a lifelong learner and researcher in the field of intensive care related to

respiratory medicine


a. Knowledge and understanding:

By the end of the program the candidate will be able to:

a1- Recall the definitions , describe the physiologic background and recognize the

clinical features of the pulmonary and extrapulmonary disorders listed in the

syllabus

a2- Understand the principles and role of invasive and non invasive investigations

necessary to reach the diagnosis of these disorders

a3 - Recognize the socioeconomic and legal aspects of management of patients in

respiratory intensive care units

b. Intellectual capabilities:


b1- Undertake timely & appropriate management of acute disorders and

appropriately respond to trends in patient condition

b2- Undertake timely & appropriate investigations (radiological, physiological,

laboratory, sleep- related, endoscopic and other relevant invasive diagnostics)

b3 – Interpret results of chest X-rays and CTs,and of other basic imaging

modalities related to intensive care management.

b4- Laiase with radiologist and other subspecialities for interpretations of other

more complex diagnostic studies

b5- Integrate clinical findings with available investigations to form a differential

diagnosis

b6- Formulate an effective and safe plan of management

b7- Understand and use established disease- management protocols for the care of

acute conditions.

53

B8- Maintain accurate & legible records / documentation and ensure continuity of

care through effective hand-over of clinical information

c. Professional and practical skills :.


c1-Provide acute respiratory and hemodynamic care (oxygen therapy, emergency

airway management, initiation/management/ weaning from invasive and non-

invasive ventilatory support, fluids and vasoactive / inotropic support, and safe

administeration of blood and blood products) and monitor and respond to trends in

physiological variables

c2- Perform and manage various chest drains

c3-Perform central venous cannulation and interpret readings

c4- Perform arterial cannulation and interpret readings

d. General and transferable skills: By the end of the program the candidate will be able to:

d1- Do thorough and timely consultations that include prompt communication

with other care team members,communication with primary service teams as a

consultant, working with technicians and nurses as a team member / team leader.

d2- Involve patients (and/or their families/surrogates) as appropriate in decisions

about care and treatment

d3- Formulate clinical decisions with respect for cultural and religious beliefs and

ethical and legal principles

d4- Comply with local infection control measures and promote safety for patients

& staff

d5- Organise a case conference, search the medical literature, critically appraise

articles, and participate in multidisciplinary research and audit under supervision

d6- Demonstrate an understanding of the managerial & administrative

responsibilities of the intensivist

3- Course content:

Topic NO.of hours/week

L& T C/P SDL Cardiovascular disorders:

Shock, arrythmias , acute

coronary syndrome 12 lead

ECG, hypertension

1.5

54

Neurologic disorders:

cerebrovascular

accident,seizures, post

hypoxemic brain damage

Acute renal failure: causes

and management & acute

hepatic failure causes and

management

Homeostasis :

Coagulopathies ,Acid-base

status , Na ,K, Mg, Ca

Endocrinopathies (thyroid

dysfunction, adrenal

insufficiency, diabetes

mellitus, SIADH)

General (fever,

coagulopathies,

hypoalbuminemia,

pancreatitis, psychological

disorders)

Respiratory complications

related to operative

interventions and chest

trauma

Analgesia, sedation, muscle

relaxation in ICU

Preventive medicine in ICU:

thromboembolic disorders,

stress ulcer, infections,

decubitus ulcer, respiratory

therapy

N&Int guidelines

Infections in ICU: lower

respiratory infections

(including ventilator-

associated pneumonia),

sinusitis, urinary tract

infection, catheter-related,

Clostridium difficile –related

diarrhea, blood stream

infections and severe sepsis

N&Int guidelines

Nutrition in ICU

55

Ethics and medicolegality:

Care of terminally ill, brain

death and organ donation,

discontinuation of support,

DNR , consent ,

communication, research in

ICU

Clinical outcome , scoring

systems, quality, cost

effectiveness and

documentation

L: Lectures, T: Tutorial, C/P Clinical practice, SDL: Self directed learning

N&Int : National and International




4.1 written exam 50

Total 50

-- List of References


Electronic lectures


Oxford text book of Intensive Care medicine


Current Critical care. Diagnosis & treatment

Oxoford handbook of critical care……


WWW.esicm.org

WWW.sccm.org

Pulmonary Function Course Specifications (Advanced) University: Ain Shams University Faculty: of Medicine


Program on which the course is given: Master Science in Chest Diseases

Major or minor element of programs: Minor

Department offering the program: Chest Department

Department offering the course: Chest Department

Academic Level: Master 4th

semester

Date of specification approval:

56

Basic Information

Title: Pulmonary function (advanced) Code: E9099

Credit Hours: 1 hour

Lecture/ tutorials: 1/ 2 w Total:7

Practice: 1/w Total: 16

Coordinator

Chest Department


1- Course Aims:

a) Provide the required detailed knowledge and skills that enable the

pulmonologist to manage independently and appropriatly a pulmonary function

and rehabilitation unit

b) Promote flexible attitudes and analytical skills that a pulmonologist require to

become a lifelong learner and researcher in the field of pulmonary physiology and

rehabilitation


a. Knowledge and understanding:

By the end of the program the candidate will be able to: a.1Understand mechanics of breathing and ventilation,control of ventilation

a.2Describe pulmonary blood flow and and ventilation-perfusion relationships

a.3Enumerate factors that influence diffusion

a.4 Describe principles of plethysmography

a.5 Identifies rational for bronchial hyper-responsiveness tests

a.6 Understand cardio-pulmonary relationships, pysiological basis of exercise in

health and disease

a.7 Understand physiology and pathophysiology underpinning pulmonary

rehabilitation and evidence supporting a role for pulmonary rehabilitation in the

management of patients with COPD and other appropriate respiratory diseases

a.8 Understand components of a successful pulmonary rehabilitation programme

Selection of patients who are most likely to benefit from pulmonary rehabilitation

b. Intellectual capabilities:


b.1 Understand and select an appropriate pulmonary function test and exercise

protocol based on the reason for performing the test.

57

b.2 Recognize the normal physiologic changes that occur during exercise when

the workload is increased.

d.3 Terminate the test (especially cardiopulmonary stress test) when indicated .

d.4 Classify the cause of exercise limitation due to dyspnea as cardiac, ventilatory

(gas exchange or blood gas abnormalities), deconditioning or poor effort.

d.5 Titrate oxygen with exerciseand evaluate breathing kinetics during exercise

c. Professional and practical skills :.


b.1 Measure and interpret spirometry and lung mechanics: (vital capacity,

forced vital capacity, timed forced expiratory volumes and flows , peak expiratory

flow, maximum voluntary ventilation, maximum expiratory and maximum

inspiratory pressure and before and after bronchodilator studies

b.2 Measure and interpret forced oscillation techniques especially impulse

oscillation system

b.3 Measure and interpret lung volumes (functional residual capacity , residual

volume, total lung capacity, thoracic gas volume , body plethysmography.

b.4 Measure and interpret diffusing capacity (single -breath carbon monoxide

diffusing capacity

b.5 Describe the two methods of performing bronchial challenge tests and identify

a positive response to a methacholine challenge test.

b.6 Perform exercise test according to protocol , terminate the test when indicated,

titrate oxygen with exercise, and evaluate exercise flow-volume loop data

(dynamics during exercise).

b.7 Interpret flight/altitude assessment results

b.8 Evaluate and quantify respiratory impairment/disability

b.9 Understand quality assurance (quality control procedures) in the pulmonary

function laboratory.

b.10 Learn to check results of individual tests for consistency d. General and transferable skills:


d.1 Conduct a multidisciplinary approach

d.2 Consider quality control and assurance of pulmonary rehabilitation

d.3 Comply with infection control principles

3- Course content:

Topic NO.of hours/week

L& T C/P SDL

58

Static and dynamic lung volumes / Principles of

plethysmography

1.5/w

N&Int

protocols

Ventilation-perfusion relationships /Diffusion

Ventilation and mechanics of breathing/

spirometry/Blood gas and oximetry

Bronchial hyper-responsiveness /Bronchial

provocation testing

Relationship between structure and function

/Respiratory muscle assessment

Cardio-pulmonary relationships /Cardiopulmonary exercise testing

Effects of pulmonary diseases on pulmonary

functions

Instrumentation and equipments for Pulmonary

function testing






4.1 written exam 50

Total 50

5-- List of References


Electronic lectures

5.2- Essential Books (Text Books

5.3- Recommended Book---

.4- Periodicals, Web Sites, etc

Medical Statistics Course Specifications University: Ain Shams University Faculty: of Medicine


Program on which the course is given: Master Science in Chest Diseases

Major or minor element of programs: Minor

Department offering the program: Chest Department

59

Department offering the course: Community, Environmental and Occupational

Medicine

Academic Level: Master 4th

semester


Basic Information

Title: Medical statistics course Code: E9009

Credit Hours: 1 hour

Coordinator

Community, Environmental and Occupational Medicine Department


Course Aim:

To enable the Master candidate to plan, conduct, analyze and interpret the results

of a research in his specific field. This course unit introduces the application of

statistical ideas and methodology to medical research.


Knowledge and understanding


a1 - Define medical statistics and identify uses and importance of medical statistics

in medical research

a2 – Define:

Types of variables.

Descriptive statistics.

Presentation and summarization of data.

Measures of central tendency and scatter.

Principles of probability and probability distributions.

Concepts of inferential statistics: confidence interval and hypothesis

testing.

Different tests of statistical significance.

Difference between parametric and nonparametric tests of significance.

Correlation and regression

60

Concept of statistical modeling using multivariable and multivariate

statistical methods.

Combining evidence from different studies and meta-analysis

Importance and methods of sampling and how to determinate the suitable

sample size.

Different types of research methodology:

observational and intervention studies and the different statistical issues

related to the design, conduct, analysis and interpretation of the results of

each study type.

Ethical aspects of medical research including those specifically applied to

clinical trials.



b1 - Interpret correctly the results of statistical analyses and critically evaluate the

use of statistics in the medical literature.

b2 - Integrate and evaluate information from a variety of sources.



c1- Select appropriate study designs to address questions of medical relevance

c2 - Select and apply appropriate statistical methods for analyzing data typically

encountered in medical applications.

c3- Use selected software packages for statistical analysis and data management.



d1 - Work effectively in a group from different backgrounds.

d2 - Respects the role of staff and co-staff members regardless of degree or

occupation.

d3 - Communicate effectively with professional statisticians and the wider medical

community, including the ability to present results of statistical analyses through

written and oral presentations

d4 - Use of computer data bases and other computer skills.

d5 - Handle data appropriately and analyze them through: decision processes,

objective criteria, problem definition, project design and evaluation, risk

management, teamwork and coordination.

d6 - Learn independently with open-mindedness and critical enquiry.

61

3- Course content:

Topics

T C/P

Introduction to medical statistics and its uses x x

Types of variables and Descriptive statistics x x

Graphic presentation of data x x

Introduction to probability theory and rules x x

Sample and population: sampling distribution of mean and proportion x x

Confidence interval of a mean and a proportion x x

Confidence interval of a difference between two mean /proportion x x

Testing a hypothesis about population mean/proportion x x

Testing a hypothesis about the difference between two

means/proportion

x x

Comparing between more than two means-Introduction to factorial

analysis

x x

Cross-tabulation and introduction to categorical data analysis x x

Simple correlation and simple regression x x

Introduction to multivariable and multivariate analysis x x

Study designs: observational studies x x

Study designs: Intervention studies: clinical trials x x

Study designs: Experimental animal studies x x

Study designs: Bias and Confounding x x

Ethical issues in medical research x x

Sample size estimation for continuous and binary outcome measures. x x

Meta-analysis and publication bias. x x

T: Tutorial and C/P: Clinical or Practical and SDL: Self directed learning


4-1 Written exam to assess knowledge and understanding and will concentrate on

problem solving questions

4-2 Weighing of assessment

Written exam 50

Total 50

5 - List of References

62


Student Notes on Medical Statistics and Research Methods. Prof. Mohsen Abdel

Hamid and Dr Moustafa El Houssinie. Department of Community, Environmental

and Occupational Medicine.


Statistics in Clinical Practice. avid Coggon. BMJ Books. 2nd

edition 2003


Handbook of Epidemiology. Springer 2005


www.brettscaife.net/statistics/introstat/

onlinestatbook.com/rvls/

www. Epidemiolog.net

http://www.shef.ac.uk/scharr/spss/

Program Modules 1

st semester

Title: Module 1 Code: CH9001/CH9002/CH9003/CH9004/CH9005/CH9006

Credit Hours: 6 Lecture& tuorial: 90 h

Module 1

Topic code no. Course title NO.of hours/week

L

CH9001 Anatomy and histology one

CH9002 Physiology and biochemistry

CH9003 bacteriology

CH9004 Pharmacology

CH9005 pathology

CH9006 Public health L: Lectures

2nd

semester

Title: Module 2 Code: CH9008 a

Credit Hours: 6 Lecture& tuorial: 22.5 h

Clinical: 135 h

63

Module 2

Topic

code no.

Course title NO.of hours/week

L T C/P SDL 3.a.24 Symptoms & signs 10.5 hours/w 3.a.20 Imaging 3.a.1 Asthma N&Int guidelines 3.a.2 COPD N&Int guidelines 3.a.21 Pulmonary function

testing (core)

3.a.18 Respiratory intensive

care (core)

N&Int guidelines

3.a.4

3.a.15 Respiratory

infections(including

immunocompromised

and mediastinitis)

N&Int guidelines

3.a.3 Bronchiectasis and

other airway diseases



3rd

semester

Title: Module 3 Code: CH9008b

Credit Hours: 6 Lecture& tutorials:30 h

Clinical: 120 h

Module 3

Topic

code no.

Course title NO.of hours/week

L T C/P SDL 3.a.9 Pleural diseases 10.0 hours/w 3.a.23 Pleural and

transthoracic

procedures & skin

testing (tuberculin and

allergy tests)

64

3.a.7 Diffuse parenchymal

(interstitial) lung

diseases and orphan

lung diseases

3.a.5 Pulmonary vascular

diseases

N&Int guidelines

- 3.a.8 Respiratory failure 3.a.4 Thoracic tumors

3.a.22 Bronchoscopy (core)

3.a.13 Esinophilic pulmonary

diseases excluding

asthma

3.a.25 Psychological factors

and quality of life in

respiratory diseases

3.a.6 Occupational and

Environmental Diseases

3.a.12 Genetic and

developmental disorders

3.a.10 Diseases of the chest

wall, respiratory

muscles and diaphragm

3.a.14 Sleep breathing

disorders

3.a.17 Smoking

cessation/respiratory

disease prevention

N&Int efforts



5.4- 4th

Semester

Title: Module 4

a-Compulsory ; Code: CH9008 c Code:CH9007

Credit Hours: 1 Credit hours: 4

Lecture and tutorial: 8 h Lecture and tutorial: 15 h

Clinical : 14h Clinical: 90

Module 4/CH9008c

65

Topic

code no.. Course title NO.of hours/week

L T C/P SDL 3.a.26 Miscellaneous

-Acute injury

(Inhalational, traumatic)

-Preoperative and post

operative respiratory

care

-Pregnancy&

respiratory disorders

-Iatrogenic respiratory

disorders

1.5 h/w

3.a.11 Pleuro-pulmonary

manifestationsof

systemic/extrapulmonay

disorders

3.a.16 Lung transplantation

N&Int protocols

3.a.19 Pulmonary exercise

physiology and

pulmonary

rehabilitation

3.a.27 Public health and health

costs



b-Elective (only the selected one)

Code

NO. Course title NO.of hours/week

L T C/P SDL E9099 Advanced course in

pulmonary functions

1.5

N& Int protocols

E9100b Advanced course in

respiratory intensive

care

1.5

N&Int guidelines

E9009 Medical statistics 1.0

66



V- General Information

1 – Monitoring Of Training and Submission Of Training Reports

You must keep proper and updated records in your logbook to reflect the activities

encountered in your training. Your logbook must be duly endorsed by an

authorized signatory at the end of each semester.

You will be continuously assessed by your supervisors, in consultation with head

of department. An assessment will be submitted within 2 weeks of completion of

each semester.

2 - Miscellaneous Information:

Injury and/or Blood or Body Fluid Exposure:

During regular working hours, you should immediately report an exposure

incident to infection control unit. If exposure occurs after regular working hours or

during a weekend or holiday; please report to the Emergency Department.

Please also be sure to inform the supervisors of an exposure incident and/or

injury.

3 - Action Completion Of Clinical Training

Once all training sessions are completed the log book should be signed by the

senior supervisor and the head of the department and then should be submitted to

post graduate Secretariat.

4- Reference

The Training Guide is available at the post graduate Secretariat and could be

downloaded from the following website is

---------------------------------------------------------------

67

Your log book 1- Introduction The aim of this book is to give you a guide to the expectations for each item. It will

be a guide for both you and your teachers to what you should be seeing and doing.

It will give you a list of the important topics that you should think about and should

be covered in:

1. Clinical or practical sessions

or

2. Lectures & tutorials

or

3. Self-directed learning (SDL)

For each item there is also a list of

1. Clinical conditions or Practical sessions to be

seen or attended

2. Practical procedures to be seen and done

Remember

This document is only a guide. It is not an exhaustive list. It is not just a checklist

to score points. It is a guide to encourage you to read and learn more. This book is

for your benefit. It will form a record of your clinical training and experience.

2 - Supervisors

………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

3–Tables for Training Records Requirements

68

Candidates are required to fulfill 75% of the listed activities in order to be eligible

for the exam entry. The minimum number required for each activity = 75%. You

are free to attend more and record your extra attendance.

Weekly Department Plan Day /time Saturday Sunday Monday Tuesday Wednesday Thursday

Bedside

education

8-12 AM 8-12 AM 8-12 AM 8-12 AM 8-12 AM

Conference 10-12 AM

Grand

round

8-10 AM 8-10 AM 8-10 AM 8-10 AM 8-10 AM

Emergency

attendance

24h 24h 24h 24h 24h

Operative

day

8-12 AM 8-12 AM 8-12 AM 8-12 AM 8-12 AM

Clinic day 8-12 AM 8-12 AM 8-12 AM 8-12 AM 8-12 AM

Monthly activity……………………………….

Sixth monthly activity …………………………

Yearly activity ………………………………….

69

Conferences attendance

(NB. Minimum number required is 32………..)

No

Date

Pla

ce

Topics Supervisor

signature

71

Thesis attendance

(NB. Minimum number required is……7…..)

No Date Place Name of the thesis Supervisor

signature

72

Clinics attendance

(NB. Minimum number required is…35……..)

No Date Place Name of the Clinic Supervisor

signature

74

Clinical ward round


No Date Place Name of the tutorial Supervisor

signature

77

Activities Attended

(NB. Minimum number required is…one……..)

No Date Place Name Supervisor

signature

-Annual meeting of

Egyptian Society of

Chest and Tuberculosis

-Annual meeting of

Egyptian Society of

Bronchology

78

Case presentations


No Date Place Diagnosis Supervisor

signature

79

Emegency-Patients' Case Log

Patients Seen with the following emergencies Acute severe asthma

Acute exacerbation of COPD

Acute exacerbation of interstitial lung disease

Acute lung injury/ARDS

Pulmonary oedema

Hemoptysis

Pulmonary embolism

Acute pneumothorax

Severe chest infection/septic shock

Upper airway obstruction (glottis/subglottic)

Respiratory failure (acute or acute on top of chronic)

Patients seen with any of the listed Emergencies (Min 50)

PT. INITIALS AGE/SEX

MED.RECORD# DATE Diagnosis

Supervisor signature

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

80

18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50

81

Non Emergency Medical cases Log

And follow up of emergency cases Asthma

COPD

Upper respiratory infection

Lower respiratory infection (bronchitis, bronchiolitis, pneumonia)

HIV related infection

Tuberculosis

Bronchiectasis/ non specific lung fibrosis

Pleural effusion (parapneumonic, tuberculous, empyema,

malignant”primary /secondary”,systemic disease)

Pneumothorax

Interstitial lung disease

Mediastinal (neoplasm,vascular,infection,pneumomediastinum)

Lung neoplasm (primary/secondary)

Pulmonary vascular (embolism, hypertension,corpulmonale)

Occupational/environmental

Obstructive sleep apnea

Obesity hypoventilation syndrome

Chest wall,diaphragmatic,neuromuscular disorder

Chronic respiraroty failure

Esinophilic lung disease

Gentic /developmental respiratory disorder

Patients seen / with any of the listed Non Emergency Medical cases (Min 50)

PT. INITIALS

AGE/SEX MED.RECORD#

DATE Diagnosis Supervisor

signature

1 2 3 4 5 6

82

7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41

83

42 43 44 45 46 47 48 49 50

84

Practical skills (Agreement Scale) Requirements Candidates are required to fulfill 75% of the listed activities in order

to be eligible for the exam entry. The minimum number required for

each activity = 75%. You are free to attend more and record your

extra attendance. (Minimum number required to attend is three.

Minimum number required to assist is five Minimum number

required to be done independently (under supervision) is seven

(Grade B is required to pass)

Item

No

Obse

rved

Date

assi

sted

Date

Done

indep

enden

tly

(A, B

, C

)

Date

Su

per

vis

or

sign

atu

re

Arterial puncture

1

2

3

4

5

6

7

8

9

10

11

85

12 Insertion of

arterial cannula 1

2

3

4

5

6

7

8

9

10

11

12

Pleural aspiration

1

2

3

4

5

6

7

8

9

10

11

12

13

14

86

15

16

17

18

19

20

21

22

23

24 Closed pleural

biopsy 1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

87

19

20

21

22

23

24 Intercostal Tube

Insertion 1

2

3

4

5

6

7

8

9

10

11

12 Transthoracic

needle

biopsy/aspiration

1

2

3

4

5

6

7

8

9

10

88

11

12 Spirometry 1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24 Diffusion

Capacity&lung 1

2

89

volumes 3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24 Bronchoscopy 1

2

3

4

5

6

7

90

8

9

10

11

12 C-Poor B- Satisfactory A- Excellent

Others

5 - Log book preview

The candidate logbook will be reviewed and patients seen/ skills

performed summarized by diagnosis groups during the semester evaluation

and at the end of the course in the table below.The results of this review

will be totaled in the summary chart below.

For master degree

Summary

Semester 1st 2

nd 3

rd 4

th Total

Activity No No No No

Conferences attendance

Thesis attendance

Clinics attendance

Clinical ward round

Activities Attended

Case presentations

Arterial puncture

Insertion of arterial cannula

Pleural aspiration

Closed pleural biopsy

Intercostal Tube Insertion

91

Transthoracic needle

biopsy/aspiration

Spirometry

Diffusion Capacity&lung

volumes

Bronchoscopy

Supervisor signiture

VII - Head Of Department Approval For The Exam Entry _______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

___________________________________________

93

VIII – VIII – Evaluation Forms Evaluation Form (at the end of each semester)

To be completed at -------------------------------------

Candidate Supervisor

Location

Aim of training

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________ Agreed educational objectives and timescale in which objectives should be

achieved.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Comments by Candidate

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Comments by Supervisor

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Date of next meeting

Signed by candidate

Signed by Supervisor

Da

95

VIII – Evaluation Forms Evaluation Form (at the end of each semester)



Location

Aim of training

__________________________________________________________________

__________________________________________________________________


achieved.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


Signed by candidate


Da

97




Location

Aim of training

__________________________________________________________________

__________________________________________________________________


achieved.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


Signed by candidate


Da

99




Location

Aim of training

__________________________________________________________________

__________________________________________________________________


achieved.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


Signed by candidate


Da

101

Degree Program Evaluation Form by The Candidate To be completed at the end of your degree. Please consider each pair of statements and decide which most clearly reflects your view and tick one

box or answer the question.

I. Individual Information 1. Are you a graduate of ASU?

yes no to some degree 2. Year and semester when studies began: II. General Questions 1. What are the advantages/disadvantages of the general study environment at the University ASU? 2. What were your expectations when you applied to the degree? 3. Do you feel that the degree program prepares you well for your future studies or employment according to the demands and expectations of those institutions?

yes no to some degree 4. Has the time limit of the program (two or three academic years) caused you any difficulties or inconveniences?

yes no to some degree III. Structure of Degree Program 1. Did you receive enough guidance in planning your study schedule in the beginning of the program?

yes no to some degree 2. What were the main difficulties in the planning of your study schedule? 3. What is your general opinion on the structure of the degree program?

102

4. In your opinion, does the degree program offer a good balance of lectures, seminars, conferences, and book exams?

yes no to some degree a) General Studies i) Do you feel that you have received enough guidance on academic writing?

yes no to some degree ii) Do you feel that you have acquired sufficient knowledge on research skills (eg. quantitative and qualitative research methods)?

yes no to some degree b) Courses i) Have you had some special difficulties in completing some of the courses? Please specify. ii) Has there been a sufficient variety of courses offered for your optional studies?

yes no to some degree iii) Have you received enough guidance for the preparation of your thesis?

yes no to some degree IV. Concluding Points 1. Did the degree program meet your expectations?

yes no to some degree 2. What aspects of the degree program do you particularly like? 3. What aspects of the degree program do you particularly dislike? 4. What are your suggestions on how to improve the program? Thank you!

poossttggrraadduuaattee ssttuuddiiees diploma in chest...

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