zagazig university faculty of medicine€¦ · a newly appointed consultant in t&o with cct...

FACULTY OF MEDICINE, ZAGAZIG UNIVERSITY

THE QUALITY ASSURANCE & ACCREDITATION UNIT

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Zagazig University Faculty of Medicine Departmet of Orthopaedic Surgery

Degree Medical Doctorate (MD)

Program Specifications (2012-15) Head of Department :Prof. Dr. Abdallah Attia

A-Basic Information

1-Program title: Medical Doctorate degree in Orthopaedic Surgery (OSMD)

2- Final Award

3- Program type: Single Double Multiple

4-Responsible Department(s): Department offering the program : Orthopaedic Department

Department offering courses in the program: Orthopaedic Surgery Department

5- Program duration: ……………3.5 years ……….

6- Number of Program courses : (6)

7- Coordinator: Prof. Dr. Prof. Dr. Abdallah Attia

8-External evaluators: Prof Dr Adel Almorshedy Hammam, Suez Canal University.

9-Last date of Program specifications approval: 1/1/2013

10- Program Management Team:

Professors: Abdallah Attia, Alaa Elnegehy, Khaled Idris

B-Professional Information

1) Program aims

The aim of this course is to provide the postgraduate orthopaedic surgery student with the up to date

theoretical and practical knowledge in orthopaedics and traumatology. By the end of the program the

postgraduate student should become an independent consultant as well as researcher in the field of

Orthopaedic Surgery. He will be able to join and lead a multidisciplinary team which will receive, assess and

definitively manage the majority of patients who need emergency treatments. He should be able to accept

responsibility for the reception and initial management of the majority of unselected trauma cases and act as

the primary consultant for the small number of rare orthopaedic emergencies which may occur. He will deal

with the majority of these cases definitively providing highly specialized management. He will also make

appropriate referral to other specialists within the discipline, depending on local circumstances, for those

patients who are best served by a colleague with a specific expertise. He will be able to work in a multi

disciplinary team with other more experienced surgeons.

He will be able provide a similar service for common Orthopaedic diseases and disorders as well as some of

the more sophisticated and rare orthopaedic conditions. He will not only be able to apply specific, detailed



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knowledge of a given condition or technique but also utilize a broad knowledge of orthopaedics and

medicine to view any patient’s situation holistically.

He also should be able to keep up to date with the ongoing advances in the orthopaedic field through a

process of critical and continuous self-education. Finally he should be able to actively participate in scientific

research.

2) Intended Learning Outcomes (ILO’s)

a) Knowledge and understanding

KU 1. Explain the essential anatomical and developmental aspects of the musculoskeletal

system

KU 2. List the essential histopathological aspects of the musculoskeletal system

KU 3. Identify the up to date management of different diseases and disorders of the

musculoskeletal system

KU 4. Identify the up to date management of different traumatic conditions of the

musculoskeletal system.

KU 5. Identify the legal and ethical issues related to orthopaedic surgery

KU 6. Identify the basics and ethics of scientific research in orthopaedic surgery

KU 7. Identify the relevant environmental implications of the practice of orthopaedic

surgery

b) Intellectual skills

IS 1. Correlate the theoretical knowledge of various anatomic structures for use in the

different orthopaedic surgical approaches and their applied surgical anatomy

IS 2. Correlate the pathology of different orthopaedic conditions with their applied

clinical and radiological manifestations

IS 3. Interpret supportive investigations and utilize them in the process of decision

making

IS 4. Differentiate between different orthopedic diseases

IS 5. Design a plan for the management of different orthopedic disorders

IS 6. Differentiate between different fractures and joint injuries

IS 7. Design a plan for the management of different fractures and joint injuries

IS 8. Read and criticize relevant orthopaedic literature

IS 9. Assess risks related to the practice of orthopaedic surgery

IS 10. Utilize the available information in the process of decision making and overcome

limitations

IS 11. Conduct a research (Thesis) that provides new insights in the field of orthopaedic

surgery and write professional scientific original articles and literature reviews

IS 12. Demonstrate sound decision-making in various professional contexts

IS 13. Develop a plan for professional improvement

IS 14. Demonstrate creativity

IS 15. Utilize evidence in scientific arguments

c) Professional and practical skills

PS 1. Apply the gained knowledge in identification of various anatomical structures in

various radiographic modalities as well as in the surgical field

PS 2. Apply the gained knowledge in identification of various musculoskeletal pathologic

conditions in various radiographic modalities as well as in the surgical field



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PS 3. Order and interpret appropriate investigations in different metabolic disorders

affecting the musculoskeletal system

PS 4. Diagnose shock and thromboembolic complications of fractures by clinical

examination and proper investigation, followed by their management.

PS 5. Diagnose visceral complications of fractures by clinical examination and proper

investigation and coordinate with the appropriate specialties

PS 6. Perform professional clinical examination

PS 7. Interpret investigations and outline a differential diagnosis

PS 8. Perform non-operative treatment for common orthopaedic conditions

PS 9. Perform operative treatment of common orthopaedic disorders

PS 10. Perform non-operative treatment for common orthopaedic traumatic conditions

PS 11. Perform operative treatment of common orthopaedic traumatic conditions

PS 12. Formulate medical research paper or evaluate and criticize a research paper. PS 13. Stay up to date as regards new medical technologies by utilizing the information

technology, computers and internet to obtain useful knowledge

PS 14. Write and criticize professional case reports of an orthopaedic patient

PS 15. Appraise the classic modalities of orthopaedic surgery

PS 16. Devise a plan for professional improvement and developing the professional practice

of others

d) General and transferable skills

GS 1. Communicate effectively with patients and their relatives as with colleagues,

superiors, and assisting personnel.

GS 2. Show respect to the patient’s privacy

GS 3. Appreciate the spirit of teamwork and show effective time-management.

GS 4. Show respect to the assisting personnel

GS 5. learn how to benefit from theoretical knowledge in a practical setting

GS 6. Learn how to obtain useful knowledge by searching appropriate scientific databases

e.g. medline as well as any other useful sources

GS 7. Learn how to adequately manage emergency situations

GS 8. Show honesty, dedication, and professionalism in his work

GS 9. Show dedication to continuous self-improvement and education

GS 10. Show the ability to professionally lead a team in various working conditions

GS 11. Demonstrate the ability to educate and evaluate the work of colleagues and assisting

personnel

GS 12. Direct and coordinate scientific meetings and show effective time-management.

3) Academic Standards

a) Generic standards of postgraduate programs prepared by National Authority of

Quality Assurance and Accreditation of Education (NAQAAE)

b) External references (Benchmark)

i. The British Intercollegiate Surgical Curriculum Program (ISCP), Trauma and

Orthopaedic Surgery, available from: http://www.iscp.ac.uk/orthocurriculum/

http://www.iscp.ac.uk/orthocurriculum/



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c) Matrices

i. Comparison between the ILO’s of the Faculty of Medicine Zagazig University

program and that of the Generic Academic Standards of Postgraduate program

prepared by NAQAAE

Ge

ne

ric s

tan

da

rds

Faculty of Medicine ZU program

Knowledge and understanding

KU7 KU6 KU5 KU4 KU3 KU2 KU1

أ

√ √ √ √ ب

√ ت

ث

√ √ ج

Intellectual skills

IS15 IS14 IS13 IS12 IS11 IS10 IS9 IS8 IS7 IS6 IS5 IS4 IS3 IS2 IS1 أ

√ √ √ √ √ √ √ ب

√ √ √ √ √ √ √ ج

√ د

√ هـ

√ و

√ ز

√ ح

√ √ ط

Professional and practical skills

PS16 PS15 PS14 PS13 PPS12 PPS11 PS10 PS9 PS8 PS7 PS6 PS5 PS4 PS3 PS2 PS1

أ

√ √ √ √ √ √ √ √ √ √ √

ب

√

√ ج

√ د

√ √ هـ

General and transferable skills

GS12 GS11 GS10 GS9 GS8 GS7 GS6 GS5 GS4 GS3 GS2 GS1

أ

√ ب

√ ت

√ ث

√ ج

√ ح

√

√ √ √ خ



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ii. Comparison between the ILO’s of the Faculty of Medicine Zagazig University

program and that of the external benchmark program

External Reference Comparable

ILOs in the

faculty

Program

Remarks

The Outcome of Training A newly appointed consultant in T&O with CCT

should be able to accept responsibility for the

reception and initial management of the majority of

unselected trauma cases and act as the primary

consultant for the small number of rare orthopaedic

emergencies which may occur.

KU4 – IS

3,6,7 – PS

4,5,6,7

Satisfactory

They will deal with

the majority of these cases definitively. The

consultant will also make appropriate referral to

other specialists within the discipline, depending on

local circumstances, for those patients who are best

served by a colleague with a specific expertise.

KU4 – IS7 –

GS 3,7,8 Satisfactory

The acquisition of a CCT will define an individual

who could work in a multi disciplinary team with

other more experienced surgeons.

GTS 3,4,8 Transferable skills

or short term

training but we need

well organized

,assessed ,certified

courses

This individual would be expected to assess

emergencies as they arise, resuscitate and

definitively treat the majority, referring on some of

the more specialised cases as described above.

IS7 – PS

4,5,6,7 – GS7 satisfactory

In the final phase of training, although the Core Competency

Training (CCT)

holder will already have proven competencies in

one or more of the specialist areas,

KU3 – IS

1,2,3,4,5

PS 8-11

Satisfactory

Further

acquisition of skills, professionalism and knowledge

in the sub specialist areas will continue during

Continuous Professional Development.

GS 5,6,8,9 Transferable skills

or short term


well organized


courses

CORE COMPETENCIES I Consent • Demonstrates sound knowledge of indications

IS 5,7

GS 1,2

Transferable skills

or short term



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and contraindications including alternatives to

surgery

• Demonstrates awareness of sequelae of operative

or non operative management

• Demonstrates sound knowledge of complications

of surgery

• Explains the perioperative process to the patient

and/or relatives or carers and checks

understanding

• Explains likely outcome and time to recovery and

checks understanding


well organized


courses

II Pre operative planning • Demonstrates recognition of anatomical and

pathological abnormalities (and relevant comorbidities)

and selects appropriate operative

strategies/techniques to deal with these e.g.

nutritional status

• Demonstrates ability to make reasoned choice

of appropriate equipment, materials or devices

(if any) taking into account appropriate

investigations e.g. x-rays

• Checks materials, equipment and device

requirements with operating room staff

• Ensures the operation site is marked where

applicable

• Checks patient records, personally reviews

investigations

KU 1-4

IS 5,7

PP 1,2,6,7

Satisfactory

III Pre operative preparation • Checks in theatre that consent has been obtained

• Gives effective briefing to theatre team

• Ensures proper and safe positioning of the patient

on the operating table

• Demonstrates careful skin preparation

• Demonstrates careful draping of the patient’s

operative field

• Ensures general equipment and materials are

deployed safely (e.g. catheter, diathermy)

• Ensures appropriate drugs administered

• Arranges for and deploys specialist supporting

equipment (e.g. image intensifiers) effectively

PS 9,11

Already achieved

in the Master's

program

IV Exposure and closure • Demonstrates knowledge of optimum skin

incision / portal / access

• Achieves an adequate exposure through

purposeful dissection in correct tissue planes and

identifies all structures correctly

• Completes a sound wound repair where

appropriate

• Protects the wound with dressings, splints and

drains where appropriate

KU 1,3,4

PS 1,2,9,11

Satisfactory

V Intra operative Technique • Follows an agreed, logical sequence or protocol

for the procedure

• Consistently handles tissue well with minimal

PS 1,2,9,11

GS 3,4 satisfactory



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damage

• Controls bleeding promptly by an appropriate

method

• Demonstrates a sound technique of knots and

sutures/staples

• Uses instruments appropriately and safely

• Proceeds at appropriate pace with economy of

movement

• Anticipates and responds appropriately to

variation e.g. anatomy

• Deals calmly and effectively with unexpected

events/complications

• Uses assistant(s) to the best advantage at all

times

• Communicates clearly and consistently with the

scrub team

• Communicates clearly and consistently with the

anaesthetist

VI Post operative management • Ensures the patient is transferred safely from the

operating table to bed

• Constructs a clear operation note

• Records clear and appropriate post operative

instructions

• Deals with specimens. Labels and orientates

specimens appropriately

PS 9,11

Already achieved

in the Master's

program

54%



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iii. Comparison between the ILO’s of the program and ILO’s of its courses

Program ILOs covered by No.

No of hours per week Hours covered

Course Title Code No. Practical Lect.

KU 1, IS 1, PS 1 2 2 90 Anatomy Course

OSMD 01

KU 2, IS 2, PS 2 2 2 64 Pathology course

OSMD 02

PPS 13 GS 9

1 1 24 Statistics course

MS

PS 13 GS 9

2 2 48 Computer course

CA

KU 3,4 IS 3-7 PS 3-12 GS 1-9

2 hours 45 min

3.5 hours

630

Orthopedics and traumatology Course

OSMD 03

KU 3-7 IS 3-8 PS 3-12 GS 1-9

3 234 The MD Thesis

OSMD TH

PROG ILOs

Anatomy Pathology Orthopedics and Traumatology Statistics and computer Thesis

KU IS PS GS KU IS PS GS KU IS PS GS KU IS PS GS KU IS PS GS



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KU1 √

KU2 √

KU3 √

KU4 √ √

KU5 √ √

KU6 √ √ √

KU7 √ √

Anatomy Pathology Orthopedics Statistics and computer Thesis

IS1 √

IS2 √

IS3 √ √

IS4 √ √

IS5 √ √

IS6 √ √

IS7 √ √

IS8 √ √

IS9 √

IS10 √

IS11 √

IS12 √

IS13 √ √

IS14 √

IS15 √


PPS1 √

PPS2 √

PPS3 √

PPS4 √

PPS5 √ √

PPS6 √ √

PPS7 √ √

PPS8 √ √



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PPS9 √ √

PPS10 √ √

PPS11 √ √

PPS12 √ √

PPS13 √ √

PPS14 √

PPS15 √

PPS16 √


GTS1 √ √ GTS2 √ √ GTS3 √ √ √ √ GTS4 √ √ √ √ GTS5 √ √ √ √ GTS6 √ √ GTS7 √ √ GTS8 √ √ GTS9 √ √ √

GTS10 √

GTS11 √

GTS12 √



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4- Program structure

Course Units Teaching hours Weeks Academic Year

Anatomy

Course 5 90 20 First

Pathology

course 8 64 20 First

Computer

Course 11 48 15 First

Statistics

course 9 24 12 First

Orthopaedics

and

Traumatology

Course

26 630 104 Second and

Third

Thesis 1 234 78 Third and

fourth

Total 40 1090 149

5- Program Courses Anatomy course

TOPIC

No. of hours

Number of weeks Lecture

s Practical/ small groups

TOTAL

1 Anatomy and the development of

the upper and lower limbs 8 10 18

20 weeks


the neck and the back 8 10 18


the skeleton 8 10 18

4 Basic biomechanical aspects of

orthopaedic surgery 8 10 18

5 Basic histological aspects of the

musculoskeletal system 8 10 18

TOTAL 40 50 90

Pathology Course

TOPIC

No. of hours



TOTAL



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1. Pathology of infection in

bones and joints 4 4 8

20 weeks

2. Pathology of Rheumatic

Disorders 4 4 8

3. Pathology of Osteoarthritis &

Osteonecrosis 4 4 8

4. Pathology of musculoskeletal

effects of metabolic and

endocrine disorders 4 4 8

5. Pathology of the

musculoskeletal effects of genetic disorders and

dysplasias 4 4 8

6. Pathology of the

musculoskeletal tumours and

tumour like conditions 4 4 8

7. Pathology of the

musculoskeletal effects of neuromuscular disorders 4 4 8

8. Physiological aspects of and

pathological conditions related

to fractures and fracture healing

4 4 8

TOTAL 32 32 64

Orthopaedics and traumatology course

Topic

No. of hours



TOTAL

1. Infection in orthopaedics 15 15

100 weeks

2. Rheumatic disorders and the

immunologic aspects of

orthopaedic disorders. 15 15

3. Osteoarthritis &

osteonecrosis 15 15

4. Metabolic and endocrine

disorders 15 15

5. Genetic disorders and

dysplasias 15 15

6. Tumours and tumour like

conditions of bones and soft

tissues 15 15

7. Neuromuscular disorders 15 15

8. Peripheral nerve injuries 15 15



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9. Joint reconstruction in adults 15 15

10. Congenital anomalies 15 15

11. Non traumatic disorders of

the spine 15 15


the hand 15 15


the foot 15 15

14. General principles of

fractures: including

complications of fractures

and fracture healing, and the

poly-traumatized patient 15 15

15. Traumatic joint injuries 15 15

16. General principles of internal

and external fixation

including the up to date

advances in fixation methods,

and biomaterials 15 15

17. Injuries of the shoulder,

upper arm, & elbow 15 15

18. Injuries of the forearm &

wrist 15 15

19. Hand injuries 15 15

20. Injuries of the spine 15 15

21. Injuries of the pelvis 15 15

22. Injuries of the hip & femur 15 15

23. Injuries of the knee & leg 15 15

24. Injuries of the ankle & foot 15 15

25. Orthopaedic operations 180 180

26. Orthopaedic examination 90 90

Total 360 270 630

Thesis

TOPIC

No. of hours



TOTAL

Writing of Protocol

78

Writing of Review of literature

Methods design and performance

of the practical part



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Statistical Analysis of results

Discussion of the results

English and Arabic summary

References collection

6- Program admission requirements Required to enroll the student for the degree of Doctor of medicine or in Orthopaedic Surgery:

The candidate must have obtained a Bachelor's degree in Medicine and Surgery (MB,BCh)

appreciated (Good grading at least), ,and Master's degree in Orthopaedic Surgery (Good grading

at least).

7- Regulations for progression and Program completion

1st level/Year

a) First Part

Its duration is 6 months from the date of registration and includes the basic sciences

associated with the branch of specialization to examine the concept applied, and

include advanced studies in statistics and planning clinical studies, and uses of

computers in medical science (in writing research, the work of the slides, statistics,

research and Reference, etc.). Then the student passes exams in the deposited

material. A maximum of four attempts is permitted within two years from the date of

registration. The student has to pass the first part to move on to the specialized courses of the program.

These semesters are 6 months each. The Orthopaedic department is responsible for the

teaching and the examinations of the students. The departments of Anatomy and Pathology

participate with the Orthopaedic department in the Oral Exam.

b) Second Part

1. Its duration is two-year after success in the first part and includes clinical science in

accordance with specific program for training.

2. The student is allowed a maximum of 4 attempts at the written exams.

3. The student must pass the written exams before being allowed to sit for the oral exams.

4. The student is allowed a maximum of 4 attempts at the written exams during the three years

from the date of his success in the exam. If they do not succeed in these exams, they must

repeat the examination of a new written exam.

5. The student has to pass the final exam with a minimum achievement of 60% in order to be able to

present and defend his thesis.

6. The student cannot apply for the final exam before 30 months have passed from the start of the

program.

7. The Orthopaedic department is responsible for the examinations of the students, and

the organization of thesis discussions.



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c) Third Part (The thesis)

1. The student cannot register his thesis before 18 months have passed from the start of

the program.

2. The student has to pass the English language (TOEFL) test with a minimum score of

500, in order to be able to present and defend his thesis.

3. In order to obtain the M.D. degree the student has to pass the discussion of his thesis

which examined publicly by senior staff of the orthopaedic department plus an

external examiner.

8- Evaluation of Program intended learning outcomes

Evaluator Tool Sample

1. Students at final

year Questionnaire 5

2. Graduates Questionnaire 5

3. Stakeholders Interviews 5

4. External Evaluator Evaluation 1

5. Internal Evaluator Internal Audit 1

9- References The British Intercollegiate Surgical Curriculum Program (ISCP), Trauma and Orthopaedic

Surgery, available from: http://www.iscp.ac.uk/orthocurriculum/

10- Support for Candidates and their Learning:

i. Regular meetings between staff members and candidates

ii. The department has 2 groups on Facebook for communication with

students a. Zagazig Orthopedic Department★★★★★Going ahead

b. Orthopaedic Surgery Department/Zagazig University

11-Methods used for improving the programme: Discussion of feedback from Department staff and candidates in Department council

12-Committee with responsibility for monitoring and evaluating quality: Internal Evaluators:

Member from Quality unit in the faculty.

External Evaluator :

http://www.iscp.ac.uk/orthocurriculum/

https://www.facebook.com/groups/147928281932929/

https://www.facebook.com/groups/342009892566661/



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o Prof . Dr. Adel Almorshedy Hammam , Prof of Orthopaedic Surgery, Suez Canal

University.

External reviewer remarks

a. Course well designed

b. Basic science content has already been taught in MS degree

c. Continuous monitoring required to detect and manage student needs,

obstacles. Suggests feedback sessions or self assessment questionnaire

d. Transferable skills need some clarification

e. Suggests integrated workshops or one-day student upgrade in specific

topics

f. Suggests research methodology workshops, computer skills, and

statistics

g. Attendance of local and national conferences

10. Reply to reviewer's comments

a. The depth of knowledge in MD is more than that for MS degree. Also

basic sciences in MD program are taught by the Orthopaedic department

and given with a more clinical oriented perspective

b. Attendance of integrated work shops , one day intensive courses, local

and national conferences is encouraged as these activities are required

for completion of the candidates LOG BOOK.

c. Research skills, computer skills, and statistics courses are offered in the

program

12- Regulations of assessment by-laws Grading system



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Pathology Course

Examination Description Marks

Written exam Short essays 100

Oral exam Oral exam 100

TOTAL 200 Marks

Computer Course


Oral and practical:

Application ( 2 assignments ) 20

Written exam. End of course Written examination 80

TOTAL 100 Marks

Orthopaedics and Traumatology Course


Final

written

exam

Paper

1

Orthop

aedics

Short essays 100

Paper 2

Trauma

tology

Short essays 100

Paper 3

Comme

ntary

Problem solving 100

Final oral exam Oral exam 100

Practical exam Long Case 50

Anatomy Course


Written exam Short Essays 100

Oral exam Oral exam 100

TOTAL 200 Marks



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Two short cases 50

Operative exam Oral exam 100

TOTAL 600 Marks

Thesis

The student has to pass the discussion of his thesis which examined publicly by

senior staff of the orthopaedic department plus an external examiner.

13- Rules for awarding the Degree 1. The student has to pass the first part to move on to the specialized courses of the program.

2. The student has to pass the final exam with a minimum achievement of 60% in order to be able to

present and defend his thesis.

Head of Department:

Prof Dr Abdallah Attia

zagazig university faculty of medicine€¦ · a newly appointed consultant in t&o with cct...

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